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    Zinc
    1 X $40.00 = $40.00
    Bilirubin, Total
    2 X $18.50 = $37.00
    Bilirubin, Direct
    1 X $19.00 = $19.00
    Deamidated Gliadin Peptide IgA
    1 X $41.50 = $41.50
    Phosphorus, Serum
    1 X $18.50 = $18.50
    Apolipoprotein B (Apo-B)
    1 X $49.00 = $49.00
    Varicella Zoster Virus Ab., IgG
    1 X $40.00 = $40.00
    Alanine Aminotransferase (ALT)
    1 X $20.00 = $20.00
    Rubella Immune Status
    1 X $32.00 = $32.00
    C-Reactive Protein (CRP), High Sensitivity
    2 X $32.00 = $64.00
    Glucose, Gestational, 1Hr
    1 X $22.00 = $22.00
    Bilirubin, Indirect
    1 X $22.50 = $22.50
    Subtotal $405.50
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