ATTACHMENT 1 Price Schedule_BP.xlsx
XLSX spreadsheet 74 KB Posted
- Solicitation number
- 36C24826R0066
About this file
This document is a comprehensive price schedule for blood products and related services for the Bay Pines VA medical facility, covering a base year and four option years. The extensive pricing list includes 381 line items spanning a wide range of blood-related procedures and services, such as whole blood collection, red blood cell processing, platelet collections, plasma processing, stem cell services, various testing procedures, and specialized medical treatments.
Key categories of services include apheresis procedures, blood component processing (leukoreduced, irradiated, washed), infectious disease testing, therapeutic procedures, transportation fees, and specialized medical tests like antibody screens, genetic typing, and COVID-19 related services. The pricing schedule indicates consistent line items across base and option years, suggesting a standardized approach to blood product and service procurement for the Veterans Health Administration's Veterans Integrated Service Network 8, specifically targeting the Bay Pines VA facility's blood banking and medical support needs.
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Other files
| File | Type | Posted |
|---|---|---|
| ATTACHMENT 5 Price Schedule_WPB.xlsx | XLSX spreadsheet | |
| ATTACHMENT 6 Price Schedule_NFSG.xlsx | XLSX spreadsheet | |
| 36C24826R0066.pdf | ||
| ATTACHMENT 7 PP Questionnaire.docx | DOCX document | |
| ATTACHMENT 4 Price Schedule_Tampa.xlsx | XLSX spreadsheet | |
| ATTACHMENT 3 Price Schedule_Orlando.xlsx | XLSX spreadsheet | |
| ATTACHMENT 2 Price Schedule_Miami.xlsx | XLSX spreadsheet |
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Text version
Bay Pines (Base Year)
| Bay Pines VA - Base Year Pricing | |||||
| ITEM # | ITEM DESCRIPTION | Bay Pines VA | Estimated QTY | U/I | Unit Price | Total Price |
| 1 | HPC Apheresis | 1 | EA | ||
| 2 | MNC Collection - in blood center | 1 | EA | ||
| 3 | MNC Collection - in physician's office | 1 | EA | ||
| 4 | Whole Blood NLR | 1 | EA | ||
| 5 | Whole Blood Leukoreduced | 1 | EA | ||
| 6 | Whole Blood NLR Irradiated | 1 | EA | ||
| 7 | Whole Blood NLR Low Volume | 1 | EA | ||
| 8 | Whole Blood Leukoreduced Irradiated | 1 | EA | ||
| 9 | Whole Blood Leukoreduced Low Volume | 1 | EA | ||
| 10 | Whole Blood Leukoreduced Low Volume Irradiated | 1 | EA | ||
| 11 | Whole Blood NLR Irradiated Reconstituted | 1 | EA | ||
| 12 | Whole Blood NLR Reconstituted | 1 | EA | ||
| 13 | Whole Blood NLR Processing CMV Neg Noted (Directed) | 1 | EA | ||
| 14 | Whole Blood Leukoreduced Processing CMV Neg Noted (Directed) | 1 | EA | ||
| 15 | Whole Blood NLR Autologous | 1 | EA | ||
| 16 | Whole Blood NLR Autologous Irradiated | 1 | EA | ||
| 17 | Whole Blood NLR Autologous Low Volume | 1 | EA | ||
| 18 | Whole Blood Autologous Leukoreduced | 1 | EA | ||
| 19 | Whole Blood Low Titer O Pos | 1 | EA | ||
| 20 | Whole Blood Low Titer O Pos Leukoreduced | 1 | EA | ||
| 21 | Whole Blood Low Titer O Pos Leukoreduced Irradiated | 1 | EA | ||
| 22 | Whole Blood Low Titer O Pos Irradiated | 1 | EA | ||
| 23 | Red Blood Cells NLR | 1 | EA | ||
| 24 | Red Blood Cells Leukoreduced | 1284 | EA | ||
| 25 | Red Blood Cells NLR Irradiated | 1 | EA | ||
| 26 | Red Blood Cells NLR Deglycerolized | 1 | EA | ||
| 27 | Red Blood Cells NLR Frozen | 1 | EA | ||
| 28 | Red Blood Cells NLR Low Volume | 1 | EA | ||
| 29 | Red Blood Cells NLR Rejuvenated | 1 | EA | ||
| 30 | Red Blood Cells NLR Washed | 1 | EA | ||
| 31 | Red Blood Cells NLR Deglycerolized Irradiated | 1 | EA | ||
| 32 | Red Blood Cells NLR Frozen Irradiated | 1 | EA | ||
| 33 | Red Blood Cells Leukoreduced Irradiated Low Volume | 1 | EA | ||
| 34 | Red Blood Cells NLR Irradiated Washed | 1 | EA | ||
| 35 | Red Blood Cells Leukoreduced Deglycerolized | 1 | EA | ||
| 36 | Red Blood Cells Leukoreduced Frozen | 1 | EA | ||
| 37 | Red Blood Cells Leukoreduced Irradiated | 12 | EA | ||
| 38 | Red Blood Cells Leukoreduced Low Volume | 1 | EA | ||
| 39 | Red Blood Cells Leukoreduced Rejuvenated | 1 | EA | ||
| 40 | Red Blood Cells Leukoreduced Washed | 1 | EA | ||
| 41 | Red Blood Cells NLR Deglycerolized Irradiated Rejuvenated | 1 | EA | ||
| 42 | Red Blood Cells NLR Frozen Irradiated Rejuvenated | 1 | EA | ||
| 43 | Red Blood Cells Leukoreduced Deglycerolized Irradiated | 1 | EA | ||
| 44 | Red Blood Cells Leukoreduced Frozen Irradiated | 1 | EA | ||
| 45 | Red Blood Cells Leukoreduced Irradiated Washed | 1 | EA | ||
| 46 | Red Blood Cells Leukoreduced Frozen Irradiated Rejuvenated | 1 | EA | ||
| 47 | Red Blood Cell NLR Washed Reconstituted | 1 | EA | ||
| 48 | Red Blood Cells Leukoreduced Processing CMV Neg (Directed) | 1 | EA | ||
| 49 | Red Blood Cells Leukoreduced Processing - Infant (PediCells - CMV Neg.,) | 1 | EA | ||
| 50 | Red Blood Cells Leukoreduced Processing - Pediatric (Kiddie Pack, CMV, Irrad) | 1 | EA | ||
| 51 | Red Blood Cells Leukoreduced Frozen (Closed System) | 1 | EA | ||
| 52 | Red Blood Cells Leukoreduced Frozen Irradiated (Closed System) | 1 | EA | ||
| 53 | Red Blood Cells Leukoreduced Deglycerolized (Closed System) | 1 | EA | ||
| 54 | Red Blood Cells Leukoreduced Deglycerolized Irradiated (Closed System) | 1 | EA | ||
| 55 | Red Blood Cells NLR Autologous | 1 | EA | ||
| 56 | Red Blood Cells NLR Autologous Irradiated | 1 | EA | ||
| 57 | Red Blood Cells NLR Autologous Low Volume | 1 | EA | ||
| 58 | Red Blood Cells Autologous Leukoreduced | 1 | EA | ||
| 59 | Red Blood Cells Autologous Leukoreduced Irradiated | 1 | EA | ||
| 60 | Red Blood Cells NLR Autologous Washed | 1 | EA | ||
| 61 | Red Blood Cells NLR Autologous Irradiated Washed | 1 | EA | ||
| 62 | Red Blood Cells Autologous Leukoreduced Washed | 1 | EA | ||
| 63 | Red Blood Cells Autologous Leukoreduced Irradiated Washed | 1 | EA | ||
| 64 | Red Blood Cells Autologous Leukoreduced Deglycerolized | 1 | EA | ||
| 65 | Red Blood Cells NLR Autologous Deglycerolized | 1 | EA | ||
| 66 | Red Blood Cells NLR Autologous Low Volume Irradiated | 1 | EA | ||
| 67 | Red Blood Cells NLR Autologous Frozen | 1 | EA | ||
| 68 | Red Blood Cells Autologous Leukoreduced Frozen | 1 | EA | ||
| 69 | Red Blood Cells NLR Autologous Rejuvenated | 1 | EA | ||
| 70 | Whole Blood Platelets NLR | 1 | EA | ||
| 71 | Whole Blood Platelets Leukoreduced | 1 | EA | ||
| 72 | Whole Blood Platelets NLR Irradiated | 1 | EA | ||
| 73 | Whole Blood Platelets NLR Volume Reduction | 1 | EA | ||
| 74 | Whole Blood Platelets NLR Washed | 1 | EA | ||
| 75 | Whole Blood Platelets NLR Irradiated Volume Reduction | 1 | EA | ||
| 76 | Whole Blood Platelets NLR Irradiated Washed | 1 | EA | ||
| 77 | Whole Blood Platelets Leukoreduced Irradiated | 1 | EA | ||
| 78 | Whole Blood Platelets Leukoreduced Volume Reduction | 1 | EA | ||
| 79 | Whole Blood Platelets Leukoreduced Washed | 1 | EA | ||
| 80 | Whole Blood Platelets Leukoreduced Irradiated Volume Reduction | 1 | EA | ||
| 81 | Whole Blood Platelets Leukoreduced Irradiated Washed | 1 | EA | ||
| 82 | Platelet Pheresis Pedi-D | 1 | EA | ||
| 83 | Platelet Pheresis Pedi-W | 1 | EA | ||
| 84 | Whole Blood Platelets NLR Autologous | 1 | EA | ||
| 85 | Whole Blood Platelets NLR Autologous Irradiated | 1 | EA | ||
| 86 | Whole Blood Platelets Autologous Leukoreduced | 1 | EA | ||
| 87 | Whole Blood Platelets Autologous Leukoreduced Irradiated | 1 | EA | ||
| 88 | Cryoprecipitate | 1 | EA | ||
| 89 | Cryoprecipitate Irradiated | 1 | EA | ||
| 90 | Cryoprecipitate Thawed | 1 | EA | ||
| 91 | Cryoprecipitate Thawed Irradiated | 1 | EA | ||
| 92 | Cryoprecipitate Autologous | 1 | EA | ||
| 93 | Whole Blood Reconstitution (platelet & plasma charged separately) | 1 | EA | ||
| 94 | Pooled Cryoprecipitate (5) | 10 | EA | ||
| 95 | Pooled Cryoprecipitate (10) | 1 | EA | ||
| 96 | Pooled Cryoprecipitate (5) Thawed | 1 | EA | ||
| 97 | Pooled Cryoprecipitate (10) Thawed | 1 | EA | ||
