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    Glucose
    1 X $20.00 = $20.00
    Carbon Dioxide (CO2)
    1 X $18.50 = $18.50
    Vitamin D, 25-OH, Total
    1 X $48.00 = $48.00
    Cytomegalovirus Ab., IgG
    1 X $31.00 = $31.00
    Folate
    1 X $23.00 = $23.00
    Cholesterol, Total
    1 X $19.00 = $19.00
    Tri-iodothyronine T3 Total
    1 X $30.00 = $30.00
    Glucose, Gestational, 1Hr
    2 X $22.00 = $44.00
    Subtotal $233.50
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