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    Complement C4
    1 X $32.50 = $32.50
    Sodium
    2 X $18.00 = $36.00
    Partial Thromboplastin Time (PTT), Activated
    1 X $19.50 = $19.50
    Basic Metabolic Panel
    2 X $19.00 = $38.00
    Platelet Count
    1 X $18.50 = $18.50
    DHEA-Sulfate
    1 X $30.00 = $30.00
    Subtotal $174.50
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