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    Hep B Surface Ag w/Con
    1 X $55.00 = $55.00
    Alkaline Phosphatase
    2 X $19.00 = $38.00
    Triglycerides
    1 X $19.00 = $19.00
    Protein, Total
    1 X $18.50 = $18.50
    Immunoglobulin A (IgA Total)
    1 X $40.00 = $40.00
    HDL Cholesterol
    1 X $20.00 = $20.00
    Chloride
    1 X $18.00 = $18.00
    Measles, Mumps, Rubella
    1 X $76.00 = $76.00
    Subtotal $284.50
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