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    Sm (Smith) Abs
    1 X $48.00 = $48.00
    Rubella Qual Ab., IgG
    1 X $32.00 = $32.00
    Reverse T3
    1 X $54.00 = $54.00
    Sm/RNP Abs
    2 X $51.50 = $103.00
    PSA Free and Total
    1 X $40.00 = $40.00
    Subtotal $277.00
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