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    Culture, Mycobacteria (AFB)
    1 X $48.00 = $48.00
    Protein, Total
    1 X $18.50 = $18.50
    SS-B (La) Abs
    1 X $35.50 = $35.50
    Sed Rate (Westergren)
    1 X $24.00 = $24.00
    Complement C4
    1 X $32.50 = $32.50
    Bilirubin, Direct
    1 X $19.00 = $19.00
    Subtotal $177.50
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