Attachment 2 - BPA Pricing.xlsx
XLSX spreadsheet 392 KB Posted
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- Diagnostic Laboratory Testing Services
- Solicitation number
- 1145PC22Q0096
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Peace Corps
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| Amendment 2.pdf | ||
| Amendment 1.pdf | ||
| Attachment 4 - FAR 52.212-3 Offeror Represtations and Certifications.pdf | ||
| 1145PC22Q0096.pdf | ||
| Attachment 3 - Sample BPA Call Order.xlsx | XLSX spreadsheet | |
| Attachment 1 - Performance Work Statement.pdf |
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BPA Pricing
| CPT # | LOC TEST DESC | TEST CODE | TEST NAME | TAT TIME | TEST COMMENTS | UNIT OF MEASURE | BASE YEAR UNIT PRICES | RENEWAL YEAR 1 UNIT PRICES | RENEWAL YEAR 2 UNIT PRICES | RENEWAL YEAR 3 UNIT PRICES | RENEWAL YEAR 4 UNIT PRICES |
| 87491 x 1; 87591 x 1 | CHLAMYDIA-GC RNA, TMA | Chlamydia trachomatis/N. gonorrhoeae RNA TMA | Best Match. | Each | |||||||
| 87389 x 1 | HIV-1 AB W/RFX CONFIRMATION | HIV-1/2 Ag and Ab, Fourth Generation, w/ Reflexes | Best Match. | Each | |||||||
| 82955 x 1 | G-6-PD,RBC | Glucose-6-Phosphate Dehydrogenase,(G-6-PD), Quant | Each | ||||||||
| CYTOLOGY, PAP*, 2 SLIDES | CYTOLOGY, C/V SMEAR(S), INTERFACE ORDERS | This test is a shell code. Price determined based on sample sent. | Each | ||||||||
| 88142 x 1 | CYTOLOGY, THIN PREP PAP TEST | ThinPrep(R) Pap | Best Match. | Each | |||||||
| 88142 x 1 | PAP SMEAR* | ThinPrep(R) Pap | Best Match. | Each | |||||||
| 87389 x 1 | HIV-1/HIV-2 AB,EIA,W/WB RFX | HIV-1/2 Ag and Ab, Fourth Generation, w/ Reflexes | Best Match. | Each | |||||||
| 88142 x 1 | CYTOLOGY,TPPT W/RFX HPV | ThinPrep® PAP with Reflex to HR HPV DNA | Best Match. | Each | |||||||
| 87491 x 1; 87591 x 1 | CLR-CHLAMYDIA-GC TMA | Chlamydia trachomatis/N. gonorrhoeae RNA TMA | Best Match. | Each | |||||||
| 87491 x 1; 87591 x 1 | CHLAMYDIA/GC,DNA W/RFX,END/URE | Chlamydia/N.gonorrhoeae DNA, SDA | Best Match. No reflexes. | Each | |||||||
| 82465 x 1; 83718 x 1; 84478 x 1 | LIPID PANEL* | Lipid Panel | Best Match. | Each | |||||||
| 86664 x 1; 86665 x 2 | EBV 3 AB PROFILE | Epstein-Barr Virus Antibody Panel | Best Match. | Each | |||||||
| 87389 x 1 | HIV-1 ANTIBODY,WESTERN BLOT | HIV-1/2 Ag and Ab, Fourth Generation, w/ Reflexes | Best Match. | Each | |||||||
| 80053 x 1 | COMP METABOLIC PANEL | Comprehensive Metabolic Panel | Best Match. | Each | |||||||
| 87624 x 1 | HPV DNA,HIGH RISK | HPV DNA (High Risk) | Each | ||||||||
| 86695 x 2; 86696 x 2 | HERPES 1 & 2 AB (IGG,M) | HERPES SIMPLEX VIRUS ANTIBODY PROFILE #1 | Best Match. | Each | |||||||
| 88142 x 1 | 88141,PAP W/MD INTERP | ThinPrep(R) Pap | Best Match. | Each | |||||||
| 88142 x 1 | PATH REVIEW-THIN PREP | ThinPrep(R) Pap | Best Match. | Each | |||||||
| 82728 x 1; 83540 x 1; 83550 x 1 | FE*,IBC*,FERRITIN* | ANEMIA PROFILE #13 | Best Match. | Each | |||||||
| 84439 x 1 | T4,FREE,NON-DIALYSIS* | T4, Free | Best Match. | Each | |||||||
| H.PYLORI AB(IGG,A,M) | Each | ||||||||||
