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    Sm (Smith) Abs
    3 X $48.00 = $144.00
    Sm/RNP Abs
    3 X $51.50 = $154.50
    Reverse T3
    3 X $54.00 = $162.00
    Protein, Total
    2 X $18.50 = $37.00
    PSA Free and Total
    3 X $40.00 = $120.00
    Partial Thromboplastin Time (PTT), Activated
    2 X $19.50 = $39.00
    Tissue Transglutaminase IgG
    2 X $41.50 = $83.00
    Varicella Zoster Virus Ab., IgG
    1 X $40.00 = $40.00
    Subtotal $779.50
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