Attachment A - Price Schedule.xlsx

XLSX spreadsheet 58 KB Posted Jun 15, 2026

Attached to: Q301--Reference Lab Testing
Solicitation number: 36C26226Q0973
Issued by: Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 22

About this file

Written by GovTribe AI · Jun 15, 2026

This is a Price Schedule attachment for a Department of Veterans Affairs Indefinite-Delivery Indefinite-Quantity (IDIQ) contract solicitation (36C26226Q0973) for reference laboratory testing services. The schedule lists 148 laboratory line items across a Base Year and four Option Years, with estimated annual quantities for each service. Services span multiple diagnostic categories including cytogenetics (interphases, metaphases, FISH probes), immunohistochemistry stains (IHC, ISH, IF), hematologic and molecular testing (BCR/ABL mutations, JAK2 mutations, flow cytometry), next-generation sequencing panels (melanoma, solid tumors, myeloid neoplasms), and specialized assays (thrombophilia profiles, autoimmune/paraneoplastic evaluations, immunosuppressive drug monitoring). Line items are coded with Current Procedural Terminology (CPT) codes and include quantity estimates ranging from 2 to 700 tests annually per line item, with provisions for identifying the performing laboratory's CLIA certification number and location.

The pricing template requires bidders to complete unit prices and extended prices for all 148 services across the Base Year and four Option Years, with a total pricing line at the conclusion of each contract period. Bidders must also provide company information including firm name, address, telephone number, email, point of contact, and UEI number. The contract is issued under FAR Part 12 for commercial items with a NAICS code 621511 (medical laboratories) and a size standard of $41.5 million, targeting Firm-Fixed Price delivery of laboratory services through full and open competition.

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File	Type	Posted
Amendment 0001.docx	DOCX document	Jun 22, 2026
36C26226Q0973 0001.docx	DOCX document	Jun 22, 2026
Attachment B - SOW.doc	DOC document	Jun 15, 2026
36C26226Q0973.docx	DOCX document	Jun 15, 2026

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1. Base

CLIN	Service	CPT Code	Estimated Annual Quantity	Base Year Unit Price	Extended Price	Name of Lab Performing Test	Location (City, State) of Lab Performing Test	CLIA Certification Number of Lab Performing Test
1	Interphases, >=100 (Bill Only)	88275	30		$ - 0
2	Metaphases, 15-20 (Bill Only)	88262	2		$ - 0
3	Metaphases, 20-25 (Bill Only)	88264	36		$ - 0
4	Metaphases, 1-19 (Bill Only)	88264	2		$ - 0
5	Probe, +1 (Bill Only)	88271	2		$ - 0
6	Probe, +2 (Bill Only)	88271x2	26		$ - 0
7	Probe, Each Additional (BLYM) (Bill Only)	88377	2		$ - 0
8	Probe, Each Additional (SLL) (Bill Only)	88377	20		$ - 0
9	Programmed Death-Ligand 1 (PD-L1) (22C3), Semi-Quantitative Immunohistochemistry, Manual	88360	34		$ - 0
10	25-Hydroxyvitamin D:24,25-Dihydroxyvitamin D Ratio, Serum	82306, 82542	2		$ - 0
11	3-Methoxytyramine, 24 Hour, Urine	82542	2		$ - 0
12	Thrombophilia Profile, Plasma and Whole Blood	81240,

