Attachment A Erie 8 29.xlsx

XLSX spreadsheet 36 MB Posted

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Q301--VISN 04 Reference Laboratory Testing Services (9 Facilites)
Solicitation number
36C24424R0004
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About this file

This document appears to be Attachment A to a Request for Proposal (RFP) for VISN 04 Reference Laboratory Testing Services at 9 facilities. The RFP is solicitation number 36C24424R0004, issued by the Department of Veterans Affairs Veterans Health Administration (VHA) Veterans Integrated Service Network 4 (VISN 4). The RFP seeks providers for reference laboratory testing services for the VISN 4 network. Key details include a description of the services required, the locations and facilities involved, response due dates, and information on set-asides. The RFP provides instructions for submitting proposals and outlines evaluation criteria for award.

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Other files

File Type Posted
36C24424R0004 0012 NO AWARD CANCEL.pdf PDF
Attachment A Pittsburgh 8 29.xlsx XLSX spreadsheet
Attachment A Altoona 8 29.xlsx XLSX spreadsheet
Attachment A Lebanon 8 29.xlsx XLSX spreadsheet
Attachment A Wilkes Barre 829.xlsx XLSX spreadsheet
Attachment A Butler 8 29.xlsx XLSX spreadsheet
Attachment A Philadelphia 829.xlsx XLSX spreadsheet
36C24424R0004 0011.pdf PDF
Attachment A Coatesville 8 29.xlsx XLSX spreadsheet
36C24424R0004 0010 Extended.pdf PDF
36C24424R0004 0009.pdf PDF
36C24424R0004 0008.pdf PDF
36C24424R0004 0007 Extentsion 07 15 24.pdf PDF
36C24424R0004 0006 Extentsion 6 17 24.pdf PDF
36C24424R0004 0005 Extentsion.pdf PDF
S02 36C24424R0004 Amendment RFP 4 18 24.pdf PDF
S02 36C24424R0004 0004 QA and Extentsion.pdf PDF
S02 36C24424R0004 0003 Amendment QA 4 11 24.pdf PDF
S02 36C24424R0004 Amendment RFP 4 11 24.pdf PDF
S02.36C24424R0004 Amendment RFP.docx DOCX document
S02.Amendment to Extend 36C24424R0004 0002 VISN Ref Lab.pdf PDF
Coatesville Wage Determination.docx DOCX document
Philadelphia Wage Determination.docx DOCX document
S02.VISN4 Ref Lab Amendment 36C24424R0004 0001.docx DOCX document
Records Management Language.pdf PDF
Lebanon Wage Determination.docx DOCX document
Erie Wage Determination.docx DOCX document
Wilkes Barre Wage Determination.docx DOCX document
Altoona Wage Determination.docx DOCX document
Butler Pittsburgh Wage Determinations.docx DOCX document
Contract Security Language.pdf PDF
Contractor Rules of Behavior.pdf PDF
Wilmington Wage Determination.docx DOCX document
S02.36C24424R0004 Amendment RFP.docx DOCX document
Attachment A Wilmington 1.xlsx XLSX spreadsheet
Attachment A Wilkes Barre.xlsx XLSX spreadsheet
Attachment A Philadelphia.xlsx XLSX spreadsheet
Attachment A Lebanon.xlsx XLSX spreadsheet
Attachment A Erie.xlsx XLSX spreadsheet
24HR TAT Test List.xlsx XLSX spreadsheet
Attachment A Wilmington 3.xlsx XLSX spreadsheet
Attachment A Wilmington 2.xlsx XLSX spreadsheet
36C24424R0004 - Final Ref Lab RFP.docx DOCX document
Attachment A Altoona.xlsx XLSX spreadsheet
Attachment A Wilmington 5.xlsx XLSX spreadsheet
Attachment A Wilmington 4.xlsx XLSX spreadsheet
Attachment A Pittsburgh.xlsx XLSX spreadsheet
Attachment A Coatesville.xlsx XLSX spreadsheet
Attachment A Butler .xlsx XLSX spreadsheet
36C24424R0004_2.docx DOCX document
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Pricing Period 1 Erie

