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    Electrolyte Panel
    2 X $18.00 = $36.00
    Herpes I, IgG
    1 X $35.00 = $35.00
    Hepatic Function Panel
    2 X $20.00 = $40.00
    Hep B Surface Ag w/Con
    2 X $55.00 = $110.00
    Lactic Acid Dehydrogenase (LD)
    2 X $20.00 = $40.00
    Immunoglobulin G (IgG Total)
    1 X $40.00 = $40.00
    Potassium, Plasma
    1 X $21.50 = $21.50
    HIV 5th Generation (Ag-Ab Screen, HIV1-Ab, HIV1-Ag, HIV2-Ab)
    1 X $48.00 = $48.00
    Prolactin
    1 X $30.00 = $30.00
    Sed Rate (Westergren)
    1 X $24.00 = $24.00
    Subtotal $424.50
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