Attachment B Test List Histocompatibility 36C26026Q0245.xlsx

XLSX spreadsheet 15 KB Posted

Attached to
Q301 Histocompatibility Transplant Testing and Interpretation
Solicitation number
36C26026Q0245_1
Issued by

About this file

This is a pricing attachment for histocompatibility and immunogenetics testing services required by the VA Portland Health Care System. The document lists 41 laboratory tests with associated CPT codes, annual estimated utilization volumes, and a designation of whether tests are performed in-house. Pricing is structured across five ordering periods from April 1, 2026 through March 31, 2031, with a total cost row included for final pricing submission. Key tests include HLA typing at multiple resolutions (low and high), HLA antibody identification, crossmatch procedures (T-cell, B-cell, and flow), blood typing and subgrouping, PRA screening, and specialty HLA tests for drug interactions and disease associations. High-volume tests include HLA CLASS I Antibody ID and HLA CLASS II Antibody ID at 950 estimated annual tests each, HLA DP LOW RES at 250 tests, and STAT SPECIMEN HANDLING FEE at 1,300 tests annually.

The pricing template requires contractors to propose costs for each test across the five-year contract period, with most specialty tests and high-resolution typing currently showing zero estimated utilization. This attachment serves as the basis for pricing evaluation under solicitation 36C26026Q0245 for the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 20. Contractors must complete the pricing table with their proposed unit costs for each ordering period, allowing the government to evaluate total cost of ownership based on anticipated testing volumes across the transplant program's operational needs.

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Other files

File Type Posted
Attachment A SOW Histocompatibility Transplant Testing and Interpretation (2).docx DOCX document
36C26026Q0245_1.docx DOCX document
Attachment C Technical Evaluation Factors.docx DOCX document

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Bridge Pricing

Test numberTest NameCPTAnnual Estimated UtilizationTest Performed in HousePrice Ordering Period One (1) 04/01/2026 - 03/31/2027Price Ordering Period Two (2) 04/01/2027 -03/31/2028Price Ordering Period Three (3) 04/01/2028 - 03/31/2029Price Ordering Period Four (4) 04/01/2029 - 03/31/2030Price Ordering Period Five (5) 04/01/2030 - 03/31/2031Total Cost See Last Row
HLA-A LOW RES813731
HLA-B LOW RES813731
HLA-C LOW RES8137315
HLA-DR LOW RES813761
HLA-DQ LOW RES8137612
HLA-DP LOW RES81376250
HLA PRA PHENOTYPE SCREEN I/II670
FLOW HLA AB PRA SCR I/II86828280
LIT HLA CLASS I Antibody ID86832950
LIT HLA CLASS II Antibody ID86833950
T-CELL CROSSMATCH86805
B-CELL CROSSMATCH86805
FLOW CROSSMATCH8682510
SERA PRE-TX W/INHIBITORS86977100
RBC SUBGROUP - TX86905
RBC GROUP - TX86900250
ANTI-A TITER8688675
STAT SPECIMEN HANDLING FEE990011300
HLA BM DONOR PANEL, DRAW & HOLD ONLYNA0
HLA BM RECIPIENT PANEL, DRAW & HOLD ONLYNA0
LAB CLASS II TYPING, LOW RES (DRB1345, DQB1)813750
HB-LAB HLA CLASS I AND II TYPING, LOW RES (A,B,C, DRB1345,DQB1)81370250
HLA CONFIRMATION TEST CLASS I LOCUS813730
HLA CONFIRMATION TEST CLASS II LOCUS813760
HLA-A HIGH RES813800
HLA-B HIGH RES813800
HLA-C HIGH RES813800
HLA-DP HIGH RES813820
HLA-DQ HIGH RES813820
HLA-DQA HIGH RES813820
HLA-DR HIGH RES813820
HLA-DRB3,4,5 HIGH RES813820
HLA-A2813740
HLA-A29 BIRDSHOT813740
HLA-B7813740
HLA-B51 BECHET'S813740
HLA-B27813740
HLA-B*1502 CARBAMAZEPINE813810
HLA-B*5701 ABACAVIR868130
HLA-B*5801 ALLOPURINOL813810
HLA-DQ2/DQ8 CELIAC813760
HLA-DR*1501/DQ*0602 TYPING (NARCOLEPSY)81383 Xx20
HLA-DR1 NEVIRAPINE813760
HLA-DR7 XIMELAGATRAN813760
CTS STUDY - BLOOD868170
TX LONG TERM STORAGE, DONOR990011
PLATELET REFRACTORY WORKUP86832 81373 X20
$0.00$0.00$0.00$0.00$0.00$0.00

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