D.1 SCHEDULE OF SERVICES.xlsx

XLSX spreadsheet 68 KB Posted Feb 23, 2024

Attached to: Q301--STAT REFERENCE LABORATORY SERVICES - FARGO Federal contract opportunity
Solicitation number: 36C26324Q0426
Issued by: Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 23

About this file

Written by GovTribe AI · Feb 23, 2024

This document includes a solicitation for reference laboratory testing services. The Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 23 is seeking an indefinite quantity contract for anatomic pathology reference laboratory services to support the Fargo ND VA Health Care System located at 2101 Elm Street North, Fargo ND 58102. The period of performance is from April 1, 2024 to March 31, 2029. Services include flow cytometry, cytogenetics, fluorescence in situ hybridization, anatomical pathology, and molecular pathology testing as described in the attached schedule of services. Questions regarding the solicitation are due by February 27, 2024. Offers must be submitted to the contracting office by March 4, 2024. Evaluation will be based on lowest price technically acceptable.

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Other files for this federal contract opportunity

Other files attached to Q301--STAT REFERENCE LABORATORY SERVICES - FARGO, newest first.
File	Type	Posted
36C26324Q0426 0001_1.docx	DOCX document	Feb 29, 2024
36C26324Q0426 0001.pdf	PDF	Feb 29, 2024
D.4 WAGE DETERMINATION 2015-4969.pdf	PDF	Feb 23, 2024
D.3 ORGANIZATIONAL CONFLICT CERTIFICATE.pdf	PDF	Feb 23, 2024
D.2 IMMIGRATION CERTIFICATION.pdf	PDF	Feb 23, 2024
36C26324Q0426.pdf	PDF	Feb 23, 2024
36C26324Q0426_1.docx	DOCX document	Feb 23, 2024

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Order Period 1

Order Period 1: 04/01/2024-03/31/2025
Test Name	CPT/s	Units	Estimated Quantity	Unit Price	Total Est Price

