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    Glucose, Gestational, 1Hr
    1 X $22.00 = $22.00
    11 ANA Components (no ANA Screen)
    1 X $214.00 = $214.00
    NMR LipoProfile
    1 X $110.00 = $110.00
    MTHFR
    1 X $214.00 = $214.00
    Cholesterol, Total
    2 X $19.00 = $38.00
    Human Chorionic Gonadotropin (HCG), Total
    1 X $30.00 = $30.00
    Subtotal $628.00
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