| 98 | Pooled Cryoprecipitate (10) Irradiated | 1 | EA | ||
| 99 | Pooled Cryoprecipitate (10) Autologous | 1 | EA | ||
| 100 | Pooled Cryoprecipitate (10) Autologous Irradiated | 1 | EA | ||
| 101 | Fresh Frozen Plasma | 32 | EA | ||
| 102 | Fresh Frozen Plasma Cryo-removed | 1 | EA | ||
| 103 | Fresh Frozen Plasma Thawed | 1 | EA | ||
| 104 | Fresh Frozen Plasma Thawed Cryo-removed | 1 | EA | ||
| 105 | Fresh Frozen Plasma Thawed Irradiated | 1 | EA | ||
| 106 | Fresh Frozen Plasma Thawed Irradiated Cryo-removed | 1 | EA | ||
| 107 | Fresh Frozen Plasma Autologous | 1 | EA | ||
| 108 | Fresh Frozen Plasma Autologous Cryo-removed | 1 | EA | ||
| 109 | Fresh Frozen Plasma 0-24 | 251 | EA | ||
| 110 | Fresh Frozen Plasma - Infant Dose (Pediplasma Processing) | 1 | EA | ||
| 111 | Fresh Frozen Plasma 0 -24 Autologous | 1 | EA | ||
| 112 | Neo-Natal Fresh Frozen Plasma | 1 | EA | ||
| 113 | Neo-Natal Fresh Frozen Plasma Thawed | 1 | EA | ||
| 114 | Plasma Thawed | 1 | EA | ||
| 115 | Plasma Thawed Irradiated | 1 | EA | ||
| 116 | Plasma Autologous Thawed | 1 | EA | ||
| 117 | Plasma (Liquid) | 170 | EA | ||
| 118 | Plasma (Liquid) Irradiated | 1 | EA | ||
| 119 | Plasma lgA Deficient | 1 | EA | ||
| 120 | COVID Convalescent Plasma | 1 | EA | ||
| 121 | COVID Convalescent Plasma Cryo Reduced | 1 | EA | ||
| 122 | COVID Convalescent Plasma (Liquid) | 1 | EA | ||
| 123 | COVID Convalescent Plasma Frozen | 1 | EA | ||
| 124 | COVID Convalescent Plasma Thawed | 1 | EA | ||
| 125 | COVID Convalescent Plasma Thawed Cryo Reduced | 1 | EA | ||
| 126 | Pathogen Reduced Fibrinogen Concentrate PRCFC 10 | 1 | EA | ||
| 127 | Pathogen Reduced Fibrinogen Concentrate PRCFC 15 | 1 | EA | ||
| 128 | Pathogen Reduced Fibrinogen Concentrate PRCFC 20 | 1 | EA | ||
| 129 | Pathogen Reduced Fibrinogen Concentrate PRCFC 30 | 1 | EA | ||
| 130 | Pathogen Reduced Fibrinogen Concentrate PRCFC 40 | 1 | EA | ||
| 131 | Pathogen Reduced Fibrinogen Concentrate Thawed PRCFC 10 | 1 | EA | ||
| 132 | Pathogen Reduced Fibrinogen Concentrate Thawed PRCFC 15 | 1 | EA | ||
| 133 | Pathogen Reduced Fibrinogen Concentrate Thawed PRCFC 20 | 1 | EA | ||
| 134 | Pathogen Reduced Fibrinogen Concentrate Thawed PRCFC 30 | 1 | EA | ||
| 135 | Pathogen Reduced Fibrinogen Concentrate Thawed PRCFC 40 | 1 | EA | ||
| 136 | Pathogen Reduced Fibrinogen Concentrate Cryo Reduced | 1 | EA | ||
| 137 | Pathogen Reduced Fibrinogen Concentrate Thawed Cryo Reduced | 1 | EA | ||
| 138 | Source Leukocyte | 1 | EA | ||
| 139 | Apheresis Platelets (SDP) PRT Leukoreduced | 1 | EA | ||
| 140 | Apheresis Platelets (SDP) PRT Leukoreduced Irradiated | 1 | EA | ||
| 141 | Apheresis Platelets (SDP) PRT Leukoreduced Low Volume | 1 | EA | ||
| 142 | Apheresis Platelets (SDP) PRT Leukoreduced Low Volume Irradiated | 1 | EA | ||
| 143 | Apheresis Platelets (SDP) PRT Leukoreduced in PAS | 150 | EA | ||
| 144 | Apheresis Platelets (SDP) PRT Leukoreduced Irradiated in PAS | 1 | EA | ||
| 145 | Apheresis Platelets (SDP) PRT Leukoreduced Low Volume in PAS | 6 | EA | ||
| 146 | Apheresis Platelets (SDP) PRT Leukoreduced Low Volume Irradiated in PAS | 1 | EA | ||
| 147 | Apheresis Platelets (SDP) PRT Leukoreduced Divided | 1 | EA | ||
| 148 | Apheresis Platelets (SDP) PRT Leukoreduced Pediplatelet | 1 | EA | ||
| 149 | Apheresis Platelets (SDP) PRT Leukoreduced Washed | 1 | EA | ||
| 150 | Auto PHN Leukoreduced Processing | 1 | EA | ||
| 151 | Apheresis Platelets (SDP) Leukoreduced BacT 24 hours - 1st Step of 2 Step Process | 1 | EA | ||
| 152 | Apheresis Platelets (SDP) Leukoreduced BacT 24 hours - 2nd Step of 2 Step Process | 1 | EA | ||
| 153 | Apheresis Platelets (SDP) Leukoreduced BacT 24 hours - 1st Step of 2 Step Process Irradiated | 1 | EA | ||
| 154 | Apheresis Platelets (SDP) Leukoreduced BacT 24 hours - 2nd Step of 2 Step Process Irradiated | 1 | EA | ||
| 155 | Apheresis Platelets (SDP) Leukoreduced Low Volume BacT 24 hours - 1st Step of 2 Step Process | 1 | EA | ||
| 156 | Apheresis Platelets (SDP) Leukoreduced Low Volume BacT 24 hours - 2nd Step of 2 Step Process | 1 | EA | ||
| 157 | Apheresis Platelets (SDP) Leukoreduced Low Volume BacT 24H - 1st Step of 2 Step Process Irradiated | 1 | EA | ||
| 158 | Apheresis Platelets (SDP) Leukoreduced Low Volume BacT 24H - 2nd Step of 2 Step Process Irradiated | 1 | EA | ||
| 159 | Apheresis Platelets (SDP) Leukoreduced BacT LVDS 36 hours | 4 | EA | ||
| 160 | Apheresis Platelets (SDP) Leukoreduced BacT LVDS 36 hours Irradiated | 1 | EA | ||
| 161 | Apheresis Platelets (SDP) Leukoreduced Low Volume BacT LVDS 36 hours Irradiated | 1 | EA | ||
| 162 | Apheresis Platelets (SDP) in PAS Leukoreduced BacT 24 hours - 1st Step of 2 Step Process | 1 | EA | ||
| 163 | Apheresis Platelets (SDP) in PAS Leukoreduced BacT 24 hours - 2nd Step of 2 Step Process | 1 | EA | ||
| 164 | Apheresis Platelets (SDP) in PAS Leukoreduced BacT LVDS 36 hours | 20 | EA | ||
| 165 | Apheresis Platelets (SDP) in PAS Leukoreduced Low Volume BacT LVDS 36 hours | 1 | EA | ||
| 166 | Apheresis Platelets (SDP) in PAS Leukoreduced BacT LVDS 36 hours Irradiated | 1 | EA | ||
| 167 | Apheresis Platelets (SDP) in PAS Leukoreduced Low Volume BacT LVDS 36 hours Irradiated | 1 | EA | ||
| 168 | Apheresis Platelets (SDP) in PAS Leukoreduced BacT 24 hours - 1st Step of 2 Step Process Irradiated | 1 | EA | ||
| 169 | Apheresis Platelets (SDP) in PAS Leukoreduced BacT 24 hours - 2nd Step of 2 Step Process Irradiated | 1 | EA | ||
| 170 | Apheresis Platelets (SDP) Leukoreduced BacT LVDS 48 hours | 2 | EA | ||
| EA | |||||
| 171 | Apheresis Platelets (SDP) Leukoreduced Low Volume BacT LVDS 36 hours | 1 | EA | ||
| 172 | Apheresis Platelets (SDP) Leukoreduced BacT LVDS 48 hours Irradiated | 1 | EA | ||
| 173 | Apheresis Platelets (SDP) Leukoreduced Low Volume BacT LVDS 48 hours | 1 | EA | ||
| 174 | Apheresis Platelets (SDP) Leukoreduced BacT LVDS 36 hours Divided | 1 | EA | ||
| 175 | Apheresis Platelets (SDP) Leukoreduced Low Volume BacT LVDS 48 hours Irradiated | 1 | EA | ||
| 176 | Apheresis Platelets (SDP) Leukoreduced BacT LVDS 48 hours Divided | 1 | EA | ||
| 177 | Apheresis Platelets (SDP) Leukoreduced BacT LVDS 36 hours Pedi Platelet | 1 | EA | ||
| 178 | Apheresis Platelets (SDP) Leukoreduced BacT LVDS 48 hours Pedi Platelet | 1 | EA | ||
| 179 | Apheresis Platelets (SDP) Leukoreduced BacT LVDS 36 hours Pedi Platelet Irradiated | 1 | EA | ||
| 180 | Apheresis Platelets (SDP) PRT Leukoreduced Pedi Platelet | 1 | EA | ||
| 181 | Apheresis Platelets (SDP) PRT Leukoreduced Pedi Platelet in PAS | 1 | EA | ||
| 182 | Apheresis Platelets (SDP) in PAS Leukoreduced BacT LVDS 36 hours Pedi Platelet | 1 | EA | ||
| 183 | Apheresis Platelets (SDP) in PAS Leukoreduced BacT LVDS 36 hours Pedi Platelet Irradiated | 1 | EA | ||
| 184 | Apheresis Platelets (SDP) in PAS Leukoreduced Low Volume BacT 24 hours - 1st Step of 2 Step Process | 1 | EA | ||
| 185 | Apheresis Platelets (SDP) in PAS Leukoreduced Low Volume BacT 24 hours - 2nd Step of 2 Step Process | 1 | EA | ||
| 186 | Apheresis Platelets (SDP) in PAS Leukoreduced Low Volume BacT 24H - Step 1 of 2 Irradiated | 1 | EA | ||
| 187 | Apheresis Platelets (SDP) in PAS Leukoreduced Low Volume BacT 24H - Step 2 of 2 Irradiated | 1 | EA | ||
| 188 | Apheresis Granulocytes | 1 | EA | ||
| 189 | Apheresis Granulocytes Irradiated | 1 | EA | ||
| 190 | Pooled Platelets Leukoreduced BacT LVDS 36 hours | 1 | EA | ||
| 191 | Pooled Platelets Leukoreduced BacT LVDS 36 hours Irradiated | 1 | EA | ||
| 192 | SC Plasma Depletion | 1 | EA | ||
| 193 | SC Cryopreservation (includes 1st year storage) | 1 | EA | ||
| 194 | SC Stem Cell Quality Control | 1 | EA | ||
| 195 | SC Coordination Fee for Infusion or Transfer | 1 | EA | ||
| 196 | SC Wash Process | 1 | EA | ||
| 197 | SC Cord Blood Reconstitution | 1 | EA | ||
| 198 | Stem Cell Freight | 1 | EA | ||
| 199 | SC Thawing Frozen Cell (QC Vial ea) | 1 | EA | ||
| 200 | Donor ABORh | 1 | EA | ||
