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    PSA, Total (mcr Scr)
    1 X $25.00 = $25.00
    Bilirubin, Direct
    1 X $19.00 = $19.00
    Prolactin
    1 X $30.00 = $30.00
    Sm/RNP Abs
    1 X $51.50 = $51.50
    Measles, Mumps, Rubella
    1 X $76.00 = $76.00
    Epstein Barr Viral Capsid Ag ,IgG
    1 X $46.50 = $46.50
    RNP Abs
    1 X $45.50 = $45.50
    STD Panel
    1 X $84.00 = $84.00
    Subtotal $377.50
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