| 86592 x 1 | RPR* W/REFLEX TITER & CONFIRM | RPR,(DX) w/Reflex to Titer & Confirmatory Test | Best Match. | Each | |||||||
| 84443 x 1 | TSH* | TSH | Best Match. | Each | |||||||
| 86631 x 2; 86632 x 1 | C.TRACHOMATIS AB(IGG,A,M) | Chlamydia trachomatis Antibodies (IgG, IgA, IgM) | Each | ||||||||
| 80076 x 1 | HEPATIC FUNCTION PANEL | Hepatic Function Panel | Best Match. | Each | |||||||
| 86060 x 1 | ASO AB | STREPTOLYSIN O ANTIBODY | Each | ||||||||
| 99199 x 1 | SURG PATH LVL IV - SKIN, 1 UNT | HISTOPATHOLOGY TISSUE/BIOPSY | This test is a shell code. Price determined based on sample sent. | Each | |||||||
| 84146 x 1 | PROLACTIN,SERUM | Prolactin | Each | ||||||||
| 86803 x 1 | HCV AB W/RFX | Hepatitis C Antibody w/Rflx to HCV,RNA,QN RT-PCR | Each | ||||||||
| 84144 x 1 | PROGESTERONE | Progesterone | Each | ||||||||
| 84443 x 1 | TSH* W/FREE T4 RFX | TSH w/ Reflex to FT4 | Each | ||||||||
| 86317 x 1; 86706 x 1 | HB S AB | HEPATITIS B SURFACE AB | Best Match. | Each | |||||||
| 88142 x 1 | THINPREP W/HPV (SEPARATE FEES) | ThinPrep(R) Pap with Reflex HPV mRNA E6/E7 | Each | ||||||||
| 84403 x 1 | TESTOSTERONE,TOTAL | Testosterone, Total LC/MS/MS | Best Match. | Each | |||||||
| 99199 x 1 | SURG PATH LVL IV, 1 UNIT | HISTOPATHOLOGY TISSUE/BIOPSY | This test is a shell code. Price determined based on sample sent. | Each | |||||||
| 82670 x 1 | ESTRADIOL | Estradiol | Best Match. | Each | |||||||
| 84480 x 1 | T3,TOTAL | T3, Total | Each | ||||||||
| 87491 x 1 | C.TRACHOMATIS,DNA | Chlamydia trachomatis DNA, SDA | Best Match. | Each | |||||||
| 86705 x 1; 86709 x 1; 86803 x 1; 87340 x 1 | HEPATITIS PANEL W/RFX,ACUTE | Hepatitis Panel, Acute with Reflex to Confirmation | Each | ||||||||
| 87624 x 1 | HPV DNA,LOW/HIGH RISK | HPV DNA, Low and High Risk | Best Match. | Each | |||||||
| 86695 x 1; 86696 x 1 | HSV IGM AB Titer | HSV 1/2 Ab (IgM), IFA with Reflex to Titer, Serum | Each | ||||||||
| 86038 x 1 | ANTI-NUCLEAR AB TITER-PATTERN | ANA IFA Screen w/Reflex to Titer and Pattern,IFA | Best Match. | Each | |||||||
| 86631 x 2; 86632 x 1 | C.PNEUMONIAE AB (IGG,A,M),IF | Chlamydophila pneumoniae Antibodies (IgG,IgA,IgM) | Each | ||||||||
| 87591 x 1 | N.GONORRHOEAE,DNA PROBE | Neisseria gonorrhoeae DNA, SDA | Best Match. | Each | |||||||
| 83540 x 1; 83550 x 1 | IRON* & TIBC*, SERUM | Iron and Total Iron Binding Capacity | Best Match. | Each | |||||||
| 86038 x 1 | ANTI-NUCLEAR AB W/RFX | ANA IFA Screen w/Reflex to Titer and Pattern,IFA | Best Match. | Each | |||||||
| 84436 x 1 | T4,TOTAL* | T4 (Thyroxine), Total | Each | ||||||||
| 82728 x 1 | FERRITIN* | Ferritin | Best Match. | Each | |||||||
| 83001 x 1 | FSH,SERUM | FSH (Follicle Stimulating Hormone) | Each | ||||||||
| 86431 x 1 | RHEUMATOID FACTOR | Rheumatoid Factor | Each | ||||||||
| 36415 x 1 | VENIPUNCTURE | VENIPUNCTURE FEE | Each | ||||||||
| 87389 x 1 | HIV-2 AB,EIA,W/WB RFX | HIV-1/2 Ag and Ab, Fourth Generation, w/ Reflexes | Each | ||||||||
| 86376 x 1 | THYROID PEROXIDASE AB | Thyroid Peroxidase Antibodies | Each | ||||||||
| 86787 x 2 | VZV AB (IGG),(IGM),EIA | Varicella-Zoster Virus Antbodies (IgG, IgM) | Each | ||||||||
| 84153 x 1 | PSA,TOTAL | PSA, Total | Each | ||||||||
