Attachment 2 - Pricing Schedule - Lab Testing.xlsx
XLSX spreadsheet 15 KB Posted
- Attached to
- Laboratory Testing Services
- Solicitation number
- FA670324Q0015
About this file
This document is an Attachment 2 - Pricing Schedule for a Laboratory Testing Services contract (Solicitation #FA670324Q0015) issued by the Department of the Air Force Reserve Command.
The contract requires the successful offeror to provide a range of laboratory testing services to support the Contingency Aeromedical Staging Facility (CASF) at Dobbins Air Reserve Base in Marietta, Georgia. The services include routine tests such as blood work, urinalysis, and vaccinations, with estimated annual quantities provided for each test. Pricing is required for three service categories: Monday-Friday, Drill Weekend, and Unscheduled. The pricing schedule template includes the test description, CPT code, estimated annual quantities, and unit pricing for each test. The total estimated annual value is not provided. There are no details on response deadlines, contract duration, set-asides, or other terms.
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Text version
Sheet1
| FA670324Q0015 -- Laboratory Testing Services |
| Attachment 2, Pricing Schedule |
| Contractor: |
| Cage Code: |
| Test Description | CPT Code | Monday - Friday | Drill Weekend | Unscheduled | |||||||
| Est # Test Per Year | Price Standard | Price Subtotal | Est # Test Per Year | Price Standard | Price Subtotal | Est # Test Per Year | Price Standard | Price Subtotal | |||
| ABO & RH | 86901 | $ - 0 | 15 | $ - 0 | $ - 0 | ||||||
| ALCOHOL, ETHYL (B) | 82055 | $ - 0 | 3 | $ - 0 | $ - 0 | ||||||
| Blood Lead | 83655 | $ - 0 | $ - 0 | $ - 0 | |||||||
| CBC (w/ differential, RBC indices & morphology, and platelet count) | 85025 | $ - 0 | 20 | $ - 0 | $ - 0 | ||||||
| Fecal Occult Blood Test | 82274 | $ - 0 | 1 | $ - 0 | $ - 0 | ||||||
| G6PD (Blood) | 82955 | $ - 0 | 15 | $ - 0 | $ - 0 | ||||||
| Glucose - Fasting | 82947 | $ - 0 | 5 | $ - 0 | $ - 0 | ||||||
| Hemagram - Hematocrit | 85014 | $ - 0 | 5 | $ - 0 | $ - 0 | ||||||
| Hemagram - Hemoglobin | 85018 | $ - 0 | 5 | $ - 0 | $ - 0 | ||||||
| Hepatitis Panel A/C - Antibody | 86704 | ||||||||||
| 86803 | $ - 0 | 3 | $ - 0 | $ - 0 | |||||||
| Hepatitas B (Surface Antigen w/ Reflex Confirmation) | 86317 | $ - 0 | 5 | $ - 0 | $ - 0 | ||||||
| HIV (Antibody 1 & 2 screening w/ reflex to Western Blot) | 86689 | $ - 0 | $ - 0 | $ - 0 | |||||||
| Lipid Panel | 80061 | $ - 0 | 20 | $ - 0 | $ - 0 | ||||||
| Liver Function (ALT, AST, direct & indirect bilirubin, alkaline phosphatase) | 80076 | $ - 0 | 20 | $ - 0 | $ - 0 | ||||||
| PSA | 84153 | $ - 0 | $ - 0 | $ - 0 | |||||||
| Renal Function | 80069 | $ - 0 | 2 | $ - 0 | $ - 0 | ||||||
| Sickle Cell (Blood) | 85660 | $ - 0 | 15 | $ - 0 | $ - 0 | ||||||
| Urinalysis (dispstick test for flucose, ketones, leukocyte esterase, protein, blood & bilirubin) | 81001 | $ - 0 | 10 | $ - 0 | $ - 0 | ||||||
| Drug - Urinalysis | 80100 | $ - 0 | 5 | $ - 0 | $ - 0 | ||||||
| MMR | 86765 |
86735
| 86762 | $ - 0 | 5 | $ - 0 | $ - 0 | |||||||
| RPR | 86592 | $ - 0 | 5 | $ - 0 | $ - 0 | ||||||
| HCG | 81025 | 5 | $ - 0 | 40 | $ - 0 | 10 | |||||
| TSH | 84443 | $ - 0 | $ - 0 | $ - 0 | |||||||
| HEMOGLOBINOPATHY EVALUATION | 35489 | $ - 0 | |||||||||
| GGT | 82977 | $ - 0 | $ - 0 | ||||||||
| CHROMIUM RANDOM URINE | 11278 | 1 | $ - 0 | ||||||||
| PERFLUOROALKYL SUBSTANCES | 82542 | 5 | $ - 0 | ||||||||
| SARS COV2 NAAT | 39448 | 5 | $ - 0 | ||||||||
| CHEM 10 | 80048 | $ - 0 | 10 | $ - 0 | $ - 0 | ||||||
| Subtotal | 16 | $ - 0 | $ - 0 | 209 | $ - 0 | $ - 0 | 10 | $ - 0 | $ - 0 | ||
| Total | $ - 0 |
&P
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