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    Epstein Barr Viral Capsid Ag ,IgG
    1 X $46.50 = $46.50
    Sm (Smith) Abs
    1 X $48.00 = $48.00
    Glucose, Fasting, Plasma
    1 X $21.00 = $21.00
    Human Chorionic Gonadotropin (HCG), Total
    1 X $30.00 = $30.00
    Lipoprotein(a)
    1 X $37.00 = $37.00
    Complement C3
    1 X $32.00 = $32.00
    Magnesium RBC
    1 X $35.50 = $35.50
    Prothrombin Time (PT) (INR)
    1 X $20.00 = $20.00
    Bilirubin, Total
    1 X $18.50 = $18.50
    Herpes I & II IgG
    1 X $65.00 = $65.00
    Herpes II, IgG
    1 X $45.00 = $45.00
    Subtotal $398.50
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