| 86160 x 2 | C3,C4 | C4 & C3 Complement Group | Each | ||||||||
| 99199 x 1 | SURG PATH LVL IV,2 UNITS | HISTOPATHOLOGY TISSUE/BIOPSY | This test is a shell code. Price determined based on sample sent. | Each | |||||||
| 86140 x 1 | C-REACTIVE PROTEIN | C-Reactive Protein | Each | ||||||||
| 87591 x 1 | NEISSERIA GONORRHOEAE RNA,TMA | Neisseria gonorrhoeae RNA, TMA | Each | ||||||||
| 83002 x 1 | LH | LH (Luteinizing Hormone) | Each | ||||||||
| 86708 x 1 | HAV AB,TOTAL W/(IGM) RFX | Hepatitis A Antibody, Total with Reflex to IgM | Each | ||||||||
| 86682 x 1 | SCHISTOSOMA AB | Schistosoma IgG Antibody, FMI (Serum) | Best Match. | Each | |||||||
| 86709 x 1 | HAV AB (IGM) | Hepatitis A IgM | Best Match. | Each | |||||||
| 86695 x 1; 86696 x 1 | HSV 1-2 IGG HERPESELECT AB | HSV 1/2 (IgG), Type-Specific Abs (HerpeSelect(R)) | Each | ||||||||
| 87340 x 1 | HB S AG W/RFX CONF | Hepatitis B Surface Antigen w/rflx to Confirmation | Each | ||||||||
| 82105 x 1 | AFP,TUMOR MARKER,SERUM | Alpha Fetoprotein, Tumor Marker | Each | ||||||||
| 86803 x 1 | HCV AB | Hepatitis C Antibody w/Rflx to HCV,RNA,QN RT-PCR | Best Match. | Each | |||||||
| 86021 x 2 | ANCA/VASCULITIDES | ANCA Vasculitides | Each | ||||||||
| 99199 x 1 | SURG PATH LVL III, 1 UNIT | HISTOPATHOLOGY TISSUE/BIOPSY | This test is a shell code. Price determined based on sample sent. | Each | |||||||
| 86618 x 1 | LYME DISEASE SCREEN W/RFX | Lyme Disease Antibody with Rflx to Blot (IgG, IgM) | Best Match. | Each | |||||||
| 87517 x 1 | HBV DNA,QN,PCR | Hepatitis B Virus DNA, Quantitative, Real-Time PCR | Each | ||||||||
| 86147 x 2 | CARDIOLIPIN AB (IGG,IGM) | Cardiolipin Antibodies (IgG, IgM) | Each | ||||||||
| 86644 x 1; 86645 x 1 | CYTOMEGALOVIRUS AB IGG & IGM | Cytomegalovirus Antibodies (IgG, IgM) | Each | ||||||||
| 86317 x 1 | HBV IMMUNITY SCREEN | HBV Post-Vaccine Screen | Best Match. | Each | |||||||
| 99199 x 1 | SURG PATH LVL IV, 4 UNITS | HISTOPATHOLOGY TISSUE/BIOPSY | This test is a shell code. Price determined based on sample sent. | Each | |||||||
| 86704 x 1; 86706 x 1; 86708 x 1; 86803 x 1; 87340 x 1 | HBSAG,HBSAB,HBC,HAA,HCV W/RFX | Hepatitis Profile #35 | Each | ||||||||
| 86682 x 1 | FILARIA IGG4 AB, ELISA | Filaria Antibody (IgG4) | Each | ||||||||
| 86664 x 1; 86665 x 2 | EBV 4 AB PROFILE | Epstein-Barr Virus Antibody Panel | Each | ||||||||
| 99199 x 1 | SURG PATH LVL IV,2 UNITS SKIN | HISTOPATHOLOGY TISSUE/BIOPSY | This test is a shell code. Price determined based on sample sent. | Each | |||||||
| 86235 x 2 | ANTI-SJOGRENS SSA & SSB | Sjogren's Antibodies (SS-A, SS-B) | Each | ||||||||
| 86141 x 1 | CARDIO CRP | hs-CRP | Best Match. | Each | |||||||
| 84479 x 1 | T3 UPTAKE* | T3 Uptake | Each | ||||||||
| 86340 x 1 | INTRINSIC FACTOR BLOCKING AB | Intrinsic Factor Blocking Antibody | Each | ||||||||
| CONSULT&REPORT-SLIDES REFERRED | Diagnostic Consult, Paraffin Block/Referred Slides | This test is a shell code. Price determined based on sample sent. | Each | ||||||||
| 84402 x 1; 84403 x 1 | TESTOSTERONE,FREE-TOT,LC-MS-MS | Testosterone, Free (Dialysis) and Total (LC/MS/MS) | Best Match. | Each | |||||||