FLOW CYTOMETRY

10 COLOR FLOW CYTOMETRY
	10 Color Flow Cytometry - General Pricing
	TC Flow Cytometry 1st marker	88184	1	100	$ - 0
	Additional Markers	88185	23	50	$ - 0	*Standard Panel has 23 additional markers, so this should be taken into consideration when calculating
	Flow Interpretation (2-8 Markers)	88187	1	50	$ - 0
	Flow Interpretation (9-15 Markers)	88188	1	50	$ - 0
	Flow Interpretation (16+ Markers)	88189	1	50	$ - 0
					$ - 0
	10 Color Flow Cytometry Special Pricing				$ - 0
	Flow Profile PNH Tech (8)	88184, 88185	8	1	$ - 0
	Flow Profile DNA Global	88182	1	1	$ - 0
					$ - 0
					$ - 0
CYTOGENETICS					$ - 0
	Chromosome Analysis (Set Up)	88237 or 88230 or 88233 or 88239	1	1	$ - 0
	Chromosome Analysis (Cell Analysis)	88261, 88262, or 88264	1	1	$ - 0
	Chromosome Analysis Interpretation	88291	1	1	$ - 0
	Additional Karyotypes	88280	1	1	$ - 0
	Additional Cells	88285	1	1	$ - 0
	Additional Culture	88237 or 88239	1	1	$ - 0
	No Growth	88230, 88233, 88237, or 88239	1	1	$ - 0
FISH					$ - 0
	MANUAL				$ - 0
	FISH Manual - Tech Only (Initial Single Probe Staining Procedure)	88368PC		5	$ - 0
	FISH Manual - Interp (Initial Single Probe Staining Procedure)	88368TC		5	$ - 0
	FISH Manual - Global (Initial Single Probe Staining Procedure)	88368		10	$ - 0
					$ - 0
	FISH Manual - Tech Only (Addn'l Single Probe Staining Procedure)	88369TC		5	$ - 0
	FISH Manual - Interp (Addn'l Single Probe Staining Procedure)	88369PC		5	$ - 0
	FISH Manual - Global (Addn'l Single Probe Staining Procedure)	88369		10	$ - 0
					$ - 0
	FISH Manual - Tech Only (Each Multiplex Probe Staining Procedure)	88377TC		5	$ - 0
	FISH Manual - Interp (Each Multiplex Probe Staining Procedure)	88377PC		5	$ - 0
	FISH Manual - Global (Each Multiplex Probe Staining Procedure)	88377		10	$ - 0
					$ - 0
	AUTOMATED				$ - 0
	FISH Auto - Tech (Initial Single Probe Staining Procedure)	88367TC		5	$ - 0
	FISH Auto - Interp (Initial Single Probe Staining Procedure)	88367PC		5	$ - 0
	FISH Auto - Global (Initial Single Probe Staining Procedure)	88367		10	$ - 0
					$ - 0
	FISH Auto - Tech (Addn'l Single Probe Staining Procedure)	88373TC		5	$ - 0
	FISH Auto - Interp (Addn'l Single Probe Staining Procedure)	88373PC		5	$ - 0
	FISH Auto - Global (Addn'l Single Probe Staining Procedure)	88373		10	$ - 0
					$ - 0
	FISH Auto - Tech (Each Multiplex Probe Staining Procedure)	88374TC		5	$ - 0
	FISH Auto - Interp (Each Multiplex Probe Staining Procedure)	88374PC		5	$ - 0
	FISH Auto - Global (Each Multiplex Probe Staining Procedure)	88374		10	$ - 0
					$ - 0
					$ - 0
ANATOMIC PATHOLOGY (3)					$ - 0
	Special Stain	88312		10	$ - 0
	Special Stain Tech	88312TC		10	$ - 0
	Tissue Special Stain	88313		10	$ - 0
	Tissue Special Stain Tech	88313TC		10	$ - 0
	Professional Consult	88323		5	$ - 0
	Professional Consult Tech	88323TC		5	$ - 0
	IHC Qualitative; addn'l stain procedure	88341		10	$ - 0
	IHC Qualitative; addn'l stain procedure Tech	88341TC		10	$ - 0
	IHC Qualitative; per specimen; initial single antibody stain	88342		10	$ - 0
	IHC Qualitative; per specimen; initial single antibody stain Tech	88342TC		10	$ - 0
	PD-L1 (KEYTRUDA, OPDIVO, TECENTRIQ), Glo	88360		1	$ - 0
	PD-L1 (KEYTRUDA, OPDIVO, TECENTRIQ), Tech	88360TC		1	$ - 0
	IHC Quantitative	88360		10	$ - 0
	IHC Quantitative Tech	88360TC		10	$ - 0
	IHC Morphometric Analysis, computer assist, Glo	88361		10	$ - 0
	IHC Morphometric Analysis, computer assist, Tech	88361TC		10	$ - 0
	IHC by ISH	88365/ 88364		10	$ - 0
	IHC by ISH TC	88365TC/ 88364TC		10	$ - 0
MOLECULAR PATHOLOGY TESTING (3)					$ - 0
	ALK Mutation Analysis	81479		1	$ - 0
	BCR-ABL1 Standard p210,p190	81479		5	$ - 0
	quantitative BCR/ABL, t (9;22) Major (p210) for CML	81206		1	$ - 0
	quantitative BCR/ABL, t (9;22) Minor (p210) for ALL	81207		1	$ - 0
	BCR-ABL1 Non-Standard p230	81208		1	$ - 0
	T-Cell Receptor Beta Gene Rearrangement	81340		1	$ - 0
	B&T-Cell Gene Rearrangement (Fragment Length Analysis)	81479		1	$ - 0
	B-Cell Gene Rearrangement - IGH	81261		1	$ - 0
	B-Cell Gene Rearrangement - IGK	81264		1	$ - 0
	T-Cell Receptor Gamma Gene Rearrangement	81342		1	$ - 0
	BCL-1 Translocation t(11:14)	81168		1	$ - 0
	BCL-2 Translocation t(14;18)	81278		1	$ - 0
	BRAF Mutation Analysis (Bi-directional Sequencing)	81210		1	$ - 0
	Brain NGS Fusion Panel	81445		1	$ - 0
	BRCA1/2 Mutation Analysis for Tumors	81163		1	$ - 0
	Breast NGS Fusion Panel	81445		1	$ - 0
	BTK Mutation Analysis (single gene assay)	81233		1	$ - 0
	BTK Inhibitor Acquired Resistance Panel	81479		1	$ - 0
	CEBPA Mutation Analysis (Bi-directional Sequencing)	81218		1	$ - 0
	KIT (c-KIT) Mutation Analysis	81272		1	$ - 0
	Cholangio/Pancreatic Carcinoma NGS Fusion Panel	81445		1	$ - 0
	Colorectal NGS Fusion Panel	81445		1	$ - 0
	CXCR4 Mutation Analysis (Bi-directional Sequencing)	81479		1	$ - 0
	EGFR Mutation Analysis (Bi-directional Sequencing)	81235		1	$ - 0
	EGFR vIII Analysis	81479		1	$ - 0
	ERBB2 Mutation Analysis	81479		1	$ - 0
	Ewing Sarcoma NGS Fusion Panel	81479		1	$ - 0
	FLT3 (ITD & IKD) Mutation Analysis	81479		1	$ - 0
	FLT3 (incl D385) Mutation Analysis (Bi-directional Seq & Fragment Length)	81246		1	$ - 0
	IDH1 and IDH2 Mutations Analysis (Bi-directional Sequencing)	81479		1	$ - 0
	IgVH Mutation Analysis	81263		1	$ - 0
	JAK2 V617F Mutation Analysis	81270		1	$ - 0
	JAK2 EXON 12-14 Mutation Analysis (Bi-directional Seq)	81279		10	$ - 0
	JAK2 V617F with reflex to EXON 12-14 Mutation Analysis (Bi-Directional Seq)	81270, 81279		10	$ - 0
	KRAS Mutation Analysis	81479		1	$ - 0
	Lung Complete NGS Fusion Panel	81445		1	$ - 0
	Lung Limited NGS Fusion Panel	81445		1	$ - 0
	MET Exon 14 Deletion Analysis	81479		1	$ - 0
	MicroSatellite Instability Analysis (MSI)(Fragment Length Analysis)	81301		1	$ - 0
	MLH1 Promoter Methylation Analysis	81288		1	$ - 0
	MPN Extended Reflex Panel	81479		1	$ - 0
	JAK2 EXON 12-14 Mutation Analysis (Bi-directional Seq)	81279		5	$ - 0
	JAK2 V617F Mutation Analysis	81270		5	$ - 0
	CALR Mutation Analysis	81219		1	$ - 0
	MPL Mutation Analysis (Bi-directional Sequencing)	81339		2	$ - 0
	NTRK NGS Fusion Panel	81194		1	$ - 0
	NTRK & RET NGS Fusion Panel	81479		1	$ - 0
	Non-Ewing Sarcoma NGS Fusion Panel	81479		1	$ - 0
	NOTCH1 Mutation Analysis (Fragment Length Analysis)	81407		1	$ - 0
	NPM1 Mutation Analysis (Fragment Length Analysis)	81310		1	$ - 0
	NRAS Mutation Analysis	81479		1	$ - 0
	PML-RARA Translocation, t(15;17)	81315		1	$ - 0
	Prostate NGS Fusion Panel	81445		1	$ - 0
	RAS/RAF Panel	81479		1	$ - 0
	RUNX1-RUNX1T1 (AML1-ETO) Translocation, t(8;21)	81401		1	$ - 0
	Sarcoma Comprehensive NGS Fusion Panel	81455		1	$ - 0
	STAT3 Mutation Analysis	81405		1	$ - 0
	Targeted Solid Tumor NGS Fusion Panel	81445		1	$ - 0
	Thyroid NGS Fusion Panel	81445		1	$ - 0
	TP53 Mutation Analysis (Bi-Directional Sequencing)	81352		1	$ - 0
	Universal Solid Tumor NGS Fusion Panel	81455		1	$ - 0
					$ - 0
1					$ - 0
	Hematologic Profiles (Molecular Only)				$ - 0
	NeoTYPE™ ALL Prognostic Profile	81450		1	$ - 0
	NeoTYPE® Discovery Profile for Hematologic Cancers	81450		1	$ - 0
	NeoTYPE™ Follicular Lymphoma Profile	81450		1	$ - 0
	NeoTYPE® Lymphoid Disorders Profile	81450		1	$ - 0
	NeoTYPE™ Lymphoma Profile	81450		1	$ - 0
	NeoTYPE™ MDS/CMML Profile	81450		1	$ - 0
	Solid Tumor Profiles				$ - 0
	NeoTYPE™ Cholangiocarcinoma Profile	81445 1		1	$ - 0
	NeoTYPE Lung Tumor Profile	81479 1		1	$ - 0
NeoTYPETM (or equivalent) Global					$ - 0
	Hematologic Profiles				$ - 0
	NeoTYPE CLL Prognostic Profile	81479, 88374x4		1	$ - 0
	NeoTYPE ALL Profile	81450, 88374x2		1	$ - 0
	NeoTYPE™ Myeloid Disorders Profile	81455		1	$ - 0	Global Only, replaces Myeloid Disorders Profile
	NeoTYPE MDS/CMML Profile	81450		1	$ - 0
	Solid Tumor Profiles				$ - 0
					$ - 0
NeoTYPETM (4) (or equivalent) Technical Only					$ - 0
	Hematologic Profiles				$ - 0
	NeoTYPE ALL Profile	81450, 88374TCx2		1	$ - 0
	Solid Tumor Profiles				$ - 0
					$ - 0
NeoLABTM (or equivalent) LIQUID BIOPSY					$ - 0
					$ - 0
SPECIMEN HOLD OPTIONS					$ - 0
	Cytogenetics				$ - 0
	Culture and Hold			1	$ - 0
	FISH				$ - 0
	Direct Harvest and Hold for FISH			1	$ - 0
	Molecular Testing				$ - 0
	Freeze and Hold			1	$ - 0
	Extract Nucleic Acid and Hold			1	$ - 0

Miscellanous Testing - not listed above
	TOTAL
	$ - 0

Order Period 2

Order Period 2: 04/01/2025-03/31/2026
Test Name	CPT/s	Units	Estimated Quantity	Unit Price	Total Est Price