| 201 | SC Handling/Data Entry/Documentation | 1 | EA | ||
| 202 | Irradiation Fee (1 unit) | 1 | EA | ||
| 203 | Deglycerolization Fee | 1 | EA | ||
| 204 | Freeze Fee | 1 | EA | ||
| 205 | Freeze & Degly. Fee | 1 | EA | ||
| 206 | Pooling Fee | 1 | EA | ||
| 207 | Rejuvenate Fee | 1 | EA | ||
| 208 | Thaw Fee | 19 | EA | ||
| 209 | RBC Wash Fee | 1 | EA | ||
| 210 | Platelet Wash Fee | 1 | EA | ||
| 211 | Deglycerolization Fee (Closed System) | 1 | EA | ||
| 212 | Freeze Fee (Closed System) | 1 | EA | ||
| 213 | Freeze & Degly. Fee (Closed System) | 1 | EA | ||
| 214 | Autologous Fee | 1 | EA | ||
| 215 | Autologous Fee - Cryo | 1 | EA | ||
| 216 | Autologous Fee - Fresh Frozen Plasma | 1 | EA | ||
| 217 | Dry Ice | 11 | EA | ||
| 218 | RBC Crossmatch (each additional unit) | 14 | EA | ||
| 219 | Non-crossmatch set up | 1 | EA | ||
| 220 | Platelet crossmatch | 1 | EA | ||
| 221 | ABO Group | 1 | EA | ||
| 222 | RH Type | 1 | EA | ||
| 223 | Chemical Treatment | 2 | EA | ||
| 224 | Aliquot Bag | 1 | EA | ||
| 225 | Anti - HTLV - I/II (antibody to HTLV I/II) | 1 | EA | ||
| 226 | Stat Processing Fee | 165 | EA | ||
| 227 | HLA Stat Fee | 1 | EA | ||
| 228 | NAT (HIV - I, HBV and HCV RNA) DONOR ONLY | 1 | EA | ||
| 229 | Confirmatory Draw | 1 | EA | ||
| 230 | Platelet (Volume Reduction Fee) | 1 | EA | ||
| 231 | Platelet Counts | 1 | EA | ||
| 232 | HCV (confirmatory RIBA) | 1 | EA | ||
| 233 | SC CBC with automated Differential | 1 | EA | ||
| 234 | SC CBC with manual differential | 1 | EA | ||
| 235 | Computer Antigen Search (per Antigen) | 1 | EA | ||
| 236 | Anti - HBc (CORE) Test | 1 | EA | ||
| 237 | Anti - HIV - 2 Abbott | 1 | EA | ||
| 238 | Anti-CMV antibody to cytomeglovirus | 1 | EA | ||
| 239 | Patient Complete Phenotype | 12 | EA | ||
| 240 | Anti-HCV Testing | 1 | EA | ||
| 241 | Anti-HIV 1,2 Test | 1 | EA | ||
| 242 | HLA/Platelet Antibody Screen (Serology/ELISA) | 1 | EA | ||
| 243 | HLA-Antibody Intermediate Resolution, Complex | 1 | EA | ||
| 244 | HIV-1 Antibody Screen (ELISA) | 1 | EA | ||
| 245 | HIV-2 Antibody Screen (ELISA) | 1 | EA | ||
| 246 | HTLV-1 Antibody Screen (ELISA) | 1 | EA | ||
| 247 | Neonate Allo Thrombocytopenia Assessment | 1 | EA | ||
| 248 | Platelet Genotyping | 1 | EA | ||
| 249 | Platelet Auto Antibodies | 1 | EA | ||
| 250 | Reconstitute Fee | 1 | EA | ||
| 251 | RBC Antibody Identification | 40 | EA | ||
| 252 | Rare Unit Fee | 1 | EA | ||
| 253 | Rh Positive Unit negative for C,E,K | 1 | EA | ||
| 254 | RHD Genotype | 1 | EA | ||
| 255 | Antibody ID (Selected Cell Panel, per Cell) | 1 | EA | ||
| 256 | Patient Antigen Typing - Single | 1 | EA | ||
| 257 | Antigen Typing - Single | 198 | EA | ||
| 258 | RBC Cell Separation | 1 | EA | ||
| 259 | Neutralization P1 or Lewis (includes panel) | 2 | EA | ||
| 260 | Stat Reference Fee | 21 | EA | ||
| 261 | Acid Elution / Cell Elution | 6 | EA | ||
| 262 | Annual Follow-up Blood Test | 1 | EA | ||
| 263 | Repeat Infectious Disease Test | 1 | EA | ||
| 264 | Professional Fee | 1 | EA | ||
| 265 | CD34 Product | 1 | EA | ||
| 266 | CD34 Test | 1 | EA | ||
| 267 | Designated Service Charge | 1 | EA | ||
| 268 | Directed Service Charge | 1 | EA | ||
| 269 | Donath-Landsteiner Test | 1 | EA | ||
| 270 | Drug Studies/Per Drug | 1 | EA | ||
| 271 | EIA Testing DONOR ONLY | 1 | EA | ||
| 272 | OB REF LAB - Additional Fee for Samples Received 12am -7am | 1 | EA | ||
| 273 | OB REF LAB - Additional fee for samples received 8pm -12am, weekends & holidays | 1 | EA | ||
| 274 | Full Blood Processing (Without NAT) DONOR ONLY | 1 | EA | ||
| 275 | HBsAG Confirmation Test | 1 | EA | ||
| 276 | HBsAg Confirmation test-Prism DONOR ONLY | 1 | EA | ||
| 277 | HbsAG neutralization | 1 | EA | ||
| 278 | HCV anitbody screen (elisa) | 1 | EA | ||
| 279 | HIV Whole Viral Lysate (rLAV) | 1 | EA | ||
| 280 | HLA for Platelet Pheresis | 1 | EA | ||
| 281 | HLA ABC Disease Assoc B27 (Class I) | 1 | EA | ||
| 282 | HLA Antibody Intermediate Resolution | 1 | EA | ||
| 283 | INNO - LIA HTLV I/II | 1 | EA | ||
| 284 | On-Site Medical Supervision per hour | 1 | EA | ||
| 285 | On-Site Medical Supervision per hour (after hours) | 1 | EA | ||
| 286 | Phlebotomy per Hour Charge Over 1 Hour | 1 | EA | ||
| 287 | Photopheresis Procedure | 1 | EA | ||
| 288 | Rare Donor Search thru American Rare Donor Program (ARDP) | 1 | EA | ||
| 289 | Patient Red Cell Genotype (Molecular) | 1 | EA | ||
| 290 | SC Cellular Night and Weekend Fee | 1 | EA | ||
| 291 | Splitting Service | 1 | EA | ||
| 292 | Therapeutic Stat Fee | 4 | EA | ||
| 293 | Syphilis Confirmatory EIA | 1 | EA | ||
| 294 | Syphilis Test RPR | 1 | EA | ||
| 295 | Type and Screen | 1 | EA | ||
| 296 | ABO Group & Rh Type | 26 | EA | ||
| 297 | Antibody Screen (Indirect Coombs) | 15 | EA | ||
| 298 | RBC Antibody Titer | 5 | EA | ||
| 299 | Direct Antiglobulin Poly | 1 | EA | ||
| 300 | Direct Antiglobulin IgG (Direct Coombs) | 27 | EA | ||
| 301 | Direct Antiglobulin DAT C3 | 25 | EA | ||
| 302 | HBsAg ( Hep.B suface antigen) | 1 | EA | ||
| 303 | Fetal Screen | 1 | EA | ||
| 304 | Kleihauer - Betke | 1 | EA | ||
| 305 | Luminex Platelets Antibody Screen | 1 | EA | ||
| 306 | Isoagglutinin Titers (Anti-A, Anti-B) | 1 | EA | ||
| 307 | CMV Test | 12 | EA | ||
| 308 | HIV AG | 1 | EA | ||
| 309 | Monocyte Monolayer Assay (MMA) | 1 | EA | ||
| 310 | Allele Match | 1 | EA | ||
| 311 | Sickle Cell Screen | 1 | EA | ||
| 312 | Transfusion Reaction Work Up | 1 | EA | ||
| 313 | Adsorption | 1 | EA | ||
| 314 | HLA - ABC/DR High Resolution, DQ Low Resolution | 1 | EA | ||
| 315 | HLA Coordination Fee | 1 | EA | ||
| 316 | Therapeutic Delay Fee - Per Hour | 1 | EA | ||
| 317 | Transfusion Protocol Review | 1 | EA | ||
| 318 | Transportation Fees - Priority Shipment Service Area - 01 (0-25 miles) | 73 | EA | ||
| 319 | Transportation Fees - Priority Shipment Service Area - 02 (26-65 miles) | 1 | EA | ||
| 320 | Transportation Fees - Priority Shipment Services Area - 03 (66-120 miles) | 1 | EA | ||
| 321 | SC Trypan Blue Viability | 1 | EA | ||
| 322 | Residual White Blood Cell Counts | 1 | EA | ||
| 323 | Heparin Induced Thrombocytopenia Antibody (HIT) | 1 | EA | ||
| 324 | Transfusion Protocol by OB | 1 | EA | ||
| 325 | COVID-19 Antibody Screen | 1 | EA | ||
| 326 | COVID-19 Antibody Titer | 1 | EA | ||
| 327 | HLA B27 Typing | 1 | EA | ||
| 328 | HLA Patient AB Typing for Transfusion | 1 | EA | ||
| 329 | Therapeutic Cellular Depletion - WBC | 1 | EA | ||
| 330 | Therapeutic Phlebotomy Cancellation Fee | 1 | EA | ||
| 331 | Therapeutic Phlebotomy - in Blood Center | 1 | EA | ||
| 332 | Therapeutic Phlebotomy - in Hospital | 1 | EA | ||
| 333 | Therapeutic Phlebotomy with Replacement Fluid - in Hospital | 1 | EA | ||
| 334 | Red Blood Cell Exchange | 1 | EA | ||
| 335 | Therapeutic Cancellation Fee without Kit Setup | 1 | EA | ||
| 336 | Therapeutic Cancellation Fee with Kit Setup | 1 | EA | ||
| 337 | Therapeutic Non-Business Hours Fee (after 5pm, weekends, holidays) | 4 | EA | ||
| 338 | Therapeutic Cellular Depletion - RBC | 1 | EA | ||
| 339 | Therapeutic Cellular Depletion - Platelet | 1 | EA | ||
| 340 | Therapeutic Plasma Exchange | 7 | EA | ||
| 341 | Therapeutic Extended Hour Fee > 4 Hrs (per hr) | 1 | EA | ||
| 342 | Aborted Fee - In Blood Center | 1 | EA | ||
| 343 | Aborted Fee - In Physician's Office or Hospital | 1 | EA | ||
| 344 | Red Cell Prime | 1 | EA | ||
| 345 | Orientation Day | 1 | EA | ||
| 346 | WB Collection in Hospital | 1 | EA | ||
| 347 | Therapeutic Transportation Fee for Equipment <30 mile each way | 6 | EA | ||
| 348 | Therapeutic Transportation Fee for Equipment 30 - 50 mile each way | 1 | EA | ||
| 349 | Therapeutic Transportation Fee for Equipment > 50 mile each way | 1 | EA | ||
| 350 | Therapeutic Transportation Fee for Nurse 30-50 mile each way | 1 | EA | ||
| 351 | Therapeutic Transportation Fee for Nurse >50 mile each way | 1 | EA | ||
| 352 | RHO Unit - Computer Search | 1 | EA | ||
| 353 | Canister Fee | 1 | EA | ||
