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    Bilirubin, Indirect
    2 X $22.50 = $45.00
    Bilirubin, Total
    1 X $18.50 = $18.50
    Complement C4
    1 X $32.50 = $32.50
    Cyclic Citrullinated Peptide IgG Ab.
    1 X $41.50 = $41.50
    Subtotal $137.50
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