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    Rubella IgM
    1 X $44.50 = $44.50
    Glucose, Gestational, 1Hr
    1 X $22.00 = $22.00
    11 ANA Components (no ANA Screen)
    1 X $214.00 = $214.00
    Alanine Aminotransferase (ALT)
    1 X $20.00 = $20.00