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    Amenorrhea Panel
    1 X $84.00 = $84.00
    Calcium, Serum
    1 X $19.00 = $19.00
    Basic Metabolic Panel
    1 X $19.00 = $19.00
    Hep B Surface Ab
    1 X $44.00 = $44.00
    Sm/RNP Abs
    3 X $51.50 = $154.50
    Sm (Smith) Abs
    2 X $48.00 = $96.00
    PSA Free and Total
    1 X $40.00 = $40.00
    Subtotal $456.50
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