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    Complement C4
    1 X $32.50 = $32.50
    Deamidated Gliadin Peptide IgG
    1 X $41.50 = $41.50
    Partial Thromboplastin Time (PTT), Activated
    2 X $19.50 = $39.00
    Platelet Count
    1 X $18.50 = $18.50
    Subtotal $131.50
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