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    Epstein Barr Viral Capsid Ag ,IgG
    1 X $46.50 = $46.50
    Rubella Immune Status
    1 X $32.00 = $32.00
    SS-B (La) Abs
    1 X $35.50 = $35.50
    Glucose
    1 X $20.00 = $20.00
    Pre-Albumin
    1 X $72.50 = $72.50
    Subtotal $206.50
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