| 354 | Blood Temp Indicator | 1 | EA | ||
| 355 | Special Delivery/Pickup | 1 | EA | ||
| 356 | Lookback | 1 | EA | ||
| 357 | Research whole blood collection | 1 | EA | ||
| 358 | SC Storage greater than 1 year (storage per year) | 1 | EA | ||
| 359 | SC Storage of Cord Blood for 1 year (storage per year) | 1 | EA | ||
| 360 | Crossmatch - Electronic | 1 | EA | ||
| 361 | Prenatal Screen | 1 | EA | ||
| 362 | Newborn Screen | 1 | EA | ||
| 363 | LDL - Apheresis Procedure | 1 | EA | ||
| 364 | Medical Direction | 1 | EA | ||
| 365 | Cryoprecipitate QC | 1 | EA | ||
| 366 | Chagas Testing | 1 | EA | ||
| 367 | BacT Detection | 1 | EA | ||
| 368 | Shipping By Air | 1 | EA | ||
| 369 | Cord Blood Screen | 1 | EA | ||
| 370 | Transportation Fees - Outside Courier | 1 | EA | ||
| 371 | SC Sterility Check | 1 | EA | ||
| 372 | SC CD3, CD4, CD8 | 1 | EA | ||
| 373 | SC Processing Split Exceeding 4 Bags (each) | 1 | EA | ||
| 374 | CPL Cancellation Fee | 1 | EA | ||
| 375 | Rh Phenotype | 1 | EA | ||
| 376 | Cold AB Screen | 1 | EA | ||
| 377 | Cold Agglutin Screen | 1 | EA | ||
| 378 | WNV Test | 1 | EA | ||
| 379 | NAT (HIV - I, HBV and HCV RNA) NON-DONOR ONLY | 1 | EA | ||
| 380 | O Negative RBC Fee | 1 | EA | ||
| 381 | AB Plasma Fee | 11 | EA |
Bay Pines (OY1)
| Bay Pines VA - Option Year 1 Pricing | |||||
| ITEM # | ITEM DESCRIPTION | Bay Pines VA | Estimated QTY | U/I | Unit Price | Total Price |
| 1 | HPC Apheresis | 1 | EA | ||
| 2 | MNC Collection - in blood center | 1 | EA | ||
| 3 | MNC Collection - in physician's office | 1 | EA | ||
| 4 | Whole Blood NLR | 1 | EA | ||
| 5 | Whole Blood Leukoreduced | 1 | EA | ||
| 6 | Whole Blood NLR Irradiated | 1 | EA | ||
| 7 | Whole Blood NLR Low Volume | 1 | EA | ||
| 8 | Whole Blood Leukoreduced Irradiated | 1 | EA | ||
| 9 | Whole Blood Leukoreduced Low Volume | 1 | EA | ||
| 10 | Whole Blood Leukoreduced Low Volume Irradiated | 1 | EA | ||
| 11 | Whole Blood NLR Irradiated Reconstituted | 1 | EA | ||
| 12 | Whole Blood NLR Reconstituted | 1 | EA | ||
| 13 | Whole Blood NLR Processing CMV Neg Noted (Directed) | 1 | EA | ||
| 14 | Whole Blood Leukoreduced Processing CMV Neg Noted (Directed) | 1 | EA | ||
| 15 | Whole Blood NLR Autologous | 1 | EA | ||
| 16 | Whole Blood NLR Autologous Irradiated | 1 | EA | ||
| 17 | Whole Blood NLR Autologous Low Volume | 1 | EA | ||
| 18 | Whole Blood Autologous Leukoreduced | 1 | EA | ||
| 19 | Whole Blood Low Titer O Pos | 1 | EA | ||
| 20 | Whole Blood Low Titer O Pos Leukoreduced | 1 | EA | ||
| 21 | Whole Blood Low Titer O Pos Leukoreduced Irradiated | 1 | EA | ||
| 22 | Whole Blood Low Titer O Pos Irradiated | 1 | EA | ||
| 23 | Red Blood Cells NLR | 1 | EA | ||
| 24 | Red Blood Cells Leukoreduced | 1284 | EA | ||
| 25 | Red Blood Cells NLR Irradiated | 1 | EA | ||
| 26 | Red Blood Cells NLR Deglycerolized | 1 | EA | ||
| 27 | Red Blood Cells NLR Frozen | 1 | EA | ||
| 28 | Red Blood Cells NLR Low Volume | 1 | EA | ||
| 29 | Red Blood Cells NLR Rejuvenated | 1 | EA | ||
| 30 | Red Blood Cells NLR Washed | 1 | EA | ||
| 31 | Red Blood Cells NLR Deglycerolized Irradiated | 1 | EA | ||
| 32 | Red Blood Cells NLR Frozen Irradiated | 1 | EA | ||
| 33 | Red Blood Cells Leukoreduced Irradiated Low Volume | 1 | EA | ||
| 34 | Red Blood Cells NLR Irradiated Washed | 1 | EA | ||
| 35 | Red Blood Cells Leukoreduced Deglycerolized | 1 | EA | ||
| 36 | Red Blood Cells Leukoreduced Frozen | 1 | EA | ||
| 37 | Red Blood Cells Leukoreduced Irradiated | 12 | EA | ||
| 38 | Red Blood Cells Leukoreduced Low Volume | 1 | EA | ||
| 39 | Red Blood Cells Leukoreduced Rejuvenated | 1 | EA | ||
| 40 | Red Blood Cells Leukoreduced Washed | 1 | EA | ||
| 41 | Red Blood Cells NLR Deglycerolized Irradiated Rejuvenated | 1 | EA | ||
| 42 | Red Blood Cells NLR Frozen Irradiated Rejuvenated | 1 | EA | ||
| 43 | Red Blood Cells Leukoreduced Deglycerolized Irradiated | 1 | EA | ||
| 44 | Red Blood Cells Leukoreduced Frozen Irradiated | 1 | EA | ||
| 45 | Red Blood Cells Leukoreduced Irradiated Washed | 1 | EA | ||
| 46 | Red Blood Cells Leukoreduced Frozen Irradiated Rejuvenated | 1 | EA | ||
| 47 | Red Blood Cell NLR Washed Reconstituted | 1 | EA | ||
| 48 | Red Blood Cells Leukoreduced Processing CMV Neg (Directed) | 1 | EA | ||
| 49 | Red Blood Cells Leukoreduced Processing - Infant (PediCells - CMV Neg.,) | 1 | EA | ||
| 50 | Red Blood Cells Leukoreduced Processing - Pediatric (Kiddie Pack, CMV, Irrad) | 1 | EA | ||
| 51 | Red Blood Cells Leukoreduced Frozen (Closed System) | 1 | EA | ||
| 52 | Red Blood Cells Leukoreduced Frozen Irradiated (Closed System) | 1 | EA | ||
| 53 | Red Blood Cells Leukoreduced Deglycerolized (Closed System) | 1 | EA | ||
| 54 | Red Blood Cells Leukoreduced Deglycerolized Irradiated (Closed System) | 1 | EA | ||
| 55 | Red Blood Cells NLR Autologous | 1 | EA | ||
| 56 | Red Blood Cells NLR Autologous Irradiated | 1 | EA | ||
| 57 | Red Blood Cells NLR Autologous Low Volume | 1 | EA | ||
| 58 | Red Blood Cells Autologous Leukoreduced | 1 | EA | ||
| 59 | Red Blood Cells Autologous Leukoreduced Irradiated | 1 | EA | ||
| 60 | Red Blood Cells NLR Autologous Washed | 1 | EA | ||
| 61 | Red Blood Cells NLR Autologous Irradiated Washed | 1 | EA | ||
| 62 | Red Blood Cells Autologous Leukoreduced Washed | 1 | EA | ||
| 63 | Red Blood Cells Autologous Leukoreduced Irradiated Washed | 1 | EA | ||
| 64 | Red Blood Cells Autologous Leukoreduced Deglycerolized | 1 | EA | ||
| 65 | Red Blood Cells NLR Autologous Deglycerolized | 1 | EA | ||
| 66 | Red Blood Cells NLR Autologous Low Volume Irradiated | 1 | EA | ||
| 67 | Red Blood Cells NLR Autologous Frozen | 1 | EA | ||
| 68 | Red Blood Cells Autologous Leukoreduced Frozen | 1 | EA | ||
| 69 | Red Blood Cells NLR Autologous Rejuvenated | 1 | EA | ||
| 70 | Whole Blood Platelets NLR | 1 | EA | ||
| 71 | Whole Blood Platelets Leukoreduced | 1 | EA | ||
| 72 | Whole Blood Platelets NLR Irradiated | 1 | EA | ||
| 73 | Whole Blood Platelets NLR Volume Reduction | 1 | EA | ||
| 74 | Whole Blood Platelets NLR Washed | 1 | EA | ||
| 75 | Whole Blood Platelets NLR Irradiated Volume Reduction | 1 | EA | ||
| 76 | Whole Blood Platelets NLR Irradiated Washed | 1 | EA | ||
| 77 | Whole Blood Platelets Leukoreduced Irradiated | 1 | EA | ||
| 78 | Whole Blood Platelets Leukoreduced Volume Reduction | 1 | EA | ||
| 79 | Whole Blood Platelets Leukoreduced Washed | 1 | EA | ||
| 80 | Whole Blood Platelets Leukoreduced Irradiated Volume Reduction | 1 | EA | ||
| 81 | Whole Blood Platelets Leukoreduced Irradiated Washed | 1 | EA | ||
| 82 | Platelet Pheresis Pedi-D | 1 | EA | ||
| 83 | Platelet Pheresis Pedi-W | 1 | EA | ||
| 84 | Whole Blood Platelets NLR Autologous | 1 | EA | ||
| 85 | Whole Blood Platelets NLR Autologous Irradiated | 1 | EA | ||
| 86 | Whole Blood Platelets Autologous Leukoreduced | 1 | EA | ||
| 87 | Whole Blood Platelets Autologous Leukoreduced Irradiated | 1 | EA | ||
| 88 | Cryoprecipitate | 1 | EA | ||
| 89 | Cryoprecipitate Irradiated | 1 | EA | ||
| 90 | Cryoprecipitate Thawed | 1 | EA | ||
| 91 | Cryoprecipitate Thawed Irradiated | 1 | EA | ||
| 92 | Cryoprecipitate Autologous | 1 | EA | ||
| 93 | Whole Blood Reconstitution (platelet & plasma charged separately) | 1 | EA | ||
| 94 | Pooled Cryoprecipitate (5) | 10 | EA | ||
| 95 | Pooled Cryoprecipitate (10) | 1 | EA | ||
| 96 | Pooled Cryoprecipitate (5) Thawed | 1 | EA | ||
| 97 | Pooled Cryoprecipitate (10) Thawed | 1 | EA | ||
| 98 | Pooled Cryoprecipitate (10) Irradiated | 1 | EA | ||
| 99 | Pooled Cryoprecipitate (10) Autologous | 1 | EA | ||
| 100 | Pooled Cryoprecipitate (10) Autologous Irradiated | 1 | EA | ||
| 101 | Fresh Frozen Plasma | 32 | EA | ||
| 102 | Fresh Frozen Plasma Cryo-removed | 1 | EA | ||
| 103 | Fresh Frozen Plasma Thawed | 1 | EA | ||
| 104 | Fresh Frozen Plasma Thawed Cryo-removed | 1 | EA | ||
| 105 | Fresh Frozen Plasma Thawed Irradiated | 1 | EA | ||
| 106 | Fresh Frozen Plasma Thawed Irradiated Cryo-removed | 1 | EA | ||
