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    Herpes I & II IgG
    1 X $65.00 = $65.00
    Glucose, Gestational, 1Hr
    1 X $22.00 = $22.00
    Troponin-I
    1 X $44.00 = $44.00
    Cholesterol, Total
    1 X $19.00 = $19.00
    Alkaline Phosphatase
    1 X $19.00 = $19.00
    Glucose
    1 X $20.00 = $20.00
    Subtotal $189.00
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