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    Reverse T3
    1 X $54.00 = $54.00
    PSA Free and Total
    1 X $40.00 = $40.00
    Scl-70 Abs
    1 X $60.50 = $60.50
    Sm/RNP Abs
    1 X $51.50 = $51.50
    PLAC TEST (Lp-PLA2)
    1 X $84.00 = $84.00
    Chloride
    1 X $18.00 = $18.00
    Protein, Total
    1 X $18.50 = $18.50
    Subtotal $326.50
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