CPT Code EntriesTest NameTest NumberMarch HistoricalsMarch Monthly CeilingMonthly Fixed Price MarchMarch Equal to or less than 50% DiscountMarch Zero Order DiscountApril HistoricalsApril Monthly CeilingMonthly Fixed Price AprilApril Equal to or less than 50% discountApril Zero Order DiscountMay HistoricalsMay Monthly CeilingMonthly Fixed Price MayMay Equal to or Less than 50% DiscountMay Zero Order DiscountJune HistoricalsMonthly Fixed Price JuneJune Equal to or Less than 50% DiscountJune Zero Order DiscountJuly HistoricalsJuly Monthly CeilingMonthly Fixed Price JulyJuly Equal to or less than 50% DiscountJuly Zero Order DiscountAug. HistoricalsAug. Monthly CeilingMonthly Fixed Price Aug.Aug. Equal to or Less than 50% DiscountAug. Zero Order DiscountSept. HistoricalsSept. Monthly CeilingMonthly Fixed Price Sept.Sept. Equal to or Less than 50% DiscountSept. Zero Order DiscountOct. HistoricalsOct. Monthly CeilingMonthly Fixed Price Oct.Oct. Equal to or Less than 50% DiscountOct. Zero Order DiscountNov. HistoricalsNov. Monthly CeilingMonthly Fixed Price Nov.Nov. Equal to or Less than 50% DiscountNov. Zero Order DiscountDec. HistoricalsDec. Monthly Ceiling
84520BUN00104005050505050505050505
84479T3 Uptake00115605050505000016000000
82710Fecal Fat, Quantitative00135405050505000000000000
83036Hemoglobin A1c00145327274949271616271600
82180Vitamin C00147905050505000000000000
82784(X3), 86334Immunofixation Reflex, Serum001496914712111681391415206117121116510
82380Carotene, Beta00152905050505000000000000
83735Magnesium00153705050505000000000000
82390Ceruloplasmin00156051051049493861181349813611
82525Copper, Serum or Plasma00158616211217914152014191419111681315201015
85384Fibrinogen Activity00161005271616000000000000
84080, 84075Alk Phos Isoenzyme00161238050505000016160000
83010Haptoglobin00162805050505000000000000
82705Fecal Fat, Qualitative00167705050505000000000000
82784(X3), 86334Immunofixation, Serum00168505050505000000000000
839155' Nucleotidase00170105051638381600270000
84311Phospholipids, Serum00172705050505000000160000
84442Thyroxine Binding Globulin00173505050505000000000000
82784(X3)Immunoglobulins A/G/M, Qn, Ser00176805050505160000000000
84630Zinc, Plasma or Serum00180016211217101511168131621813111613181116
82180Vitamin C00180538051605161616003800
83625, 83615LD Isoenzymes00184205050505000000000000
82955, 85041G6PD,Qn,Bld and Red Cell Count00191705050516000016000000
86162Complement, Total (CH50)00194105050505000000000000
85540Leukocyte Alkaline Phos Score00196605050505000000000000
82103Alpha-1-Antitrypsin, Serum0019827127127125103851091427914712
84244Renin Activity, Plasma00200638271616160016160016
82085Aldolase002030053851016000027273800
83930Osmolality00207105050505000000000000
82550, 82552CK, Total+Isoenzymes, Serum00215416050505000000000016
82784Immunoglobulin D, Quant, Serum00216205050505000000000000
82785Immunoglobulin E, Total00217038051616000000162749
86301CA 19-9002261712275101627165104938712
86304Cancer Antigen (CA) 12500230305160516001616000000
84545Urea Nitrogen Clearance00232905050505000016000000
83874Myoglobin, Urine00307905050505000000000000
84120Porphyrins, Qn, 24 Hr Ur.00319405050505001616000000
84105Phosphorus, 24 hr Urine00325105050505000000000000
82150Amylase, Urine00329305050505000000000000
82525, 82570Copper, Urine00334305160505000016000000
84166, 84156Protein Electro, 24-Hour Urine00336805050505000000000000
83935Osmolality, Urine00344205050505000000000000
84540Urea Nitrogen, 24-Hour Urine00354105050505000000000000
83945Oxalate, Quant, 24-Hour Urine00397005050505001600000000
82627DHEA-Sulfate00402005272716160038002716
834975-HIAA,Quant.,24 Hr Urine00406905050505000000001600
82626DHEA, Serum00410016050505161600000000
84585Vanillylmandelic Acid, 24-Hr U00414316050505000000000000
82384Catecholamines,Ur.,Free,24 Hr00417616051605000000001600
83520NMO IgG Autoantibodies00421005050505001600000000
84403Testosterone00422605050505000000000000
83835Metanephrines, Frac, Qn, 24-Hr00423416271605000000001600
83003Growth Hormone, Serum004275385100538492700273800
83520Tryptase00428005050505000000001600
82088Aldosterone, Urine00429105051605000000000016
84144Progesterone00431705051616161600001600
83525Insulin00433338270527163816490016
82088, 84244Aldosterone/Renin Ratio00435449382716270000002727
82088Aldosterone LCMS, Serum00437416491616162716160000
83520FGF-2300438005050505000000000000
