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  ProductPriceQuantitySubtotal
× Placeholder CT angiography, upper extremity, 71,500.00
71,500.00
× Placeholder Acid phosphatase, total and prostatic fraction 4,100.00
4,100.00
× Placeholder Albumin - [Urine, 24 hours] 2,000.00
2,000.00
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Cart totals

Subtotal77,600.00
Total77,600.00