| 86800 x 1 | THYROGLOBULIN AB | Thyroglobulin Antibodies | Each | ||||||||
| 87491 x 1; 87591 x 1 | CLR-CHLAMYDIA-GC,DNA wRFL | Chlamydia/N.gonorrhoeae DNA, SDA | Best Match. No reflexes. | Each | |||||||
| HELICOBACTER PYLORI IGG AB | Each | ||||||||||
| 80048 x 1 | BASIC METABOLIC PANEL | Basic Metabolic Panel | Best Match. | Each | |||||||
| HERPES 1,2 & VZV (IGG.M) | Custom Panel: HERPES 1,2 & VZV (IGG, IGM) | Custom Panel. | Each | ||||||||
| 99199 x 1 | SURG PATH LVL IV,3 UNITS SKIN | HISTOPATHOLOGY TISSUE/BIOPSY | This test is a shell code. Price determined based on sample sent. | Each | |||||||
| 99199 x 1 | SURG PATH LVL IV,4 UNITS SKIN | HISTOPATHOLOGY TISSUE/BIOPSY | This test is a shell code. Price determined based on sample sent. | Each | |||||||
| 82784 x 3 | ANTI-GBM ANTIBODIES | Immunoglobulin Panel | Each | ||||||||
| 83921 x 1 | METHYLMALONIC ACID,SERUM | Methylmalonic Acid | Each | ||||||||
| 86703 x 1 | HIV-1/HIV-2,EIA | HIV 1/2 Antibody Screen | Best Match. | Each | |||||||
| 83090 x 1 | HOMOCYSTEINE (NUTRITIONAL) | Homocysteine | Each | ||||||||
| MISC TEST | Each | ||||||||||
| 82175 x 1; 83655 x 1; 83825 x 1 | HEAVY METALS 3,24HR URINE | Heavy Metals Panel, 24-Hour Urine | Each | ||||||||
| 84450 x 1 | AST | Aspartate Aminotransferase (AST) | Each | ||||||||
| 87517 x 1 | HBV COMPREHENSIVE PANEL | HBV DNA, Quantitative PCR w/Reflex to HBV Genotype | Each | ||||||||
| 86038 x 1; 86225 x 1; 86235 x 5 | ANTI-NUCLEAR AB,EIA | ANA, IFA Panel Comprehensive | Each | ||||||||
| 86780 x 1 | FTA-ABS,SERUM | FTA-ABS | Each | ||||||||
| 82607 x 1 | VITAMIN B12,SERUM | Vitamin B12 | Each | ||||||||
| 84432 x 1; 86800 x 1 | THYROGLOBULIN PANEL | Thyroglobulin Panel | Best Match. | Each | |||||||
| 82670 x 2 | ESTRADIOL,FREE,SERUM | Estradiol, Free, LC/MS/MS | Best Match. | Each | |||||||
| 80301 x 1 | BLOOD DRUG SCREEN,BASIC | Drug Abuse Screen 7, Serum | Each | ||||||||
| 84460 x 1 | ALT | Alanine Aminotransferase (ALT) | Each | ||||||||
| 84702 x 1 | HCG,TUMOR,SERUM* | hCG, Total, Quantitative | Best Match. | Each | |||||||
| 86615 x 4 | BORDETELLA PERTUSSIS (IGG,A,M) | Bordetella pertussis IgG and IgA Antibodies, MAID | Closest Match. Doesn't include IgM | Each | |||||||
| 87389 x 1 | WESTERN BLOT - HIV-2 ANTIBODY+ | HIV-1/2 Ag and Ab, Fourth Generation, w/ Reflexes | Each | ||||||||
| 82465 x 1; 83718 x 1 | CHOLESTEROL & HDL CHOLESTEROL | HDL Cholesterol Panel | Best Match. | Each | |||||||
| 86308 x 1 | MONO SCREEN, LA | Heterophile, Mono Screen | Best Match. | Each | |||||||
| 86790 x 2 | DENGUE FEVER (IGG,M) | Dengue Fever Antibodies (IgG, IgM) | Best Match. | Each | |||||||
| 83090 x 1; 83921 x 1 | METHYLMALONIC AND HOMOCYSTEINE | Methylmalonic Acid & Homocysteine | Each | ||||||||
| 86617 x 2 | LYME DISEASE (IGG,M),WB | Lyme Disease Antibodies (IgG, IgM), Immunoblot | Best Match. Immunoblot instead of Western Blot | Each | |||||||
| 82306 x 1 | VITAMIN D,25-HYDROXY | QuestAssureD(TM) 25-Hydroxyvitamin D (D2, D3) | Each | ||||||||
| 83001 x 1; 83002 x 1 | FSH AND LH | FSH and LH | Each | ||||||||