82941Gastrin, Serum00439005051605000000000000
84702hCG,Beta Subunit, Qnt004416050549051627273851038
82530Cortisol, Urinary Free00443216161605160000001600
82024ACTH, Plasma004440152012174991471215206115101621510
82670Estradiol00451549386114938275101671238
82672Estrogens, Total00454905050505000000000000
82679Estrone, Serum00456405052705000000001600
82677Estriol, Serum00461405161627002716003849
82943Glucagon, Plasma00462205050505000000000000
86160C1 Esterase Inhibitor, Serum00464805050505000016000000
84207Vitamin B6, Plasma00465538387125106114938273827
82157Androstenedione LCMS00470505051616000000001600
82330Calcium, Ionized, Serum004804101571261116510611712510813611
85810Viscosity, Serum00486116050505160000000000
82308Calcitonin, Serum00489516050505000016162700
85060Hematopath Consultation, Smear00530005050505000027000000
83051Hemoglobin, Free, Plasma00559505050505000000000000
86905A1 RBC Antigen Typing00600205050505000000000000
86060Antistreptolysin O Ab00603105050505000000000000
86592RPR0060724752323729342833273239443641192424292732
86308Mononucleosis Test, Qual00618905050505000000000000
86762Rubella Antibodies, IgG00619705050505001600000000
86235(X2)Antiextractable Nuclear Ag00633849050505000000000000
86780T pallidum Ab (FTA-Ab)00637916271616002700001600
86160Complement C3, Serum00645205050505000000000000
86593Rapid Plasma Reagin, Quant0064603816275103838813162716
83516Antiparietal Cell Antibody00648605050505001600000000
86644Cytomegalovirus (CMV) Ab, IgG00649427053827001638160000
86431Rheumatoid Factor (RF)0065023641232827323237232839444247323739442833
86317Hepatitis B Surf Ab Quant00653005050505000000000000
87350Hep Be Ag00661916050516161616001600
86140C-Reactive Protein, Quant00662705050505000000160000
86707Hep Be Ab00663516050505000027270000
86015Actin (Smooth Muscle) Antibody00664351051071205000000000000
83516Mitochondrial (M2) Antibody006650050505494938510493849
86376Thyroid Peroxidase (TPO) Ab0066769142727611510492751027611
86800Thyroglobulin Antibody00668538163849162716272738
84432Thyroglobulin by IMA00670527051605000000000000
87425Rotavirus Ag, EIA00686605050505001600000000
86753Amebiasis Antibodies00687405050505000000000000
81374HLA B 27 Disease Association00692438161627162716273800
81381HLA B5701 Test00692605050505160000000000
80339Lacosamide00701205050516162700161600
82175, 82570Arsenic Exposure Profile, Ur00703905050505000000000000
83050Methemoglobin, Blood00704705050505000000000000
82375Carbon Monoxide, Blood00718705050505000000000000
80299Nortriptyline (Aventyl), Serum00739305050505000000000000
80168Ethosuximide (Zarontin), Serum00744305050505000000000000
80335Imipramine (Tofranil), Serum00746805050505000000000000
80299Amitriptyline (Elavil), Serum00747616050505000000000000
80299Doxepin (Sinequan), Serum00760905050505000000000000
83655Lead, Blood (Adult)007625712161627712275102751016
82570, 83655Lead, Urine00763305051605000000000000
80204Methotrexate (MTX), Serum00765805050516000000000000
80299Acetaminophen (Tylenol), S00774005050505000000000000
82570, 83825Mercury, Urine00777305051605000000000000
80299Methadone (Dolophine), Serum00778105050505000000000000
80358Methadone Peak Level, Serum00778405050505000000000000
80179Salicylate, Serum00784905050505000016000000
80184, 80188Primidone (Mysoline(R)), Serum00785605050505001600000000
80203Zonisamide(Zonegran), Serum00791505050505160000000000
87081GC Culture Only00812805050516000000000000
87206Fungus Stain00813605050505161616160000
87045, 87046, 87427Stool Culture00814405050505000000000000
87255HSV Culture and Typing00825027270516002716001616
87070Genital Culture, Routine00833405051616000000000000
87101Fungus (Mycology) Culture00848205050505161638160000
87252Viral Culture, General00857305050505001600000000
87177, 87209Ova + Parasite Exam00862305050505161600000000
87172Pinworm Prep - Enterobius00863105050505000016000000
