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    Prothrombin Time (PT) (INR)
    1 X $20.00 = $20.00
    Herpes I & II IgG
    1 X $65.00 = $65.00
    Glucose
    1 X $20.00 = $20.00
    PSA, Total (mcr Scr)
    1 X $25.00 = $25.00