FLOW CYTOMETRY

10 COLOR FLOW CYTOMETRY
	10 Color Flow Cytometry - General Pricing
	TC Flow Cytometry 1st marker	88184	1	100	$ - 0
	Additional Markers	88185	23	50	$ - 0	*Standard Panel has 23 additional markers, so this should be taken into consideration when calculating
	Flow Interpretation (2-8 Markers)	88187	1	50	$ - 0
	Flow Interpretation (9-15 Markers)	88188	1	50	$ - 0
	Flow Interpretation (16+ Markers)	88189	1	50	$ - 0
					$ - 0
	10 Color Flow Cytometry Special Pricing				$ - 0
	Flow Profile PNH Tech (8)	88184, 88185	8	1	$ - 0
	Flow Profile DNA Global	88182	1	1	$ - 0
					$ - 0
					$ - 0
CYTOGENETICS					$ - 0
	Chromosome Analysis (Set Up)	88237 or 88230 or 88233 or 88239	1	1	$ - 0
	Chromosome Analysis (Cell Analysis)	88261, 88262, or 88264	1	1	$ - 0
	Chromosome Analysis Interpretation	88291	1	1	$ - 0
	Additional Karyotypes	88280	1	1	$ - 0
	Additional Cells	88285	1	1	$ - 0
	Additional Culture	88237 or 88239	1	1	$ - 0
	No Growth	88230, 88233, 88237, or 88239	1	1	$ - 0
FISH					$ - 0
	MANUAL				$ - 0
	FISH Manual - Tech Only (Initial Single Probe Staining Procedure)	88368PC		5	$ - 0
	FISH Manual - Interp (Initial Single Probe Staining Procedure)	88368TC		5	$ - 0
	FISH Manual - Global (Initial Single Probe Staining Procedure)	88368		10	$ - 0
					$ - 0
	FISH Manual - Tech Only (Addn'l Single Probe Staining Procedure)	88369TC		5	$ - 0
	FISH Manual - Interp (Addn'l Single Probe Staining Procedure)	88369PC		5	$ - 0
	FISH Manual - Global (Addn'l Single Probe Staining Procedure)	88369		10	$ - 0
					$ - 0
	FISH Manual - Tech Only (Each Multiplex Probe Staining Procedure)	88377TC		5	$ - 0
	FISH Manual - Interp (Each Multiplex Probe Staining Procedure)	88377PC		5	$ - 0
	FISH Manual - Global (Each Multiplex Probe Staining Procedure)	88377		10	$ - 0
					$ - 0
	AUTOMATED				$ - 0
	FISH Auto - Tech (Initial Single Probe Staining Procedure)	88367TC		5	$ - 0
	FISH Auto - Interp (Initial Single Probe Staining Procedure)	88367PC		5	$ - 0
	FISH Auto - Global (Initial Single Probe Staining Procedure)	88367		10	$ - 0
					$ - 0
	FISH Auto - Tech (Addn'l Single Probe Staining Procedure)	88373TC		5	$ - 0
	FISH Auto - Interp (Addn'l Single Probe Staining Procedure)	88373PC		5	$ - 0
	FISH Auto - Global (Addn'l Single Probe Staining Procedure)	88373		10	$ - 0
					$ - 0
	FISH Auto - Tech (Each Multiplex Probe Staining Procedure)	88374TC		5	$ - 0
	FISH Auto - Interp (Each Multiplex Probe Staining Procedure)	88374PC		5	$ - 0
	FISH Auto - Global (Each Multiplex Probe Staining Procedure)	88374		10	$ - 0
					$ - 0
					$ - 0
ANATOMIC PATHOLOGY (3)					$ - 0
	Special Stain	88312		10	$ - 0
	Special Stain Tech	88312TC		10	$ - 0
	Tissue Special Stain	88313		10	$ - 0
	Tissue Special Stain Tech	88313TC		10	$ - 0
	Professional Consult	88323		5	$ - 0
	Professional Consult Tech	88323TC		5	$ - 0
	IHC Qualitative; addn'l stain procedure	88341		10	$ - 0
	IHC Qualitative; addn'l stain procedure Tech	88341TC		10	$ - 0
	IHC Qualitative; per specimen; initial single antibody stain	88342		10	$ - 0
	IHC Qualitative; per specimen; initial single antibody stain Tech	88342TC		10	$ - 0
	PD-L1 (KEYTRUDA, OPDIVO, TECENTRIQ), Glo	88360		1	$ - 0
	PD-L1 (KEYTRUDA, OPDIVO, TECENTRIQ), Tech	88360TC		1	$ - 0
	IHC Quantitative	88360		10	$ - 0
	IHC Quantitative Tech	88360TC		10	$ - 0
	IHC Morphometric Analysis, computer assist, Glo	88361		10	$ - 0
	IHC Morphometric Analysis, computer assist, Tech	88361TC		10	$ - 0
	IHC by ISH	88365/ 88364		10	$ - 0
	IHC by ISH TC	88365TC/ 88364TC		10	$ - 0
MOLECULAR PATHOLOGY TESTING (3)					$ - 0
	ALK Mutation Analysis	81479		1	$ - 0
	BCR-ABL1 Standard p210,p190	81479		5	$ - 0
	quantitative BCR/ABL, t (9;22) Major (p210) for CML	81206		1	$ - 0
	quantitative BCR/ABL, t (9;22) Minor (p210) for ALL	81207		1	$ - 0
	BCR-ABL1 Non-Standard p230	81208		1	$ - 0
	T-Cell Receptor Beta Gene Rearrangement	81340		1	$ - 0
	B&T-Cell Gene Rearrangement (Fragment Length Analysis)	81479		1	$ - 0
	B-Cell Gene Rearrangement - IGH	81261		1	$ - 0
	B-Cell Gene Rearrangement - IGK	81264		1	$ - 0
	T-Cell Receptor Gamma Gene Rearrangement	81342		1	$ - 0
	BCL-1 Translocation t(11:14)	81168		1	$ - 0
	BCL-2 Translocation t(14;18)	81278		1	$ - 0
	BRAF Mutation Analysis (Bi-directional Sequencing)	81210		1	$ - 0
	Brain NGS Fusion Panel	81445		1	$ - 0
	BRCA1/2 Mutation Analysis for Tumors	81163		1	$ - 0
	Breast NGS Fusion Panel	81445		1	$ - 0
	BTK Mutation Analysis (single gene assay)	81233		1	$ - 0
	BTK Inhibitor Acquired Resistance Panel	81479		1	$ - 0
	CEBPA Mutation Analysis (Bi-directional Sequencing)	81218		1	$ - 0
	KIT (c-KIT) Mutation Analysis	81272		1	$ - 0
	Cholangio/Pancreatic Carcinoma NGS Fusion Panel	81445		1	$ - 0
	Colorectal NGS Fusion Panel	81445		1	$ - 0
	CXCR4 Mutation Analysis (Bi-directional Sequencing)	81479		1	$ - 0
	EGFR Mutation Analysis (Bi-directional Sequencing)	81235		1	$ - 0
	EGFR vIII Analysis	81479		1	$ - 0
	ERBB2 Mutation Analysis	81479		1	$ - 0
	Ewing Sarcoma NGS Fusion Panel	81479		1	$ - 0
	FLT3 (ITD & IKD) Mutation Analysis	81479		1	$ - 0
	FLT3 (incl D385) Mutation Analysis (Bi-directional Seq & Fragment Length)	81246		1	$ - 0
	IDH1 and IDH2 Mutations Analysis (Bi-directional Sequencing)	81479		1	$ - 0
	IgVH Mutation Analysis	81263		1	$ - 0
	JAK2 V617F Mutation Analysis	81270		1	$ - 0
	JAK2 EXON 12-14 Mutation Analysis (Bi-directional Seq)	81279		10	$ - 0
	JAK2 V617F with reflex to EXON 12-14 Mutation Analysis (Bi-Directional Seq)	81270, 81279		10	$ - 0
	KRAS Mutation Analysis	81479		1	$ - 0
	Lung Complete NGS Fusion Panel	81445		1	$ - 0
	Lung Limited NGS Fusion Panel	81445		1	$ - 0
	MET Exon 14 Deletion Analysis	81479		1	$ - 0
	MicroSatellite Instability Analysis (MSI)(Fragment Length Analysis)	81301		1	$ - 0
	MLH1 Promoter Methylation Analysis	81288		1	$ - 0
	MPN Extended Reflex Panel	81479		1	$ - 0
	JAK2 EXON 12-14 Mutation Analysis (Bi-directional Seq)	81279		5	$ - 0
	JAK2 V617F Mutation Analysis	81270		5	$ - 0
	CALR Mutation Analysis	81219		1	$ - 0
	MPL Mutation Analysis (Bi-directional Sequencing)	81339		2	$ - 0
	NTRK NGS Fusion Panel	81194		1	$ - 0
	NTRK & RET NGS Fusion Panel	81479		1	$ - 0
	Non-Ewing Sarcoma NGS Fusion Panel	81479		1	$ - 0
	NOTCH1 Mutation Analysis (Fragment Length Analysis)	81407		1	$ - 0
	NPM1 Mutation Analysis (Fragment Length Analysis)	81310		1	$ - 0
	NRAS Mutation Analysis	81479		1	$ - 0
	PML-RARA Translocation, t(15;17)	81315		1	$ - 0
	Prostate NGS Fusion Panel	81445		1	$ - 0
	RAS/RAF Panel	81479		1	$ - 0
	RUNX1-RUNX1T1 (AML1-ETO) Translocation, t(8;21)	81401		1	$ - 0
	Sarcoma Comprehensive NGS Fusion Panel	81455		1	$ - 0
	STAT3 Mutation Analysis	81405		1	$ - 0
	Targeted Solid Tumor NGS Fusion Panel	81445		1	$ - 0
	Thyroid NGS Fusion Panel	81445		1	$ - 0
	TP53 Mutation Analysis (Bi-Directional Sequencing)	81352		1	$ - 0
	Universal Solid Tumor NGS Fusion Panel	81455		1	$ - 0
					$ - 0
1					$ - 0
	Hematologic Profiles (Molecular Only)				$ - 0
	NeoTYPE™ ALL Prognostic Profile	81450		1	$ - 0
	NeoTYPE® Discovery Profile for Hematologic Cancers	81450		1	$ - 0
	NeoTYPE™ Follicular Lymphoma Profile	81450		1	$ - 0
	NeoTYPE® Lymphoid Disorders Profile	81450		1	$ - 0
	NeoTYPE™ Lymphoma Profile	81450		1	$ - 0
	NeoTYPE™ MDS/CMML Profile	81450		1	$ - 0
	Solid Tumor Profiles				$ - 0
	NeoTYPE™ Cholangiocarcinoma Profile	81445 1		1	$ - 0
	NeoTYPE Lung Tumor Profile	81479 1		1	$ - 0
NeoTYPETM (or equivalent) Global					$ - 0
	Hematologic Profiles				$ - 0
	NeoTYPE CLL Prognostic Profile	81479, 88374x4		1	$ - 0
	NeoTYPE ALL Profile	81450, 88374x2		1	$ - 0
	NeoTYPE™ Myeloid Disorders Profile	81455		1	$ - 0	Global Only, replaces Myeloid Disorders Profile
	NeoTYPE MDS/CMML Profile	81450		1	$ - 0
	Solid Tumor Profiles				$ - 0
					$ - 0
NeoTYPETM (4) (or equivalent) Technical Only					$ - 0
	Hematologic Profiles				$ - 0
	NeoTYPE ALL Profile	81450, 88374TCx2		1	$ - 0
	Solid Tumor Profiles				$ - 0
					$ - 0
NeoLABTM (or equivalent) LIQUID BIOPSY					$ - 0
					$ - 0
SPECIMEN HOLD OPTIONS					$ - 0
	Cytogenetics				$ - 0
	Culture and Hold			1	$ - 0
	FISH				$ - 0
	Direct Harvest and Hold for FISH			1	$ - 0
	Molecular Testing				$ - 0
	Freeze and Hold			1	$ - 0
	Extract Nucleic Acid and Hold			1	$ - 0