87070Aerobic Bacterial Culture00864905050505000000000000
87077Organism ID, Bacteria00866405050505000000000000
87186Susceptibility, Aer + Anaerob00868027050516161616272700
87086Urine Culture, Routine00884705050505000000000000
88173Fine-Needle Aspiration00900116050505000000000000
88108Sputum Cytology00907605050516000000000000
88112Miscellaneous Fluid Cytology00915905050505001616000000
Miscellaneous Testing00998505050505000016000000
84681C-Peptide, Serum0101081520813611498131318813381015611
82164Angiotensin-Converting Enzyme0101161605056115104916271616
82232Beta-2 Microglobulin, Serum01018191427813111638510611611914510
83937Osteocalcin, Serum01024905050505001600000000
83520Thyrotropin Receptor Ab, Serum010314611052738381616270049
82239Bile Acids01033005050505000000000000
83519Trypsin01035505050505000000000000
84305IGF-10103636116111661161171216384938
84586VIP, Plasma01039705050505000000000000
83874Myoglobin, Serum01040505050505000000000000
86340Intrinsic Factor Abs, Serum01041316160516001600001600
84588ADH01044705050505000000000000
86235Antihistone Antibodies01251805051605000000000000
83516Antiribosomal P Antibodies01270016050505000000000000
86235(X2)Sjogren's Ab, Anti-SS-A/-SS-B012708813057126113838381116510611
84540Urea Nitrogen, U01350805050505000000000000
83735Magnesium, U01373005050505000000000000
87807RSV Ag, EIA01454805050505000000000000
85300Antithrombin Activity01504016051605002716161616
85301Antithrombin Antigen01505705050505000000000000
85670Thrombin Time01523005050505000000000000
85300, 85301Antithrombin III, Func/Immunol01559405161605000000000000
83970PTH, Intact01561005050505000000000000
86235RNP Antibodies01635305054927382738380027
86235Smith Antibodies01636016054927273816271616
86757Rocky Mtn Spotted Fev, IgG, Qn01659205050505270000000000
86757Rocky Mtn Spotted Fever, IgM01666705050505271600000000
86160Complement C1q, Quantitative01682405050505000000000000
82507Citric Acid (Citrate), Urine01686505050505001600000000
84590Vitamin A, Serum017509712492738384927493827
80320Methanol01769905050505000000000000
86235Antiscleroderma-70 Antibodies01870516050538000016160016
86160(X2)C4+C303385205050505000000000000
86800TgAb+Thyroglobulin,IMA or LCMS04204538051616000000000000
82175, 83655, 83825Heavy Metals Profile I, Blood04258005050505000000000000
86735, 86762, 86765Measles/Mumps/Rubella Immunity0584951627055102781300001600
86003(X12)Allergen Profile, Mold06244805051627000000160000
86003(X6)Allergen Profile, Shellfish06269549273851049813496114927
84403Testosterone, Total, LC/MS07000105050505000000000000
83789Iodine, Serum or Plasma07003416050516000000000000
84403, 84402Testosterone, F Eqlib+T LC/MS0700383035212626312732232834392732253033381823
82570, 82735Fluoride, Urine07005205050505000000000000
8349817-OH Progesterone LCMS07008516051605000000161600
84482Reverse T3, Serum07010416050505000000000000
84591Vitamin B3 (Niacin+Metabolite)07011527052727002727001616
84432Thyroglobulin by LCMS07012116050516000000000000
84446Vitamin E070140611053827274916492727
83789Iodine, Random Urine07016305050505000000000000
82017Acylcarnitine Profile, Plasma07022805050505000000000000
80186Phenytoin, Free, Serum07076305160516000000161600
80165Free Valproic Acid (Depakote)07078905050505000000000000
82175, 82300, 82570, 83655, 83825Heavy Metals Profile II, Urine07081305050505000000000000
80323Nicotine and Metabolite, Quant07125505050505000000000027
80346Benzodiazepine Conf, MS, UR07130805050505000000000000
80349Cannabinoid Conf, MS, UR07131605493851061161116000016
82495Chromium, Plasma07152205050516000000000000
80361Hydrocodone and Metabolite07152605050505000000000000
80365Oxycodone and Metabolite07153805050505000000000000
80299Fentanyl and Metabolite07154305162716001627000000
80299Tramadol07154505270505001600002700
82108Aluminum, Plasma/Serum07154805050505001600000000
82108, 82570Aluminum, Urine07155505050505001600000000