| 107 | Fresh Frozen Plasma Autologous | 1 | EA | ||
| 108 | Fresh Frozen Plasma Autologous Cryo-removed | 1 | EA | ||
| 109 | Fresh Frozen Plasma 0-24 | 251 | EA | ||
| 110 | Fresh Frozen Plasma - Infant Dose (Pediplasma Processing) | 1 | EA | ||
| 111 | Fresh Frozen Plasma 0 -24 Autologous | 1 | EA | ||
| 112 | Neo-Natal Fresh Frozen Plasma | 1 | EA | ||
| 113 | Neo-Natal Fresh Frozen Plasma Thawed | 1 | EA | ||
| 114 | Plasma Thawed | 1 | EA | ||
| 115 | Plasma Thawed Irradiated | 1 | EA | ||
| 116 | Plasma Autologous Thawed | 1 | EA | ||
| 117 | Plasma (Liquid) | 170 | EA | ||
| 118 | Plasma (Liquid) Irradiated | 1 | EA | ||
| 119 | Plasma lgA Deficient | 1 | EA | ||
| 120 | COVID Convalescent Plasma | 1 | EA | ||
| 121 | COVID Convalescent Plasma Cryo Reduced | 1 | EA | ||
| 122 | COVID Convalescent Plasma (Liquid) | 1 | EA | ||
| 123 | COVID Convalescent Plasma Frozen | 1 | EA | ||
| 124 | COVID Convalescent Plasma Thawed | 1 | EA | ||
| 125 | COVID Convalescent Plasma Thawed Cryo Reduced | 1 | EA | ||
| 126 | Pathogen Reduced Fibrinogen Concentrate PRCFC 10 | 1 | EA | ||
| 127 | Pathogen Reduced Fibrinogen Concentrate PRCFC 15 | 1 | EA | ||
| 128 | Pathogen Reduced Fibrinogen Concentrate PRCFC 20 | 1 | EA | ||
| 129 | Pathogen Reduced Fibrinogen Concentrate PRCFC 30 | 1 | EA | ||
| 130 | Pathogen Reduced Fibrinogen Concentrate PRCFC 40 | 1 | EA | ||
| 131 | Pathogen Reduced Fibrinogen Concentrate Thawed PRCFC 10 | 1 | EA | ||
| 132 | Pathogen Reduced Fibrinogen Concentrate Thawed PRCFC 15 | 1 | EA | ||
| 133 | Pathogen Reduced Fibrinogen Concentrate Thawed PRCFC 20 | 1 | EA | ||
| 134 | Pathogen Reduced Fibrinogen Concentrate Thawed PRCFC 30 | 1 | EA | ||
| 135 | Pathogen Reduced Fibrinogen Concentrate Thawed PRCFC 40 | 1 | EA | ||
| 136 | Pathogen Reduced Fibrinogen Concentrate Cryo Reduced | 1 | EA | ||
| 137 | Pathogen Reduced Fibrinogen Concentrate Thawed Cryo Reduced | 1 | EA | ||
| 138 | Source Leukocyte | 1 | EA | ||
| 139 | Apheresis Platelets (SDP) PRT Leukoreduced | 1 | EA | ||
| 140 | Apheresis Platelets (SDP) PRT Leukoreduced Irradiated | 1 | EA | ||
| 141 | Apheresis Platelets (SDP) PRT Leukoreduced Low Volume | 1 | EA | ||
| 142 | Apheresis Platelets (SDP) PRT Leukoreduced Low Volume Irradiated | 1 | EA | ||
| 143 | Apheresis Platelets (SDP) PRT Leukoreduced in PAS | 150 | EA | ||
| 144 | Apheresis Platelets (SDP) PRT Leukoreduced Irradiated in PAS | 1 | EA | ||
| 145 | Apheresis Platelets (SDP) PRT Leukoreduced Low Volume in PAS | 6 | EA | ||
| 146 | Apheresis Platelets (SDP) PRT Leukoreduced Low Volume Irradiated in PAS | 1 | EA | ||
| 147 | Apheresis Platelets (SDP) PRT Leukoreduced Divided | 1 | EA | ||
| 148 | Apheresis Platelets (SDP) PRT Leukoreduced Pediplatelet | 1 | EA | ||
| 149 | Apheresis Platelets (SDP) PRT Leukoreduced Washed | 1 | EA | ||
| 150 | Auto PHN Leukoreduced Processing | 1 | EA | ||
| 151 | Apheresis Platelets (SDP) Leukoreduced BacT 24 hours - 1st Step of 2 Step Process | 1 | EA | ||
| 152 | Apheresis Platelets (SDP) Leukoreduced BacT 24 hours - 2nd Step of 2 Step Process | 1 | EA | ||
| 153 | Apheresis Platelets (SDP) Leukoreduced BacT 24 hours - 1st Step of 2 Step Process Irradiated | 1 | EA | ||
| 154 | Apheresis Platelets (SDP) Leukoreduced BacT 24 hours - 2nd Step of 2 Step Process Irradiated | 1 | EA | ||
| 155 | Apheresis Platelets (SDP) Leukoreduced Low Volume BacT 24 hours - 1st Step of 2 Step Process | 1 | EA | ||
| 156 | Apheresis Platelets (SDP) Leukoreduced Low Volume BacT 24 hours - 2nd Step of 2 Step Process | 1 | EA | ||
| 157 | Apheresis Platelets (SDP) Leukoreduced Low Volume BacT 24H - 1st Step of 2 Step Process Irradiated | 1 | EA | ||
| 158 | Apheresis Platelets (SDP) Leukoreduced Low Volume BacT 24H - 2nd Step of 2 Step Process Irradiated | 1 | EA | ||
| 159 | Apheresis Platelets (SDP) Leukoreduced BacT LVDS 36 hours | 4 | EA | ||
| 160 | Apheresis Platelets (SDP) Leukoreduced BacT LVDS 36 hours Irradiated | 1 | EA | ||
| 161 | Apheresis Platelets (SDP) Leukoreduced Low Volume BacT LVDS 36 hours Irradiated | 1 | EA | ||
| 162 | Apheresis Platelets (SDP) in PAS Leukoreduced BacT 24 hours - 1st Step of 2 Step Process | 1 | EA | ||
| 163 | Apheresis Platelets (SDP) in PAS Leukoreduced BacT 24 hours - 2nd Step of 2 Step Process | 1 | EA | ||
| 164 | Apheresis Platelets (SDP) in PAS Leukoreduced BacT LVDS 36 hours | 20 | EA | ||
| 165 | Apheresis Platelets (SDP) in PAS Leukoreduced Low Volume BacT LVDS 36 hours | 1 | EA | ||
| 166 | Apheresis Platelets (SDP) in PAS Leukoreduced BacT LVDS 36 hours Irradiated | 1 | EA | ||
| 167 | Apheresis Platelets (SDP) in PAS Leukoreduced Low Volume BacT LVDS 36 hours Irradiated | 1 | EA | ||
| 168 | Apheresis Platelets (SDP) in PAS Leukoreduced BacT 24 hours - 1st Step of 2 Step Process Irradiated | 1 | EA | ||
| 169 | Apheresis Platelets (SDP) in PAS Leukoreduced BacT 24 hours - 2nd Step of 2 Step Process Irradiated | 1 | EA | ||
| 170 | Apheresis Platelets (SDP) Leukoreduced BacT LVDS 48 hours | 2 | EA | ||
| EA | |||||
| 171 | Apheresis Platelets (SDP) Leukoreduced Low Volume BacT LVDS 36 hours | 1 | EA | ||
| 172 | Apheresis Platelets (SDP) Leukoreduced BacT LVDS 48 hours Irradiated | 1 | EA | ||
| 173 | Apheresis Platelets (SDP) Leukoreduced Low Volume BacT LVDS 48 hours | 1 | EA | ||
| 174 | Apheresis Platelets (SDP) Leukoreduced BacT LVDS 36 hours Divided | 1 | EA | ||
| 175 | Apheresis Platelets (SDP) Leukoreduced Low Volume BacT LVDS 48 hours Irradiated | 1 | EA | ||
| 176 | Apheresis Platelets (SDP) Leukoreduced BacT LVDS 48 hours Divided | 1 | EA | ||
| 177 | Apheresis Platelets (SDP) Leukoreduced BacT LVDS 36 hours Pedi Platelet | 1 | EA | ||
| 178 | Apheresis Platelets (SDP) Leukoreduced BacT LVDS 48 hours Pedi Platelet | 1 | EA | ||
| 179 | Apheresis Platelets (SDP) Leukoreduced BacT LVDS 36 hours Pedi Platelet Irradiated | 1 | EA | ||
| 180 | Apheresis Platelets (SDP) PRT Leukoreduced Pedi Platelet | 1 | EA | ||
| 181 | Apheresis Platelets (SDP) PRT Leukoreduced Pedi Platelet in PAS | 1 | EA | ||
| 182 | Apheresis Platelets (SDP) in PAS Leukoreduced BacT LVDS 36 hours Pedi Platelet | 1 | EA | ||
| 183 | Apheresis Platelets (SDP) in PAS Leukoreduced BacT LVDS 36 hours Pedi Platelet Irradiated | 1 | EA | ||
| 184 | Apheresis Platelets (SDP) in PAS Leukoreduced Low Volume BacT 24 hours - 1st Step of 2 Step Process | 1 | EA | ||
| 185 | Apheresis Platelets (SDP) in PAS Leukoreduced Low Volume BacT 24 hours - 2nd Step of 2 Step Process | 1 | EA | ||
| 186 | Apheresis Platelets (SDP) in PAS Leukoreduced Low Volume BacT 24H - Step 1 of 2 Irradiated | 1 | EA | ||
| 187 | Apheresis Platelets (SDP) in PAS Leukoreduced Low Volume BacT 24H - Step 2 of 2 Irradiated | 1 | EA | ||
| 188 | Apheresis Granulocytes | 1 | EA | ||
| 189 | Apheresis Granulocytes Irradiated | 1 | EA | ||
| 190 | Pooled Platelets Leukoreduced BacT LVDS 36 hours | 1 | EA | ||
| 191 | Pooled Platelets Leukoreduced BacT LVDS 36 hours Irradiated | 1 | EA | ||
| 192 | SC Plasma Depletion | 1 | EA | ||
| 193 | SC Cryopreservation (includes 1st year storage) | 1 | EA | ||
| 194 | SC Stem Cell Quality Control | 1 | EA | ||
| 195 | SC Coordination Fee for Infusion or Transfer | 1 | EA | ||
| 196 | SC Wash Process | 1 | EA | ||
| 197 | SC Cord Blood Reconstitution | 1 | EA | ||
| 198 | Stem Cell Freight | 1 | EA | ||
| 199 | SC Thawing Frozen Cell (QC Vial ea) | 1 | EA | ||
| 200 | Donor ABORh | 1 | EA | ||
| 201 | SC Handling/Data Entry/Documentation | 1 | EA | ||
| 202 | Irradiation Fee (1 unit) | 1 | EA | ||
| 203 | Deglycerolization Fee | 1 | EA | ||
| 204 | Freeze Fee | 1 | EA | ||
| 205 | Freeze & Degly. Fee | 1 | EA | ||
| 206 | Pooling Fee | 1 | EA | ||
| 207 | Rejuvenate Fee | 1 | EA | ||
| 208 | Thaw Fee | 19 | EA | ||
| 209 | RBC Wash Fee | 1 | EA | ||
| 210 | Platelet Wash Fee | 1 | EA | ||
| 211 | Deglycerolization Fee (Closed System) | 1 | EA | ||
| 212 | Freeze Fee (Closed System) | 1 | EA | ||
