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    PSA Free and Total
    1 X $40.00 = $40.00
    Arthritis Panel
    1 X $90.00 = $90.00
    Protein, Total
    1 X $18.50 = $18.50
    Lipase
    1 X $20.00 = $20.00
    DNA Ab., d-s
    1 X $34.00 = $34.00
    Reverse T3
    1 X $54.00 = $54.00
    Subtotal $256.50
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