36C26224Q0976_ Attachment A.xlsx

XLSX spreadsheet 46 KB Posted Apr 25, 2024

Attached to: Q301--Reference Testing CPT
Solicitation number: 36C26224Q0976
Issued by: Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 22

About this file

Written by GovTribe AI · Apr 25, 2024

This document appears to be an attachment containing a price list for a federal contract opportunity. The attachment lists 37 Clinical Laboratory Improvement Amendments (CLIA) laboratory tests, including their Current Procedural Terminology (CPT) codes, performing laboratory locations, turnaround times, and unit prices for the base year (OY1) and option years (OY2-OY4).

The related federal contract opportunity is a Pre-Solicitation for Reference Testing CPT, Solicitation Number 36C26224Q0976, issued by the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 22. The document does not provide additional details about the contract requirements, response dates, award information, set asides, or other salient details beyond the pricing information contained in the attachment.

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File	Type	Posted
36C26224Q0976_ RFI.docx	DOCX document	Apr 25, 2024
36C26224Q0976.docx	DOCX document	Apr 25, 2024
36C26224Q0976_ Attachment B SOW.doc	DOC document	Apr 25, 2024

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Base

CLIN	CPT #	MEDIA	Tests in Panel (If Panel)	Methodology	Performing Laboratory Location (Include City/State)	Performaing Laboratory CAP/CLIA	Contractor Turnaround Time (Hours)	Unit of Issue	Quantity	Unit Price	Extended Price
0001	2638	Cyclosporine A (Parent)						EA	60		$ - 0
0002	703640	Semen Analysis Complete						EA	58		$ - 0
0003	91071	Sirolimus (Rapamycin)						EA	32		$ - 0
0004	2180	Ethylene Glycol						EA	36		$ - 0
0005	702139	Volatiles, Quantitative						EA	14		$ - 0
0006	662	Leukemia Lymphoma Panel						EA	10		$ - 0
0007	10	Gentamicin, Trough						EA	8		$ - 0
0008	9171	C. difficile Toxin A and B, EIA						EA	8		$ - 0
0009	907297	FAXUS NGS HEME						EA	8		$ - 0
0010	88858	Chromosome Analysis: Bone Marrow						EA	6		$ - 0
0011	788807	FISH: AML Panel						EA	6		$ - 0
0012	906762	FISH: Low-Grade Lymphoma Panel						EA	4		$ - 0
0013	1047	Protein, Body Fluid						EA	2		$ - 0
0014	1877	Lipid Panel						EA	2		$ - 0
0015	2033	Lactate Dehydrogenase, Body Fluid						EA	2		$ - 0
0016	2060	Amylase, Body Fluid						EA	2		$ - 0
0017	2145	Methanol, Quantitative						EA	2		$ - 0
0018	2487	Glucose, Body Fluid						EA	2		$ - 0
0019	3042	Gentamicin, Peak						EA	2		$ - 0
0020	3305	Urogram						EA	2		$ - 0
0021	9230	Hemoglobin A1c With eAG						EA	2		$ - 0
0022	9929	Urine Albumin, Random						EA	2		$ - 0
0023	88915	FISH: CLL Panel						EA	2		$ - 0
0024	102073	Tobramycin, Random						EA	2		$ - 0
0025	102179	Albumin, Body Fluid						EA	2		$ - 0
0026	702723	Testosterone, Free (Dialysis) and Total, MS						EA	2		$ - 0
0027	900323	Comprehensive Metabolic Panel						EA	2		$ - 0
0028	901178	Triglycerides, Pleural Fluid						EA	2		$ - 0
0029	902042	Cholesterol, Pleural Fluid						EA	2		$ - 0
0030	904059	Vitamin D, 25-Hydroxy, Total						EA	2		$ - 0
0031	907275	Bronchoalveolar Lavage CD4/CD8						EA	2		$ - 0
0032	907296	FAXUS NGS AML						EA	2		$ - 0
0033	907340	Monkeypox Virus DNA, Qualitative Real-Time PCR						EA	2		$ - 0
0034	3000	CBC w/ Differental, w/ Platelet						EA	2		$ - 0
0035		Kidney Biopsy						EA	50		$ - 0
0036	38055	TSH w/ Reflex free T4						EA	2		$ - 0
0037		Stat Code						EA	24		$ - 0

