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    Lipid Panel
    1 X $24.00 = $24.00
    Pre-Albumin
    1 X $72.50 = $72.50
    SS-A (RO) Abs
    1 X $41.00 = $41.00
    Varicella Zoster Virus Ab., IgG
    1 X $40.00 = $40.00
    PSA Free and Total
    1 X $40.00 = $40.00
    Subtotal $217.50
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