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    Creatinine
    1 X $18.00 = $18.00
    Hemoglobin A1C
    1 X $26.00 = $26.00
    Hep A Ab, IgM
    1 X $44.00 = $44.00
    Hepatic Function Panel
    1 X $20.00 = $20.00
    Subtotal $108.00
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