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    Glutathione
    1 X $124.50 = $124.50
    Varicella Zoster Virus Ab., IgG
    1 X $40.00 = $40.00
    Lipase
    1 X $20.00 = $20.00
    Partial Thromboplastin Time (PTT), Activated
    1 X $19.50 = $19.50
    Sm (Smith) Abs
    1 X $48.00 = $48.00
    Tri-iodothyronine Free T3
    1 X $30.00 = $30.00
    Subtotal $282.00
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