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    Immunoglobulin M (IgM Total)
    1 X $40.00 = $40.00
    Rubella Immune Status
    2 X $32.00 = $64.00
    Reticulocyte Count
    2 X $18.00 = $36.00
    Urea Nitrogen, (BUN) Serum
    1 X $18.50 = $18.50
    Subtotal $158.50
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