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    Hep B Surface Ag w/Con
    1 X $55.00 = $55.00
    Prothrombin Time (PT) (INR)
    1 X $20.00 = $20.00
    Tri-iodothyronine Free T3
    1 X $30.00 = $30.00
    Protein, Total
    1 X $18.50 = $18.50
    Renal Function Panel
    1 X $20.00 = $20.00