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    Prothrombin Time (PT) (INR)
    1 X $20.00 = $20.00
    Hep B Surface Ag w/Con
    1 X $55.00 = $55.00
    Partial Thromboplastin Time (PTT), Activated
    1 X $19.50 = $19.50
    MMRV Evaluation (MSL, MUMP, RUB, VZ)
    1 X $95.00 = $95.00
    Potassium, Plasma
    1 X $21.50 = $21.50
    Platelet Count
    1 X $18.50 = $18.50
    Subtotal $229.50
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