| 86692 x 1 | HDV AB | Hepatitis D Antibody, Total | Each | ||||||||
| 87177 x 1; 87209 x 1 | O & P, CONC&STAIN, 3 SPEC | Ova&Parasites,Stool Concentrate & Permanent Smear | Each | ||||||||
| 82310 x 1; 83970 x 1 | PTH,INTACT AND CALCIUM | PTH, Intact and Calcium | Each | ||||||||
| 86376 x 1; 86800 x 1 | THYROID AB (ATA,TPO) | Thyroid Peroxidase and Thyroglobulin Antibodies | Best Match. | Each | |||||||
| 86235 x 1 | SCL-70 AB, EIA | Scleroderma Antibody (Scl-70) | Best Match. | Each | |||||||
| 84702 x 1 | HCG*,SERUM | hCG, Total, Quantitative | Best Match. | Each | |||||||
| 86665 x 2 | EPSTEIN-BARR VCA AB, IGG&IGM | Epstein-Barr VCA Panel | Best Match. | Each | |||||||
| 88342 x 1 | CD34, TISSUE | CD34, IHC with Interpretation | Best Match. | Each | |||||||
| 83519 x 1 | ACETYLCHOLINE RECEP BINDING AB | Acetylcholine Receptor Binding Antibody | Each | ||||||||
| 86710 x 2 | INFLUENZA AB,TYPE A & B | Influenza Type A and B Antibodies, Serum | Each | ||||||||
| 86704 x 1; 86706 x 1; 86803 x 1; 87340 x 1 | HEP11:HBSAG,HBSAB,HBC,HCV | Hepatitis Profile #101 | Each | ||||||||
| 82088 x 1 | ALDOSTERONE, SERUM | Aldosterone, LC/MS/MS | Best Match. | Each | |||||||
| 86777 x 1; 86778 x 1 | TOXOPLASMA AB (IGG,IGM), EIA | Toxoplasma Antibodies (IgG, IgM) | Best Match. | Each | |||||||
| 82607 x 1; 82746 x 1 | VITAMIN B12 & FOLATE | Vitamin B12 and Folate | Best Match. | Each | |||||||
| 84155 x 1; 84165 x 1; 86334 x 1 | SPE,IMMUNOFIXATION | Protein, Total & Electrophoresis w/Immunofixation | Best Match. | Each | |||||||
| 82784 x 1; 83516 x 1 | CELIAC DISEASE COMP PANEL | Celiac Disease Comprehensive Panel | Best Match. | Each | |||||||
| 86803 x 1 | HCV AB,RIBA | Hepatitis C Antibody w/Rflx to HCV,RNA,QN RT-PCR | Best Match. | Each | |||||||
| 86592 x 1 | RPR SCREEN W/REFLEX TO TITER | RPR (Monitor) with Reflex to Titer | Best Match. | Each | |||||||
| 82784 x 3 | IGA,IGG,IGM | Immunoglobulin Panel | Best Match. | Each | |||||||
| 82310 x 1 | CALCIUM | Calcium, Total | Each | ||||||||
| 86708 x 1 | HAV AB,TOTAL | Hepatitis A Antibody, Total | Best Match. | Each | |||||||
| 86632 x 3 | CHLAMYDIA SPECIES AB (IGM) | Chlamydia and Chlamydophila Antibody Panel 2 (IgM) | Best Match. | Each | |||||||
| NIPPLE SMEAR | CYTOLOGY, NON-GYNECOLOGICAL SMEAR, INTERFACE ORDER | This test is a shell code. Price determined based on sample sent. | Each | ||||||||
| 86225 x 1 | DNA (DS) ABS | DNA (ds) Antibody | Each | ||||||||
| 86617 x 2 | LYME DISEASE AB TOTAL & IGM | Lyme Disease Antibodies (IgG, IgM), Immunoblot | Best Match. | Each | |||||||
| 82528 x 1 | CORTICOSTERONE,SERUM | Corticosterone, LC/MS/MS | Each | ||||||||
| 84481 x 1 | T3,FREE | T3, Free | Each | ||||||||
| 87389 x 1 | HIV-1,HIV-2 AB,EIA wWB RFX | HIV-1/2 Ag and Ab, Fourth Generation, w/ Reflexes | Best Match. No reflexes. | Each | |||||||
| 86235 x 1 | SM/RNP AB | Sm/RNP Antibody | Each | ||||||||
| 86689 x 1 | NICHOLS HIV-1 WESTERN BLOT | HIV-1 Antibody Western Blot | Best Match. | Each | |||||||
| LIP*CCRP | Each | ||||||||||
| 86622 x 2 | BRUCELLA(IGG,IGM),EIA | Brucella Abs (IgG,IGM),EIA w/Rflx to Agglutination | Each | ||||||||