Miscellanous Testing - not listed above
	TOTAL
	$ - 0

Order Period 3

Order Period 3: 04/01/2026-03/31/2027
Test Name	CPT/s	Units	Estimated Quantity	Unit Price	Total Est Price

FLOW CYTOMETRY

10 COLOR FLOW CYTOMETRY
	10 Color Flow Cytometry - General Pricing
	TC Flow Cytometry 1st marker	88184	1	100	$ - 0
	Additional Markers	88185	23	50	$ - 0	*Standard Panel has 23 additional markers, so this should be taken into consideration when calculating
	Flow Interpretation (2-8 Markers)	88187	1	50	$ - 0
	Flow Interpretation (9-15 Markers)	88188	1	50	$ - 0
	Flow Interpretation (16+ Markers)	88189	1	50	$ - 0
					$ - 0
	10 Color Flow Cytometry Special Pricing				$ - 0
	Flow Profile PNH Tech (8)	88184, 88185	8	1	$ - 0
	Flow Profile DNA Global	88182	1	1	$ - 0
					$ - 0
					$ - 0
CYTOGENETICS					$ - 0
	Chromosome Analysis (Set Up)	88237 or 88230 or 88233 or 88239	1	1	$ - 0
	Chromosome Analysis (Cell Analysis)	88261, 88262, or 88264	1	1	$ - 0
	Chromosome Analysis Interpretation	88291	1	1	$ - 0
	Additional Karyotypes	88280	1	1	$ - 0
	Additional Cells	88285	1	1	$ - 0
	Additional Culture	88237 or 88239	1	1	$ - 0
	No Growth	88230, 88233, 88237, or 88239	1	1	$ - 0
FISH					$ - 0
	MANUAL				$ - 0
	FISH Manual - Tech Only (Initial Single Probe Staining Procedure)	88368PC		5	$ - 0
	FISH Manual - Interp (Initial Single Probe Staining Procedure)	88368TC		5	$ - 0
	FISH Manual - Global (Initial Single Probe Staining Procedure)	88368		10	$ - 0
					$ - 0
	FISH Manual - Tech Only (Addn'l Single Probe Staining Procedure)	88369TC		5	$ - 0
	FISH Manual - Interp (Addn'l Single Probe Staining Procedure)	88369PC		5	$ - 0
	FISH Manual - Global (Addn'l Single Probe Staining Procedure)	88369		10	$ - 0
					$ - 0
	FISH Manual - Tech Only (Each Multiplex Probe Staining Procedure)	88377TC		5	$ - 0
	FISH Manual - Interp (Each Multiplex Probe Staining Procedure)	88377PC		5	$ - 0
	FISH Manual - Global (Each Multiplex Probe Staining Procedure)	88377		10	$ - 0
					$ - 0
	AUTOMATED				$ - 0
	FISH Auto - Tech (Initial Single Probe Staining Procedure)	88367TC		5	$ - 0
	FISH Auto - Interp (Initial Single Probe Staining Procedure)	88367PC		5	$ - 0
	FISH Auto - Global (Initial Single Probe Staining Procedure)	88367		10	$ - 0
					$ - 0
	FISH Auto - Tech (Addn'l Single Probe Staining Procedure)	88373TC		5	$ - 0
	FISH Auto - Interp (Addn'l Single Probe Staining Procedure)	88373PC		5	$ - 0
	FISH Auto - Global (Addn'l Single Probe Staining Procedure)	88373		10	$ - 0
					$ - 0
	FISH Auto - Tech (Each Multiplex Probe Staining Procedure)	88374TC		5	$ - 0
	FISH Auto - Interp (Each Multiplex Probe Staining Procedure)	88374PC		5	$ - 0
	FISH Auto - Global (Each Multiplex Probe Staining Procedure)	88374		10	$ - 0
					$ - 0
					$ - 0
ANATOMIC PATHOLOGY (3)					$ - 0
	Special Stain	88312		10	$ - 0
	Special Stain Tech	88312TC		10	$ - 0
	Tissue Special Stain	88313		10	$ - 0
	Tissue Special Stain Tech	88313TC		10	$ - 0
	Professional Consult	88323		5	$ - 0
	Professional Consult Tech	88323TC		5	$ - 0
	IHC Qualitative; addn'l stain procedure	88341		10	$ - 0
	IHC Qualitative; addn'l stain procedure Tech	88341TC		10	$ - 0
	IHC Qualitative; per specimen; initial single antibody stain	88342		10	$ - 0
	IHC Qualitative; per specimen; initial single antibody stain Tech	88342TC		10	$ - 0
	PD-L1 (KEYTRUDA, OPDIVO, TECENTRIQ), Glo	88360		1	$ - 0
	PD-L1 (KEYTRUDA, OPDIVO, TECENTRIQ), Tech	88360TC		1	$ - 0
	IHC Quantitative	88360		10	$ - 0
	IHC Quantitative Tech	88360TC		10	$ - 0
	IHC Morphometric Analysis, computer assist, Glo	88361		10	$ - 0
	IHC Morphometric Analysis, computer assist, Tech	88361TC		10	$ - 0
	IHC by ISH	88365/ 88364		10	$ - 0
	IHC by ISH TC	88365TC/ 88364TC		10	$ - 0
MOLECULAR PATHOLOGY TESTING (3)					$ - 0
	ALK Mutation Analysis	81479		1	$ - 0
	BCR-ABL1 Standard p210,p190	81479		5	$ - 0
	quantitative BCR/ABL, t (9;22) Major (p210) for CML	81206		1	$ - 0
	quantitative BCR/ABL, t (9;22) Minor (p210) for ALL	81207		1	$ - 0
	BCR-ABL1 Non-Standard p230	81208		1	$ - 0
	T-Cell Receptor Beta Gene Rearrangement	81340		1	$ - 0
	B&T-Cell Gene Rearrangement (Fragment Length Analysis)	81479		1	$ - 0
	B-Cell Gene Rearrangement - IGH	81261		1	$ - 0
	B-Cell Gene Rearrangement - IGK	81264		1	$ - 0
	T-Cell Receptor Gamma Gene Rearrangement	81342		1	$ - 0
