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    Sodium
    1 X $18.00 = $18.00
    Bilirubin, Total
    2 X $18.50 = $37.00
    CardioPro Advanced
    1 X $214.00 = $214.00
    Uric Acid, Serum
    1 X $18.00 = $18.00
    Reticulocyte Count
    1 X $18.00 = $18.00
    Rubella Immune Status
    1 X $32.00 = $32.00
    Tissue Transglutaminase IgG
    1 X $41.50 = $41.50
    Subtotal $378.50
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