| 99199 x 1 | SURG PATH LVL IV,5 UNITS SKIN | HISTOPATHOLOGY TISSUE/BIOPSY | This test is a shell code. Price determined based on sample sent. | Each | |||||||
| 84550 x 1 | URIC ACID | Uric Acid | Each | ||||||||
| 86592 x 1 | REFLEX RPR TITER wRFX FTA* | RPR,(DX) w/Reflex to Titer & Confirmatory Test | Best Match. | Each | |||||||
| 82945 x 1; 83872 x 1; 84999 x 1; 89051 x 1; 89060 x 1 | SYNOVIAL FLUID PROFILE 2 | SYNOVIAL FLUID ANALYSIS | Best Match. | Each | |||||||
| BREAST ASPIRATE | CYTOLOGY, NON-GYNECOLOGICAL SMEAR, INTERFACE ORDER | This test is a shell code. Price determined based on sample sent. | Each | ||||||||
| 84155 x 1; 84165 x 1 | PROTEIN ELECTRO,W/TPROT,SERUM | Protein, Total and Protein Electrophoresis | Best Match. | Each | |||||||
| 86631 x 3 | CHLAMYDIA SPECIES AB (IGG) | Chlamydia and Chlamydophila Antibody Panel 1 (IgG) | Each | ||||||||
| 82378 x 1 | CEA | CEA | Each | ||||||||
| 87207 x 1 | MALARIA,BLOOD | Malaria/Babesia/Other Blood Parasites | Best Match. | Each | |||||||
| 82164 x 1 | ANGIOTENSIN CONVERTING ENZYME | ANGIOTENSIN CONVERTING ENZYME | Each | ||||||||
| 83516 x 1 | TISSUE TRANSGLUTAMINASE AB IgG | Tissue Transglutaminase IgG Antibody | Each | ||||||||
| 82947 x 1 | GLUCOSE,FASTING* | Glucose, Fasting Serum | Each | ||||||||
| 82150 x 1 | AMYLASE, SERUM | Amylase | Each | ||||||||
| 86790 x 1 | DENGUE FEVER AB (IGG) | Dengue Fever Antibody (IgG) | Each | ||||||||
| 86704 x 1 | HB CORE AB,TOTAL | Hepatitis B Core Antibody, Total | Each | ||||||||
| 86160 x 1 | C1Q,SERUM | Complement Component C1q | Best Match. | Each | |||||||
| 84466 x 1 | TRANSFERRIN*,SERUM | Transferrin | Each | ||||||||
| 87206 x 1 | PAS-FUNGUS STAIN | Fungus Smear, Sputum, Tissue, or Body Fluid | Each | ||||||||
| 82746 x 1 | FOLATE,SERUM | Folate, Serum | Each | ||||||||
| 86618 x 1 | LYME DISEASE SCR,LATE W/RFX | Lyme Disease Antibody with Rflx to Blot (IgG, IgM) | Best Match. | Each | |||||||
| 80353 x 1 | COCAINE METABOLITE,URINE,QUAL | Cocaine Metabolite (100), Qualitative GCMS, Urine | Best Match. | Each | |||||||
| 86735 x 1 | MUMPS AB IGG | Mumps Virus Antibody (IgG) | Each | ||||||||
| 86038 x 1 | ANTI-CENTROMERE AB WITH REFLEX | Centromere B Antibody | Each | ||||||||
| 86160 x 1 | C4, SERUM | Complement Component C4 | Best Match. | Each | |||||||
| 83735 x 1 | MAGNESIUM* | Magnesium | Each | ||||||||
| 84478 x 1 | TRIGLYCERIDES* | Triglycerides | Each | ||||||||
| 86160 x 1 | C3,SERUM | C3, Complement | Each | ||||||||
| 99199 x 1 | GEIMSA STAIN | HISTOPATHOLOGY TISSUE/BIOPSY | This test is a shell code. Price determined based on sample sent. | Each | |||||||
| 82627 x 1 | DHEA SULFATE | DHEA Sulfate | Each | ||||||||
| 86695 x 1; 86696 x 1 | HSV IGM AB w/RFX to Titer | HSV 1/2 Ab (IgM), IFA with Reflex to Titer, Serum | Each | ||||||||
| 87177 x 1; 87209 x 1 | SCHISTOSOMIASIS,URINE | Ova&Parasites,Stool Concentrate & Permanent Smear | Best Match. Test is part of this test. | Each | |||||||
| 83625 x 1 | LD ISOENZYMES,SERUM | Lactate Dehydrogenase (LD) Isoenzymes | Each | ||||||||
| 86235 x 1 | SM AB, EIA | Sm Antibody | Best Match. | Each | |||||||