	BCL-1 Translocation t(11:14)	81168		1	$ - 0
	BCL-2 Translocation t(14;18)	81278		1	$ - 0
	BRAF Mutation Analysis (Bi-directional Sequencing)	81210		1	$ - 0
	Brain NGS Fusion Panel	81445		1	$ - 0
	BRCA1/2 Mutation Analysis for Tumors	81163		1	$ - 0
	Breast NGS Fusion Panel	81445		1	$ - 0
	BTK Mutation Analysis (single gene assay)	81233		1	$ - 0
	BTK Inhibitor Acquired Resistance Panel	81479		1	$ - 0
	CEBPA Mutation Analysis (Bi-directional Sequencing)	81218		1	$ - 0
	KIT (c-KIT) Mutation Analysis	81272		1	$ - 0
	Cholangio/Pancreatic Carcinoma NGS Fusion Panel	81445		1	$ - 0
	Colorectal NGS Fusion Panel	81445		1	$ - 0
	CXCR4 Mutation Analysis (Bi-directional Sequencing)	81479		1	$ - 0
	EGFR Mutation Analysis (Bi-directional Sequencing)	81235		1	$ - 0
	EGFR vIII Analysis	81479		1	$ - 0
	ERBB2 Mutation Analysis	81479		1	$ - 0
	Ewing Sarcoma NGS Fusion Panel	81479		1	$ - 0
	FLT3 (ITD & IKD) Mutation Analysis	81479		1	$ - 0
	FLT3 (incl D385) Mutation Analysis (Bi-directional Seq & Fragment Length)	81246		1	$ - 0
	IDH1 and IDH2 Mutations Analysis (Bi-directional Sequencing)	81479		1	$ - 0
	IgVH Mutation Analysis	81263		1	$ - 0
	JAK2 V617F Mutation Analysis	81270		1	$ - 0
	JAK2 EXON 12-14 Mutation Analysis (Bi-directional Seq)	81279		10	$ - 0
	JAK2 V617F with reflex to EXON 12-14 Mutation Analysis (Bi-Directional Seq)	81270, 81279		10	$ - 0
	KRAS Mutation Analysis	81479		1	$ - 0
	Lung Complete NGS Fusion Panel	81445		1	$ - 0
	Lung Limited NGS Fusion Panel	81445		1	$ - 0
	MET Exon 14 Deletion Analysis	81479		1	$ - 0
	MicroSatellite Instability Analysis (MSI)(Fragment Length Analysis)	81301		1	$ - 0
	MLH1 Promoter Methylation Analysis	81288		1	$ - 0
	MPN Extended Reflex Panel	81479		1	$ - 0
	JAK2 EXON 12-14 Mutation Analysis (Bi-directional Seq)	81279		5	$ - 0
	JAK2 V617F Mutation Analysis	81270		5	$ - 0
	CALR Mutation Analysis	81219		1	$ - 0
	MPL Mutation Analysis (Bi-directional Sequencing)	81339		2	$ - 0
	NTRK NGS Fusion Panel	81194		1	$ - 0
	NTRK & RET NGS Fusion Panel	81479		1	$ - 0
	Non-Ewing Sarcoma NGS Fusion Panel	81479		1	$ - 0
	NOTCH1 Mutation Analysis (Fragment Length Analysis)	81407		1	$ - 0
	NPM1 Mutation Analysis (Fragment Length Analysis)	81310		1	$ - 0
	NRAS Mutation Analysis	81479		1	$ - 0
	PML-RARA Translocation, t(15;17)	81315		1	$ - 0
	Prostate NGS Fusion Panel	81445		1	$ - 0
	RAS/RAF Panel	81479		1	$ - 0
	RUNX1-RUNX1T1 (AML1-ETO) Translocation, t(8;21)	81401		1	$ - 0
	Sarcoma Comprehensive NGS Fusion Panel	81455		1	$ - 0
	STAT3 Mutation Analysis	81405		1	$ - 0
	Targeted Solid Tumor NGS Fusion Panel	81445		1	$ - 0
	Thyroid NGS Fusion Panel	81445		1	$ - 0
	TP53 Mutation Analysis (Bi-Directional Sequencing)	81352		1	$ - 0
	Universal Solid Tumor NGS Fusion Panel	81455		1	$ - 0
					$ - 0
1					$ - 0
	Hematologic Profiles (Molecular Only)				$ - 0
	NeoTYPE™ ALL Prognostic Profile	81450		1	$ - 0
	NeoTYPE® Discovery Profile for Hematologic Cancers	81450		1	$ - 0
	NeoTYPE™ Follicular Lymphoma Profile	81450		1	$ - 0
	NeoTYPE® Lymphoid Disorders Profile	81450		1	$ - 0
	NeoTYPE™ Lymphoma Profile	81450		1	$ - 0
	NeoTYPE™ MDS/CMML Profile	81450		1	$ - 0
	Solid Tumor Profiles				$ - 0
	NeoTYPE™ Cholangiocarcinoma Profile	81445 1		1	$ - 0
	NeoTYPE Lung Tumor Profile	81479 1		1	$ - 0
NeoTYPETM (or equivalent) Global					$ - 0
	Hematologic Profiles				$ - 0
	NeoTYPE CLL Prognostic Profile	81479, 88374x4		1	$ - 0
	NeoTYPE ALL Profile	81450, 88374x2		1	$ - 0
	NeoTYPE™ Myeloid Disorders Profile	81455		1	$ - 0	Global Only, replaces Myeloid Disorders Profile
	NeoTYPE MDS/CMML Profile	81450		1	$ - 0
	Solid Tumor Profiles				$ - 0
					$ - 0
NeoTYPETM (4) (or equivalent) Technical Only					$ - 0
	Hematologic Profiles				$ - 0
	NeoTYPE ALL Profile	81450, 88374TCx2		1	$ - 0
	Solid Tumor Profiles				$ - 0
					$ - 0
NeoLABTM (or equivalent) LIQUID BIOPSY					$ - 0
					$ - 0
SPECIMEN HOLD OPTIONS					$ - 0
	Cytogenetics				$ - 0
	Culture and Hold			1	$ - 0
	FISH				$ - 0
	Direct Harvest and Hold for FISH			1	$ - 0
	Molecular Testing				$ - 0
	Freeze and Hold			1	$ - 0
	Extract Nucleic Acid and Hold			1	$ - 0

Miscellanous Testing - not listed above
	TOTAL
	$ - 0

Order Period 4

Order Period 4: 04/01/2027-03/31/2028
Test Name	CPT/s	Units	Estimated Quantity	Unit Price	Total Est Price

