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    Hep B Core Ab, Total w /Reflex to IgM
    1 X $44.00 = $44.00
    Deamidated Gliadin Peptide IgG
    1 X $41.50 = $41.50
    Chloride
    1 X $18.00 = $18.00
    Iron, Total
    1 X $20.00 = $20.00
    Thyroxine (T4) Total
    1 X $30.00 = $30.00
    MMRV Evaluation (MSL, MUMP, RUB, VZ)
    1 X $95.00 = $95.00
    Subtotal $248.50
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