85300, 85303, 85306, 85307, 85379, 85384, 85390, 85610, 85613,

85670, 85730	2		$ - 0
	13	Adalimumab Quantitative with Reflex to Antibody, Serum	80145	74		$ - 0
	14	Flow Cytometry, Cell Surface, Additional	88185	700		$ - 0
	15	Adrenocorticotropic Hormone (ACTH), Plasma	82024	370		$ - 0
	16	Acute Myeloid Leukemia (AML), Specified FISH, Varies	88271x2, 88275x 88291	2		$ - 0
	17	Adalimumab Antibody, Serum	83520	32		$ - 0
	18	Amylase, Pancreatic Cyst	82150	10		$ - 0
	19	Amyloid Protein Identification, Paraffin, LC-MS/MS	88313	6		$ - 0
	20	APOL1 Genotype, Varies	81479	6		$ - 0
	21	Alpha-Globin Gene Analysis	81269	2		$ - 0
	22	Antithrombin Antigen, Plasma	85301	2		$ - 0
	23	BCR/ABL1, p190, mRNA Detection, Reverse Transcription-PCR, Quantitative, Monitoring Assay, Varies	81207	2		$ - 0
	24	BCR/ABL, mRNA Detection, Reverse Transcription-PCR (RT-PCR), Qualitative, Diagnostic Assay	81206 81208	6		$ - 0
	25	BCR/ABL, Tyrosine Kinase Inhibitor Resistance, Kinase Domain Mutation Screen, Sanger Sequencing	81170	2		$ - 0
	26	B-Cell Acute Lymphoblastic Leukemia/Lymphoma (ALL), Specified FISH, Varies	88271x2, 88275, 88291	2		$ - 0
	27	Immunoglobulin Gene Rearrangement, Varies	81261, 81264	22		$ - 0
	28	IGH for B-Cell Chronic Lymphocytic Leukemia (B-CLL), Somatic Hypermutation Analysis	81263	2		$ - 0
	29	BCR/ABL1, p210, mRNA Detection, RT-PCR, Quantitative, Monitoring Chronic Myelogenous Leukemia (CML)	81206	28		$ - 0
	30	BCR/ABL1 Qualitative Diagnostic Assay with Reflex		4		$ - 0
	31	Biliary Tract Malignancy, FISH	88377	2		$ - 0
	32	Probe, Each Additional (BLPMF) (Bill Only)	88271x2, 88275	6		$ - 0
	33	B-Cell Lymphoma, Specified FISH, Varies	88271x2, 88275x 88291	2		$ - 0
	34	B-Cell Lymphoma, FISH, Tissue	88377	2		$ - 0
	35	Bone Marrow Aspirate	85097	30		$ - 0
	36	Bone Marrow Biopsy (Bill Only)	88305	20		$ - 0
	37	Bone Marrow Clot (Bill Only)	88305	26		$ - 0
	38	BRAF V600E/V600K Somatic Mutation Analysis, Tumor	81210	2		$ - 0
	39	Broad Range Bacterial PCR and Sequencing	87801	8		$ - 0
	40	CALR Mutation Analysis, Myeloproliferative Neoplasm (MPN), Reflex	81219	12		$ - 0
	41	Comprehensive Cardiomyopathy Multi-Gene Panel, Blood	81439	2		$ - 0
	42	Clostridium difficile Culture	87081	2		$ - 0
	43	Carcinoembryonic Antigen (CEA), Pancreatic Cyst Fluid	82378	10		$ - 0
	44	Chromogranin A, Serum	86316	130		$ - 0
	45	Chromosome Analysis, Hematologic Disorders, Bone Marrow	88237, 88291	40		$ - 0
	46	Chromosome Analysis, Congenital Disorders, Blood	88230, 88291	2		$ - 0
	47	Cutaneous Direct IFA, Biopsy	88346, 8835x5	2		$ - 0
	48	Coccidioides, Rapid PCR	87798	2		$ - 0
	49	Chronic Lymphocytic Leukemia (CLL), Diagnostic FISH, Varies	88271x12, 88275x6, 88291	2		$ - 0
	50	Chromosomal Microarray, Hematologic Disorders	81277	4		$ - 0
	51	Consult, Outside Slide (Bill Only)	88321	80		$ - 0
	52	Consult, w/Comp Rvw of His (Bill Only)	88325	62		$ - 0
	53	Plasma Cell Proliferative Disorder, Pre-Analysis Cell Sorting, Bone Marrow	88184, 88185x5	2		$ - 0
	54	Consult, w/Slide Prep (Bill Only)	88323	50		$ - 0
	55	Consult, w/USS Prof (Bill Only)	88323	4		$ - 0
	56	Decalcification (Bill Only)	88311	28		$ - 0
	57	EM, Renal Biopsy (Bill Only)	88348	24		$ - 0
	58	Encephalopathy, Autoimmune/Paraneoplastic Evaluation, Spinal Fluid	86255x19, 86341	2		$ - 0
	59	Encephalopathy, Autoimmune/Paraneoplastic Evaluation, Serum	86255x19, 86341	2		$ - 0
	60	Estrogen/Progesterone Receptor, Semi-Quantitative Immunohistochemistry, Manual	88360x2	4		$ - 0
	61	Hematologic Disorders, DNA Extract and Hold	N/A	8		$ - 0
	62	Hematologic Disorders, DNA and RNA Extract and Hold	N/A	6		$ - 0
	63	Flow Cytometry Interp, 9-15 Markers	88188	52		$ - 0
	64	Flow Cytometry Interp, 16 or greater	88189	50		$ - 0
	65	Flow Cytometry Interp, 2-8 Markers	88187	8		$ - 0
	66	Flow Cytometry, Cell Surface, First	88184	110		$ - 0
	67	FLT3 Mutation Analysis, Varies	81245, 81246	4		$ - 0
	68	Growth Differentiation Factor 15 (GDF15), Plasma	83520	2		$ - 0
	69	Gadolinium, Urine	83018	2		$ - 0
	70	Gastrointestinal Dysmotility, Autoimmune/Paraneoplastic Evaluation, Serum	83519, 86255x6	2		$ - 0
	71	Gastrointestinal Pathogen Panel, PCR, Feces	87507	2		$ - 0
	72	SpecStain, Frozen (Bill Only)	88314	16		$ - 0
	73	Helicobacter pylori Culture with Antimicrobial Susceptibilities	87081	2		$ - 0
	74	3-Hydroxy-3-Methylglutaryl Coenzyme-A (HMG-CoA) Reductase, Serum	82397	2		$ - 0
	75	Helicobacter pylori with Clarithromycin Resistance Prediction, Molecular Detection, PCR, Feces	87798x2	4		$ - 0
	76	Human Papillomavirus (HPV) High/Low Risk, DNA In Situ Hybridization	88364, 88365	4		$ - 0
	77	IF Additional Stain (Bill Only)	88350	220		$ - 0
	78	IF Initial Stain (Bill Only)	88346	36		$ - 0
	79	IHC Multiplex (Bill Only)	88344	2		$ - 0
	80	IHC Additional Stain (Bill Only)	88341	200		$ - 0
	81	IHC Initial Stain (Bill Only)	88342	88		$ - 0
	82	IHC Additional Stain, Tech Only (Bill Only)	88341	66		$ - 0
	83	IHC Initial Stain, Tech Only (Bill Only)	88342	102		$ - 0
	84	Infliximab Quantitation with Reflex to Antibodies to Infliximab, Serum	80230	60		$ - 0
	85	Infliximab Antibodies, Serum	82397	36		$ - 0
	86	Bacterial Identification by Sequencing (Bill Only)	87798	2		$ - 0
	87	Identification, Next-Generation Sequencing (Bill Only)	87798	6		$ - 0
	88	ISH Additional Stain (Bill Only)	88364	6		$ - 0
	89	ISH Initial Stain (Bill Only)	88365	12		$ - 0
	90	ISH Additional Stain, Tech Only (Bill Only)	88364	2		$ - 0
	91	ISH Initial Stain, Tech Only (Bill Only)	88365	18		$ - 0
	92	JAK2 V617F Mutation Detection, Blood	81270	22		$ - 0
	93	JAK2 Exon 12 and Other Non-V617F Mutation Detection, Blood	0027U	2		$ - 0
	94	Kelch-Like Protein 11 Antibody, Cell Binding Assay, Serum	86255	2		$ - 0
	95	Level 4 Gross and Microscopic, RB (Bill Only)	88305	20		$ - 0
	96	M-Protein Isotype by MALDI-TOF Mass Spectrometry, Serum	0077U	2		$ - 0
	97	MayoComplete Melanoma Panel, Next-Generation Sequencing, Tumor	81445	10		$ - 0
	98	MayoComplete Solid Tumor Panel, Next-Generation Sequencing, Tumor	81455	2		$ - 0
	99	Movement Disorder, Autoimmune/Paraneoplastic Evaluation, Serum	84182, 86255x19, 86341, 86596	2		$ - 0
	100	Susceptibility, Aerobic, MIC	87186	2		$ - 0
	101	Microdissection, Laser Capture (Bill Only)	88380	6		$ - 0
	102	Myelin Oligodendrocyte Glycoprotein (MOG-IgG1) Fluorescence-Activated Cell Sorting (FACS) Assay, Ser	86363	2		$ - 0
	103	MPL Exon 10 Mutation Detection, Reflex	81339	12		$ - 0
	104	Myeloproliferative Neoplasm (MPN), CALR with Reflex to MPL	81219	2		$ - 0
	105	MPL Exon 10 Sequencing, Reflex	81339	20		$ - 0
	106	Mass Spectrometry (Bill Only)	82542	6		$ - 0
	107	Mycobacterium tuberculosis Complex, Molecular Detection, PCR, Varies	87556	2		$ - 0
	108	Mycobacterium tuberculosis Complex, Molecular Detection, PCR, FFPE	87556	2		$ - 0
	109	MYD88 L265P Gene Mutation Analysis	81305	10		$ - 0
	110	MayoComplete Acute Myeloid Leukemia, Therapeutic Gene Mutation Panel (FLT3, IDH1, IDH2, TP53), Next-	81120, 81121, 81245, 81246, 81352	2		$ - 0
	111	MayoComplete Myeloid Neoplasms, Comprehensive OncoHeme Next-Generation Sequencing, Varies	81450	10		$ - 0
	112	Neuromyelitis Optica (NMO)/Aquaporin-4-IgG Fluorescence-Activated Cell Sorting (FACS) Assay, Serum	86053	12		$ - 0
	113	Nuclear Magnetic Resonance (NMR) Lipoprotein Profile, Serum	83704	2		$ - 0
	114	Orexin-A/Hypocretin-1, Spinal Fluid	83519	2		$ - 0
	115	Paraneoplastic Autoantibody Evaluation, Serum	83519, 86255x9, 86596	4		$ - 0
	116	Peripheral Blood (Bill Only)	85060	20		$ - 0
	117	Peripheral Blood, TC (Bill Only)	85007	30		$ - 0
	118	Probe, Each Additional (PCPDS) Bill Only	88271x2, 88274	8		$ - 0
	119	Plasma Cell Proliferative Disorder, High Risk with Reflex Probes, Diagnostic FISH Evaluation, Bone M	88271x2, 88274, 88291	2		$ - 0
	120	Phospholipase A2 Receptor, Immunofluorescence, Serum	86255	2		$ - 0
	121	Plasma Cell Proliferative Disorder, FISH, Tissue	Plasma Cell Proliferative Disorder, FISH, Tissue	2		$ - 0
	122	Primary Membranous Nephropathy Diagnostic Cascade, Serum	83520	2		$ - 0
	123	Sarcoma Targeted Gene Fusion/Rearrangement Panels, Next-Generation Sequencing, Tumor	81479	2		$ - 0
	124	Sickle Solubility, Blood	85660	2		$ - 0
	125	Slide Review in Molecular Genetics (Bill Only)	88381	19		$ - 0
	126	Small Lymphocytic Lymphoma, FISH, Tissue	88377	4		$ - 0
	127	Soluble Fibrin Monomer, Plasma	85366	2		$ - 0
	128	Programmed Death-Ligand 1 (PD-L1) (SP263), Semi-Quantitative Immunohistochemistry, Manual	88360	6		$ - 0
	129	SpecStain, Grp I, Microorganisms (Bill Only)	88312	24		$ - 0
	130	SpecStain, Grp II, Other (Bill Only)	88313	60		$ - 0
	131	SpecStain, Grp III, Enzyme (Bill Only)	88319	42		$ - 0
	132	T-Cell Receptor Gene Rearrangement, Bone Marrow	81340, 81342	2		$ - 0
	133	T-Cell Receptor Gene Rearrangement, Varies	81340, 81342	10		$ - 0
	134	Thalassemia and Hemoglobinopathy Evaluation, Blood and Serum	82728, 83020x2, 83021	4		$ - 0
	135	Thrombospondin Type-1 Domain-Containing 7A Antibodies, Serum	86255	2		$ - 0
	136	Tissue Processing (Bill Only)	87176	2		$ - 0
	137	Microsatellite Instability, Tumor	81301	2		$ - 0
	138	Ustekinumab Quantitation with Antibodies, Serum	80299, 83520	28		$ - 0
	139	Vedolizumab Quantitation with Reflex to Antibodies, Serum	80280	20		$ - 0
	140	Beta-Globin Cluster Locus Deletion/Duplication, Blood	81363	2		$ - 0
	141	Beta-Globin Gene Sequencing, Blood	81364	2		$ - 0
	142	Neuron-Specific Enolase, CSF	83520	18		$ - 0
	143	Adrenocorticotropic Hormone, Plasma	82024	100		$ - 0
	144	Ro52 and Ro60 Antibodies, IgG, Serum	86235x2	12		$ - 0
	145	JAK2 V617F Mutation Detection, Bone Marrow	81270	22		$ - 0
	146	Vedolizumab Antibodies, Serum	VEMAB	8		$ - 0
	147	Myeloproliferative Neoplasm (MPN), JAK2 V617F with reflex to CALR and MPL	81270	20		$ - 0
	148	KIT Mutation, Exons 8-11 & 17, Hematologic Neoplasms	81272	2		$ - 0
	149				Total	$ - 0

2. Option 1

CLIN	Service	CPT Code	Estimated Annual Quantity	Base Year Unit Price	Extended Price	Name of Lab Performing Test	Location (City, State) of Lab Performing Test	CLIA Certification Number of Lab Performing Test
1	Interphases, >=100 (Bill Only)	88275	30		$ - 0
2	Metaphases, 15-20 (Bill Only)	88262	2		$ - 0
3	Metaphases, 20-25 (Bill Only)	88264	36		$ - 0
4	Metaphases, 1-19 (Bill Only)	88264	2		$ - 0
5	Probe, +1 (Bill Only)	88271	2		$ - 0
6	Probe, +2 (Bill Only)	88271x2	26		$ - 0
7	Probe, Each Additional (BLYM) (Bill Only)	88377	2		$ - 0
8	Probe, Each Additional (SLL) (Bill Only)	88377	20		$ - 0
9	Programmed Death-Ligand 1 (PD-L1) (22C3), Semi-Quantitative Immunohistochemistry, Manual	88360	34		$ - 0
10	25-Hydroxyvitamin D:24,25-Dihydroxyvitamin D Ratio, Serum	82306, 82542	2		$ - 0
11	3-Methoxytyramine, 24 Hour, Urine	82542	2		$ - 0
12	Thrombophilia Profile, Plasma and Whole Blood	81240,

