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    Reverse T3
    2 X $54.00 = $108.00
    Sm/RNP Abs
    1 X $51.50 = $51.50
    Sodium
    1 X $18.00 = $18.00
    Partial Thromboplastin Time (PTT), Activated
    1 X $19.50 = $19.50
    Subtotal $197.00
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