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    B-HCG, Qualitative, Serum
    1 X $29.00 = $29.00
    Bilirubin, Direct
    1 X $19.00 = $19.00
    Glucose, Fasting, Plasma
    1 X $21.00 = $21.00
    Hep A, B, C Ab Panel w/Reflex
    1 X $74.00 = $74.00
    Immunoglobulin E (IgE Total)
    1 X $34.00 = $34.00
    Hepatic Function Panel
    1 X $20.00 = $20.00
    Epstein Barr Viral Capsid Ag ,IgG
    1 X $46.50 = $46.50
    Glucose-6-Phosphate Dehydrogenase (G6PD), Quant.
    1 X $37.50 = $37.50
    Subtotal $281.00
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