Grand Total $ - 0

OY1

CLIN	CPT #	MEDIA	Tests in Panel (If Panel)	Methodology	Performing Laboratory Location (Include City/State)	Performaing Laboratory CAP/CLIA	Contractor Turnaround Time (Hours)	Unit of Issue	Quantity	Unit Price	Extended Price
0001	2638	Cyclosporine A (Parent)						EA	60		$ - 0
0002	703640	Semen Analysis Complete						EA	58		$ - 0
0003	91071	Sirolimus (Rapamycin)						EA	32		$ - 0
0004	2180	Ethylene Glycol						EA	36		$ - 0
0005	702139	Volatiles, Quantitative						EA	14		$ - 0
0006	662	Leukemia Lymphoma Panel						EA	10		$ - 0
0007	10	Gentamicin, Trough						EA	8		$ - 0
0008	9171	C. difficile Toxin A and B, EIA						EA	8		$ - 0
0009	907297	FAXUS NGS HEME						EA	8		$ - 0
0010	88858	Chromosome Analysis: Bone Marrow						EA	6		$ - 0
0011	788807	FISH: AML Panel						EA	6		$ - 0
0012	906762	FISH: Low-Grade Lymphoma Panel						EA	4		$ - 0
0013	1047	Protein, Body Fluid						EA	2		$ - 0
0014	1877	Lipid Panel						EA	2		$ - 0
0015	2033	Lactate Dehydrogenase, Body Fluid						EA	2		$ - 0
0016	2060	Amylase, Body Fluid						EA	2		$ - 0
0017	2145	Methanol, Quantitative						EA	2		$ - 0
0018	2487	Glucose, Body Fluid						EA	2		$ - 0
0019	3042	Gentamicin, Peak						EA	2		$ - 0
0020	3305	Urogram						EA	2		$ - 0
0021	9230	Hemoglobin A1c With eAG						EA	2		$ - 0
0022	9929	Urine Albumin, Random						EA	2		$ - 0
0023	88915	FISH: CLL Panel						EA	2		$ - 0
0024	102073	Tobramycin, Random						EA	2		$ - 0
0025	102179	Albumin, Body Fluid						EA	2		$ - 0
0026	702723	Testosterone, Free (Dialysis) and Total, MS						EA	2		$ - 0
0027	900323	Comprehensive Metabolic Panel						EA	2		$ - 0
0028	901178	Triglycerides, Pleural Fluid						EA	2		$ - 0
0029	902042	Cholesterol, Pleural Fluid						EA	2		$ - 0
0030	904059	Vitamin D, 25-Hydroxy, Total						EA	2		$ - 0
0031	907275	Bronchoalveolar Lavage CD4/CD8						EA	2		$ - 0
0032	907296	FAXUS NGS AML						EA	2		$ - 0
0033	907340	Monkeypox Virus DNA, Qualitative Real-Time PCR						EA	2		$ - 0
0034	3000	CBC w/ Differental, w/ Platelet						EA	2		$ - 0
0035		Kidney Biopsy						EA	50		$ - 0
0036	38055	TSH w/ Reflex free T4						EA	2		$ - 0
0037		Stat Code						EA	24		$ - 0

