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    Amenorrhea Panel
    1 X $84.00 = $84.00
    Varicella Zoster Virus Ab., IgG
    1 X $40.00 = $40.00
    Sm (Smith) Abs
    1 X $48.00 = $48.00
    Sm/RNP Abs
    1 X $51.50 = $51.50
    Comprehensive Metabolic Panel
    1 X $20.50 = $20.50
    PSA Free and Total
    1 X $40.00 = $40.00
    Protein, Total
    1 X $18.50 = $18.50
    Subtotal $302.50
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