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    Obstetric Panel
    2 X $60.00 = $120.00
    Fructosamine
    1 X $29.00 = $29.00
    Epstein Barr Viral Capsid Ag ,IgM
    1 X $46.50 = $46.50
    Bilirubin, Total
    1 X $18.50 = $18.50
    Prostatic Acid Phosphate
    1 X $60.00 = $60.00
    Bilirubin, Direct
    1 X $19.00 = $19.00
    SS-B (La) Abs
    1 X $35.50 = $35.50
    Subtotal $328.50
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