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    Complement C4
    1 X $32.50 = $32.50
    Reverse T3
    2 X $54.00 = $108.00
    Deamidated Gliadin Peptide IgG
    1 X $41.50 = $41.50
    Iron, Total
    1 X $20.00 = $20.00
    Sm/RNP Abs
    1 X $51.50 = $51.50
    Toxoplasma Gondi, Quant. IgG
    1 X $42.00 = $42.00
    PSA Free and Total
    1 X $40.00 = $40.00
    Subtotal $335.50
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