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    Prothrombin Time (PT) (INR)
    1 X $20.00 = $20.00
    Sm/RNP Abs
    1 X $51.50 = $51.50
    Complement C4
    1 X $32.50 = $32.50
    Prostatic Acid Phosphate
    1 X $60.00 = $60.00
    Hep B Surface Ag w/Con
    1 X $55.00 = $55.00
    SS-B (La) Abs
    1 X $35.50 = $35.50
    LDL Cholesterol, measured
    1 X $20.00 = $20.00
    Herpes I & II IgG
    1 X $65.00 = $65.00
    Subtotal $339.50
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