82570, 83885Nickel, Urine07156305050505000000000000
80299Clonazepam (Klonopin(R)),Serum07171205050505000000000000
80346Clonazepam (Klonopin(R)),Serum07171216050505000000000000
82300, 82570Cadmium, Urine07224905051605000000000000
80307Methadone Screen, Urine07446805050505000000000000
83735Magnesium, RBC08028305050505000000000000
82585Cryofibrinogen, Qualitative08031705050505000000000000
85302Protein C Antigen08046505161605001600161600
85549Lysozyme, Serum08071305050505000000000000
Vitamin E, Serum08100005050505000000000000
82652Calcitriol(1,25 di-OH Vit D)08109105050516001627000016
83516(X2)Bullous Pemphigoid 180 and 23008117105050505000000000000
82725Fatty Acids, Free (Nonester)08189305050505001600000000
84270Sex Horm Binding Glob, Serum082016242912171217131891413181217111620251419
86780T pallidum Screening Cascade08234549051627001616161600
86780Treponema pallidum Antibodies08237005161627160038163800
86255Antiskin Autoantibodies, Quant08254505050505000000000000
83516Antiglomerular BM Ab08271905050505000000000000
86382Rabies Neut.Abs Titrat.(RFFIT)08388505050505000000000000
87389HIV Ab/p24 Ag with Reflex08393505051605000016160000
86701, 86702HIV 1/2 Ab Differentiation08394005050505000000000000
82384Catecholamines, Plasma08415216050505000000003816
83825Mercury, Blood08532405050505000000160000
82300Cadmium, Blood08534016050505000000160000
80181Flecainide (Tambocor(TM)), S08566205050505000000000000
80299Flecainide (Tambocor(TM)), S08566205050505000000000000
83519AChR Binding Abs, Serum08590205050516160000271600
83519AChR Blocking Abs, Serum08592605050516000000161600
83519AChR Modulating Abs, Serum08593305050505000000000000
83519(X3), 86255Myasthenia Gravis Full Panel08600505050505000000000000
85210Factor II Activity08623105050505000000000000
85220Factor V Activity08624905050505000000000000
85240Factor VIII Activity08626405050505160000161600
85246von Willebrand Factor (vWF) Ag08628005050505000000161600
85250Factor IX Activity08629805050505000000000000
85270Factor XI Activity08631405050505000000000000
85280Factor XII Activity08632205050505000000000000
87186Min Inhibitory Conc (2 Drugs)08800505050505000000000000
82150Amylase, Body Fluid08806205051605000000000000
82103, 82104Alpha-1-Antitrypsin Phenotyp09565316051605000000000000
86631Chlamydia Antibodies, IgG09618027050505000016000000
86787Varicella-Zoster V Ab, IgG0962061627055102781300001600
86215Anti-DNase B Strep Antibodies09628916052716160016271616
86225Anti-dsDNA Antibodies096339813277121649510276113838
82135ALA Delta, 24-Hour Urine09635405050505000000000000
87186Min Inhibitory Conc (1 Drug)09638805050505000000000000
86735Mumps Antibodies, IgG09655205050505000000000000
86645Cytomegalovirus (CMV) Ab, IgM09672716050505000027160000
86787Varicella-Zoster Ab, IgM09677605050505001600000000
86359, 86360, 86355T + B-Lymphocyte Differential09691716050505160000001600
86359, 86360T-Lymphocyte Helper/Suppressor09692571238165103827611003827
86332Immune Complexes, C1q Binding09693305050505000000000000
82570Creatinine, Body Fluid10047905051605000000000000
82985Fructosamine1008005104949491661149273849
84478Triglycerides, Fluid10117005051605000000000000
81263IgVH Somatic Hypermutation11375305050505000000000000
88381Microdissection - Global11446605050505000000000000
81210BRAF Mutation by Snapshot11498005050505000000000000
81305MYD88 Mutation Detection PCR11500505050505000000001600
87205Eosinophil, Urine11505505050505000000000000
81403JAK2 Exons 12-1511510105050505000000000000
81279JAK2 Exons 12-1511510127050505000000000000
85362FDP, Plasma11540205050505000000001600
85598Hexagonal Phase Phospholipid11702005051605162700001600
85610, 85611PT Mixing Study11702805050505001616161600
85732PTT-LA Incub Mix11703505050505000000000000
85732PTT-LA Mix11704005051605162700001600
85730, 85610, 85670, 85613, 85598, 86147(X2), 86146(X2)Antiphospholipid Syndrome11707905050505000000000000