85300, 85303, 85306, 85307, 85379, 85384, 85390, 85610, 85613,

85670, 85730	2		$ - 0
	13	Adalimumab Quantitative with Reflex to Antibody, Serum	80145	74		$ - 0
	14	Flow Cytometry, Cell Surface, Additional	88185	700		$ - 0
	15	Adrenocorticotropic Hormone (ACTH), Plasma	82024	370		$ - 0
	16	Acute Myeloid Leukemia (AML), Specified FISH, Varies	88271x2, 88275x 88291	2		$ - 0
	17	Adalimumab Antibody, Serum	83520	32		$ - 0
	18	Amylase, Pancreatic Cyst	82150	10		$ - 0
	19	Amyloid Protein Identification, Paraffin, LC-MS/MS	88313	6		$ - 0
	20	APOL1 Genotype, Varies	81479	6		$ - 0
	21	Alpha-Globin Gene Analysis	81269	2		$ - 0
	22	Antithrombin Antigen, Plasma	85301	2		$ - 0
	23	BCR/ABL1, p190, mRNA Detection, Reverse Transcription-PCR, Quantitative, Monitoring Assay, Varies	81207	2		$ - 0
	24	BCR/ABL, mRNA Detection, Reverse Transcription-PCR (RT-PCR), Qualitative, Diagnostic Assay	81206 81208	6		$ - 0
	25	BCR/ABL, Tyrosine Kinase Inhibitor Resistance, Kinase Domain Mutation Screen, Sanger Sequencing	81170	2		$ - 0
	26	B-Cell Acute Lymphoblastic Leukemia/Lymphoma (ALL), Specified FISH, Varies	88271x2, 88275, 88291	2		$ - 0
	27	Immunoglobulin Gene Rearrangement, Varies	81261, 81264	22		$ - 0
	28	IGH for B-Cell Chronic Lymphocytic Leukemia (B-CLL), Somatic Hypermutation Analysis	81263	2		$ - 0
	29	BCR/ABL1, p210, mRNA Detection, RT-PCR, Quantitative, Monitoring Chronic Myelogenous Leukemia (CML)	81206	28		$ - 0
	30	BCR/ABL1 Qualitative Diagnostic Assay with Reflex		4		$ - 0
	31	Biliary Tract Malignancy, FISH	88377	2		$ - 0
	32	Probe, Each Additional (BLPMF) (Bill Only)	88271x2, 88275	6		$ - 0
	33	B-Cell Lymphoma, Specified FISH, Varies	88271x2, 88275x 88291	2		$ - 0
	34	B-Cell Lymphoma, FISH, Tissue	88377	2		$ - 0
	35	Bone Marrow Aspirate	85097	30		$ - 0
	36	Bone Marrow Biopsy (Bill Only)	88305	20		$ - 0
	37	Bone Marrow Clot (Bill Only)	88305	26		$ - 0
	38	BRAF V600E/V600K Somatic Mutation Analysis, Tumor	81210	2		$ - 0
	39	Broad Range Bacterial PCR and Sequencing	87801	8		$ - 0
	40	CALR Mutation Analysis, Myeloproliferative Neoplasm (MPN), Reflex	81219	12		$ - 0
	41	Comprehensive Cardiomyopathy Multi-Gene Panel, Blood	81439	2		$ - 0
	42	Clostridium difficile Culture	87081	2		$ - 0
	43	Carcinoembryonic Antigen (CEA), Pancreatic Cyst Fluid	82378	10		$ - 0
	44	Chromogranin A, Serum	86316	130		$ - 0
	45	Chromosome Analysis, Hematologic Disorders, Bone Marrow	88237, 88291	40		$ - 0
	46	Chromosome Analysis, Congenital Disorders, Blood	88230, 88291	2		$ - 0
	47	Cutaneous Direct IFA, Biopsy	88346, 8835x5	2		$ - 0
	48	Coccidioides, Rapid PCR	87798	2		$ - 0
	49	Chronic Lymphocytic Leukemia (CLL), Diagnostic FISH, Varies	88271x12, 88275x6, 88291	2		$ - 0
	50	Chromosomal Microarray, Hematologic Disorders	81277	4		$ - 0
	51	Consult, Outside Slide (Bill Only)	88321	80		$ - 0
	52	Consult, w/Comp Rvw of His (Bill Only)	88325	62		$ - 0
	53	Plasma Cell Proliferative Disorder, Pre-Analysis Cell Sorting, Bone Marrow	88184, 88185x5	2		$ - 0
	54	Consult, w/Slide Prep (Bill Only)	88323	50		$ - 0
	55	Consult, w/USS Prof (Bill Only)	88323	4		$ - 0
	56	Decalcification (Bill Only)	88311	28		$ - 0
	57	EM, Renal Biopsy (Bill Only)	88348	24		$ - 0
	58	Encephalopathy, Autoimmune/Paraneoplastic Evaluation, Spinal Fluid	86255x19, 86341	2		$ - 0
	59	Encephalopathy, Autoimmune/Paraneoplastic Evaluation, Serum	86255x19, 86341	2		$ - 0
	60	Estrogen/Progesterone Receptor, Semi-Quantitative Immunohistochemistry, Manual	88360x2	4		$ - 0
	61	Hematologic Disorders, DNA Extract and Hold	N/A	8		$ - 0
	62	Hematologic Disorders, DNA and RNA Extract and Hold	N/A	6		$ - 0
	63	Flow Cytometry Interp, 9-15 Markers	88188	52		$ - 0
	64	Flow Cytometry Interp, 16 or greater	88189	50		$ - 0
	65	Flow Cytometry Interp, 2-8 Markers	88187	8		$ - 0
	66	Flow Cytometry, Cell Surface, First	88184	110		$ - 0
	67	FLT3 Mutation Analysis, Varies	81245, 81246	4		$ - 0
	68	Growth Differentiation Factor 15 (GDF15), Plasma	83520	2		$ - 0
	69	Gadolinium, Urine	83018	2		$ - 0
	70	Gastrointestinal Dysmotility, Autoimmune/Paraneoplastic Evaluation, Serum	83519, 86255x6	2		$ - 0
	71	Gastrointestinal Pathogen Panel, PCR, Feces	87507	2		$ - 0
	72	SpecStain, Frozen (Bill Only)	88314	16		$ - 0
	73	Helicobacter pylori Culture with Antimicrobial Susceptibilities	87081	2		$ - 0
	74	3-Hydroxy-3-Methylglutaryl Coenzyme-A (HMG-CoA) Reductase, Serum	82397	2		$ - 0
	75	Helicobacter pylori with Clarithromycin Resistance Prediction, Molecular Detection, PCR, Feces	87798x2	4		$ - 0
	76	Human Papillomavirus (HPV) High/Low Risk, DNA In Situ Hybridization	88364, 88365	4		$ - 0
	77	IF Additional Stain (Bill Only)	88350	220		$ - 0
	78	IF Initial Stain (Bill Only)	88346	36		$ - 0
	79	IHC Multiplex (Bill Only)	88344	2		$ - 0
	80	IHC Additional Stain (Bill Only)	88341	200		$ - 0
	81	IHC Initial Stain (Bill Only)	88342	88		$ - 0
	82	IHC Additional Stain, Tech Only (Bill Only)	88341	66		$ - 0
	83	IHC Initial Stain, Tech Only (Bill Only)	88342	102		$ - 0
	84	Infliximab Quantitation with Reflex to Antibodies to Infliximab, Serum	80230	60		$ - 0
	85	Infliximab Antibodies, Serum	82397	36		$ - 0
	86	Bacterial Identification by Sequencing (Bill Only)	87798	2		$ - 0
	87	Identification, Next-Generation Sequencing (Bill Only)	87798	6		$ - 0
	88	ISH Additional Stain (Bill Only)	88364	6		$ - 0
	89	ISH Initial Stain (Bill Only)	88365	12		$ - 0
	90	ISH Additional Stain, Tech Only (Bill Only)	88364	2		$ - 0
	91	ISH Initial Stain, Tech Only (Bill Only)	88365	18		$ - 0
	92	JAK2 V617F Mutation Detection, Blood	81270	22		$ - 0
	93	JAK2 Exon 12 and Other Non-V617F Mutation Detection, Blood	0027U	2		$ - 0
	94	Kelch-Like Protein 11 Antibody, Cell Binding Assay, Serum	86255	2		$ - 0
	95	Level 4 Gross and Microscopic, RB (Bill Only)	88305	20		$ - 0
	96	M-Protein Isotype by MALDI-TOF Mass Spectrometry, Serum	0077U	2		$ - 0
	97	MayoComplete Melanoma Panel, Next-Generation Sequencing, Tumor	81445	10		$ - 0
	98	MayoComplete Solid Tumor Panel, Next-Generation Sequencing, Tumor	81455	2		$ - 0
	99	Movement Disorder, Autoimmune/Paraneoplastic Evaluation, Serum	84182, 86255x19, 86341, 86596	2		$ - 0
	100	Susceptibility, Aerobic, MIC	87186	2		$ - 0
	101	Microdissection, Laser Capture (Bill Only)	88380	6		$ - 0
	102	Myelin Oligodendrocyte Glycoprotein (MOG-IgG1) Fluorescence-Activated Cell Sorting (FACS) Assay, Ser	86363	2		$ - 0
	103	MPL Exon 10 Mutation Detection, Reflex	81339	12		$ - 0
	104	Myeloproliferative Neoplasm (MPN), CALR with Reflex to MPL	81219	2		$ - 0
	105	MPL Exon 10 Sequencing, Reflex	81339	20		$ - 0
	106	Mass Spectrometry (Bill Only)	82542	6		$ - 0
	107	Mycobacterium tuberculosis Complex, Molecular Detection, PCR, Varies	87556	2		$ - 0
	108	Mycobacterium tuberculosis Complex, Molecular Detection, PCR, FFPE	87556	2		$ - 0
	109	MYD88 L265P Gene Mutation Analysis	81305	10		$ - 0
	110	MayoComplete Acute Myeloid Leukemia, Therapeutic Gene Mutation Panel (FLT3, IDH1, IDH2, TP53), Next-	81120, 81121, 81245, 81246, 81352	2		$ - 0
	111	MayoComplete Myeloid Neoplasms, Comprehensive OncoHeme Next-Generation Sequencing, Varies	81450	10		$ - 0
	112	Neuromyelitis Optica (NMO)/Aquaporin-4-IgG Fluorescence-Activated Cell Sorting (FACS) Assay, Serum	86053	12		$ - 0
	113	Nuclear Magnetic Resonance (NMR) Lipoprotein Profile, Serum	83704	2		$ - 0
	114	Orexin-A/Hypocretin-1, Spinal Fluid	83519	2		$ - 0
	115	Paraneoplastic Autoantibody Evaluation, Serum	83519, 86255x9, 86596	4		$ - 0
	116	Peripheral Blood (Bill Only)	85060	20		$ - 0
	117	Peripheral Blood, TC (Bill Only)	85007	30		$ - 0
	118	Probe, Each Additional (PCPDS) Bill Only	88271x2, 88274	8		$ - 0
	119	Plasma Cell Proliferative Disorder, High Risk with Reflex Probes, Diagnostic FISH Evaluation, Bone M	88271x2, 88274, 88291	2		$ - 0
	120	Phospholipase A2 Receptor, Immunofluorescence, Serum	86255	2		$ - 0
	121	Plasma Cell Proliferative Disorder, FISH, Tissue	Plasma Cell Proliferative Disorder, FISH, Tissue	2		$ - 0
	122	Primary Membranous Nephropathy Diagnostic Cascade, Serum	83520	2		$ - 0
	123	Sarcoma Targeted Gene Fusion/Rearrangement Panels, Next-Generation Sequencing, Tumor	81479	2		$ - 0
	124	Sickle Solubility, Blood	85660	2		$ - 0
	125	Slide Review in Molecular Genetics (Bill Only)	88381	19		$ - 0
	126	Small Lymphocytic Lymphoma, FISH, Tissue	88377	4		$ - 0
	127	Soluble Fibrin Monomer, Plasma	85366	2		$ - 0
	128	Programmed Death-Ligand 1 (PD-L1) (SP263), Semi-Quantitative Immunohistochemistry, Manual	88360	6		$ - 0
	129	SpecStain, Grp I, Microorganisms (Bill Only)	88312	24		$ - 0
	130	SpecStain, Grp II, Other (Bill Only)	88313	60		$ - 0
	131	SpecStain, Grp III, Enzyme (Bill Only)	88319	42		$ - 0
	132	T-Cell Receptor Gene Rearrangement, Bone Marrow	81340, 81342	2		$ - 0
	133	T-Cell Receptor Gene Rearrangement, Varies	81340, 81342	10		$ - 0
	134	Thalassemia and Hemoglobinopathy Evaluation, Blood and Serum	82728, 83020x2, 83021	4		$ - 0
	135	Thrombospondin Type-1 Domain-Containing 7A Antibodies, Serum	86255	2		$ - 0
	136	Tissue Processing (Bill Only)	87176	2		$ - 0
	137	Microsatellite Instability, Tumor	81301	2		$ - 0
	138	Ustekinumab Quantitation with Antibodies, Serum	80299, 83520	28		$ - 0
	139	Vedolizumab Quantitation with Reflex to Antibodies, Serum	80280	20		$ - 0
	140	Beta-Globin Cluster Locus Deletion/Duplication, Blood	81363	2		$ - 0
	141	Beta-Globin Gene Sequencing, Blood	81364	2		$ - 0
	142	Neuron-Specific Enolase, CSF	83520	18		$ - 0
	143	Adrenocorticotropic Hormone, Plasma	82024	100		$ - 0
	144	Ro52 and Ro60 Antibodies, IgG, Serum	86235x2	12		$ - 0
	145	JAK2 V617F Mutation Detection, Bone Marrow	81270	22		$ - 0
	146	Vedolizumab Antibodies, Serum	VEMAB	8		$ - 0
	147	Myeloproliferative Neoplasm (MPN), JAK2 V617F with reflex to CALR and MPL	81270	20		$ - 0
	148	KIT Mutation, Exons 8-11 & 17, Hematologic Neoplasms	81272	2		$ - 0
	149				Total	$ - 0