FLOW CYTOMETRY

10 COLOR FLOW CYTOMETRY
	10 Color Flow Cytometry - General Pricing
	TC Flow Cytometry 1st marker	88184	1	100	$ - 0
	Additional Markers	88185	23	50	$ - 0	*Standard Panel has 23 additional markers, so this should be taken into consideration when calculating
	Flow Interpretation (2-8 Markers)	88187	1	50	$ - 0
	Flow Interpretation (9-15 Markers)	88188	1	50	$ - 0
	Flow Interpretation (16+ Markers)	88189	1	50	$ - 0
					$ - 0
	10 Color Flow Cytometry Special Pricing				$ - 0
	Flow Profile PNH Tech (8)	88184, 88185	8	1	$ - 0
	Flow Profile DNA Global	88182	1	1	$ - 0
					$ - 0
					$ - 0
CYTOGENETICS					$ - 0
	Chromosome Analysis (Set Up)	88237 or 88230 or 88233 or 88239	1	1	$ - 0
	Chromosome Analysis (Cell Analysis)	88261, 88262, or 88264	1	1	$ - 0
	Chromosome Analysis Interpretation	88291	1	1	$ - 0
	Additional Karyotypes	88280	1	1	$ - 0
	Additional Cells	88285	1	1	$ - 0
	Additional Culture	88237 or 88239	1	1	$ - 0
	No Growth	88230, 88233, 88237, or 88239	1	1	$ - 0
FISH					$ - 0
	MANUAL				$ - 0
	FISH Manual - Tech Only (Initial Single Probe Staining Procedure)	88368PC		5	$ - 0
	FISH Manual - Interp (Initial Single Probe Staining Procedure)	88368TC		5	$ - 0
	FISH Manual - Global (Initial Single Probe Staining Procedure)	88368		10	$ - 0
					$ - 0
	FISH Manual - Tech Only (Addn'l Single Probe Staining Procedure)	88369TC		5	$ - 0
	FISH Manual - Interp (Addn'l Single Probe Staining Procedure)	88369PC		5	$ - 0
	FISH Manual - Global (Addn'l Single Probe Staining Procedure)	88369		10	$ - 0
					$ - 0
	FISH Manual - Tech Only (Each Multiplex Probe Staining Procedure)	88377TC		5	$ - 0
	FISH Manual - Interp (Each Multiplex Probe Staining Procedure)	88377PC		5	$ - 0
	FISH Manual - Global (Each Multiplex Probe Staining Procedure)	88377		10	$ - 0
					$ - 0
	AUTOMATED				$ - 0
	FISH Auto - Tech (Initial Single Probe Staining Procedure)	88367TC		5	$ - 0
	FISH Auto - Interp (Initial Single Probe Staining Procedure)	88367PC		5	$ - 0
	FISH Auto - Global (Initial Single Probe Staining Procedure)	88367		10	$ - 0
					$ - 0
	FISH Auto - Tech (Addn'l Single Probe Staining Procedure)	88373TC		5	$ - 0
	FISH Auto - Interp (Addn'l Single Probe Staining Procedure)	88373PC		5	$ - 0
	FISH Auto - Global (Addn'l Single Probe Staining Procedure)	88373		10	$ - 0
					$ - 0
	FISH Auto - Tech (Each Multiplex Probe Staining Procedure)	88374TC		5	$ - 0
	FISH Auto - Interp (Each Multiplex Probe Staining Procedure)	88374PC		5	$ - 0
	FISH Auto - Global (Each Multiplex Probe Staining Procedure)	88374		10	$ - 0
					$ - 0
					$ - 0
ANATOMIC PATHOLOGY (3)					$ - 0
	Special Stain	88312		10	$ - 0
	Special Stain Tech	88312TC		10	$ - 0
	Tissue Special Stain	88313		10	$ - 0
	Tissue Special Stain Tech	88313TC		10	$ - 0
	Professional Consult	88323		5	$ - 0
	Professional Consult Tech	88323TC		5	$ - 0
	IHC Qualitative; addn'l stain procedure	88341		10	$ - 0
	IHC Qualitative; addn'l stain procedure Tech	88341TC		10	$ - 0
	IHC Qualitative; per specimen; initial single antibody stain	88342		10	$ - 0
	IHC Qualitative; per specimen; initial single antibody stain Tech	88342TC		10	$ - 0
	PD-L1 (KEYTRUDA, OPDIVO, TECENTRIQ), Glo	88360		1	$ - 0
	PD-L1 (KEYTRUDA, OPDIVO, TECENTRIQ), Tech	88360TC		1	$ - 0
	IHC Quantitative	88360		10	$ - 0
	IHC Quantitative Tech	88360TC		10	$ - 0
	IHC Morphometric Analysis, computer assist, Glo	88361		10	$ - 0
	IHC Morphometric Analysis, computer assist, Tech	88361TC		10	$ - 0
	IHC by ISH	88365/ 88364		10	$ - 0
	IHC by ISH TC	88365TC/ 88364TC		10	$ - 0
MOLECULAR PATHOLOGY TESTING (3)					$ - 0
	ALK Mutation Analysis	81479		1	$ - 0
	BCR-ABL1 Standard p210,p190	81479		5	$ - 0
	quantitative BCR/ABL, t (9;22) Major (p210) for CML	81206		1	$ - 0
	quantitative BCR/ABL, t (9;22) Minor (p210) for ALL	81207		1	$ - 0
	BCR-ABL1 Non-Standard p230	81208		1	$ - 0
	T-Cell Receptor Beta Gene Rearrangement	81340		1	$ - 0
	B&T-Cell Gene Rearrangement (Fragment Length Analysis)	81479		1	$ - 0
	B-Cell Gene Rearrangement - IGH	81261		1	$ - 0
	B-Cell Gene Rearrangement - IGK	81264		1	$ - 0
	T-Cell Receptor Gamma Gene Rearrangement	81342		1	$ - 0
	BCL-1 Translocation t(11:14)	81168		1	$ - 0
	BCL-2 Translocation t(14;18)	81278		1	$ - 0
	BRAF Mutation Analysis (Bi-directional Sequencing)	81210		1	$ - 0
	Brain NGS Fusion Panel	81445		1	$ - 0
	BRCA1/2 Mutation Analysis for Tumors	81163		1	$ - 0
	Breast NGS Fusion Panel	81445		1	$ - 0
	BTK Mutation Analysis (single gene assay)	81233		1	$ - 0
	BTK Inhibitor Acquired Resistance Panel	81479		1	$ - 0
	CEBPA Mutation Analysis (Bi-directional Sequencing)	81218		1	$ - 0
	KIT (c-KIT) Mutation Analysis	81272		1	$ - 0
	Cholangio/Pancreatic Carcinoma NGS Fusion Panel	81445		1	$ - 0
	Colorectal NGS Fusion Panel	81445		1	$ - 0
	CXCR4 Mutation Analysis (Bi-directional Sequencing)	81479		1	$ - 0
	EGFR Mutation Analysis (Bi-directional Sequencing)	81235		1	$ - 0
	EGFR vIII Analysis	81479		1	$ - 0
	ERBB2 Mutation Analysis	81479		1	$ - 0
	Ewing Sarcoma NGS Fusion Panel	81479		1	$ - 0
	FLT3 (ITD & IKD) Mutation Analysis	81479		1	$ - 0
	FLT3 (incl D385) Mutation Analysis (Bi-directional Seq & Fragment Length)	81246		1	$ - 0
	IDH1 and IDH2 Mutations Analysis (Bi-directional Sequencing)	81479		1	$ - 0
	IgVH Mutation Analysis	81263		1	$ - 0
	JAK2 V617F Mutation Analysis	81270		1	$ - 0
	JAK2 EXON 12-14 Mutation Analysis (Bi-directional Seq)	81279		10	$ - 0
	JAK2 V617F with reflex to EXON 12-14 Mutation Analysis (Bi-Directional Seq)	81270, 81279		10	$ - 0
	KRAS Mutation Analysis	81479		1	$ - 0
	Lung Complete NGS Fusion Panel	81445		1	$ - 0
	Lung Limited NGS Fusion Panel	81445		1	$ - 0
	MET Exon 14 Deletion Analysis	81479		1	$ - 0
	MicroSatellite Instability Analysis (MSI)(Fragment Length Analysis)	81301		1	$ - 0
	MLH1 Promoter Methylation Analysis	81288		1	$ - 0
	MPN Extended Reflex Panel	81479		1	$ - 0
	JAK2 EXON 12-14 Mutation Analysis (Bi-directional Seq)	81279		5	$ - 0
	JAK2 V617F Mutation Analysis	81270		5	$ - 0
	CALR Mutation Analysis	81219		1	$ - 0
	MPL Mutation Analysis (Bi-directional Sequencing)	81339		2	$ - 0
	NTRK NGS Fusion Panel	81194		1	$ - 0
	NTRK & RET NGS Fusion Panel	81479		1	$ - 0
	Non-Ewing Sarcoma NGS Fusion Panel	81479		1	$ - 0
	NOTCH1 Mutation Analysis (Fragment Length Analysis)	81407		1	$ - 0
	NPM1 Mutation Analysis (Fragment Length Analysis)	81310		1	$ - 0
	NRAS Mutation Analysis	81479		1	$ - 0
	PML-RARA Translocation, t(15;17)	81315		1	$ - 0
	Prostate NGS Fusion Panel	81445		1	$ - 0
	RAS/RAF Panel	81479		1	$ - 0
	RUNX1-RUNX1T1 (AML1-ETO) Translocation, t(8;21)	81401		1	$ - 0
	Sarcoma Comprehensive NGS Fusion Panel	81455		1	$ - 0
	STAT3 Mutation Analysis	81405		1	$ - 0
	Targeted Solid Tumor NGS Fusion Panel	81445		1	$ - 0
	Thyroid NGS Fusion Panel	81445		1	$ - 0
	TP53 Mutation Analysis (Bi-Directional Sequencing)	81352		1	$ - 0
	Universal Solid Tumor NGS Fusion Panel	81455		1	$ - 0
					$ - 0
1					$ - 0
	Hematologic Profiles (Molecular Only)				$ - 0
	NeoTYPE™ ALL Prognostic Profile	81450		1	$ - 0
	NeoTYPE® Discovery Profile for Hematologic Cancers	81450		1	$ - 0
	NeoTYPE™ Follicular Lymphoma Profile	81450		1	$ - 0
	NeoTYPE® Lymphoid Disorders Profile	81450		1	$ - 0
	NeoTYPE™ Lymphoma Profile	81450		1	$ - 0
	NeoTYPE™ MDS/CMML Profile	81450		1	$ - 0
	Solid Tumor Profiles				$ - 0
	NeoTYPE™ Cholangiocarcinoma Profile	81445 1		1	$ - 0
	NeoTYPE Lung Tumor Profile	81479 1		1	$ - 0
NeoTYPETM (or equivalent) Global					$ - 0
	Hematologic Profiles				$ - 0
	NeoTYPE CLL Prognostic Profile	81479, 88374x4		1	$ - 0
	NeoTYPE ALL Profile	81450, 88374x2		1	$ - 0
	NeoTYPE™ Myeloid Disorders Profile	81455		1	$ - 0	Global Only, replaces Myeloid Disorders Profile
	NeoTYPE MDS/CMML Profile	81450		1	$ - 0
	Solid Tumor Profiles				$ - 0
					$ - 0
NeoTYPETM (4) (or equivalent) Technical Only					$ - 0
	Hematologic Profiles				$ - 0
	NeoTYPE ALL Profile	81450, 88374TCx2		1	$ - 0
	Solid Tumor Profiles				$ - 0
					$ - 0
NeoLABTM (or equivalent) LIQUID BIOPSY					$ - 0
					$ - 0
SPECIMEN HOLD OPTIONS					$ - 0
	Cytogenetics				$ - 0
	Culture and Hold			1	$ - 0
	FISH				$ - 0
	Direct Harvest and Hold for FISH			1	$ - 0
	Molecular Testing				$ - 0
	Freeze and Hold			1	$ - 0
	Extract Nucleic Acid and Hold			1	$ - 0

