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    Glucose, Gestational, 1Hr
    1 X $22.00 = $22.00
    Deamidated Gliadin Peptide IgG
    1 X $41.50 = $41.50
    CardioPro Advanced
    1 X $214.00 = $214.00
    PSA, Total (mcr Scr)
    1 X $25.00 = $25.00
    Subtotal $302.50
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