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    Chloride
    1 X $18.00 = $18.00
    Bilirubin, Direct
    1 X $19.00 = $19.00
    Epstein Barr Nuclear Ag ,IgG
    1 X $46.50 = $46.50
    Tissue Transglutaminase IgG
    1 X $41.50 = $41.50
    Bilirubin, Total
    1 X $18.50 = $18.50
    Vitamin B12
    1 X $23.00 = $23.00
    Subtotal $166.50
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