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    Complement C4
    1 X $32.50 = $32.50
    Transferrin
    1 X $23.00 = $23.00
    Epstein Barr Early Ag, IgG
    1 X $46.50 = $46.50
    Sodium
    2 X $18.00 = $36.00
    Prolactin
    1 X $30.00 = $30.00
    Subtotal $168.00
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