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    Centromere Abs
    1 X $45.50 = $45.50
    Deamidated Gliadin Peptide IgA
    1 X $41.50 = $41.50
    Complement C4
    1 X $32.50 = $32.50
    Bilirubin, Total
    1 X $18.50 = $18.50
    Prothrombin Time (PT) (INR)
    1 X $20.00 = $20.00
    Subtotal $158.00
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