3. Option 2

CLIN	Service	CPT Code	Estimated Annual Quantity	Base Year Unit Price	Extended Price	Name of Lab Performing Test	Location (City, State) of Lab Performing Test	CLIA Certification Number of Lab Performing Test
1	Interphases, >=100 (Bill Only)	88275	30		$ - 0
2	Metaphases, 15-20 (Bill Only)	88262	2		$ - 0
3	Metaphases, 20-25 (Bill Only)	88264	36		$ - 0
4	Metaphases, 1-19 (Bill Only)	88264	2		$ - 0
5	Probe, +1 (Bill Only)	88271	2		$ - 0
6	Probe, +2 (Bill Only)	88271x2	26		$ - 0
7	Probe, Each Additional (BLYM) (Bill Only)	88377	2		$ - 0
8	Probe, Each Additional (SLL) (Bill Only)	88377	20		$ - 0
9	Programmed Death-Ligand 1 (PD-L1) (22C3), Semi-Quantitative Immunohistochemistry, Manual	88360	34		$ - 0
10	25-Hydroxyvitamin D:24,25-Dihydroxyvitamin D Ratio, Serum	82306, 82542	2		$ - 0
11	3-Methoxytyramine, 24 Hour, Urine	82542	2		$ - 0
12	Thrombophilia Profile, Plasma and Whole Blood	81240,

