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    MMRV Evaluation (MSL, MUMP, RUB, VZ)
    1 X $95.00 = $95.00
    Hep B Surface Ag w/Con
    1 X $55.00 = $55.00
    Urea Nitrogen, (BUN) Serum
    1 X $18.50 = $18.50
    Basic Metabolic Panel
    1 X $19.00 = $19.00
    T-Uptake
    1 X $30.00 = $30.00
    Magnesium RBC
    1 X $35.50 = $35.50
    Tri-iodothyronine Free T3
    1 X $30.00 = $30.00
    Subtotal $283.00
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