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    Glucose, Gestational, 1Hr
    1 X $22.00 = $22.00
    H. Pylori Ab., IgG
    1 X $34.00 = $34.00
    Cytomegalovirus Ab., IgG
    2 X $31.00 = $62.00
    Hep A Ab Total w/Reflex to IgM
    2 X $44.00 = $88.00
    Haptoglobin
    1 X $46.00 = $46.00
    Fructosamine
    2 X $29.00 = $58.00
    Estrone (E1)
    1 X $47.00 = $47.00
    Glutathione
    1 X $124.50 = $124.50
    Subtotal $481.50
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