85520Heparin Anti-Xa11710105050505000016001600
86022Platelet Antibody Profile11715005160505000000000000
85635Reptilase Time11718005050505000000000000
85730, 85732(X3)aPTT Mixing Studies11719905050505160000000000
85303Protein C-Functional11770505161605001600161600
85307Activated Protein C Resistance11776205050505160000000000
85732, 85613Lupus Anticoagulant Reflex117892611493827383838493816
85260Factor X, Chromogenic11790405050505000000000000
85613dRVVT Mix11791216273827002700161600
85613dRVVT Confirm11792316273827002700161600
86148(X3)Antiphosphatidylserine IgG/M/A11799405050505000000000000
83695Lipoprotein (a)12018827051605003816000000
84260Serotonin, Serum12020405051616270000160000
86161C1 Esterase Inhibitor, Func12022005051605000000000000
82542Coenzyme Q10, Total12025105050516000000000000
82542Coenzyme Q10, Total12025105050505000000000000
83150Homovanillic Acid, 24-Hr Urine12025305050505000000000000
86335IFE Reflex, 24-hr U12075805050505000000000016
86141C-Reactive Protein, Cardiac12076605050527160000000000
82360Calculi, Urinary12079005050505000000000000
82595Cryoglobulin, Ql, Serum12095605050505000000001600
83883(X2)Free K+L Lt Chains,Qn,S121137050505914101524291217121718231318
83521(X2)Free K+L Lt Chains,Qn,S12113713181116172205000000000000
84425Vitamin B1 (Thiamine), Blood121186162113181116121791417221217131815201217
84597Vitamin K112120027052716002700271627
83883(X2)Free K+L Lt Chains,Qn,Ur1212280505053816510611161638
82610Cystatin C12125105050505000000000000
83521(X2)Free K+L Lt Chains,Qn,24 hr U12126005160505000000000000
82728, 83020, 85027Hemoglobpathy+Fer w/A Thal Rfx12136305160505160000273800
83021, 85660Hgb Frac. Profile12167905050505000000000000
85660Hgb Solubility12169705160505160000160000
83021Hgb Fractionation by HPLC12171005050505000000000000
83835Metanephrines, Frac., Pl. Free12180627162716001627003827
84166, 84156PE+Interp(Rfx IFE), 24-Hr U12301805050505001600000016
83721Oxidized LDL12302305160505000000000000
84165, 84155PE+Interp(Rfx IFE),S1230265561404544495459444971785156434856624045
84252Vitamin B2, Whole Blood12322005162705164927164900
82656Pancreatic Elastase, Fecal12323405050516161600381616
83520Pancreatic Elastase, Fecal12323405050505000000000000
82653Pancreatic Elastase, Fecal12323416274905000000000000
83993Calprotectin, Fecal1232552738510276112716161627
83698Lp-PLA2 Activity12328305050505000000000000
84999TMAO (Trimethylamine N-oxide)12341305160505000000000000
86632Chlamydia psittaci IgM Ab13800605050505000000000000
86631Chlamydia psittaci IgG Ab13802205050505000000000000
87468A. phagocytophilum PCR13817205050505161600000000
87798A. phagocytophilum PCR13817205050505000000000000
87799Epstein-Barr DNA Quant, PCR13823016050505162700000000
86317Haemophilus influenzae B IgG13827105160505000000000000
87798VZV Real Time PCR13831305050505000000000000
86753(X2)Babesia microti Antibody Panel13831505050505000000000000
87469Babesia sp., DNA, PCR13831805050505000000001600
87798Babesia sp., DNA, PCR13831805050505000000000000
87798(X2)Ehrlichia Detection PCR13841205050505000000000000
86698(X3)Histoplasma capsulatum Abs.13863516050505000016000000
87798Parvovirus B19 PCR13864405050505000000000000
87529(X2)HSV 1/2 PCR13865105160527160016160038
87798(X2)B.pertussisB.parapertussis PCR13867716051605000000381627
87476Lyme (B. burgdorferi) PCR13868505050505000000000000
86682Echinococcus Antibody13876805050505000000000000
86788, 86789West Nile Virus Antibody,Serum13884205050505162727000000
87799BKV Quant PCR (Urine)13888005050505000000160016
87799BKV Quant PCR138962164916274949006112738
87497CMV Quant DNA PCR (Plasma)13914916161616162700161600
86635Coccidioides CF Antibody13917205051605000000000000
87798JC Virus DNA,PCR (Whole Blood)13937005050505000000000000
U0003SARS-CoV-2, NAA13990005050505000000000000
83520IGF-BP314015205050505000000000000
83520Alpha Subunit (Free)14026905160505000000000000
