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    Prothrombin Time (PT) (INR)
    1 X $20.00 = $20.00
    Hep B Surface Ag w/Con
    1 X $55.00 = $55.00
    Bilirubin, Direct
    1 X $19.00 = $19.00
    Lipase
    1 X $20.00 = $20.00
    T-Uptake
    1 X $30.00 = $30.00
    Deamidated Gliadin Peptide IgA
    1 X $41.50 = $41.50
    Myoglobin
    1 X $44.00 = $44.00
    Subtotal $229.50
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