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    Fibrinogen
    1 X $34.00 = $34.00
    Electrolyte Panel
    1 X $18.00 = $18.00
    Rubella Qual Ab., IgG
    1 X $32.00 = $32.00
    Urea Nitrogen, (BUN) Serum
    1 X $18.50 = $18.50
    Hemoglobin A1C
    1 X $26.00 = $26.00
    Subtotal $128.50
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