85300, 85303, 85306, 85307, 85379, 85384, 85390, 85610, 85613,

85670, 85730	2		$ - 0
	13	Adalimumab Quantitative with Reflex to Antibody, Serum	80145	74		$ - 0
	14	Flow Cytometry, Cell Surface, Additional	88185	700		$ - 0
	15	Adrenocorticotropic Hormone (ACTH), Plasma	82024	370		$ - 0
	16	Acute Myeloid Leukemia (AML), Specified FISH, Varies	88271x2, 88275x 88291	2		$ - 0
	17	Adalimumab Antibody, Serum	83520	32		$ - 0
	18	Amylase, Pancreatic Cyst	82150	10		$ - 0
	19	Amyloid Protein Identification, Paraffin, LC-MS/MS	88313	6		$ - 0
	20	APOL1 Genotype, Varies	81479	6		$ - 0
	21	Alpha-Globin Gene Analysis	81269	2		$ - 0
	22	Antithrombin Antigen, Plasma	85301	2		$ - 0
	23	BCR/ABL1, p190, mRNA Detection, Reverse Transcription-PCR, Quantitative, Monitoring Assay, Varies	81207	2		$ - 0
	24	BCR/ABL, mRNA Detection, Reverse Transcription-PCR (RT-PCR), Qualitative, Diagnostic Assay	81206 81208	6		$ - 0
	25	BCR/ABL, Tyrosine Kinase Inhibitor Resistance, Kinase Domain Mutation Screen, Sanger Sequencing	81170	2		$ - 0
	26	B-Cell Acute Lymphoblastic Leukemia/Lymphoma (ALL), Specified FISH, Varies	88271x2, 88275, 88291	2		$ - 0
	27	Immunoglobulin Gene Rearrangement, Varies	81261, 81264	22		$ - 0
	28	IGH for B-Cell Chronic Lymphocytic Leukemia (B-CLL), Somatic Hypermutation Analysis	81263	2		$ - 0
	29	BCR/ABL1, p210, mRNA Detection, RT-PCR, Quantitative, Monitoring Chronic Myelogenous Leukemia (CML)	81206	28		$ - 0
	30	BCR/ABL1 Qualitative Diagnostic Assay with Reflex		4		$ - 0
	31	Biliary Tract Malignancy, FISH	88377	2		$ - 0
	32	Probe, Each Additional (BLPMF) (Bill Only)	88271x2, 88275	6		$ - 0
	33	B-Cell Lymphoma, Specified FISH, Varies	88271x2, 88275x 88291	2		$ - 0
	34	B-Cell Lymphoma, FISH, Tissue	88377	2		$ - 0
	35	Bone Marrow Aspirate	85097	30		$ - 0
	36	Bone Marrow Biopsy (Bill Only)	88305	20		$ - 0
	37	Bone Marrow Clot (Bill Only)	88305	26		$ - 0
	38	BRAF V600E/V600K Somatic Mutation Analysis, Tumor	81210	2		$ - 0
	39	Broad Range Bacterial PCR and Sequencing	87801	8		$ - 0
	40	CALR Mutation Analysis, Myeloproliferative Neoplasm (MPN), Reflex	81219	12		$ - 0
	41	Comprehensive Cardiomyopathy Multi-Gene Panel, Blood	81439	2		$ - 0
	42	Clostridium difficile Culture	87081	2		$ - 0
	43	Carcinoembryonic Antigen (CEA), Pancreatic Cyst Fluid	82378	10		$ - 0
	44	Chromogranin A, Serum	86316	130		$ - 0
	45	Chromosome Analysis, Hematologic Disorders, Bone Marrow	88237, 88291	40		$ - 0
	46	Chromosome Analysis, Congenital Disorders, Blood	88230, 88291	2		$ - 0
	47	Cutaneous Direct IFA, Biopsy	88346, 8835x5	2		$ - 0
	48	Coccidioides, Rapid PCR	87798	2		$ - 0
	49	Chronic Lymphocytic Leukemia (CLL), Diagnostic FISH, Varies	88271x12, 88275x6, 88291	2		$ - 0
	50	Chromosomal Microarray, Hematologic Disorders	81277	4		$ - 0
	51	Consult, Outside Slide (Bill Only)	88321	80		$ - 0
	52	Consult, w/Comp Rvw of His (Bill Only)	88325	62		$ - 0
	53	Plasma Cell Proliferative Disorder, Pre-Analysis Cell Sorting, Bone Marrow	88184, 88185x5	2		$ - 0
	54	Consult, w/Slide Prep (Bill Only)	88323	50		$ - 0
	55	Consult, w/USS Prof (Bill Only)	88323	4		$ - 0
	56	Decalcification (Bill Only)	88311	28		$ - 0
	57	EM, Renal Biopsy (Bill Only)	88348	24		$ - 0
	58	Encephalopathy, Autoimmune/Paraneoplastic Evaluation, Spinal Fluid	86255x19, 86341	2		$ - 0
	59	Encephalopathy, Autoimmune/Paraneoplastic Evaluation, Serum	86255x19, 86341	2		$ - 0
	60	Estrogen/Progesterone Receptor, Semi-Quantitative Immunohistochemistry, Manual	88360x2	4		$ - 0
	61	Hematologic Disorders, DNA Extract and Hold	N/A	8		$ - 0
	62	Hematologic Disorders, DNA and RNA Extract and Hold	N/A	6		$ - 0
	63	Flow Cytometry Interp, 9-15 Markers	88188	52		$ - 0
	64	Flow Cytometry Interp, 16 or greater	88189	50		$ - 0
	65	Flow Cytometry Interp, 2-8 Markers	88187	8		$ - 0
	66	Flow Cytometry, Cell Surface, First	88184	110		$ - 0
	67	FLT3 Mutation Analysis, Varies	81245, 81246	4		$ - 0
	68	Growth Differentiation Factor 15 (GDF15), Plasma	83520	2		$ - 0
	69	Gadolinium, Urine	83018	2		$ - 0
	70	Gastrointestinal Dysmotility, Autoimmune/Paraneoplastic Evaluation, Serum	83519, 86255x6	2		$ - 0
	71	Gastrointestinal Pathogen Panel, PCR, Feces	87507	2		$ - 0
	72	SpecStain, Frozen (Bill Only)	88314	16		$ - 0
	73	Helicobacter pylori Culture with Antimicrobial Susceptibilities	87081	2		$ - 0
	74	3-Hydroxy-3-Methylglutaryl Coenzyme-A (HMG-CoA) Reductase, Serum	82397	2		$ - 0
	75	Helicobacter pylori with Clarithromycin Resistance Prediction, Molecular Detection, PCR, Feces	87798x2	4		$ - 0
	76	Human Papillomavirus (HPV) High/Low Risk, DNA In Situ Hybridization	88364, 88365	4		$ - 0
	77	IF Additional Stain (Bill Only)	88350	220		$ - 0
	78	IF Initial Stain (Bill Only)	88346	36		$ - 0
	79	IHC Multiplex (Bill Only)	88344	2		$ - 0
	80	IHC Additional Stain (Bill Only)	88341	200		$ - 0
	81	IHC Initial Stain (Bill Only)	88342	88		$ - 0
	82	IHC Additional Stain, Tech Only (Bill Only)	88341	66		$ - 0
	83	IHC Initial Stain, Tech Only (Bill Only)	88342	102		$ - 0
	84	Infliximab Quantitation with Reflex to Antibodies to Infliximab, Serum	80230	60		$ - 0
	85	Infliximab Antibodies, Serum	82397	36		$ - 0
	86	Bacterial Identification by Sequencing (Bill Only)	87798	2		$ - 0
	87	Identification, Next-Generation Sequencing (Bill Only)	87798	6		$ - 0
	88	ISH Additional Stain (Bill Only)	88364	6		$ - 0
	89	ISH Initial Stain (Bill Only)	88365	12		$ - 0
	90	ISH Additional Stain, Tech Only (Bill Only)	88364	2		$ - 0
	91	ISH Initial Stain, Tech Only (Bill Only)	88365	18		$ - 0
	92	JAK2 V617F Mutation Detection, Blood	81270	22		$ - 0
	93	JAK2 Exon 12 and Other Non-V617F Mutation Detection, Blood	0027U	2		$ - 0
	94	Kelch-Like Protein 11 Antibody, Cell Binding Assay, Serum	86255	2		$ - 0
	95	Level 4 Gross and Microscopic, RB (Bill Only)	88305	20		$ - 0
	96	M-Protein Isotype by MALDI-TOF Mass Spectrometry, Serum	0077U	2		$ - 0
	97	MayoComplete Melanoma Panel, Next-Generation Sequencing, Tumor	81445	10		$ - 0
	98	MayoComplete Solid Tumor Panel, Next-Generation Sequencing, Tumor	81455	2		$ - 0
	99	Movement Disorder, Autoimmune/Paraneoplastic Evaluation, Serum	84182, 86255x19, 86341, 86596	2		$ - 0
	100	Susceptibility, Aerobic, MIC	87186	2		$ - 0
	101	Microdissection, Laser Capture (Bill Only)	88380	6		$ - 0
	102	Myelin Oligodendrocyte Glycoprotein (MOG-IgG1) Fluorescence-Activated Cell Sorting (FACS) Assay, Ser	86363	2		$ - 0
	103	MPL Exon 10 Mutation Detection, Reflex	81339	12		$ - 0
	104	Myeloproliferative Neoplasm (MPN), CALR with Reflex to MPL	81219	2		$ - 0
	105	MPL Exon 10 Sequencing, Reflex	81339	20		$ - 0
	106	Mass Spectrometry (Bill Only)	82542	6		$ - 0
	107	Mycobacterium tuberculosis Complex, Molecular Detection, PCR, Varies	87556	2		$ - 0
	108	Mycobacterium tuberculosis Complex, Molecular Detection, PCR, FFPE	87556	2		$ - 0
	109	MYD88 L265P Gene Mutation Analysis	81305	10		$ - 0
	110	MayoComplete Acute Myeloid Leukemia, Therapeutic Gene Mutation Panel (FLT3, IDH1, IDH2, TP53), Next-	81120, 81121, 81245, 81246, 81352	2		$ - 0
	111	MayoComplete Myeloid Neoplasms, Comprehensive OncoHeme Next-Generation Sequencing, Varies	81450	10		$ - 0
	112	Neuromyelitis Optica (NMO)/Aquaporin-4-IgG Fluorescence-Activated Cell Sorting (FACS) Assay, Serum	86053	12		$ - 0
	113	Nuclear Magnetic Resonance (NMR) Lipoprotein Profile, Serum	83704	2		$ - 0
	114	Orexin-A/Hypocretin-1, Spinal Fluid	83519	2		$ - 0
	115	Paraneoplastic Autoantibody Evaluation, Serum	83519, 86255x9, 86596	4		$ - 0
	116	Peripheral Blood (Bill Only)	85060	20		$ - 0
	117	Peripheral Blood, TC (Bill Only)	85007	30		$ - 0
	118	Probe, Each Additional (PCPDS) Bill Only	88271x2, 88274	8		$ - 0
	119	Plasma Cell Proliferative Disorder, High Risk with Reflex Probes, Diagnostic FISH Evaluation, Bone M	88271x2, 88274, 88291	2		$ - 0
	120	Phospholipase A2 Receptor, Immunofluorescence, Serum	86255	2		$ - 0
	121	Plasma Cell Proliferative Disorder, FISH, Tissue	Plasma Cell Proliferative Disorder, FISH, Tissue	2		$ - 0
	122	Primary Membranous Nephropathy Diagnostic Cascade, Serum	83520	2		$ - 0
	123	Sarcoma Targeted Gene Fusion/Rearrangement Panels, Next-Generation Sequencing, Tumor	81479	2		$ - 0
	124	Sickle Solubility, Blood	85660	2		$ - 0
	125	Slide Review in Molecular Genetics (Bill Only)	88381	19		$ - 0
	126	Small Lymphocytic Lymphoma, FISH, Tissue	88377	4		$ - 0
	127	Soluble Fibrin Monomer, Plasma	85366	2		$ - 0
	128	Programmed Death-Ligand 1 (PD-L1) (SP263), Semi-Quantitative Immunohistochemistry, Manual	88360	6		$ - 0
	129	SpecStain, Grp I, Microorganisms (Bill Only)	88312	24		$ - 0
	130	SpecStain, Grp II, Other (Bill Only)	88313	60		$ - 0
	131	SpecStain, Grp III, Enzyme (Bill Only)	88319	42		$ - 0
	132	T-Cell Receptor Gene Rearrangement, Bone Marrow	81340, 81342	2		$ - 0
	133	T-Cell Receptor Gene Rearrangement, Varies	81340, 81342	10		$ - 0
	134	Thalassemia and Hemoglobinopathy Evaluation, Blood and Serum	82728, 83020x2, 83021	4		$ - 0
	135	Thrombospondin Type-1 Domain-Containing 7A Antibodies, Serum	86255	2		$ - 0
	136	Tissue Processing (Bill Only)	87176	2		$ - 0
	137	Microsatellite Instability, Tumor	81301	2		$ - 0
	138	Ustekinumab Quantitation with Antibodies, Serum	80299, 83520	28		$ - 0
	139	Vedolizumab Quantitation with Reflex to Antibodies, Serum	80280	20		$ - 0
	140	Beta-Globin Cluster Locus Deletion/Duplication, Blood	81363	2		$ - 0
	141	Beta-Globin Gene Sequencing, Blood	81364	2		$ - 0
	142	Neuron-Specific Enolase, CSF	83520	18		$ - 0
	143	Adrenocorticotropic Hormone, Plasma	82024	100		$ - 0
	144	Ro52 and Ro60 Antibodies, IgG, Serum	86235x2	12		$ - 0
	145	JAK2 V617F Mutation Detection, Bone Marrow	81270	22		$ - 0
	146	Vedolizumab Antibodies, Serum	VEMAB	8		$ - 0
	147	Myeloproliferative Neoplasm (MPN), JAK2 V617F with reflex to CALR and MPL	81270	20		$ - 0
	148	KIT Mutation, Exons 8-11 & 17, Hematologic Neoplasms	81272	2		$ - 0
	149				Total	$ - 0

