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    Glucose, Fasting, Plasma
    1 X $21.00 = $21.00
    Cholesterol, Total
    1 X $19.00 = $19.00
    Glucose
    2 X $20.00 = $40.00
    Bilirubin, Indirect
    1 X $22.50 = $22.50
    Lactic Acid Dehydrogenase (LD)
    3 X $20.00 = $60.00
    Protein, Total
    1 X $18.50 = $18.50
    Human Chorionic Gonadotropin (HCG), Total
    2 X $30.00 = $60.00
    Prostatic Acid Phosphate
    1 X $60.00 = $60.00
    Subtotal $301.00
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