Attachment B Test List Histocompatibility 36C26026Q0245.xlsx
XLSX spreadsheet 15 KB Posted
- Solicitation number
- 36C26026Q0245_1
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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| Test number | Test Name | CPT | Annual Estimated Utilization | Test Performed in House | Price Ordering Period One (1) 04/01/2026 - 03/31/2027 | Price Ordering Period Two (2) 04/01/2027 -03/31/2028 | Price Ordering Period Three (3) 04/01/2028 - 03/31/2029 | Price Ordering Period Four (4) 04/01/2029 - 03/31/2030 | Price Ordering Period Five (5) 04/01/2030 - 03/31/2031 | Total Cost See Last Row |
| HLA-A LOW RES | 81373 | 1 | ||||||||
| HLA-B LOW RES | 81373 | 1 | ||||||||
| HLA-C LOW RES | 81373 | 15 | ||||||||
| HLA-DR LOW RES | 81376 | 1 | ||||||||
| HLA-DQ LOW RES | 81376 | 12 | ||||||||
| HLA-DP LOW RES | 81376 | 250 | ||||||||
| HLA PRA PHENOTYPE SCREEN I/II | 670 | |||||||||
| FLOW HLA AB PRA SCR I/II | 86828 | 280 | ||||||||
| LIT HLA CLASS I Antibody ID | 86832 | 950 | ||||||||
| LIT HLA CLASS II Antibody ID | 86833 | 950 | ||||||||
| T-CELL CROSSMATCH | 86805 | |||||||||
| B-CELL CROSSMATCH | 86805 | |||||||||
| FLOW CROSSMATCH | 86825 | 10 | ||||||||
| SERA PRE-TX W/INHIBITORS | 86977 | 100 | ||||||||
| RBC SUBGROUP - TX | 86905 | |||||||||
| RBC GROUP - TX | 86900 | 250 | ||||||||
| ANTI-A TITER | 86886 | 75 | ||||||||
| STAT SPECIMEN HANDLING FEE | 99001 | 1300 | ||||||||
| HLA BM DONOR PANEL, DRAW & HOLD ONLY | NA | 0 | ||||||||
| HLA BM RECIPIENT PANEL, DRAW & HOLD ONLY | NA | 0 | ||||||||
| LAB CLASS II TYPING, LOW RES (DRB1345, DQB1) | 81375 | 0 | ||||||||
| HB-LAB HLA CLASS I AND II TYPING, LOW RES (A,B,C, DRB1345,DQB1) | 81370 | 250 | ||||||||
| HLA CONFIRMATION TEST CLASS I LOCUS | 81373 | 0 | ||||||||
| HLA CONFIRMATION TEST CLASS II LOCUS | 81376 | 0 | ||||||||
| HLA-A HIGH RES | 81380 | 0 | ||||||||
| HLA-B HIGH RES | 81380 | 0 | ||||||||
| HLA-C HIGH RES | 81380 | 0 | ||||||||
| HLA-DP HIGH RES | 81382 | 0 | ||||||||
| HLA-DQ HIGH RES | 81382 | 0 | ||||||||
| HLA-DQA HIGH RES | 81382 | 0 | ||||||||
| HLA-DR HIGH RES | 81382 | 0 | ||||||||
| HLA-DRB3,4,5 HIGH RES | 81382 | 0 | ||||||||
| HLA-A2 | 81374 | 0 | ||||||||
| HLA-A29 BIRDSHOT | 81374 | 0 | ||||||||
| HLA-B7 | 81374 | 0 | ||||||||
| HLA-B51 BECHET'S | 81374 | 0 | ||||||||
| HLA-B27 | 81374 | 0 | ||||||||
| HLA-B*1502 CARBAMAZEPINE | 81381 | 0 | ||||||||
| HLA-B*5701 ABACAVIR | 86813 | 0 | ||||||||
| HLA-B*5801 ALLOPURINOL | 81381 | 0 | ||||||||
| HLA-DQ2/DQ8 CELIAC | 81376 | 0 | ||||||||
| HLA-DR*1501/DQ*0602 TYPING (NARCOLEPSY) | 81383 Xx2 | 0 | ||||||||
| HLA-DR1 NEVIRAPINE | 81376 | 0 | ||||||||
| HLA-DR7 XIMELAGATRAN | 81376 | 0 | ||||||||
| CTS STUDY - BLOOD | 86817 | 0 | ||||||||
| TX LONG TERM STORAGE, DONOR | 99001 | 1 | ||||||||
| PLATELET REFRACTORY WORKUP | 86832 81373 X2 | 0 | ||||||||
| $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
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