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    Bilirubin, Indirect
    1 X $22.50 = $22.50
    Rubella IgM
    1 X $44.50 = $44.50
    Bilirubin, Total
    1 X $18.50 = $18.50
    Saliva Hormone Opendx Deluxe
    1 X $112.00 = $112.00
    Fibrinogen
    1 X $34.00 = $34.00
    Subtotal $231.50
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