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    Epstein Barr Early Ag, IgG
    1 X $46.50 = $46.50
    Cytomegalovirus, IgM
    1 X $49.00 = $49.00
    Prothrombin Time (PT) (INR)
    1 X $20.00 = $20.00
    PSA Free and Total
    1 X $40.00 = $40.00
    SS-A (RO) Abs
    1 X $41.00 = $41.00
    Subtotal $196.50
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