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    Glucose, Gestational, 1Hr
    1 X $22.00 = $22.00
    Comprehensive Metabolic Panel
    1 X $20.50 = $20.50
    Fructosamine
    1 X $29.00 = $29.00
    Obstetric Panel
    1 X $60.00 = $60.00
    Glucose, Fasting, Plasma
    1 X $21.00 = $21.00
    Subtotal $152.50
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