| 213 | Freeze & Degly. Fee (Closed System) | 1 | EA | ||
| 214 | Autologous Fee | 1 | EA | ||
| 215 | Autologous Fee - Cryo | 1 | EA | ||
| 216 | Autologous Fee - Fresh Frozen Plasma | 1 | EA | ||
| 217 | Dry Ice | 11 | EA | ||
| 218 | RBC Crossmatch (each additional unit) | 14 | EA | ||
| 219 | Non-crossmatch set up | 1 | EA | ||
| 220 | Platelet crossmatch | 1 | EA | ||
| 221 | ABO Group | 1 | EA | ||
| 222 | RH Type | 1 | EA | ||
| 223 | Chemical Treatment | 2 | EA | ||
| 224 | Aliquot Bag | 1 | EA | ||
| 225 | Anti - HTLV - I/II (antibody to HTLV I/II) | 1 | EA | ||
| 226 | Stat Processing Fee | 165 | EA | ||
| 227 | HLA Stat Fee | 1 | EA | ||
| 228 | NAT (HIV - I, HBV and HCV RNA) DONOR ONLY | 1 | EA | ||
| 229 | Confirmatory Draw | 1 | EA | ||
| 230 | Platelet (Volume Reduction Fee) | 1 | EA | ||
| 231 | Platelet Counts | 1 | EA | ||
| 232 | HCV (confirmatory RIBA) | 1 | EA | ||
| 233 | SC CBC with automated Differential | 1 | EA | ||
| 234 | SC CBC with manual differential | 1 | EA | ||
| 235 | Computer Antigen Search (per Antigen) | 1 | EA | ||
| 236 | Anti - HBc (CORE) Test | 1 | EA | ||
| 237 | Anti - HIV - 2 Abbott | 1 | EA | ||
| 238 | Anti-CMV antibody to cytomeglovirus | 1 | EA | ||
| 239 | Patient Complete Phenotype | 12 | EA | ||
| 240 | Anti-HCV Testing | 1 | EA | ||
| 241 | Anti-HIV 1,2 Test | 1 | EA | ||
| 242 | HLA/Platelet Antibody Screen (Serology/ELISA) | 1 | EA | ||
| 243 | HLA-Antibody Intermediate Resolution, Complex | 1 | EA | ||
| 244 | HIV-1 Antibody Screen (ELISA) | 1 | EA | ||
| 245 | HIV-2 Antibody Screen (ELISA) | 1 | EA | ||
| 246 | HTLV-1 Antibody Screen (ELISA) | 1 | EA | ||
| 247 | Neonate Allo Thrombocytopenia Assessment | 1 | EA | ||
| 248 | Platelet Genotyping | 1 | EA | ||
| 249 | Platelet Auto Antibodies | 1 | EA | ||
| 250 | Reconstitute Fee | 1 | EA | ||
| 251 | RBC Antibody Identification | 40 | EA | ||
| 252 | Rare Unit Fee | 1 | EA | ||
| 253 | Rh Positive Unit negative for C,E,K | 1 | EA | ||
| 254 | RHD Genotype | 1 | EA | ||
| 255 | Antibody ID (Selected Cell Panel, per Cell) | 1 | EA | ||
| 256 | Patient Antigen Typing - Single | 1 | EA | ||
| 257 | Antigen Typing - Single | 198 | EA | ||
| 258 | RBC Cell Separation | 1 | EA | ||
| 259 | Neutralization P1 or Lewis (includes panel) | 2 | EA | ||
| 260 | Stat Reference Fee | 21 | EA | ||
| 261 | Acid Elution / Cell Elution | 6 | EA | ||
| 262 | Annual Follow-up Blood Test | 1 | EA | ||
| 263 | Repeat Infectious Disease Test | 1 | EA | ||
| 264 | Professional Fee | 1 | EA | ||
| 265 | CD34 Product | 1 | EA | ||
| 266 | CD34 Test | 1 | EA | ||
| 267 | Designated Service Charge | 1 | EA | ||
| 268 | Directed Service Charge | 1 | EA | ||
| 269 | Donath-Landsteiner Test | 1 | EA | ||
| 270 | Drug Studies/Per Drug | 1 | EA | ||
| 271 | EIA Testing DONOR ONLY | 1 | EA | ||
| 272 | OB REF LAB - Additional Fee for Samples Received 12am -7am | 1 | EA | ||
| 273 | OB REF LAB - Additional fee for samples received 8pm -12am, weekends & holidays | 1 | EA | ||
| 274 | Full Blood Processing (Without NAT) DONOR ONLY | 1 | EA | ||
| 275 | HBsAG Confirmation Test | 1 | EA | ||
| 276 | HBsAg Confirmation test-Prism DONOR ONLY | 1 | EA | ||
| 277 | HbsAG neutralization | 1 | EA | ||
| 278 | HCV anitbody screen (elisa) | 1 | EA | ||
| 279 | HIV Whole Viral Lysate (rLAV) | 1 | EA | ||
| 280 | HLA for Platelet Pheresis | 1 | EA | ||
| 281 | HLA ABC Disease Assoc B27 (Class I) | 1 | EA | ||
| 282 | HLA Antibody Intermediate Resolution | 1 | EA | ||
| 283 | INNO - LIA HTLV I/II | 1 | EA | ||
| 284 | On-Site Medical Supervision per hour | 1 | EA | ||
| 285 | On-Site Medical Supervision per hour (after hours) | 1 | EA | ||
| 286 | Phlebotomy per Hour Charge Over 1 Hour | 1 | EA | ||
| 287 | Photopheresis Procedure | 1 | EA | ||
| 288 | Rare Donor Search thru American Rare Donor Program (ARDP) | 1 | EA | ||
| 289 | Patient Red Cell Genotype (Molecular) | 1 | EA | ||
| 290 | SC Cellular Night and Weekend Fee | 1 | EA | ||
| 291 | Splitting Service | 1 | EA | ||
| 292 | Therapeutic Stat Fee | 4 | EA | ||
| 293 | Syphilis Confirmatory EIA | 1 | EA | ||
| 294 | Syphilis Test RPR | 1 | EA | ||
| 295 | Type and Screen | 1 | EA | ||
| 296 | ABO Group & Rh Type | 26 | EA | ||
| 297 | Antibody Screen (Indirect Coombs) | 15 | EA | ||
| 298 | RBC Antibody Titer | 5 | EA | ||
| 299 | Direct Antiglobulin Poly | 1 | EA | ||
| 300 | Direct Antiglobulin IgG (Direct Coombs) | 27 | EA | ||
| 301 | Direct Antiglobulin DAT C3 | 25 | EA | ||
| 302 | HBsAg ( Hep.B suface antigen) | 1 | EA | ||
| 303 | Fetal Screen | 1 | EA | ||
| 304 | Kleihauer - Betke | 1 | EA | ||
| 305 | Luminex Platelets Antibody Screen | 1 | EA | ||
| 306 | Isoagglutinin Titers (Anti-A, Anti-B) | 1 | EA | ||
| 307 | CMV Test | 12 | EA | ||
| 308 | HIV AG | 1 | EA | ||
| 309 | Monocyte Monolayer Assay (MMA) | 1 | EA | ||
| 310 | Allele Match | 1 | EA | ||
| 311 | Sickle Cell Screen | 1 | EA | ||
| 312 | Transfusion Reaction Work Up | 1 | EA | ||
| 313 | Adsorption | 1 | EA | ||
| 314 | HLA - ABC/DR High Resolution, DQ Low Resolution | 1 | EA | ||
| 315 | HLA Coordination Fee | 1 | EA | ||
| 316 | Therapeutic Delay Fee - Per Hour | 1 | EA | ||
| 317 | Transfusion Protocol Review | 1 | EA | ||
| 318 | Transportation Fees - Priority Shipment Service Area - 01 (0-25 miles) | 73 | EA | ||
| 319 | Transportation Fees - Priority Shipment Service Area - 02 (26-65 miles) | 1 | EA | ||
| 320 | Transportation Fees - Priority Shipment Services Area - 03 (66-120 miles) | 1 | EA | ||
| 321 | SC Trypan Blue Viability | 1 | EA | ||
| 322 | Residual White Blood Cell Counts | 1 | EA | ||
| 323 | Heparin Induced Thrombocytopenia Antibody (HIT) | 1 | EA | ||
| 324 | Transfusion Protocol by OB | 1 | EA | ||
| 325 | COVID-19 Antibody Screen | 1 | EA | ||
| 326 | COVID-19 Antibody Titer | 1 | EA | ||
| 327 | HLA B27 Typing | 1 | EA | ||
| 328 | HLA Patient AB Typing for Transfusion | 1 | EA | ||
| 329 | Therapeutic Cellular Depletion - WBC | 1 | EA | ||
| 330 | Therapeutic Phlebotomy Cancellation Fee | 1 | EA | ||
| 331 | Therapeutic Phlebotomy - in Blood Center | 1 | EA | ||
| 332 | Therapeutic Phlebotomy - in Hospital | 1 | EA | ||
| 333 | Therapeutic Phlebotomy with Replacement Fluid - in Hospital | 1 | EA | ||
| 334 | Red Blood Cell Exchange | 1 | EA | ||
| 335 | Therapeutic Cancellation Fee without Kit Setup | 1 | EA | ||
| 336 | Therapeutic Cancellation Fee with Kit Setup | 1 | EA | ||
| 337 | Therapeutic Non-Business Hours Fee (after 5pm, weekends, holidays) | 4 | EA | ||
| 338 | Therapeutic Cellular Depletion - RBC | 1 | EA | ||
| 339 | Therapeutic Cellular Depletion - Platelet | 1 | EA | ||
| 340 | Therapeutic Plasma Exchange | 7 | EA | ||
| 341 | Therapeutic Extended Hour Fee > 4 Hrs (per hr) | 1 | EA | ||
| 342 | Aborted Fee - In Blood Center | 1 | EA | ||
| 343 | Aborted Fee - In Physician's Office or Hospital | 1 | EA | ||
| 344 | Red Cell Prime | 1 | EA | ||
| 345 | Orientation Day | 1 | EA | ||
| 346 | WB Collection in Hospital | 1 | EA | ||
| 347 | Therapeutic Transportation Fee for Equipment <30 mile each way | 6 | EA | ||
| 348 | Therapeutic Transportation Fee for Equipment 30 - 50 mile each way | 1 | EA | ||
| 349 | Therapeutic Transportation Fee for Equipment > 50 mile each way | 1 | EA | ||
| 350 | Therapeutic Transportation Fee for Nurse 30-50 mile each way | 1 | EA | ||
| 351 | Therapeutic Transportation Fee for Nurse >50 mile each way | 1 | EA | ||
| 352 | RHO Unit - Computer Search | 1 | EA | ||
| 353 | Canister Fee | 1 | EA | ||
| 354 | Blood Temp Indicator | 1 | EA | ||
| 355 | Special Delivery/Pickup | 1 | EA | ||
| 356 | Lookback | 1 | EA | ||
| 357 | Research whole blood collection | 1 | EA | ||
| 358 | SC Storage greater than 1 year (storage per year) | 1 | EA | ||
| 359 | SC Storage of Cord Blood for 1 year (storage per year) | 1 | EA | ||
| 360 | Crossmatch - Electronic | 1 | EA | ||
| 361 | Prenatal Screen | 1 | EA | ||
| 362 | Newborn Screen | 1 | EA | ||
| 363 | LDL - Apheresis Procedure | 1 | EA | ||
