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    Lipase
    1 X $20.00 = $20.00
    Human Chorionic Gonadotropin HCG (Testicular Tumor)
    1 X $27.00 = $27.00
    Measles, Mumps, Rubella
    1 X $76.00 = $76.00
    Tri-iodothyronine Free T3
    1 X $30.00 = $30.00
    Partial Thromboplastin Time (PTT), Activated
    1 X $19.50 = $19.50
    Herpes I & II IgG
    2 X $65.00 = $130.00
    Cytomegalovirus, IgM
    1 X $49.00 = $49.00
    Rubella Immune Status
    1 X $32.00 = $32.00
    Complement C4
    1 X $32.50 = $32.50
    Subtotal $416.00
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