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    Culture, Mycobacteria (AFB)
    1 X $48.00 = $48.00
    MMRV Evaluation (MSL, MUMP, RUB, VZ)
    1 X $95.00 = $95.00
    Hepatic Function Panel
    1 X $20.00 = $20.00
    Arthritis Panel
    1 X $90.00 = $90.00
    Subtotal $253.00
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