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    Rubella Immune Status
    2 X $32.00 = $64.00
    Tri-iodothyronine Free T3
    3 X $30.00 = $90.00
    Protein, Total
    3 X $18.50 = $55.50
    Varicella Zoster Virus Ab., IgG
    3 X $40.00 = $120.00
    Amenorrhea Panel
    2 X $84.00 = $168.00
    ABO Group & RH Type
    3 X $30.00 = $90.00
    Urea Nitrogen, (BUN) Serum
    2 X $18.50 = $37.00
    Alkaline Phosphatase
    1 X $19.00 = $19.00
    Subtotal $643.50
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