| 364 | Medical Direction | 1 | EA | ||
| 365 | Cryoprecipitate QC | 1 | EA | ||
| 366 | Chagas Testing | 1 | EA | ||
| 367 | BacT Detection | 1 | EA | ||
| 368 | Shipping By Air | 1 | EA | ||
| 369 | Cord Blood Screen | 1 | EA | ||
| 370 | Transportation Fees - Outside Courier | 1 | EA | ||
| 371 | SC Sterility Check | 1 | EA | ||
| 372 | SC CD3, CD4, CD8 | 1 | EA | ||
| 373 | SC Processing Split Exceeding 4 Bags (each) | 1 | EA | ||
| 374 | CPL Cancellation Fee | 1 | EA | ||
| 375 | Rh Phenotype | 1 | EA | ||
| 376 | Cold AB Screen | 1 | EA | ||
| 377 | Cold Agglutin Screen | 1 | EA | ||
| 378 | WNV Test | 1 | EA | ||
| 379 | NAT (HIV - I, HBV and HCV RNA) NON-DONOR ONLY | 1 | EA | ||
| 380 | O Negative RBC Fee | 1 | EA | ||
| 381 | AB Plasma Fee | 11 | EA |
Bay Pines (OY2)
| Bay Pines VA - Option Year 2 Pricing | |||||
| ITEM # | ITEM DESCRIPTION | Bay Pines VA | Estimated QTY | U/I | Unit Price | Total Price |
| 1 | HPC Apheresis | 1 | EA | ||
| 2 | MNC Collection - in blood center | 1 | EA | ||
| 3 | MNC Collection - in physician's office | 1 | EA | ||
| 4 | Whole Blood NLR | 1 | EA | ||
| 5 | Whole Blood Leukoreduced | 1 | EA | ||
| 6 | Whole Blood NLR Irradiated | 1 | EA | ||
| 7 | Whole Blood NLR Low Volume | 1 | EA | ||
| 8 | Whole Blood Leukoreduced Irradiated | 1 | EA | ||
| 9 | Whole Blood Leukoreduced Low Volume | 1 | EA | ||
| 10 | Whole Blood Leukoreduced Low Volume Irradiated | 1 | EA | ||
| 11 | Whole Blood NLR Irradiated Reconstituted | 1 | EA | ||
| 12 | Whole Blood NLR Reconstituted | 1 | EA | ||
| 13 | Whole Blood NLR Processing CMV Neg Noted (Directed) | 1 | EA | ||
| 14 | Whole Blood Leukoreduced Processing CMV Neg Noted (Directed) | 1 | EA | ||
| 15 | Whole Blood NLR Autologous | 1 | EA | ||
| 16 | Whole Blood NLR Autologous Irradiated | 1 | EA | ||
| 17 | Whole Blood NLR Autologous Low Volume | 1 | EA | ||
| 18 | Whole Blood Autologous Leukoreduced | 1 | EA | ||
| 19 | Whole Blood Low Titer O Pos | 1 | EA | ||
| 20 | Whole Blood Low Titer O Pos Leukoreduced | 1 | EA | ||
| 21 | Whole Blood Low Titer O Pos Leukoreduced Irradiated | 1 | EA | ||
| 22 | Whole Blood Low Titer O Pos Irradiated | 1 | EA | ||
| 23 | Red Blood Cells NLR | 1 | EA | ||
| 24 | Red Blood Cells Leukoreduced | 1284 | EA | ||
| 25 | Red Blood Cells NLR Irradiated | 1 | EA | ||
| 26 | Red Blood Cells NLR Deglycerolized | 1 | EA | ||
| 27 | Red Blood Cells NLR Frozen | 1 | EA | ||
| 28 | Red Blood Cells NLR Low Volume | 1 | EA | ||
| 29 | Red Blood Cells NLR Rejuvenated | 1 | EA | ||
| 30 | Red Blood Cells NLR Washed | 1 | EA | ||
| 31 | Red Blood Cells NLR Deglycerolized Irradiated | 1 | EA | ||
| 32 | Red Blood Cells NLR Frozen Irradiated | 1 | EA | ||
| 33 | Red Blood Cells Leukoreduced Irradiated Low Volume | 1 | EA | ||
| 34 | Red Blood Cells NLR Irradiated Washed | 1 | EA | ||
| 35 | Red Blood Cells Leukoreduced Deglycerolized | 1 | EA | ||
| 36 | Red Blood Cells Leukoreduced Frozen | 1 | EA | ||
| 37 | Red Blood Cells Leukoreduced Irradiated | 12 | EA | ||
| 38 | Red Blood Cells Leukoreduced Low Volume | 1 | EA | ||
| 39 | Red Blood Cells Leukoreduced Rejuvenated | 1 | EA | ||
| 40 | Red Blood Cells Leukoreduced Washed | 1 | EA | ||
| 41 | Red Blood Cells NLR Deglycerolized Irradiated Rejuvenated | 1 | EA | ||
| 42 | Red Blood Cells NLR Frozen Irradiated Rejuvenated | 1 | EA | ||
| 43 | Red Blood Cells Leukoreduced Deglycerolized Irradiated | 1 | EA | ||
| 44 | Red Blood Cells Leukoreduced Frozen Irradiated | 1 | EA | ||
| 45 | Red Blood Cells Leukoreduced Irradiated Washed | 1 | EA | ||
| 46 | Red Blood Cells Leukoreduced Frozen Irradiated Rejuvenated | 1 | EA | ||
| 47 | Red Blood Cell NLR Washed Reconstituted | 1 | EA | ||
| 48 | Red Blood Cells Leukoreduced Processing CMV Neg (Directed) | 1 | EA | ||
| 49 | Red Blood Cells Leukoreduced Processing - Infant (PediCells - CMV Neg.,) | 1 | EA | ||
| 50 | Red Blood Cells Leukoreduced Processing - Pediatric (Kiddie Pack, CMV, Irrad) | 1 | EA | ||
| 51 | Red Blood Cells Leukoreduced Frozen (Closed System) | 1 | EA | ||
| 52 | Red Blood Cells Leukoreduced Frozen Irradiated (Closed System) | 1 | EA | ||
| 53 | Red Blood Cells Leukoreduced Deglycerolized (Closed System) | 1 | EA | ||
| 54 | Red Blood Cells Leukoreduced Deglycerolized Irradiated (Closed System) | 1 | EA | ||
| 55 | Red Blood Cells NLR Autologous | 1 | EA | ||
| 56 | Red Blood Cells NLR Autologous Irradiated | 1 | EA | ||
| 57 | Red Blood Cells NLR Autologous Low Volume | 1 | EA | ||
| 58 | Red Blood Cells Autologous Leukoreduced | 1 | EA | ||
| 59 | Red Blood Cells Autologous Leukoreduced Irradiated | 1 | EA | ||
| 60 | Red Blood Cells NLR Autologous Washed | 1 | EA | ||
| 61 | Red Blood Cells NLR Autologous Irradiated Washed | 1 | EA | ||
| 62 | Red Blood Cells Autologous Leukoreduced Washed | 1 | EA | ||
| 63 | Red Blood Cells Autologous Leukoreduced Irradiated Washed | 1 | EA | ||
| 64 | Red Blood Cells Autologous Leukoreduced Deglycerolized | 1 | EA | ||
| 65 | Red Blood Cells NLR Autologous Deglycerolized | 1 | EA | ||
| 66 | Red Blood Cells NLR Autologous Low Volume Irradiated | 1 | EA | ||
| 67 | Red Blood Cells NLR Autologous Frozen | 1 | EA | ||
| 68 | Red Blood Cells Autologous Leukoreduced Frozen | 1 | EA | ||
| 69 | Red Blood Cells NLR Autologous Rejuvenated | 1 | EA | ||
| 70 | Whole Blood Platelets NLR | 1 | EA | ||
| 71 | Whole Blood Platelets Leukoreduced | 1 | EA | ||
| 72 | Whole Blood Platelets NLR Irradiated | 1 | EA | ||
| 73 | Whole Blood Platelets NLR Volume Reduction | 1 | EA | ||
| 74 | Whole Blood Platelets NLR Washed | 1 | EA | ||
| 75 | Whole Blood Platelets NLR Irradiated Volume Reduction | 1 | EA | ||
| 76 | Whole Blood Platelets NLR Irradiated Washed | 1 | EA | ||
| 77 | Whole Blood Platelets Leukoreduced Irradiated | 1 | EA | ||
| 78 | Whole Blood Platelets Leukoreduced Volume Reduction | 1 | EA | ||
| 79 | Whole Blood Platelets Leukoreduced Washed | 1 | EA | ||
| 80 | Whole Blood Platelets Leukoreduced Irradiated Volume Reduction | 1 | EA | ||
| 81 | Whole Blood Platelets Leukoreduced Irradiated Washed | 1 | EA | ||
| 82 | Platelet Pheresis Pedi-D | 1 | EA | ||
| 83 | Platelet Pheresis Pedi-W | 1 | EA | ||
| 84 | Whole Blood Platelets NLR Autologous | 1 | EA | ||
| 85 | Whole Blood Platelets NLR Autologous Irradiated | 1 | EA | ||
| 86 | Whole Blood Platelets Autologous Leukoreduced | 1 | EA | ||
| 87 | Whole Blood Platelets Autologous Leukoreduced Irradiated | 1 | EA | ||
| 88 | Cryoprecipitate | 1 | EA | ||
| 89 | Cryoprecipitate Irradiated | 1 | EA | ||
| 90 | Cryoprecipitate Thawed | 1 | EA | ||
| 91 | Cryoprecipitate Thawed Irradiated | 1 | EA | ||
| 92 | Cryoprecipitate Autologous | 1 | EA | ||
| 93 | Whole Blood Reconstitution (platelet & plasma charged separately) | 1 | EA | ||
| 94 | Pooled Cryoprecipitate (5) | 10 | EA | ||
| 95 | Pooled Cryoprecipitate (10) | 1 | EA | ||
| 96 | Pooled Cryoprecipitate (5) Thawed | 1 | EA | ||
| 97 | Pooled Cryoprecipitate (10) Thawed | 1 | EA | ||
| 98 | Pooled Cryoprecipitate (10) Irradiated | 1 | EA | ||
| 99 | Pooled Cryoprecipitate (10) Autologous | 1 | EA | ||
| 100 | Pooled Cryoprecipitate (10) Autologous Irradiated | 1 | EA | ||
| 101 | Fresh Frozen Plasma | 32 | EA | ||
| 102 | Fresh Frozen Plasma Cryo-removed | 1 | EA | ||
| 103 | Fresh Frozen Plasma Thawed | 1 | EA | ||
| 104 | Fresh Frozen Plasma Thawed Cryo-removed | 1 | EA | ||
| 105 | Fresh Frozen Plasma Thawed Irradiated | 1 | EA | ||
| 106 | Fresh Frozen Plasma Thawed Irradiated Cryo-removed | 1 | EA | ||
| 107 | Fresh Frozen Plasma Autologous | 1 | EA | ||
| 108 | Fresh Frozen Plasma Autologous Cryo-removed | 1 | EA | ||
| 109 | Fresh Frozen Plasma 0-24 | 251 | EA | ||
| 110 | Fresh Frozen Plasma - Infant Dose (Pediplasma Processing) | 1 | EA | ||
| 111 | Fresh Frozen Plasma 0 -24 Autologous | 1 | EA | ||
| 112 | Neo-Natal Fresh Frozen Plasma | 1 | EA | ||
| 113 | Neo-Natal Fresh Frozen Plasma Thawed | 1 | EA | ||
| 114 | Plasma Thawed | 1 | EA | ||
| 115 | Plasma Thawed Irradiated | 1 | EA | ||
