CPT Code Price Schedule.xlsx

XLSX spreadsheet 27 KB Posted Feb 23, 2021

Attached to: Q301--Anatomic Pathology Lab Services VACCHCS Federal contract opportunity
Solicitation number: 36C26121Q0128_1
Issued by: Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 21

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VHA Handbook_1106_01_HK_2016-01-29.pdf	PDF	Feb 23, 2021
QASP_VACCHCS Pathology Lab Services.pdf	PDF	Feb 23, 2021

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Ordering Period 1

CPT Code #	Description/Part Number*	Qty	Price	Extended Amount
88237	Tissue Culture Bone Marrow/Blood	48		$ - 0
88237	Addt'l Tissue Culture Bone Marrow/Blood	22		$ - 0
88237	Tissue Culture Bone Marrow/Blood - NO GROW	3		$ - 0
88239	Tissue Culture Solid Tumor - NO GROW	1		$ - 0
88280	Chromosome Analysis Additional Karyotypes	9		$ - 0
88291	Cytogenetics Interpretation and Report	46		$ - 0
88291	Cytogenetics Interpretation and Report	1		$ - 0
88374	FISH AUTO - GLOBAL (Multiplex Probe)	90		$ - 0
88374 PC	FISH AUTO - PC (Multiplex Probe)	253		$ - 0
88374 TC	FISH AUTO - TC (Multiplex Probe)	254		$ - 0
88377	FISH MANUAL - GLOBAL (Multiplex Probe)	16		$ - 0
88377 PC	FISH MANUAL - PC (Multiplex Probe)	15		$ - 0
88377 TC	FISH MANUAL - TC (Multiplex Probe)	15		$ - 0
88377	LUNG FISH MANUAL - GLOBAL (Multiplex probe)	8		$ - 0
88377 PC	LUNG FISH MANUAL - PC (Multiplex probe)	6		$ - 0
88377 TC	LUNG FISH MANUAL - TC (Multiplex probe)	6		$ - 0
N/A	FLOW Additional Markers	120		$ - 0
88185	FLOW 88185 Over 24 Panel Markers	529		$ - 0
88188	FLOW Interpretation 9-15 Markers	6		$ - 0
88189	FLOW Interpretation 16 or More Markers	114		$ - 0
88185	FLOW ZAP70 Panel Markers	4		$ - 0
88313 TC	Tissue Stain - TC	2		$ - 0
88341	IHC Qualitative Addt'l Single Antibody - GLOBAL	1		$ - 0
88341 PC	IHC Qualitative Addt'l Single Antibody - PC	1		$ - 0
88341 TC	IHC Qualitative Addt'l Single Antibody - TC	571		$ - 0
88342	IHC per specimen, initial single antibody - GLOBAL	7		$ - 0
88342 PC	IHC per specimen, initial single antibody - PC	1		$ - 0
88342 TC	IHC per specimen, initial single antibody - TC	284		$ - 0
88344 TC	IHC Qualitative Each Multiplex Antibody - TC	49		$ - 0
88360	IHC Quantitative Morphometric Analysis - GLOBAL	8		$ - 0
88360 PC	IHC Quantitative Morphometric Analysis - PC	1		$ - 0
88360 TC	IHC Quantitative Morphometric Analysis - TC	3		$ - 0
88361	IHC Quantitative Morph Analysis - GLOBAL AUTOMATED	51		$ - 0
88361 PC	IHC Quantitative Morph Analysis - PC AUTOMATED	8		$ - 0
88361 TC	IHC Quantitative Morph Analysis - TC AUTOMATED	8		$ - 0