Miscellanous Testing - not listed above
	TOTAL
	$ - 0

Order Period 5

Order Period 5 : 04/01/2028-03/31/2029
Test Name	CPT/s	Units	Estimated Quantity	Unit Price	Total Est Price

FLOW CYTOMETRY

10 COLOR FLOW CYTOMETRY
	10 Color Flow Cytometry - General Pricing
	TC Flow Cytometry 1st marker	88184	1	100	$ - 0
	Additional Markers	88185	23	50	$ - 0	*Standard Panel has 23 additional markers, so this should be taken into consideration when calculating
	Flow Interpretation (2-8 Markers)	88187	1	50	$ - 0
	Flow Interpretation (9-15 Markers)	88188	1	50	$ - 0
	Flow Interpretation (16+ Markers)	88189	1	50	$ - 0
					$ - 0
	10 Color Flow Cytometry Special Pricing				$ - 0
	Flow Profile PNH Tech (8)	88184, 88185	8	1	$ - 0
	Flow Profile DNA Global	88182	1	1	$ - 0
					$ - 0
					$ - 0
CYTOGENETICS					$ - 0
	Chromosome Analysis (Set Up)	88237 or 88230 or 88233 or 88239	1	1	$ - 0
	Chromosome Analysis (Cell Analysis)	88261, 88262, or 88264	1	1	$ - 0
	Chromosome Analysis Interpretation	88291	1	1	$ - 0
	Additional Karyotypes	88280	1	1	$ - 0
	Additional Cells	88285	1	1	$ - 0
	Additional Culture	88237 or 88239	1	1	$ - 0
	No Growth	88230, 88233, 88237, or 88239	1	1	$ - 0
FISH					$ - 0
	MANUAL				$ - 0
	FISH Manual - Tech Only (Initial Single Probe Staining Procedure)	88368PC		5	$ - 0
	FISH Manual - Interp (Initial Single Probe Staining Procedure)	88368TC		5	$ - 0
	FISH Manual - Global (Initial Single Probe Staining Procedure)	88368		10	$ - 0
					$ - 0
	FISH Manual - Tech Only (Addn'l Single Probe Staining Procedure)	88369TC		5	$ - 0
	FISH Manual - Interp (Addn'l Single Probe Staining Procedure)	88369PC		5	$ - 0
	FISH Manual - Global (Addn'l Single Probe Staining Procedure)	88369		10	$ - 0
					$ - 0
	FISH Manual - Tech Only (Each Multiplex Probe Staining Procedure)	88377TC		5	$ - 0
	FISH Manual - Interp (Each Multiplex Probe Staining Procedure)	88377PC		5	$ - 0
	FISH Manual - Global (Each Multiplex Probe Staining Procedure)	88377		10	$ - 0
					$ - 0
	AUTOMATED				$ - 0
	FISH Auto - Tech (Initial Single Probe Staining Procedure)	88367TC		5	$ - 0
	FISH Auto - Interp (Initial Single Probe Staining Procedure)	88367PC		5	$ - 0
	FISH Auto - Global (Initial Single Probe Staining Procedure)	88367		10	$ - 0
					$ - 0
	FISH Auto - Tech (Addn'l Single Probe Staining Procedure)	88373TC		5	$ - 0
	FISH Auto - Interp (Addn'l Single Probe Staining Procedure)	88373PC		5	$ - 0
	FISH Auto - Global (Addn'l Single Probe Staining Procedure)	88373		10	$ - 0
					$ - 0
	FISH Auto - Tech (Each Multiplex Probe Staining Procedure)	88374TC		5	$ - 0
	FISH Auto - Interp (Each Multiplex Probe Staining Procedure)	88374PC		5	$ - 0
	FISH Auto - Global (Each Multiplex Probe Staining Procedure)	88374		10	$ - 0
					$ - 0
					$ - 0
ANATOMIC PATHOLOGY (3)					$ - 0
	Special Stain	88312		10	$ - 0
	Special Stain Tech	88312TC		10	$ - 0
	Tissue Special Stain	88313		10	$ - 0
	Tissue Special Stain Tech	88313TC		10	$ - 0
	Professional Consult	88323		5	$ - 0
	Professional Consult Tech	88323TC		5	$ - 0
	IHC Qualitative; addn'l stain procedure	88341		10	$ - 0
	IHC Qualitative; addn'l stain procedure Tech	88341TC		10	$ - 0
	IHC Qualitative; per specimen; initial single antibody stain	88342		10	$ - 0
	IHC Qualitative; per specimen; initial single antibody stain Tech	88342TC		10	$ - 0
	PD-L1 (KEYTRUDA, OPDIVO, TECENTRIQ), Glo	88360		1	$ - 0
	PD-L1 (KEYTRUDA, OPDIVO, TECENTRIQ), Tech	88360TC		1	$ - 0
	IHC Quantitative	88360		10	$ - 0
	IHC Quantitative Tech	88360TC		10	$ - 0
	IHC Morphometric Analysis, computer assist, Glo	88361		10	$ - 0
	IHC Morphometric Analysis, computer assist, Tech	88361TC		10	$ - 0
	IHC by ISH	88365/ 88364		10	$ - 0
	IHC by ISH TC	88365TC/ 88364TC		10	$ - 0
MOLECULAR PATHOLOGY TESTING (3)					$ - 0
	ALK Mutation Analysis	81479		1	$ - 0
	BCR-ABL1 Standard p210,p190	81479		5	$ - 0
	quantitative BCR/ABL, t (9;22) Major (p210) for CML	81206		1	$ - 0
	quantitative BCR/ABL, t (9;22) Minor (p210) for ALL	81207		1	$ - 0
	BCR-ABL1 Non-Standard p230	81208		1	$ - 0
	T-Cell Receptor Beta Gene Rearrangement	81340		1	$ - 0
	B&T-Cell Gene Rearrangement (Fragment Length Analysis)	81479		1	$ - 0
	B-Cell Gene Rearrangement - IGH	81261		1	$ - 0
	B-Cell Gene Rearrangement - IGK	81264		1	$ - 0
	T-Cell Receptor Gamma Gene Rearrangement	81342		1	$ - 0
