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    STD Panel
    1 X $84.00 = $84.00
    Partial Thromboplastin Time (PTT), Activated
    1 X $19.50 = $19.50
    Sm (Smith) Abs
    1 X $48.00 = $48.00
    Fibrinogen
    1 X $34.00 = $34.00
    Herpes I, IgG
    1 X $35.00 = $35.00
    Subtotal $220.50
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