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    Glucose
    1 X $20.00 = $20.00
    Glucose, Gestational, 1Hr
    2 X $22.00 = $44.00
    Lipid Panel
    1 X $24.00 = $24.00
    CoQ10
    1 X $89.50 = $89.50
    Copper
    1 X $41.00 = $41.00
    Estriol (E3)
    1 X $47.00 = $47.00
    Subtotal $265.50
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