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    Tri-iodothyronine T3 Total
    1 X $30.00 = $30.00
    Sm/RNP Abs
    2 X $51.50 = $103.00
    sd LDL- (Small Dense Lipid)
    1 X $49.00 = $49.00
    Platelet Count
    1 X $18.50 = $18.50
    Rubella Qual Ab., IgG
    1 X $32.00 = $32.00
    Subtotal $232.50
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