Grand Total $ - 0

OY2

CLIN	CPT #	MEDIA	Tests in Panel (If Panel)	Methodology	Performing Laboratory Location (Include City/State)	Performaing Laboratory CAP/CLIA	Contractor Turnaround Time (Hours)	Unit of Issue	Quantity	Unit Price	Extended Price
0001	2638	Cyclosporine A (Parent)						EA	60		$ - 0
0002	703640	Semen Analysis Complete						EA	58		$ - 0
0003	91071	Sirolimus (Rapamycin)						EA	32		$ - 0
0004	2180	Ethylene Glycol						EA	36		$ - 0
0005	702139	Volatiles, Quantitative						EA	14		$ - 0
0006	662	Leukemia Lymphoma Panel						EA	10		$ - 0
0007	10	Gentamicin, Trough						EA	8		$ - 0
0008	9171	C. difficile Toxin A and B, EIA						EA	8		$ - 0
0009	907297	FAXUS NGS HEME						EA	8		$ - 0
0010	88858	Chromosome Analysis: Bone Marrow						EA	6		$ - 0
0011	788807	FISH: AML Panel						EA	6		$ - 0
0012	906762	FISH: Low-Grade Lymphoma Panel						EA	4		$ - 0
0013	1047	Protein, Body Fluid						EA	2		$ - 0
0014	1877	Lipid Panel						EA	2		$ - 0
0015	2033	Lactate Dehydrogenase, Body Fluid						EA	2		$ - 0
0016	2060	Amylase, Body Fluid						EA	2		$ - 0
0017	2145	Methanol, Quantitative						EA	2		$ - 0
0018	2487	Glucose, Body Fluid						EA	2		$ - 0
0019	3042	Gentamicin, Peak						EA	2		$ - 0
0020	3305	Urogram						EA	2		$ - 0
0021	9230	Hemoglobin A1c With eAG						EA	2		$ - 0
0022	9929	Urine Albumin, Random						EA	2		$ - 0
0023	88915	FISH: CLL Panel						EA	2		$ - 0
0024	102073	Tobramycin, Random						EA	2		$ - 0
0025	102179	Albumin, Body Fluid						EA	2		$ - 0
0026	702723	Testosterone, Free (Dialysis) and Total, MS						EA	2		$ - 0
0027	900323	Comprehensive Metabolic Panel						EA	2		$ - 0
0028	901178	Triglycerides, Pleural Fluid						EA	2		$ - 0
0029	902042	Cholesterol, Pleural Fluid						EA	2		$ - 0
0030	904059	Vitamin D, 25-Hydroxy, Total						EA	2		$ - 0
0031	907275	Bronchoalveolar Lavage CD4/CD8						EA	2		$ - 0
0032	907296	FAXUS NGS AML						EA	2		$ - 0
0033	907340	Monkeypox Virus DNA, Qualitative Real-Time PCR						EA	2		$ - 0
0034	3000	CBC w/ Differental, w/ Platelet						EA	2		$ - 0
0035		Kidney Biopsy						EA	50		$ - 0
0036	38055	TSH w/ Reflex free T4						EA	2		$ - 0
0037		Stat Code						EA	24		$ - 0

Grand Total $ - 0

OY3

CLIN	CPT #	MEDIA	Tests in Panel (If Panel)	Methodology	Performing Laboratory Location (Include City/State)	Performaing Laboratory CAP/CLIA	Contractor Turnaround Time (Hours)	Unit of Issue	Quantity	Unit Price	Extended Price
0001	2638	Cyclosporine A (Parent)						EA	60		$ - 0
0002	703640	Semen Analysis Complete						EA	58		$ - 0
0003	91071	Sirolimus (Rapamycin)						EA	32		$ - 0
0004	2180	Ethylene Glycol						EA	36		$ - 0
0005	702139	Volatiles, Quantitative						EA	14		$ - 0
0006	662	Leukemia Lymphoma Panel						EA	10		$ - 0
0007	10	Gentamicin, Trough						EA	8		$ - 0
0008	9171	C. difficile Toxin A and B, EIA						EA	8		$ - 0
0009	907297	FAXUS NGS HEME						EA	8		$ - 0
0010	88858	Chromosome Analysis: Bone Marrow						EA	6		$ - 0
0011	788807	FISH: AML Panel						EA	6		$ - 0
0012	906762	FISH: Low-Grade Lymphoma Panel						EA	4		$ - 0
0013	1047	Protein, Body Fluid						EA	2		$ - 0
0014	1877	Lipid Panel						EA	2		$ - 0
0015	2033	Lactate Dehydrogenase, Body Fluid						EA	2		$ - 0
0016	2060	Amylase, Body Fluid						EA	2		$ - 0
0017	2145	Methanol, Quantitative						EA	2		$ - 0
0018	2487	Glucose, Body Fluid						EA	2		$ - 0
0019	3042	Gentamicin, Peak						EA	2		$ - 0
0020	3305	Urogram						EA	2		$ - 0
0021	9230	Hemoglobin A1c With eAG						EA	2		$ - 0
0022	9929	Urine Albumin, Random						EA	2		$ - 0
0023	88915	FISH: CLL Panel						EA	2		$ - 0
0024	102073	Tobramycin, Random						EA	2		$ - 0
0025	102179	Albumin, Body Fluid						EA	2		$ - 0
0026	702723	Testosterone, Free (Dialysis) and Total, MS						EA	2		$ - 0
0027	900323	Comprehensive Metabolic Panel						EA	2		$ - 0
0028	901178	Triglycerides, Pleural Fluid						EA	2		$ - 0
0029	902042	Cholesterol, Pleural Fluid						EA	2		$ - 0
0030	904059	Vitamin D, 25-Hydroxy, Total						EA	2		$ - 0
0031	907275	Bronchoalveolar Lavage CD4/CD8						EA	2		$ - 0
0032	907296	FAXUS NGS AML						EA	2		$ - 0
0033	907340	Monkeypox Virus DNA, Qualitative Real-Time PCR						EA	2		$ - 0
0034	3000	CBC w/ Differental, w/ Platelet						EA	2		$ - 0
0035		Kidney Biopsy						EA	50		$ - 0
0036	38055	TSH w/ Reflex free T4						EA	2		$ - 0
0037		Stat Code						EA	24		$ - 0

