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    Potassium, Plasma
    1 X $21.50 = $21.50
    11 ANA Components (no ANA Screen)
    1 X $214.00 = $214.00
    Sm (Smith) Abs
    1 X $48.00 = $48.00
    Tri-iodothyronine T3 Total
    1 X $30.00 = $30.00
    Quantiferon TB Gold Plus 4th Gen
    1 X $112.50 = $112.50
    Hep B Surface Ag w/Con
    1 X $55.00 = $55.00
    Human Chorionic Gonadotropin HCG (Testicular Tumor)
    1 X $27.00 = $27.00
    Subtotal $508.00
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