82668Erythropoietin (EPO), Serum1402771924283322272126192429342530212623282227
83520GM1 IgM Autoantibodies14028016050505000000160000
82043, 82570Albumin/Creatinine Ratio,Urine14028505050505000000000000
86300CA 27.2914029316050527000000161600
83520GM1 IgG Autoantibodies14038516051605000016270000
84702HCG Tumor Marker140450051627160000161661100
84206Proinsulin14053305050505000000000000
84206Proinsulin14053305050505000000000000
83516VGCC Antibody14064005050505160000000000
86596VGCC Antibody14064005050505000000000000
84153PSA, Ultrasensitive W/O Serial14073105050516160016270000
84445Thyroid Stim Immunoglobulin1407493805510493827383816611
82523N-Telopeptide, Serum14083005050505000000000000
86316Chromogranin A14084805052716380000161616
82523Propeptide Type I Collagen14085005050505002700000000
82523Propeptide Type I Collagen14085005050505000000000000
83880B-Type Natriuretic Peptide14088905050505000000000000
82523, 82570N-Telopeptide, Urine14109305050505001600001600
83516Anti-PLA2R14133005051605001616162700
86341IA-2 Autoantibodies14153105051616273827162727
86337Insulin Antibodies14159838270527383838163838
83520IL-2 Receptor Alpha14245505050505000000001600
83880NT-proBNP143000492738510163849162738
86341GAD-65 Autoantibody1430088136113838611510510003827
84410Testosterone,Free+Weakly Bound14325505050505000000000000
84238Soluble Transferrin Receptor14330505051605000000000000
86300Cancer Antigen (CA) 15-314340405270516001600160000
83088Histamine Determination, Urine14461805050505000000000000
84402Testosterone, Free, Direct1449804247182322271924162121262025222725302732
83519Pancreatic Polypeptide14670405050505000000000016
82542Serotonin Release Assay15001805050505000000000000
86022Heparin Induced Platelet15007505050505000000000000
86225, 86235(X8)ENA+DNA/DS+Antich+Centro+Jo...16001405050505000000000000
86225, 86235(X9), 83516ENA+DNA/DS+Antich+Centro+FA...16006505050505000000000000
86255Striation Abs, Serum16018405050505000000000000
86618Lyme, Total Ab Test/Reflex16032505050505000000000000
86735Mumps Antibodies, IgM16049905050505001600000000
86735Mumps Antibodies, IgM16049905050505000000000000
86341Antipancreatic Islet Cells16072127270527494938004938
86160Complement C216141405050505000000000000
86235Anti-Jo-116145505161605000016160000
83516Antigliadin Abs, IgG16168705050505000000000000
86258Antigliadin Abs, IgG16168705050505000000000000
86255Reticulin IgA Antibodies16176005050505000000000000
86147(X2)Anticardiolipin Ab, IgG/M, Qn16180249273805273816271616
86147Anticardiolipin Ab, IgA, Qn16183605050505000000001600
86677H. pylori, IgG Abs16228905050505000000000000
86256(X3)Antineutrophil Cytoplasmic Ab16238805050516002700160000
86146(X2)Beta-2 Glycoprotein I Ab,G/M16300205050505000000000000
86696HSV-2 IgG Supplemental Test16300616050505000000000000
86615(X2)B pertussis IgG/IgM Ab16303005050516160027163838
86615(X2)B pertussis IgG/IgM Ab16303005050505000000000000
86696HSV-2 Type Spec Ab, IgG w/Rflx16303312171015510813121791400000000
83516Anti-GBM Antibodies16305016050505160000000000
83516Anti-MPO Antibodies16305905050505160000000000
86037(X3), 83516(X2)ANCA Profile16306116160505164900162700
83516Anti-PR3 Antibodies16306705050505000016000000
86628(X3)Candida Antibodies IgG,IgA,IgM16313505050505000000000000
HSV Type 2-Specific Ab, IgG16314705050505000000000000
86611(X4)Bartonella Antibody Panel16316205051605000000000000
86790HTLV-I/II Antibodies, Qual16324605050505001600000000
86317(X2)Tetanus/Diphtheria Ab16325305050505001616000000
86658(X4)Coxsackie A IgG Antibody16327505050505000000000000
86658(X4)Coxsackie A IgM Antibody16329005050505000000000000
86658(X8)Coxsackie A IgG/IgM Antibody16329505050505000000000000
86747(X2)Parvovirus B19, Human, IgG/IgM16330305050505000000000000
83516(X2)Gliadin IgG/IgA Ab Prof, EIA16340205050505000000000000
86258(X2)Gliadin IgG/IgA Ab Prof, EIA16340205050505000000000000
86617(X2)Lyme, Line Blot, Serum16360005051605001600000000