Grand Total $ - 0

OY4

CLIN	CPT #	MEDIA	Tests in Panel (If Panel)	Methodology	Performing Laboratory Location (Include City/State)	Performaing Laboratory CAP/CLIA	Contractor Turnaround Time (Hours)	Unit of Issue	Quantity	Unit Price	Extended Price
0001	2638	Cyclosporine A (Parent)						EA	60		$ - 0
0002	703640	Semen Analysis Complete						EA	58		$ - 0
0003	91071	Sirolimus (Rapamycin)						EA	32		$ - 0
0004	2180	Ethylene Glycol						EA	36		$ - 0
0005	702139	Volatiles, Quantitative						EA	14		$ - 0
0006	662	Leukemia Lymphoma Panel						EA	10		$ - 0
0007	10	Gentamicin, Trough						EA	8		$ - 0
0008	9171	C. difficile Toxin A and B, EIA						EA	8		$ - 0
0009	907297	FAXUS NGS HEME						EA	8		$ - 0
0010	88858	Chromosome Analysis: Bone Marrow						EA	6		$ - 0
0011	788807	FISH: AML Panel						EA	6		$ - 0
0012	906762	FISH: Low-Grade Lymphoma Panel						EA	4		$ - 0
0013	1047	Protein, Body Fluid						EA	2		$ - 0
0014	1877	Lipid Panel						EA	2		$ - 0
0015	2033	Lactate Dehydrogenase, Body Fluid						EA	2		$ - 0
0016	2060	Amylase, Body Fluid						EA	2		$ - 0
0017	2145	Methanol, Quantitative						EA	2		$ - 0
0018	2487	Glucose, Body Fluid						EA	2		$ - 0
0019	3042	Gentamicin, Peak						EA	2		$ - 0
0020	3305	Urogram						EA	2		$ - 0
0021	9230	Hemoglobin A1c With eAG						EA	2		$ - 0
0022	9929	Urine Albumin, Random						EA	2		$ - 0
0023	88915	FISH: CLL Panel						EA	2		$ - 0
0024	102073	Tobramycin, Random						EA	2		$ - 0
0025	102179	Albumin, Body Fluid						EA	2		$ - 0
0026	702723	Testosterone, Free (Dialysis) and Total, MS						EA	2		$ - 0
0027	900323	Comprehensive Metabolic Panel						EA	2		$ - 0
0028	901178	Triglycerides, Pleural Fluid						EA	2		$ - 0
0029	902042	Cholesterol, Pleural Fluid						EA	2		$ - 0
0030	904059	Vitamin D, 25-Hydroxy, Total						EA	2		$ - 0
0031	907275	Bronchoalveolar Lavage CD4/CD8						EA	2		$ - 0
0032	907296	FAXUS NGS AML						EA	2		$ - 0
0033	907340	Monkeypox Virus DNA, Qualitative Real-Time PCR						EA	2		$ - 0
0034	3000	CBC w/ Differental, w/ Platelet						EA	2		$ - 0
0035		Kidney Biopsy						EA	50		$ - 0
0036	38055	TSH w/ Reflex free T4						EA	2		$ - 0
0037		Stat Code						EA	24		$ - 0

Total $ - 0

CONTRACT GRAND TOTAL $ - 0

File details come from the government source that posted it. Updated Apr 25, 2024.