| 86235 x 1 | ANTI-SJOGREN'S-B (SS-B) | Sjogren's Antibody (SS-B) | Each | ||||||||
| 84436 x 1; 84443 x 1; 84479 x 1 | THYROID PROFILE W/TSH* REFLEX | Thyroid Panel with TSH | Best Match. | Each | |||||||
| 99199 x 1 | SURG PATH LVL V, 1 UNIT | HISTOPATHOLOGY TISSUE/BIOPSY | This test is a shell code. Price determined based on sample sent. | Each | |||||||
| 86765 x 1 | RUBEOLA AB IGG, EIA | Measles Antibody (IgG) | Best Match. | Each | |||||||
| 87102 x 1 | CULTURE,YEAST,MISC | Culture, Yeast with ID and Susceptibility | Best Match. | Each | |||||||
| 86648 x 1 | DIPHTHERIA ANTITOXOID AB | Diphtheria Antitoxoid | Each | ||||||||
| 83655 x 1 | LEAD,BLOOD | Lead, Blood | Each | ||||||||
| 86147 x 1 | CARDIOLIPIN AB (IGA) | Cardiolipin Antibody (IgA) | Each | ||||||||
| 85025 x 1 | CBC W/DIFF & PLT | COMPLETE BLOOD COUNT WITH DIFFERENTIAL | Best Match. | Each | |||||||
| 82465 x 1; 83718 x 1; 84478 x 1 | CLR-LIPID PANEL* | Lipid Panel | Each | ||||||||
| 86696 x 1 | HSV 2 IGG HERPESELECT SPEC AB | HSV 2 IgG,Type-Specific Antibody (HerpeSelect (R)) | Each | ||||||||
| 86790 x 1 | HEPATITIS E ANTIBODY IGM+ | Hepatitis E Antibody (IgM) | Best Match. | Each | |||||||
| 86403 x 1 | ANTI-STREPTOZYME SCREEN (ASO) | Streptozyme Screen with Reflex to Titer | Best Match. | Each | |||||||
| 87070 x 1 | CULTURE,GENITAL | Urogenital Culture | Best Match. | Each | |||||||
| CHAGAS DISEASE ANTIBODY, IGG | Each | ||||||||||
| 83721 x 1 | LDL CHOLESTEROL,DIRECT* | Direct LDL | Each | ||||||||
| 82480 x 1 | CHOLINESTERASE,SERUM | Cholinesterase, Serum | Each | ||||||||
| 82465 x 1 | CHOLESTEROL,TOTAL* | Cholesterol, Total | Each | ||||||||
| 84075 x 1 | ALKALINE PHOSPHATASE | Alkaline Phosphatase | Each | ||||||||
| 86762 x 1 | RUBELLA SCREEN IGG, IMMUNITY | Rubella Immune Status | Best Match. | Each | |||||||
| 82550 x 1; 82552 x 1 | CK-MB FRACTION | Creatine Kinase (CK) Isoenzyme Panel with Total CK | Each | ||||||||
| 83516 x 1 | GASTRIC PARIETAL CELL AB,ELISA | Gastric Parietal Cell Antibody, ELISA | Each | ||||||||
| 83718 x 1 | HDL CHOLESTEROL* | HDL Cholesterol | Each | ||||||||
| SMEAR - MISCELLANEOUS | CYTOLOGY, NON-GYNECOLOGICAL SMEAR, INTERFACE ORDER | This test is a shell code. Price determined based on sample sent. | Each | ||||||||
| 86255 x 1 | ENDOMYSIAL AB SCR (IGA) w-REFL | Endomysial Antibody Screen (IgA),Reflex to Titer | Best Match. | Each | |||||||
| 87040 x 1 | CULTURE,BLOOD | BLOOD CULTURE | Best Match. | Each | |||||||
| 80346 x 1 | BENZODIAZEPINES,QUAL | BENZODIAZEPINE, QUAL BY GCMS | Each | ||||||||
| 83690 x 1 | LIPASE,SERUM | Lipase | Each | ||||||||
| 84436 x 1; 84443 x 1; 84479 x 1 | THYROID PANEL & TSH* | Thyroid Panel with TSH | Each | ||||||||
| 84703 x 1 | HCG,QL,SERUM* | hCG, Total, Qualitative | Best Match. | Each | |||||||
| 82565 x 1 | CREATININE | Creatinine | Each | ||||||||
| STAT FEE | Each | ||||||||||
| 82977 x 1 | GGT* | Gamma Glutamyl Transferase(GGT) | Each | ||||||||
| 82040 x 1 | ALBUMIN | Albumin | Each | ||||||||
| 82247 x 1 | BILIRUBIN, TOTAL | Bilirubin, Total | Each | ||||||||
| 82248 x 1 | BILIRUBIN, DIRECT | Bilirubin, Direct | Each | ||||||||
