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    HIV 5th Generation (Ag-Ab Screen, HIV1-Ab, HIV1-Ag, HIV2-Ab)
    1 X $48.00 = $48.00
    Glucose, Fasting, Plasma
    1 X $21.00 = $21.00
    Renal Function Panel
    1 X $20.00 = $20.00
    Thyroid Binding Globulin
    1 X $100.00 = $100.00
    SS-B (La) Abs
    1 X $35.50 = $35.50
    Follicle-Stimulating Hormone (FSH)
    1 X $30.00 = $30.00
    Subtotal $254.50
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