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    Prolactin
    1 X $30.00 = $30.00
    Epstein Barr Early Ag, IgG
    1 X $46.50 = $46.50
    Potassium, Plasma
    3 X $21.50 = $64.50
    HIV 5th Generation (Ag-Ab Screen, HIV1-Ab, HIV1-Ag, HIV2-Ab)
    2 X $48.00 = $96.00
    Iron, Total
    1 X $20.00 = $20.00
    Deamidated Gliadin Peptide IgG
    1 X $41.50 = $41.50
    Sodium
    1 X $18.00 = $18.00
    Prothrombin Time (PT) (INR)
    1 X $20.00 = $20.00
    Insulin-Like Growth Factor I (IGF-I)
    1 X $54.00 = $54.00
    Herpes II, IgG
    1 X $45.00 = $45.00
    Uric Acid, Serum
    1 X $18.00 = $18.00
    Subtotal $453.50
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