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    Sm (Smith) Abs
    1 X $48.00 = $48.00
    Partial Thromboplastin Time (PTT), Activated
    1 X $19.50 = $19.50
    Cholesterol, Total
    2 X $19.00 = $38.00
    Sm/RNP Abs
    1 X $51.50 = $51.50
    Reverse T3
    1 X $54.00 = $54.00
    Lactic Acid Dehydrogenase (LD)
    1 X $20.00 = $20.00
    Subtotal $231.00
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