88364 TC	In Situ Hybridization-ea addt'l single prob-TC	12		$ - 0
88365 TC	In situ hybridization, initial single probe - TC	10		$ - 0
88364	HPV ISH, ea addt'l single prob - GLOBAL	5		$ - 0
88365	HPV ISH, initial single probe - GLOBAL	3		$ - 0
88360	FDA PD-L1 - GLOBAL	19		$ - 0
88360 PC	FDA PD-L1 - PC	6		$ - 0
88360 TC	FDA PD-L1 - TC	6		$ - 0
81210	BRAF Mutation Analysis	6		$ - 0
81263	IgVH Mutation Analysis	10		$ - 0
81270	JAK2 V617F Mutation Analysis	21		$ - 0
81301	Microsatellite Instability Analysis	2		$ - 0
81310	NPM1 Mutation Analysis	1		$ - 0
81315	PML-RARA	2		$ - 0
81342	T-Cell Receptor Gamma Gene Rearrangement	2		$ - 0
81401	BCL-1 Translocation t(11:14)	3		$ - 0
81402	MPL Mutation Analysis	2		$ - 0
81403	JAK2 EXON 12-14 Mutation Analysis	6		$ - 0
81170	ABL1 Kinase Domain Mutation Analysis	9		$ - 0
81479	B-Cell Gene Rearrangement	1		$ - 0
81401	BCL-2 Translocation t(14;18)	2		$ - 0
81479	BCR-ABL1 Standard p210, p190 (major/minor)	61		$ - 0
81166	BRCA1 Mutation & Del/Dup Analysis	1		$ - 0
81162	BRCA 1 & 2 Mutation & Del/Dup Analysis	5		$ - 0
81219	Calreticulin (CALR) Mutation Analysis	3		$ - 0
81272	KIT (C-KIT) Mutation Analysis	2		$ - 0
81235	EGFR Mutation Analysis	7		$ - 0
81479	FLT3 Mutation (ITD & TKD) Analysis	1		$ - 0
81479	IDH1/IDH2 Mutation Analysis	1		$ - 0
81479	JAK2 V617F with Reflex to EXON 12-14	52		$ - 0
81275	KRAS Mutation Analysis	4		$ - 0
81288	MLH1 Promoter Methylation Analysis	1		$ - 0
81479	MPN Extended Reflex Panel	1		$ - 0
81479	MPN Standard Reflex Panel	1		$ - 0
81305	MYD88 Mutation Analysis	3		$ - 0
81311	NRAS Mutation Analysis Exons 2&3	1		$ - 0
81314	PDGFRa Mutation Analysis	1		$ - 0
81479	RAS/RAF Panel	10		$ - 0
81340	T-Cell Receptor Beta Gene Rearrangement	1		$ - 0
81450	NeoTYPE™ AML Prognostic Profile	3		$ - 0
81445	NeoTYPE™ Colorectal Tumor Profile	2		$ - 0
81445	NeoTYPE™ Head & Neck Tumor Profile	1		$ - 0
81445	NeoTYPE™ Liver/Biliary Tumor Profile	1		$ - 0
81450	NeoTYPE™ Lymphoma Profile	1		$ - 0
81450	NeoTYPE™ MDS/CMML Profile	7		$ - 0
81450	NeoLAB™ MDS/CMML Profile - Liquid Biopsy	1		$ - 0
81445	NeoTYPE™ Myeloid Disorders Profile	4		$ - 0
85097	Bone Marrow Interp	3		$ - 0
88305	Surgical Path/Gross Micro - Level IV - GLOBAL	2		$ - 0
88307	Surgical Path/Gross Micro - Level V - GLOBAL	1		$ - 0
88313	Tissue Stain - GLOBAL	1		$ - 0
88341	IHC Qualitative Addt'l Single Antibody - GLOBAL	16		$ - 0
88342	IHC per specimen, initial single antibody - GLOBAL	2		$ - 0
88360	IHC Quantitative Morphometric Analysis - GLOBAL	1		$ - 0
				$ - 0
	SUBTOTAL (Products)			$ - 0

