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    Glucose, Gestational, 1Hr
    3 X $22.00 = $66.00
    Comprehensive Metabolic Panel
    1 X $20.50 = $20.50
    Reticulocyte Count
    2 X $18.00 = $36.00
    Uric Acid, Serum
    2 X $18.00 = $36.00
    Immunoglobulins G, A, M
    1 X $65.50 = $65.50
    Bilirubin, Indirect
    1 X $22.50 = $22.50
    PLAC TEST (Lp-PLA2)
    2 X $84.00 = $168.00
    Haptoglobin
    2 X $46.00 = $92.00
    Glucose
    1 X $20.00 = $20.00
    Bilirubin, Direct
    1 X $19.00 = $19.00
    Subtotal $545.50
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