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    Uric Acid, Serum
    1 X $18.00 = $18.00
    Epstein Barr Early Ag, IgG
    1 X $46.50 = $46.50
    Albumin
    1 X $18.50 = $18.50
    Basic Metabolic Panel
    1 X $19.00 = $19.00
    Amenorrhea Panel
    1 X $84.00 = $84.00
    Vitamin B12
    1 X $23.00 = $23.00
    Complement C4
    1 X $32.50 = $32.50
    Subtotal $241.50
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