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    Iron, Total
    1 X $20.00 = $20.00
    Potassium, Plasma
    1 X $21.50 = $21.50
    Vitamin B12 & Folate
    1 X $30.00 = $30.00
    Uric Acid, Serum
    1 X $18.00 = $18.00
    HIV 5th Generation (Ag-Ab Screen, HIV1-Ab, HIV1-Ag, HIV2-Ab)
    1 X $48.00 = $48.00
    Sm/RNP Abs
    1 X $51.50 = $51.50
    Partial Thromboplastin Time (PTT), Activated
    1 X $19.50 = $19.50
    Immunoglobulin M (IgM Total)
    1 X $40.00 = $40.00
    Subtotal $248.50
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