4. Option 3

CLIN	Service	CPT Code	Estimated Annual Quantity	Base Year Unit Price	Extended Price	Name of Lab Performing Test	Location (City, State) of Lab Performing Test	CLIA Certification Number of Lab Performing Test
1	Interphases, >=100 (Bill Only)	88275	30		$ - 0
2	Metaphases, 15-20 (Bill Only)	88262	2		$ - 0
3	Metaphases, 20-25 (Bill Only)	88264	36		$ - 0
4	Metaphases, 1-19 (Bill Only)	88264	2		$ - 0
5	Probe, +1 (Bill Only)	88271	2		$ - 0
6	Probe, +2 (Bill Only)	88271x2	26		$ - 0
7	Probe, Each Additional (BLYM) (Bill Only)	88377	2		$ - 0
8	Probe, Each Additional (SLL) (Bill Only)	88377	20		$ - 0
9	Programmed Death-Ligand 1 (PD-L1) (22C3), Semi-Quantitative Immunohistochemistry, Manual	88360	34		$ - 0
10	25-Hydroxyvitamin D:24,25-Dihydroxyvitamin D Ratio, Serum	82306, 82542	2		$ - 0
11	3-Methoxytyramine, 24 Hour, Urine	82542	2		$ - 0
12	Thrombophilia Profile, Plasma and Whole Blood	81240,

