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    Sm/RNP Abs
    1 X $51.50 = $51.50
    Hep B Surface Ag w/Con
    1 X $55.00 = $55.00
    DHEA-Sulfate
    1 X $30.00 = $30.00
    Reverse T3
    1 X $54.00 = $54.00
    T-Uptake
    1 X $30.00 = $30.00
    Potassium, Plasma
    1 X $21.50 = $21.50
    HIV 5th Generation (Ag-Ab Screen, HIV1-Ab, HIV1-Ag, HIV2-Ab)
    1 X $48.00 = $48.00
    Culture, Mycobacteria (AFB)
    1 X $48.00 = $48.00
    Subtotal $338.00
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