| 84100 x 1 | PHOSPHORUS | Phosphate (As Phosphorus) | Each | ||||||||
| 85025 x 1 | WBC* & DIFFERENTIAL* | COMPLETE BLOOD COUNT WITH DIFFERENTIAL | Best Match. | Each | |||||||
| 87206 x 1 | ACID FAST STAIN | Acid-Fast Bacilli Stain | Best Match. | Each | |||||||
| 99199 x 1 | STAIN,METHENAMINE SILVER | HISTOPATHOLOGY TISSUE/BIOPSY | This test is a shell code. Price determined based on sample sent. | Each | |||||||
| 82533 x 1 | CORTISOL, TOTAL, SERUM | Cortisol, Serum,Total | Each | ||||||||
| 84520 x 1 | UREA NITROGEN | Urea Nitrogen (BUN) | Each | ||||||||
| 80051 x 1 | ELECTROLYTE PANEL | Electrolyte Panel | Best Match. | Each | |||||||
| 87205 x 1 | GRAM STAIN SMEAR | Gram Stain | Each | ||||||||
| 83540 x 1; 83550 x 1 | IRON* | Iron and Total Iron Binding Capacity | Best Match. | Each | |||||||
| 86162 x 1 | COMPLEMENT,TOTAL (CH50) | Complement, Total (CH50) | Each | ||||||||
| 86255 x 1 | PROF-ENDOMYSIUM AB SCREEN | Endomysial Antibody Screen (IgA),Reflex to Titer | Best Match. | Each | |||||||
| 86255 x 1 | PROF-ENDOMYSIUM (IGA) AB TITER | Endomysial Antibody Screen (IgA),Reflex to Titer | Best Match. | Each | |||||||
| 87389 x 1 | PROF ANTI HIV-2,WB | HIV-1/2 Ag and Ab, Fourth Generation, w/ Reflexes | Each | ||||||||
| 86706 x 1 | HB S AB,QL | Hepatitis B Surface Antibody, Qualitative | Each | ||||||||
| 87255 x 1 | CULTURE,HERPES SIMPLEX,RAPID | Herpes simplex Virus Culture | Best Match. | Each | |||||||
| 87491 x 1 | CHLAMYDIA TRACHOMATIS DNA,PCR | Chlamydia trachomatis DNA, SDA | Best Match. Different methodology. | Each | |||||||
| 87591 x 1 | NEISSERIA GONORRHOEAE DNA,PCR | Neisseria gonorrhoeae RNA, TMA | Best Match. | Each | |||||||
| 88142 x 1 | SCREEN THIN PREP | ThinPrep(R) Pap | Best Match. | Each | |||||||
| 99199 x 1 | TISSUE,DERMPATH,SKIN | HISTOPATHOLOGY TISSUE/BIOPSY | This test is a shell code. Price determined based on sample sent. | Each | |||||||
| 99199 x 1 | TISSUE PATHOLOGY | HISTOPATHOLOGY TISSUE/BIOPSY | This test is a shell code. Price determined based on sample sent. | Each | |||||||
| 85598 x 1; 85610 x 1; 85613 x 1; 85670 x 1; 86146 x 2; 86147 x 2 | LUPUS PHOSPHOLIPID AB PNL | Lupus Anticoag & Antiphos Confirm (on coumadin) | Each | ||||||||
| 87070 x 1; 87075 x 1; 87205 x 1 | CULTURE,AEROBIC AND ANAEROBIC | Culture, Anaerobic Bacteria with Gram Stain | Each | ||||||||
| 87491 x 1; 87591 x 1 | CHLAMYDIA-GC DNA,PCR | Chlamydia/N.gonorrhoeae DNA, SDA | Best Match. Different methodology. | Each | |||||||
| 86790 x 2 | Chikungunya Antibodies (IgG, IgM) with Reflex to Titer | Chikungunya Antibodies with Reflex(es) to Titer | Each | ||||||||
| 87798 x 1 | Chikungunya Virus RNA, Qualitative, Real-Time PCR | Chikungunya Virus RNA, Qualitative Real-Time PCR | Each | ||||||||
| 86790 x 1 | Zika Virus Antibody (IgM) | Zika Virus IgM MAC-ELISA | Each |
&"Times New Roman,Bold"
1145PC22Q0096
Diagnostic Laboratory Testing Services Attachment 2 - BPA Pricing &"-,Regular" (Fill in cells highlighted in yellow.)
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File details come from the government source that posted it. Updated .