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    Chloride
    1 X $18.00 = $18.00
    Deamidated Gliadin Peptide IgA
    1 X $41.50 = $41.50
    Culture, Mycobacteria (AFB)
    1 X $48.00 = $48.00
    PSA Free and Total
    1 X $40.00 = $40.00
    Phosphorus, Serum
    1 X $18.50 = $18.50
    Fibrinogen
    1 X $34.00 = $34.00
    Epstein Barr Early Ag, IgG
    1 X $46.50 = $46.50
    Tri-iodothyronine T3 Total
    1 X $30.00 = $30.00
    Estriol (E3)
    1 X $47.00 = $47.00
    Basic Metabolic Panel
    1 X $19.00 = $19.00
    Free Thyroxine Index
    1 X $45.00 = $45.00
    Thyroxine (T4) Total
    1 X $30.00 = $30.00
    Ferritin
    1 X $23.00 = $23.00
    DHEA-Sulfate
    1 X $30.00 = $30.00
    Albumin
    1 X $18.50 = $18.50
    Uric Acid, Serum
    1 X $18.00 = $18.00
    Complement C4
    1 X $32.50 = $32.50
    Tri-iodothyronine Free T3
    1 X $30.00 = $30.00
    Subtotal $569.50
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