85300, 85303, 85306, 85307, 85379, 85384, 85390, 85610, 85613,

85670, 85730	2		$ - 0
	13	Adalimumab Quantitative with Reflex to Antibody, Serum	80145	74		$ - 0
	14	Flow Cytometry, Cell Surface, Additional	88185	700		$ - 0
	15	Adrenocorticotropic Hormone (ACTH), Plasma	82024	370		$ - 0
	16	Acute Myeloid Leukemia (AML), Specified FISH, Varies	88271x2, 88275x 88291	2		$ - 0
	17	Adalimumab Antibody, Serum	83520	32		$ - 0
	18	Amylase, Pancreatic Cyst	82150	10		$ - 0
	19	Amyloid Protein Identification, Paraffin, LC-MS/MS	88313	6		$ - 0
	20	APOL1 Genotype, Varies	81479	6		$ - 0
	21	Alpha-Globin Gene Analysis	81269	2		$ - 0
	22	Antithrombin Antigen, Plasma	85301	2		$ - 0
	23	BCR/ABL1, p190, mRNA Detection, Reverse Transcription-PCR, Quantitative, Monitoring Assay, Varies	81207	2		$ - 0
	24	BCR/ABL, mRNA Detection, Reverse Transcription-PCR (RT-PCR), Qualitative, Diagnostic Assay	81206 81208	6		$ - 0
	25	BCR/ABL, Tyrosine Kinase Inhibitor Resistance, Kinase Domain Mutation Screen, Sanger Sequencing	81170	2		$ - 0
	26	B-Cell Acute Lymphoblastic Leukemia/Lymphoma (ALL), Specified FISH, Varies	88271x2, 88275, 88291	2		$ - 0
	27	Immunoglobulin Gene Rearrangement, Varies	81261, 81264	22		$ - 0
	28	IGH for B-Cell Chronic Lymphocytic Leukemia (B-CLL), Somatic Hypermutation Analysis	81263	2		$ - 0
	29	BCR/ABL1, p210, mRNA Detection, RT-PCR, Quantitative, Monitoring Chronic Myelogenous Leukemia (CML)	81206	28		$ - 0
	30	BCR/ABL1 Qualitative Diagnostic Assay with Reflex		4		$ - 0
	31	Biliary Tract Malignancy, FISH	88377	2		$ - 0
	32	Probe, Each Additional (BLPMF) (Bill Only)	88271x2, 88275	6		$ - 0
	33	B-Cell Lymphoma, Specified FISH, Varies	88271x2, 88275x 88291	2		$ - 0
	34	B-Cell Lymphoma, FISH, Tissue	88377	2		$ - 0
	35	Bone Marrow Aspirate	85097	30		$ - 0
	36	Bone Marrow Biopsy (Bill Only)	88305	20		$ - 0
	37	Bone Marrow Clot (Bill Only)	88305	26		$ - 0
	38	BRAF V600E/V600K Somatic Mutation Analysis, Tumor	81210	2		$ - 0
	39	Broad Range Bacterial PCR and Sequencing	87801	8		$ - 0
	40	CALR Mutation Analysis, Myeloproliferative Neoplasm (MPN), Reflex	81219	12		$ - 0
	41	Comprehensive Cardiomyopathy Multi-Gene Panel, Blood	81439	2		$ - 0
	42	Clostridium difficile Culture	87081	2		$ - 0
	43	Carcinoembryonic Antigen (CEA), Pancreatic Cyst Fluid	82378	10		$ - 0
	44	Chromogranin A, Serum	86316	130		$ - 0
	45	Chromosome Analysis, Hematologic Disorders, Bone Marrow	88237, 88291	40		$ - 0
	46	Chromosome Analysis, Congenital Disorders, Blood	88230, 88291	2		$ - 0
	47	Cutaneous Direct IFA, Biopsy	88346, 8835x5	2		$ - 0
	48	Coccidioides, Rapid PCR	87798	2		$ - 0
	49	Chronic Lymphocytic Leukemia (CLL), Diagnostic FISH, Varies	88271x12, 88275x6, 88291	2		$ - 0
	50	Chromosomal Microarray, Hematologic Disorders	81277	4		$ - 0
	51	Consult, Outside Slide (Bill Only)	88321	80		$ - 0
	52	Consult, w/Comp Rvw of His (Bill Only)	88325	62		$ - 0
	53	Plasma Cell Proliferative Disorder, Pre-Analysis Cell Sorting, Bone Marrow	88184, 88185x5	2		$ - 0
	54	Consult, w/Slide Prep (Bill Only)	88323	50		$ - 0
	55	Consult, w/USS Prof (Bill Only)	88323	4		$ - 0
	56	Decalcification (Bill Only)	88311	28		$ - 0
	57	EM, Renal Biopsy (Bill Only)	88348	24		$ - 0
	58	Encephalopathy, Autoimmune/Paraneoplastic Evaluation, Spinal Fluid	86255x19, 86341	2		$ - 0
	59	Encephalopathy, Autoimmune/Paraneoplastic Evaluation, Serum	86255x19, 86341	2		$ - 0
	60	Estrogen/Progesterone Receptor, Semi-Quantitative Immunohistochemistry, Manual	88360x2	4		$ - 0
	61	Hematologic Disorders, DNA Extract and Hold	N/A	8		$ - 0
	62	Hematologic Disorders, DNA and RNA Extract and Hold	N/A	6		$ - 0
	63	Flow Cytometry Interp, 9-15 Markers	88188	52		$ - 0
	64	Flow Cytometry Interp, 16 or greater	88189	50		$ - 0
	65	Flow Cytometry Interp, 2-8 Markers	88187	8		$ - 0
	66	Flow Cytometry, Cell Surface, First	88184	110		$ - 0
	67	FLT3 Mutation Analysis, Varies	81245, 81246	4		$ - 0
	68	Growth Differentiation Factor 15 (GDF15), Plasma	83520	2		$ - 0
	69	Gadolinium, Urine	83018	2		$ - 0
	70	Gastrointestinal Dysmotility, Autoimmune/Paraneoplastic Evaluation, Serum	83519, 86255x6	2		$ - 0
	71	Gastrointestinal Pathogen Panel, PCR, Feces	87507	2		$ - 0
	72	SpecStain, Frozen (Bill Only)	88314	16		$ - 0
	73	Helicobacter pylori Culture with Antimicrobial Susceptibilities	87081	2		$ - 0
	74	3-Hydroxy-3-Methylglutaryl Coenzyme-A (HMG-CoA) Reductase, Serum	82397	2		$ - 0
	75	Helicobacter pylori with Clarithromycin Resistance Prediction, Molecular Detection, PCR, Feces	87798x2	4		$ - 0
	76	Human Papillomavirus (HPV) High/Low Risk, DNA In Situ Hybridization	88364, 88365	4		$ - 0
	77	IF Additional Stain (Bill Only)	88350	220		$ - 0
	78	IF Initial Stain (Bill Only)	88346	36		$ - 0
	79	IHC Multiplex (Bill Only)	88344	2		$ - 0
	80	IHC Additional Stain (Bill Only)	88341	200		$ - 0
	81	IHC Initial Stain (Bill Only)	88342	88		$ - 0
	82	IHC Additional Stain, Tech Only (Bill Only)	88341	66		$ - 0
	83	IHC Initial Stain, Tech Only (Bill Only)	88342	102		$ - 0
	84	Infliximab Quantitation with Reflex to Antibodies to Infliximab, Serum	80230	60		$ - 0
	85	Infliximab Antibodies, Serum	82397	36		$ - 0
	86	Bacterial Identification by Sequencing (Bill Only)	87798	2		$ - 0
	87	Identification, Next-Generation Sequencing (Bill Only)	87798	6		$ - 0
	88	ISH Additional Stain (Bill Only)	88364	6		$ - 0
	89	ISH Initial Stain (Bill Only)	88365	12		$ - 0
	90	ISH Additional Stain, Tech Only (Bill Only)	88364	2		$ - 0
	91	ISH Initial Stain, Tech Only (Bill Only)	88365	18		$ - 0
	92	JAK2 V617F Mutation Detection, Blood	81270	22		$ - 0
	93	JAK2 Exon 12 and Other Non-V617F Mutation Detection, Blood	0027U	2		$ - 0
	94	Kelch-Like Protein 11 Antibody, Cell Binding Assay, Serum	86255	2		$ - 0
	95	Level 4 Gross and Microscopic, RB (Bill Only)	88305	20		$ - 0
	96	M-Protein Isotype by MALDI-TOF Mass Spectrometry, Serum	0077U	2		$ - 0
	97	MayoComplete Melanoma Panel, Next-Generation Sequencing, Tumor	81445	10		$ - 0
	98	MayoComplete Solid Tumor Panel, Next-Generation Sequencing, Tumor	81455	2		$ - 0
	99	Movement Disorder, Autoimmune/Paraneoplastic Evaluation, Serum	84182, 86255x19, 86341, 86596	2		$ - 0
	100	Susceptibility, Aerobic, MIC	87186	2		$ - 0
	101	Microdissection, Laser Capture (Bill Only)	88380	6		$ - 0
	102	Myelin Oligodendrocyte Glycoprotein (MOG-IgG1) Fluorescence-Activated Cell Sorting (FACS) Assay, Ser	86363	2		$ - 0
	103	MPL Exon 10 Mutation Detection, Reflex	81339	12		$ - 0
	104	Myeloproliferative Neoplasm (MPN), CALR with Reflex to MPL	81219	2		$ - 0
	105	MPL Exon 10 Sequencing, Reflex	81339	20		$ - 0
	106	Mass Spectrometry (Bill Only)	82542	6		$ - 0
	107	Mycobacterium tuberculosis Complex, Molecular Detection, PCR, Varies	87556	2		$ - 0
	108	Mycobacterium tuberculosis Complex, Molecular Detection, PCR, FFPE	87556	2		$ - 0
	109	MYD88 L265P Gene Mutation Analysis	81305	10		$ - 0
	110	MayoComplete Acute Myeloid Leukemia, Therapeutic Gene Mutation Panel (FLT3, IDH1, IDH2, TP53), Next-	81120, 81121, 81245, 81246, 81352	2		$ - 0
	111	MayoComplete Myeloid Neoplasms, Comprehensive OncoHeme Next-Generation Sequencing, Varies	81450	10		$ - 0
	112	Neuromyelitis Optica (NMO)/Aquaporin-4-IgG Fluorescence-Activated Cell Sorting (FACS) Assay, Serum	86053	12		$ - 0
	113	Nuclear Magnetic Resonance (NMR) Lipoprotein Profile, Serum	83704	2		$ - 0
	114	Orexin-A/Hypocretin-1, Spinal Fluid	83519	2		$ - 0
	115	Paraneoplastic Autoantibody Evaluation, Serum	83519, 86255x9, 86596	4		$ - 0
	116	Peripheral Blood (Bill Only)	85060	20		$ - 0
	117	Peripheral Blood, TC (Bill Only)	85007	30		$ - 0
	118	Probe, Each Additional (PCPDS) Bill Only	88271x2, 88274	8		$ - 0
	119	Plasma Cell Proliferative Disorder, High Risk with Reflex Probes, Diagnostic FISH Evaluation, Bone M	88271x2, 88274, 88291	2		$ - 0
	120	Phospholipase A2 Receptor, Immunofluorescence, Serum	86255	2		$ - 0
	121	Plasma Cell Proliferative Disorder, FISH, Tissue	Plasma Cell Proliferative Disorder, FISH, Tissue	2		$ - 0
	122	Primary Membranous Nephropathy Diagnostic Cascade, Serum	83520	2		$ - 0
	123	Sarcoma Targeted Gene Fusion/Rearrangement Panels, Next-Generation Sequencing, Tumor	81479	2		$ - 0
	124	Sickle Solubility, Blood	85660	2		$ - 0
	125	Slide Review in Molecular Genetics (Bill Only)	88381	19		$ - 0
	126	Small Lymphocytic Lymphoma, FISH, Tissue	88377	4		$ - 0
	127	Soluble Fibrin Monomer, Plasma	85366	2		$ - 0
	128	Programmed Death-Ligand 1 (PD-L1) (SP263), Semi-Quantitative Immunohistochemistry, Manual	88360	6		$ - 0
	129	SpecStain, Grp I, Microorganisms (Bill Only)	88312	24		$ - 0
	130	SpecStain, Grp II, Other (Bill Only)	88313	60		$ - 0
	131	SpecStain, Grp III, Enzyme (Bill Only)	88319	42		$ - 0
	132	T-Cell Receptor Gene Rearrangement, Bone Marrow	81340, 81342	2		$ - 0
	133	T-Cell Receptor Gene Rearrangement, Varies	81340, 81342	10		$ - 0
	134	Thalassemia and Hemoglobinopathy Evaluation, Blood and Serum	82728, 83020x2, 83021	4		$ - 0
	135	Thrombospondin Type-1 Domain-Containing 7A Antibodies, Serum	86255	2		$ - 0
	136	Tissue Processing (Bill Only)	87176	2		$ - 0
	137	Microsatellite Instability, Tumor	81301	2		$ - 0
	138	Ustekinumab Quantitation with Antibodies, Serum	80299, 83520	28		$ - 0
	139	Vedolizumab Quantitation with Reflex to Antibodies, Serum	80280	20		$ - 0
	140	Beta-Globin Cluster Locus Deletion/Duplication, Blood	81363	2		$ - 0
	141	Beta-Globin Gene Sequencing, Blood	81364	2		$ - 0
	142	Neuron-Specific Enolase, CSF	83520	18		$ - 0
	143	Adrenocorticotropic Hormone, Plasma	82024	100		$ - 0
	144	Ro52 and Ro60 Antibodies, IgG, Serum	86235x2	12		$ - 0
	145	JAK2 V617F Mutation Detection, Bone Marrow	81270	22		$ - 0
	146	Vedolizumab Antibodies, Serum	VEMAB	8		$ - 0
	147	Myeloproliferative Neoplasm (MPN), JAK2 V617F with reflex to CALR and MPL	81270	20		$ - 0
	148	KIT Mutation, Exons 8-11 & 17, Hematologic Neoplasms	81272	2		$ - 0
	149				Total	$ - 0

5. Option 4

CLIN	Service	CPT Code	Estimated Annual Quantity	Base Year Unit Price	Extended Price	Name of Lab Performing Test	Location (City, State) of Lab Performing Test	CLIA Certification Number of Lab Performing Test
1	Interphases, >=100 (Bill Only)	88275	30		$ - 0
2	Metaphases, 15-20 (Bill Only)	88262	2		$ - 0
3	Metaphases, 20-25 (Bill Only)	88264	36		$ - 0
4	Metaphases, 1-19 (Bill Only)	88264	2		$ - 0
5	Probe, +1 (Bill Only)	88271	2		$ - 0
6	Probe, +2 (Bill Only)	88271x2	26		$ - 0
7	Probe, Each Additional (BLYM) (Bill Only)	88377	2		$ - 0
8	Probe, Each Additional (SLL) (Bill Only)	88377	20		$ - 0
9	Programmed Death-Ligand 1 (PD-L1) (22C3), Semi-Quantitative Immunohistochemistry, Manual	88360	34		$ - 0
10	25-Hydroxyvitamin D:24,25-Dihydroxyvitamin D Ratio, Serum	82306, 82542	2		$ - 0
11	3-Methoxytyramine, 24 Hour, Urine	82542	2		$ - 0
12	Thrombophilia Profile, Plasma and Whole Blood	81240,

