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    Lyme Disease Ab w/Reflex to Blot
    1 X $58.50 = $58.50
    Bilirubin, Direct
    1 X $19.00 = $19.00
    SS-B (La) Abs
    1 X $35.50 = $35.50
    Cholesterol, Total
    1 X $19.00 = $19.00
    Subtotal $132.00
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