| 116 | Plasma Autologous Thawed | 1 | EA | ||
| 117 | Plasma (Liquid) | 170 | EA | ||
| 118 | Plasma (Liquid) Irradiated | 1 | EA | ||
| 119 | Plasma lgA Deficient | 1 | EA | ||
| 120 | COVID Convalescent Plasma | 1 | EA | ||
| 121 | COVID Convalescent Plasma Cryo Reduced | 1 | EA | ||
| 122 | COVID Convalescent Plasma (Liquid) | 1 | EA | ||
| 123 | COVID Convalescent Plasma Frozen | 1 | EA | ||
| 124 | COVID Convalescent Plasma Thawed | 1 | EA | ||
| 125 | COVID Convalescent Plasma Thawed Cryo Reduced | 1 | EA | ||
| 126 | Pathogen Reduced Fibrinogen Concentrate PRCFC 10 | 1 | EA | ||
| 127 | Pathogen Reduced Fibrinogen Concentrate PRCFC 15 | 1 | EA | ||
| 128 | Pathogen Reduced Fibrinogen Concentrate PRCFC 20 | 1 | EA | ||
| 129 | Pathogen Reduced Fibrinogen Concentrate PRCFC 30 | 1 | EA | ||
| 130 | Pathogen Reduced Fibrinogen Concentrate PRCFC 40 | 1 | EA | ||
| 131 | Pathogen Reduced Fibrinogen Concentrate Thawed PRCFC 10 | 1 | EA | ||
| 132 | Pathogen Reduced Fibrinogen Concentrate Thawed PRCFC 15 | 1 | EA | ||
| 133 | Pathogen Reduced Fibrinogen Concentrate Thawed PRCFC 20 | 1 | EA | ||
| 134 | Pathogen Reduced Fibrinogen Concentrate Thawed PRCFC 30 | 1 | EA | ||
| 135 | Pathogen Reduced Fibrinogen Concentrate Thawed PRCFC 40 | 1 | EA | ||
| 136 | Pathogen Reduced Fibrinogen Concentrate Cryo Reduced | 1 | EA | ||
| 137 | Pathogen Reduced Fibrinogen Concentrate Thawed Cryo Reduced | 1 | EA | ||
| 138 | Source Leukocyte | 1 | EA | ||
| 139 | Apheresis Platelets (SDP) PRT Leukoreduced | 1 | EA | ||
| 140 | Apheresis Platelets (SDP) PRT Leukoreduced Irradiated | 1 | EA | ||
| 141 | Apheresis Platelets (SDP) PRT Leukoreduced Low Volume | 1 | EA | ||
| 142 | Apheresis Platelets (SDP) PRT Leukoreduced Low Volume Irradiated | 1 | EA | ||
| 143 | Apheresis Platelets (SDP) PRT Leukoreduced in PAS | 150 | EA | ||
| 144 | Apheresis Platelets (SDP) PRT Leukoreduced Irradiated in PAS | 1 | EA | ||
| 145 | Apheresis Platelets (SDP) PRT Leukoreduced Low Volume in PAS | 6 | EA | ||
| 146 | Apheresis Platelets (SDP) PRT Leukoreduced Low Volume Irradiated in PAS | 1 | EA | ||
| 147 | Apheresis Platelets (SDP) PRT Leukoreduced Divided | 1 | EA | ||
| 148 | Apheresis Platelets (SDP) PRT Leukoreduced Pediplatelet | 1 | EA | ||
| 149 | Apheresis Platelets (SDP) PRT Leukoreduced Washed | 1 | EA | ||
| 150 | Auto PHN Leukoreduced Processing | 1 | EA | ||
| 151 | Apheresis Platelets (SDP) Leukoreduced BacT 24 hours - 1st Step of 2 Step Process | 1 | EA | ||
| 152 | Apheresis Platelets (SDP) Leukoreduced BacT 24 hours - 2nd Step of 2 Step Process | 1 | EA | ||
| 153 | Apheresis Platelets (SDP) Leukoreduced BacT 24 hours - 1st Step of 2 Step Process Irradiated | 1 | EA | ||
| 154 | Apheresis Platelets (SDP) Leukoreduced BacT 24 hours - 2nd Step of 2 Step Process Irradiated | 1 | EA | ||
| 155 | Apheresis Platelets (SDP) Leukoreduced Low Volume BacT 24 hours - 1st Step of 2 Step Process | 1 | EA | ||
| 156 | Apheresis Platelets (SDP) Leukoreduced Low Volume BacT 24 hours - 2nd Step of 2 Step Process | 1 | EA | ||
| 157 | Apheresis Platelets (SDP) Leukoreduced Low Volume BacT 24H - 1st Step of 2 Step Process Irradiated | 1 | EA | ||
| 158 | Apheresis Platelets (SDP) Leukoreduced Low Volume BacT 24H - 2nd Step of 2 Step Process Irradiated | 1 | EA | ||
| 159 | Apheresis Platelets (SDP) Leukoreduced BacT LVDS 36 hours | 4 | EA | ||
| 160 | Apheresis Platelets (SDP) Leukoreduced BacT LVDS 36 hours Irradiated | 1 | EA | ||
| 161 | Apheresis Platelets (SDP) Leukoreduced Low Volume BacT LVDS 36 hours Irradiated | 1 | EA | ||
| 162 | Apheresis Platelets (SDP) in PAS Leukoreduced BacT 24 hours - 1st Step of 2 Step Process | 1 | EA | ||
| 163 | Apheresis Platelets (SDP) in PAS Leukoreduced BacT 24 hours - 2nd Step of 2 Step Process | 1 | EA | ||
| 164 | Apheresis Platelets (SDP) in PAS Leukoreduced BacT LVDS 36 hours | 20 | EA | ||
| 165 | Apheresis Platelets (SDP) in PAS Leukoreduced Low Volume BacT LVDS 36 hours | 1 | EA | ||
| 166 | Apheresis Platelets (SDP) in PAS Leukoreduced BacT LVDS 36 hours Irradiated | 1 | EA | ||
| 167 | Apheresis Platelets (SDP) in PAS Leukoreduced Low Volume BacT LVDS 36 hours Irradiated | 1 | EA | ||
| 168 | Apheresis Platelets (SDP) in PAS Leukoreduced BacT 24 hours - 1st Step of 2 Step Process Irradiated | 1 | EA | ||
| 169 | Apheresis Platelets (SDP) in PAS Leukoreduced BacT 24 hours - 2nd Step of 2 Step Process Irradiated | 1 | EA | ||
| 170 | Apheresis Platelets (SDP) Leukoreduced BacT LVDS 48 hours | 2 | EA | ||
| EA | |||||
| 171 | Apheresis Platelets (SDP) Leukoreduced Low Volume BacT LVDS 36 hours | 1 | EA | ||
| 172 | Apheresis Platelets (SDP) Leukoreduced BacT LVDS 48 hours Irradiated | 1 | EA | ||
| 173 | Apheresis Platelets (SDP) Leukoreduced Low Volume BacT LVDS 48 hours | 1 | EA | ||
| 174 | Apheresis Platelets (SDP) Leukoreduced BacT LVDS 36 hours Divided | 1 | EA | ||
| 175 | Apheresis Platelets (SDP) Leukoreduced Low Volume BacT LVDS 48 hours Irradiated | 1 | EA | ||
| 176 | Apheresis Platelets (SDP) Leukoreduced BacT LVDS 48 hours Divided | 1 | EA | ||
| 177 | Apheresis Platelets (SDP) Leukoreduced BacT LVDS 36 hours Pedi Platelet | 1 | EA | ||
| 178 | Apheresis Platelets (SDP) Leukoreduced BacT LVDS 48 hours Pedi Platelet | 1 | EA | ||
| 179 | Apheresis Platelets (SDP) Leukoreduced BacT LVDS 36 hours Pedi Platelet Irradiated | 1 | EA | ||
| 180 | Apheresis Platelets (SDP) PRT Leukoreduced Pedi Platelet | 1 | EA | ||
| 181 | Apheresis Platelets (SDP) PRT Leukoreduced Pedi Platelet in PAS | 1 | EA | ||
| 182 | Apheresis Platelets (SDP) in PAS Leukoreduced BacT LVDS 36 hours Pedi Platelet | 1 | EA | ||
| 183 | Apheresis Platelets (SDP) in PAS Leukoreduced BacT LVDS 36 hours Pedi Platelet Irradiated | 1 | EA | ||
| 184 | Apheresis Platelets (SDP) in PAS Leukoreduced Low Volume BacT 24 hours - 1st Step of 2 Step Process | 1 | EA | ||
| 185 | Apheresis Platelets (SDP) in PAS Leukoreduced Low Volume BacT 24 hours - 2nd Step of 2 Step Process | 1 | EA | ||
| 186 | Apheresis Platelets (SDP) in PAS Leukoreduced Low Volume BacT 24H - Step 1 of 2 Irradiated | 1 | EA | ||
| 187 | Apheresis Platelets (SDP) in PAS Leukoreduced Low Volume BacT 24H - Step 2 of 2 Irradiated | 1 | EA | ||
| 188 | Apheresis Granulocytes | 1 | EA | ||
| 189 | Apheresis Granulocytes Irradiated | 1 | EA | ||
| 190 | Pooled Platelets Leukoreduced BacT LVDS 36 hours | 1 | EA | ||
| 191 | Pooled Platelets Leukoreduced BacT LVDS 36 hours Irradiated | 1 | EA | ||
| 192 | SC Plasma Depletion | 1 | EA | ||
| 193 | SC Cryopreservation (includes 1st year storage) | 1 | EA | ||
| 194 | SC Stem Cell Quality Control | 1 | EA | ||
| 195 | SC Coordination Fee for Infusion or Transfer | 1 | EA | ||
| 196 | SC Wash Process | 1 | EA | ||
| 197 | SC Cord Blood Reconstitution | 1 | EA | ||
| 198 | Stem Cell Freight | 1 | EA | ||
| 199 | SC Thawing Frozen Cell (QC Vial ea) | 1 | EA | ||
| 200 | Donor ABORh | 1 | EA | ||
| 201 | SC Handling/Data Entry/Documentation | 1 | EA | ||
| 202 | Irradiation Fee (1 unit) | 1 | EA | ||
| 203 | Deglycerolization Fee | 1 | EA | ||
| 204 | Freeze Fee | 1 | EA | ||
| 205 | Freeze & Degly. Fee | 1 | EA | ||
| 206 | Pooling Fee | 1 | EA | ||
| 207 | Rejuvenate Fee | 1 | EA | ||
| 208 | Thaw Fee | 19 | EA | ||
| 209 | RBC Wash Fee | 1 | EA | ||
| 210 | Platelet Wash Fee | 1 | EA | ||
| 211 | Deglycerolization Fee (Closed System) | 1 | EA | ||
| 212 | Freeze Fee (Closed System) | 1 | EA | ||
| 213 | Freeze & Degly. Fee (Closed System) | 1 | EA | ||
| 214 | Autologous Fee | 1 | EA | ||
| 215 | Autologous Fee - Cryo | 1 | EA | ||
| 216 | Autologous Fee - Fresh Frozen Plasma | 1 | EA | ||
| 217 | Dry Ice | 11 | EA | ||
| 218 | RBC Crossmatch (each additional unit) | 14 | EA | ||
| 219 | Non-crossmatch set up | 1 | EA | ||
| 220 | Platelet crossmatch | 1 | EA | ||
| 221 | ABO Group | 1 | EA |
This is the start of the file's text. The full file is on GovTribe.
File details come from the government source that posted it. Updated .