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    SS-B (La) Abs
    2 X $35.50 = $71.00
    PSA Free and Total
    2 X $40.00 = $80.00
    Thyroxine Free (FT4)
    1 X $30.00 = $30.00
    Thyroxine (T4) Total
    1 X $30.00 = $30.00
    Reverse T3
    2 X $54.00 = $108.00
    Varicella Zoster Virus Ab., IgG
    1 X $40.00 = $40.00
    Subtotal $359.00
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