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    Herpes II, IgG
    1 X $45.00 = $45.00
    Glucose
    2 X $20.00 = $40.00
    Bilirubin, Indirect
    1 X $22.50 = $22.50
    Glucose, Fasting, Plasma
    1 X $21.00 = $21.00
    Hepatic Function Panel
    1 X $20.00 = $20.00
    Anemia Panel
    2 X $44.00 = $88.00
    IGF-BP3
    1 X $74.00 = $74.00
    Hep B Surface Ag w/Con
    1 X $55.00 = $55.00
    Subtotal $365.50
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