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    Protein, Total
    1 X $18.50 = $18.50
    Sm (Smith) Abs
    2 X $48.00 = $96.00
    Partial Thromboplastin Time (PTT), Activated
    1 X $19.50 = $19.50
    PSA Free and Total
    1 X $40.00 = $40.00
    Measles (Rubeola) IgG
    1 X $40.00 = $40.00
    Urea Nitrogen, (BUN) Serum
    2 X $18.50 = $37.00
    CardioPro Advanced
    1 X $214.00 = $214.00
    CA 15-3 Cancer Antigen
    1 X $50.00 = $50.00
    Magnesium RBC
    1 X $35.50 = $35.50
    Rubella Qual Ab., IgG
    1 X $32.00 = $32.00
    SS-A (RO) Abs
    1 X $41.00 = $41.00
    Herpes I & II IgG
    1 X $65.00 = $65.00
    Lipase
    2 X $20.00 = $40.00
    DNA Ab., d-s
    1 X $34.00 = $34.00
    Glucose, Gestational, 1Hr
    1 X $22.00 = $22.00
    Subtotal $784.50
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