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    Culture, Blood
    1 X $80.00 = $80.00
    SS-A (RO) Abs
    2 X $41.00 = $82.00
    Urea Nitrogen, (BUN) Serum
    1 X $18.50 = $18.50
    HDL Cholesterol
    1 X $20.00 = $20.00
    Pregnancy Test, Serum (Quantitative)
    1 X $30.00 = $30.00
    Cortisol
    1 X $34.00 = $34.00
    Subtotal $264.50
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