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    Hep A, B, C Ab Panel w/Reflex
    1 X $74.00 = $74.00
    Bilirubin, Total
    1 X $18.50 = $18.50
    Glucose, Fasting, Plasma
    1 X $21.00 = $21.00
    Cholesterol, Total
    1 X $19.00 = $19.00
    B-Type Natriuretic Peptide (BNP)
    1 X $49.00 = $49.00
    Amylase
    1 X $19.00 = $19.00
    Folate
    1 X $23.00 = $23.00
    Amenorrhea Panel
    1 X $84.00 = $84.00
    Subtotal $307.50
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