85300, 85303, 85306, 85307, 85379, 85384, 85390, 85610, 85613,

85670, 85730	2		$ - 0
	13	Adalimumab Quantitative with Reflex to Antibody, Serum	80145	74	$ - 0
	14	Flow Cytometry, Cell Surface, Additional	88185	700	$ - 0
	15	Adrenocorticotropic Hormone (ACTH), Plasma	82024	370	$ - 0
	16	Acute Myeloid Leukemia (AML), Specified FISH, Varies	88271x2, 88275x 88291	2	$ - 0
	17	Adalimumab Antibody, Serum	83520	32	$ - 0
	18	Amylase, Pancreatic Cyst	82150	10	$ - 0
	19	Amyloid Protein Identification, Paraffin, LC-MS/MS	88313	6	$ - 0
	20	APOL1 Genotype, Varies	81479	6	$ - 0
	21	Alpha-Globin Gene Analysis	81269	2	$ - 0
	22	Antithrombin Antigen, Plasma	85301	2	$ - 0
	23	BCR/ABL1, p190, mRNA Detection, Reverse Transcription-PCR, Quantitative, Monitoring Assay, Varies	81207	2	$ - 0
	24	BCR/ABL, mRNA Detection, Reverse Transcription-PCR (RT-PCR), Qualitative, Diagnostic Assay	81206 81208	6	$ - 0
	25	BCR/ABL, Tyrosine Kinase Inhibitor Resistance, Kinase Domain Mutation Screen, Sanger Sequencing	81170	2	$ - 0
	26	B-Cell Acute Lymphoblastic Leukemia/Lymphoma (ALL), Specified FISH, Varies	88271x2, 88275, 88291	2	$ - 0
	27	Immunoglobulin Gene Rearrangement, Varies	81261, 81264	22	$ - 0
	28	IGH for B-Cell Chronic Lymphocytic Leukemia (B-CLL), Somatic Hypermutation Analysis	81263	2	$ - 0
	29	BCR/ABL1, p210, mRNA Detection, RT-PCR, Quantitative, Monitoring Chronic Myelogenous Leukemia (CML)	81206	28	$ - 0
	30	BCR/ABL1 Qualitative Diagnostic Assay with Reflex		4	$ - 0
	31	Biliary Tract Malignancy, FISH	88377	2	$ - 0
	32	Probe, Each Additional (BLPMF) (Bill Only)	88271x2, 88275	6	$ - 0
	33	B-Cell Lymphoma, Specified FISH, Varies	88271x2, 88275x 88291	2	$ - 0
	34	B-Cell Lymphoma, FISH, Tissue	88377	2	$ - 0
	35	Bone Marrow Aspirate	85097	30	$ - 0
	36	Bone Marrow Biopsy (Bill Only)	88305	20	$ - 0
	37	Bone Marrow Clot (Bill Only)	88305	26	$ - 0
	38	BRAF V600E/V600K Somatic Mutation Analysis, Tumor	81210	2	$ - 0
	39	Broad Range Bacterial PCR and Sequencing	87801	8	$ - 0
	40	CALR Mutation Analysis, Myeloproliferative Neoplasm (MPN), Reflex	81219	12	$ - 0
	41	Comprehensive Cardiomyopathy Multi-Gene Panel, Blood	81439	2	$ - 0
	42	Clostridium difficile Culture	87081	2	$ - 0
	43	Carcinoembryonic Antigen (CEA), Pancreatic Cyst Fluid	82378	10	$ - 0
	44	Chromogranin A, Serum	86316	130	$ - 0
	45	Chromosome Analysis, Hematologic Disorders, Bone Marrow	88237, 88291	40	$ - 0
	46	Chromosome Analysis, Congenital Disorders, Blood	88230, 88291	2	$ - 0
	47	Cutaneous Direct IFA, Biopsy	88346, 8835x5	2	$ - 0
	48	Coccidioides, Rapid PCR	87798	2	$ - 0
	49	Chronic Lymphocytic Leukemia (CLL), Diagnostic FISH, Varies	88271x12, 88275x6, 88291	2	$ - 0
	50	Chromosomal Microarray, Hematologic Disorders	81277	4	$ - 0
	51	Consult, Outside Slide (Bill Only)	88321	80	$ - 0
	52	Consult, w/Comp Rvw of His (Bill Only)	88325	62	$ - 0
	53	Plasma Cell Proliferative Disorder, Pre-Analysis Cell Sorting, Bone Marrow	88184, 88185x5	2	$ - 0
	54	Consult, w/Slide Prep (Bill Only)	88323	50	$ - 0
	55	Consult, w/USS Prof (Bill Only)	88323	4	$ - 0
	56	Decalcification (Bill Only)	88311	28	$ - 0
	57	EM, Renal Biopsy (Bill Only)	88348	24	$ - 0
	58	Encephalopathy, Autoimmune/Paraneoplastic Evaluation, Spinal Fluid	86255x19, 86341	2	$ - 0
	59	Encephalopathy, Autoimmune/Paraneoplastic Evaluation, Serum	86255x19, 86341	2	$ - 0
	60	Estrogen/Progesterone Receptor, Semi-Quantitative Immunohistochemistry, Manual	88360x2	4	$ - 0
	61	Hematologic Disorders, DNA Extract and Hold	N/A	8	$ - 0
	62	Hematologic Disorders, DNA and RNA Extract and Hold	N/A	6	$ - 0
	63	Flow Cytometry Interp, 9-15 Markers	88188	52	$ - 0
	64	Flow Cytometry Interp, 16 or greater	88189	50	$ - 0
	65	Flow Cytometry Interp, 2-8 Markers	88187	8	$ - 0
	66	Flow Cytometry, Cell Surface, First	88184	110	$ - 0
	67	FLT3 Mutation Analysis, Varies	81245, 81246	4	$ - 0
	68	Growth Differentiation Factor 15 (GDF15), Plasma	83520	2	$ - 0
	69	Gadolinium, Urine	83018	2	$ - 0
	70	Gastrointestinal Dysmotility, Autoimmune/Paraneoplastic Evaluation, Serum	83519, 86255x6	2	$ - 0
	71	Gastrointestinal Pathogen Panel, PCR, Feces	87507	2	$ - 0
	72	SpecStain, Frozen (Bill Only)	88314	16	$ - 0
	73	Helicobacter pylori Culture with Antimicrobial Susceptibilities	87081	2	$ - 0
	74	3-Hydroxy-3-Methylglutaryl Coenzyme-A (HMG-CoA) Reductase, Serum	82397	2	$ - 0
	75	Helicobacter pylori with Clarithromycin Resistance Prediction, Molecular Detection, PCR, Feces	87798x2	4	$ - 0
	76	Human Papillomavirus (HPV) High/Low Risk, DNA In Situ Hybridization	88364, 88365	4	$ - 0
	77	IF Additional Stain (Bill Only)	88350	220	$ - 0
	78	IF Initial Stain (Bill Only)	88346	36	$ - 0
	79	IHC Multiplex (Bill Only)	88344	2	$ - 0
	80	IHC Additional Stain (Bill Only)	88341	200	$ - 0
	81	IHC Initial Stain (Bill Only)	88342	88	$ - 0
	82	IHC Additional Stain, Tech Only (Bill Only)	88341	66	$ - 0
	83	IHC Initial Stain, Tech Only (Bill Only)	88342	102	$ - 0
	84	Infliximab Quantitation with Reflex to Antibodies to Infliximab, Serum	80230	60	$ - 0
	85	Infliximab Antibodies, Serum	82397	36	$ - 0
	86	Bacterial Identification by Sequencing (Bill Only)	87798	2	$ - 0
	87	Identification, Next-Generation Sequencing (Bill Only)	87798	6	$ - 0
	88	ISH Additional Stain (Bill Only)	88364	6	$ - 0
	89	ISH Initial Stain (Bill Only)	88365	12	$ - 0
	90	ISH Additional Stain, Tech Only (Bill Only)	88364	2	$ - 0
	91	ISH Initial Stain, Tech Only (Bill Only)	88365	18	$ - 0
	92	JAK2 V617F Mutation Detection, Blood	81270	22	$ - 0
	93	JAK2 Exon 12 and Other Non-V617F Mutation Detection, Blood	0027U	2	$ - 0
	94	Kelch-Like Protein 11 Antibody, Cell Binding Assay, Serum	86255	2	$ - 0
	95	Level 4 Gross and Microscopic, RB (Bill Only)	88305	20	$ - 0
	96	M-Protein Isotype by MALDI-TOF Mass Spectrometry, Serum	0077U	2	$ - 0
	97	MayoComplete Melanoma Panel, Next-Generation Sequencing, Tumor	81445	10	$ - 0
	98	MayoComplete Solid Tumor Panel, Next-Generation Sequencing, Tumor	81455	2	$ - 0
	99	Movement Disorder, Autoimmune/Paraneoplastic Evaluation, Serum	84182, 86255x19, 86341, 86596	2	$ - 0
	100	Susceptibility, Aerobic, MIC	87186	2	$ - 0
	101	Microdissection, Laser Capture (Bill Only)	88380	6	$ - 0
	102	Myelin Oligodendrocyte Glycoprotein (MOG-IgG1) Fluorescence-Activated Cell Sorting (FACS) Assay, Ser	86363	2	$ - 0
	103	MPL Exon 10 Mutation Detection, Reflex	81339	12	$ - 0
	104	Myeloproliferative Neoplasm (MPN), CALR with Reflex to MPL	81219	2	$ - 0
	105	MPL Exon 10 Sequencing, Reflex	81339	20	$ - 0
	106	Mass Spectrometry (Bill Only)	82542	6	$ - 0
	107	Mycobacterium tuberculosis Complex, Molecular Detection, PCR, Varies	87556	2	$ - 0
	108	Mycobacterium tuberculosis Complex, Molecular Detection, PCR, FFPE	87556	2	$ - 0
	109	MYD88 L265P Gene Mutation Analysis	81305	10	$ - 0
	110	MayoComplete Acute Myeloid Leukemia, Therapeutic Gene Mutation Panel (FLT3, IDH1, IDH2, TP53), Next-	81120, 81121, 81245, 81246, 81352	2	$ - 0

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 Jun 15, 2026.