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    Complement C4
    1 X $32.50 = $32.50
    Complete Blood Count (CBC) w/ Differential
    1 X $20.00 = $20.00
    Iron Total Binding Capacity, Total
    1 X $29.00 = $29.00
    Partial Thromboplastin Time (PTT), Activated
    1 X $19.50 = $19.50
    Reverse T3
    1 X $54.00 = $54.00
    PSA Free and Total
    1 X $40.00 = $40.00
    Subtotal $195.00
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