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    Pregnancy Test, Serum (Quantitative)
    1 X $30.00 = $30.00
    Cholesterol, Total
    1 X $19.00 = $19.00
    Obstetric Panel
    1 X $60.00 = $60.00
    Rubella IgM
    1 X $44.50 = $44.50
    Amenorrhea Panel
    1 X $84.00 = $84.00
    Free Thyroxine Index
    1 X $45.00 = $45.00
    Subtotal $282.50
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