	BCL-1 Translocation t(11:14)	81168		1	$ - 0
	BCL-2 Translocation t(14;18)	81278		1	$ - 0
	BRAF Mutation Analysis (Bi-directional Sequencing)	81210		1	$ - 0
	Brain NGS Fusion Panel	81445		1	$ - 0
	BRCA1/2 Mutation Analysis for Tumors	81163		1	$ - 0
	Breast NGS Fusion Panel	81445		1	$ - 0
	BTK Mutation Analysis (single gene assay)	81233		1	$ - 0
	BTK Inhibitor Acquired Resistance Panel	81479		1	$ - 0
	CEBPA Mutation Analysis (Bi-directional Sequencing)	81218		1	$ - 0
	KIT (c-KIT) Mutation Analysis	81272		1	$ - 0
	Cholangio/Pancreatic Carcinoma NGS Fusion Panel	81445		1	$ - 0
	Colorectal NGS Fusion Panel	81445		1	$ - 0
	CXCR4 Mutation Analysis (Bi-directional Sequencing)	81479		1	$ - 0
	EGFR Mutation Analysis (Bi-directional Sequencing)	81235		1	$ - 0
	EGFR vIII Analysis	81479		1	$ - 0
	ERBB2 Mutation Analysis	81479		1	$ - 0
	Ewing Sarcoma NGS Fusion Panel	81479		1	$ - 0
	FLT3 (ITD & IKD) Mutation Analysis	81479		1	$ - 0
	FLT3 (incl D385) Mutation Analysis (Bi-directional Seq & Fragment Length)	81246		1	$ - 0
	IDH1 and IDH2 Mutations Analysis (Bi-directional Sequencing)	81479		1	$ - 0
	IgVH Mutation Analysis	81263		1	$ - 0
	JAK2 V617F Mutation Analysis	81270		1	$ - 0
	JAK2 EXON 12-14 Mutation Analysis (Bi-directional Seq)	81279		10	$ - 0
	JAK2 V617F with reflex to EXON 12-14 Mutation Analysis (Bi-Directional Seq)	81270, 81279		10	$ - 0
	KRAS Mutation Analysis	81479		1	$ - 0
	Lung Complete NGS Fusion Panel	81445		1	$ - 0
	Lung Limited NGS Fusion Panel	81445		1	$ - 0
	MET Exon 14 Deletion Analysis	81479		1	$ - 0
	MicroSatellite Instability Analysis (MSI)(Fragment Length Analysis)	81301		1	$ - 0
	MLH1 Promoter Methylation Analysis	81288		1	$ - 0
	MPN Extended Reflex Panel	81479		1	$ - 0
	JAK2 EXON 12-14 Mutation Analysis (Bi-directional Seq)	81279		5	$ - 0
	JAK2 V617F Mutation Analysis	81270		5	$ - 0
	CALR Mutation Analysis	81219		1	$ - 0
	MPL Mutation Analysis (Bi-directional Sequencing)	81339		2	$ - 0
	NTRK NGS Fusion Panel	81194		1	$ - 0
	NTRK & RET NGS Fusion Panel	81479		1	$ - 0
	Non-Ewing Sarcoma NGS Fusion Panel	81479		1	$ - 0
	NOTCH1 Mutation Analysis (Fragment Length Analysis)	81407		1	$ - 0
	NPM1 Mutation Analysis (Fragment Length Analysis)	81310		1	$ - 0
	NRAS Mutation Analysis	81479		1	$ - 0
	PML-RARA Translocation, t(15;17)	81315		1	$ - 0
	Prostate NGS Fusion Panel	81445		1	$ - 0
	RAS/RAF Panel	81479		1	$ - 0
	RUNX1-RUNX1T1 (AML1-ETO) Translocation, t(8;21)	81401		1	$ - 0
	Sarcoma Comprehensive NGS Fusion Panel	81455		1	$ - 0
	STAT3 Mutation Analysis	81405		1	$ - 0
	Targeted Solid Tumor NGS Fusion Panel	81445		1	$ - 0
	Thyroid NGS Fusion Panel	81445		1	$ - 0
	TP53 Mutation Analysis (Bi-Directional Sequencing)	81352		1	$ - 0
	Universal Solid Tumor NGS Fusion Panel	81455		1	$ - 0
					$ - 0
1					$ - 0
	Hematologic Profiles (Molecular Only)				$ - 0
	NeoTYPE™ ALL Prognostic Profile	81450		1	$ - 0
	NeoTYPE® Discovery Profile for Hematologic Cancers	81450		1	$ - 0
	NeoTYPE™ Follicular Lymphoma Profile	81450		1	$ - 0
	NeoTYPE® Lymphoid Disorders Profile	81450		1	$ - 0
	NeoTYPE™ Lymphoma Profile	81450		1	$ - 0
	NeoTYPE™ MDS/CMML Profile	81450		1	$ - 0
	Solid Tumor Profiles				$ - 0
	NeoTYPE™ Cholangiocarcinoma Profile	81445 1		1	$ - 0
	NeoTYPE Lung Tumor Profile	81479 1		1	$ - 0
NeoTYPETM (or equivalent) Global					$ - 0
	Hematologic Profiles				$ - 0
	NeoTYPE CLL Prognostic Profile	81479, 88374x4		1	$ - 0
	NeoTYPE ALL Profile	81450, 88374x2		1	$ - 0
	NeoTYPE™ Myeloid Disorders Profile	81455		1	$ - 0	Global Only, replaces Myeloid Disorders Profile
	NeoTYPE MDS/CMML Profile	81450		1	$ - 0
	Solid Tumor Profiles				$ - 0
					$ - 0
NeoTYPETM (4) (or equivalent) Technical Only					$ - 0
	Hematologic Profiles				$ - 0
	NeoTYPE ALL Profile	81450, 88374TCx2		1	$ - 0
	Solid Tumor Profiles				$ - 0
					$ - 0
NeoLABTM (or equivalent) LIQUID BIOPSY					$ - 0
					$ - 0
SPECIMEN HOLD OPTIONS					$ - 0
	Cytogenetics				$ - 0
	Culture and Hold			1	$ - 0
	FISH				$ - 0
	Direct Harvest and Hold for FISH			1	$ - 0
	Molecular Testing				$ - 0
	Freeze and Hold			1	$ - 0
	Extract Nucleic Acid and Hold			1	$ - 0

Miscellanous Testing - not listed above
	TOTAL
	$ - 0

File details come from the government source that posted it. Updated Feb 23, 2024.