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    MMRV Evaluation (MSL, MUMP, RUB, VZ)
    1 X $95.00 = $95.00
    SS-B (La) Abs
    1 X $35.50 = $35.50
    Creatinine
    1 X $18.00 = $18.00
    CA 15-3 Cancer Antigen
    1 X $50.00 = $50.00
    Subtotal $198.50
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