86677(X3)H pylori, IgM, IgG, IgA Ab16368316050505000000000000
83520Antimyeloperoxidase (MPO) Abs16384005050505000000000000
83520Antimyeloperoxidase (MPO) Abs16384005050505000000000000
83520Antiproteinase 3 (PR-3) Abs16385705050505000000000000
86256(X3), 83520(X2)ANCA Panel16387305050505000000000000
86146(X3)Beta-2 Glycoprotein I Ab,G,A,M16391516270505162700162716
86376Liver-Kidney Microsomal Ab16398016270538000000162716
86682Strongyloides IgG Antibody16400005051605000000000000
86618(X2)Lyme IgG/IgM16408910154991416211217232881349162149
86696HSV-2 Ab, IgG164098050505050000914611510712
86618Lyme Disease Serology w/Reflex164226616752575662808864701141257583616780885358
86606(X3)Aspergillus Ab, Qn, DID16428505050505160000000000
85245vWF Activity16450905050505000000161600
85245vWF Activity16450905050505000000000000
85305, 85306Protein S-Antigen16451716162705162716160000
85306Protein S-Functional16452505161605000000160000
86713Legionella pneumophila Abs.16461605050505001600000000
83516t-Transglutaminase (tTG) IgA16464005050538002716004900
86364t-Transglutaminase (tTG) IgA16464005053805000000000000
86671(X2)Saccharomyces cerevisiae Panel16465705050505000000000000
86666(X2)Ehrlichia chaffeensis Ab16468005050505000000000000
86666(X4)Ehrlichia Ab Panel16472216050505002749270000
86666Human Gran. Ehrlichiosis (IgG)16476305050505000000000000
86694HSV, IgM I/II Combination16480605050505000000000000
86235Anti-Centromere B Antibodies16481416050516000016160000
86671(X2), 86037Inflammatory Bowel Disease-IBD16483005051605001600000000
86671(X2), 86256Inflammatory Bowel Disease-IBD16483005050505000000000000
86038Antinuclear Ab by Multiplex16485513185107127123813181116914813611
86038Antinuclear Ab Multiplex Rfx 916486305050505000000000000
86695HSV Type 1-Specific Ab, IgG16489761191438497127127124938611
86200Anti-CCP Ab, IgG/IgA1649142833222719242126182326312833242931362328
86695, 86696HSV 1 and 2-Spec Ab, IgG w/Rfx16492205050505000000000000
86038ANA by IFA Rfx Titer/Pattern1649473641222726313338263132373338323736412732
86231Endomysial Antibody IgA16499605050505000000000016
86255Endomysial Antibody IgA16499605050505000000000000
86225, 86235(X8)Antinuclear Ab 9 by Multiplex16509205050505000000000000
82784, 83516(X4), 86255Celiac Disease Comprehensive16512605050571291411165101116121749
82784, 86364(X2), 86231, 86258(X2)Celiac Disease Comprehensive1651261520111671205000000000000
83519(X2), 86255Myasthenia Gravis Profile16560005050505000000000000
83519(X2), 86255(X2)Myasthenia Gravis Profile16562016050516001600000000
84181Anti 68kD (hsp 70) Abs16575005160505000000000000
82172Apolipoprotein B16701505050505000000000000
81377(X2)Celiac Disease HLA DQ Assoc.16708205050505000000160000
81377, 81383Celiac Disease HLA DQ Assoc.16708216050505000000000000
81370HLA A,B,C,DRB1,3,4,5,DQB1 (IR)16709605050505000000160000
81372HLA A,B,C (IR)16711605050505000000000000
81381HLA B*58:0116735105050505000000000000
86830HLA Class I Antibody ID16805205160505001600000000
87480, 87510, 87660Vaginitis/Vaginosis, DNA Probe18002605050505000000000000
87046Campylobacter Culture18014105050516000000000000
87338H. pylori Stool Ag, EIA18076438272705161600000027
87070Tissue Culture18078705050505000000000000
83013H pylori Breath Test18083605050505000000000000
87329Giardia lamblia Ag, EIA18220405050505000000000000
87106Organism Identification, Yeast18221205050505000000000000
87077Aerobe ID + Suscept18226105050505000000000000
87046(X2)Yersinia + Vibrio, Stool18230305050505000000000000
87206, 87015Cryptosporidium/Isospora Smear18237805050505000000000000
87046Stool Culture, Yersinia Only18241005160505002700001616
87186Susceptibility, Gram Pos Rods18280805050505000000000000
86480QuantiFERON-TB Gold Plus18287905050505001616001616

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File details come from the government source that posted it. Updated .