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    B-HCG, Qualitative, Serum
    1 X $29.00 = $29.00
    Partial Thromboplastin Time (PTT), Activated
    1 X $19.50 = $19.50
    Vitamin B12 & Folate
    1 X $30.00 = $30.00
    Herpes I & II IgG
    1 X $65.00 = $65.00
    Prolactin
    1 X $30.00 = $30.00
    Magnesium RBC
    1 X $35.50 = $35.50
    Subtotal $209.00
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