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    Rubella Immune Status
    1 X $32.00 = $32.00
    Sm/RNP Abs
    1 X $51.50 = $51.50
    Hep A, B, C Ab Panel w/Reflex
    1 X $74.00 = $74.00
    Glucose, Fasting, Plasma
    1 X $21.00 = $21.00
    SS-A (RO) Abs
    1 X $41.00 = $41.00
    Hep A Ab, IgM
    1 X $44.00 = $44.00
    Subtotal $263.50
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