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    Hep B Surface Ag w/Con
    1 X $55.00 = $55.00
    Protein, Total
    1 X $18.50 = $18.50
    Varicella Zoster Virus Ab., IgG
    1 X $40.00 = $40.00
    Reverse T3
    1 X $54.00 = $54.00
    Insulin, Fasting
    1 X $30.00 = $30.00
    HIV 5th Generation (Ag-Ab Screen, HIV1-Ab, HIV1-Ag, HIV2-Ab)
    1 X $48.00 = $48.00
    Amenorrhea Panel
    1 X $84.00 = $84.00
    Rubella Immune Status
    1 X $32.00 = $32.00
    Subtotal $361.50
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