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    Bilirubin, Direct
    1 X $19.00 = $19.00
    T-Uptake
    1 X $30.00 = $30.00
    Tissue Transglutaminase IgA
    1 X $41.50 = $41.50
    Estrogens, Total
    1 X $65.00 = $65.00
    Culture, Mycobacteria (AFB)
    1 X $48.00 = $48.00
    Subtotal $203.50
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