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    Sm (Smith) Abs
    1 X $48.00 = $48.00
    Epstein Barr Viral Capsid Ag ,IgG
    1 X $46.50 = $46.50
    Toxoplasma Gondi, Quant. IgG
    2 X $42.00 = $84.00
    Bilirubin, Total
    1 X $18.50 = $18.50
    Hepatic Function Panel
    1 X $20.00 = $20.00
    RNP Abs
    1 X $45.50 = $45.50
    Subtotal $262.50
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