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    Rubella IgM
    1 X $44.50 = $44.50
    NMR LipoProfile
    1 X $110.00 = $110.00
    Tri-iodothyronine Free T3
    1 X $30.00 = $30.00
    Potassium, Serum
    1 X $18.50 = $18.50
    CA 125 (Ovarian Cancer Test)
    1 X $35.00 = $35.00
    RPR W/ Reflex to (1357 Syphilis & 337 RPR Titer)
    1 X $48.00 = $48.00
    Subtotal $286.00
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