Ordering Period 2

CPT Code #	Description/Part Number*	Qty	Price	Extended Amount
88237	Tissue Culture Bone Marrow/Blood	48		$ - 0
88237	Addt'l Tissue Culture Bone Marrow/Blood	22		$ - 0
88237	Tissue Culture Bone Marrow/Blood - NO GROW	3		$ - 0
88239	Tissue Culture Solid Tumor - NO GROW	1		$ - 0
88280	Chromosome Analysis Additional Karyotypes	9		$ - 0
88291	Cytogenetics Interpretation and Report	46		$ - 0
88291	Cytogenetics Interpretation and Report	1		$ - 0
88374	FISH AUTO - GLOBAL (Multiplex Probe)	90		$ - 0
88374 PC	FISH AUTO - PC (Multiplex Probe)	253		$ - 0
88374 TC	FISH AUTO - TC (Multiplex Probe)	254		$ - 0
88377	FISH MANUAL - GLOBAL (Multiplex Probe)	16		$ - 0
88377 PC	FISH MANUAL - PC (Multiplex Probe)	15		$ - 0
88377 TC	FISH MANUAL - TC (Multiplex Probe)	15		$ - 0
88377	LUNG FISH MANUAL - GLOBAL (Multiplex probe)	8		$ - 0
88377 PC	LUNG FISH MANUAL - PC (Multiplex probe)	6		$ - 0
88377 TC	LUNG FISH MANUAL - TC (Multiplex probe)	6		$ - 0
N/A	FLOW Additional Markers	120		$ - 0
88185	FLOW 88185 Over 24 Panel Markers	529		$ - 0
88188	FLOW Interpretation 9-15 Markers	6		$ - 0
88189	FLOW Interpretation 16 or More Markers	114		$ - 0
88185	FLOW ZAP70 Panel Markers	4		$ - 0
88313 TC	Tissue Stain - TC	2		$ - 0
88341	IHC Qualitative Addt'l Single Antibody - GLOBAL	1		$ - 0
88341 PC	IHC Qualitative Addt'l Single Antibody - PC	1		$ - 0
88341 TC	IHC Qualitative Addt'l Single Antibody - TC	571		$ - 0
88342	IHC per specimen, initial single antibody - GLOBAL	7		$ - 0
88342 PC	IHC per specimen, initial single antibody - PC	1		$ - 0
88342 TC	IHC per specimen, initial single antibody - TC	284		$ - 0
88344 TC	IHC Qualitative Each Multiplex Antibody - TC	49		$ - 0
88360	IHC Quantitative Morphometric Analysis - GLOBAL	8		$ - 0
88360 PC	IHC Quantitative Morphometric Analysis - PC	1		$ - 0
88360 TC	IHC Quantitative Morphometric Analysis - TC	3		$ - 0
88361	IHC Quantitative Morph Analysis - GLOBAL AUTOMATED	51		$ - 0
88361 PC	IHC Quantitative Morph Analysis - PC AUTOMATED	8		$ - 0
88361 TC	IHC Quantitative Morph Analysis - TC AUTOMATED	8		$ - 0
88364 TC	In Situ Hybridization-ea addt'l single prob-TC	12		$ - 0
88365 TC	In situ hybridization, initial single probe - TC	10		$ - 0
88364	HPV ISH, ea addt'l single prob - GLOBAL	5		$ - 0
88365	HPV ISH, initial single probe - GLOBAL	3		$ - 0
88360	FDA PD-L1 - GLOBAL	19		$ - 0
88360 PC	FDA PD-L1 - PC	6		$ - 0
88360 TC	FDA PD-L1 - TC	6		$ - 0
81210	BRAF Mutation Analysis	6		$ - 0
81263	IgVH Mutation Analysis	10		$ - 0
81270	JAK2 V617F Mutation Analysis	21		$ - 0
81301	Microsatellite Instability Analysis	2		$ - 0
81310	NPM1 Mutation Analysis	1		$ - 0
81315	PML-RARA	2		$ - 0
81342	T-Cell Receptor Gamma Gene Rearrangement	2		$ - 0
81401	BCL-1 Translocation t(11:14)	3		$ - 0
81402	MPL Mutation Analysis	2		$ - 0
81403	JAK2 EXON 12-14 Mutation Analysis	6		$ - 0
81170	ABL1 Kinase Domain Mutation Analysis	9		$ - 0
81479	B-Cell Gene Rearrangement	1		$ - 0
81401	BCL-2 Translocation t(14;18)	2		$ - 0
81479	BCR-ABL1 Standard p210, p190 (major/minor)	61		$ - 0
81166	BRCA1 Mutation & Del/Dup Analysis	1		$ - 0
81162	BRCA 1 & 2 Mutation & Del/Dup Analysis	5		$ - 0
81219	Calreticulin (CALR) Mutation Analysis	3		$ - 0
81272	KIT (C-KIT) Mutation Analysis	2		$ - 0
81235	EGFR Mutation Analysis	7		$ - 0
81479	FLT3 Mutation (ITD & TKD) Analysis	1		$ - 0
81479	IDH1/IDH2 Mutation Analysis	1		$ - 0
81479	JAK2 V617F with Reflex to EXON 12-14	52		$ - 0
81275	KRAS Mutation Analysis	4		$ - 0
81288	MLH1 Promoter Methylation Analysis	1		$ - 0
81479	MPN Extended Reflex Panel	1		$ - 0
81479	MPN Standard Reflex Panel	1		$ - 0
81305	MYD88 Mutation Analysis	3		$ - 0
81311	NRAS Mutation Analysis Exons 2&3	1		$ - 0
81314	PDGFRa Mutation Analysis	1		$ - 0
81479	RAS/RAF Panel	10		$ - 0
81340	T-Cell Receptor Beta Gene Rearrangement	1		$ - 0
81450	NeoTYPE™ AML Prognostic Profile	3		$ - 0
81445	NeoTYPE™ Colorectal Tumor Profile	2		$ - 0
81445	NeoTYPE™ Head & Neck Tumor Profile	1		$ - 0
81445	NeoTYPE™ Liver/Biliary Tumor Profile	1		$ - 0
81450	NeoTYPE™ Lymphoma Profile	1		$ - 0
81450	NeoTYPE™ MDS/CMML Profile	7		$ - 0
81450	NeoLAB™ MDS/CMML Profile - Liquid Biopsy	1		$ - 0
81445	NeoTYPE™ Myeloid Disorders Profile	4		$ - 0
85097	Bone Marrow Interp	3		$ - 0
88305	Surgical Path/Gross Micro - Level IV - GLOBAL	2		$ - 0
88307	Surgical Path/Gross Micro - Level V - GLOBAL	1		$ - 0
88313	Tissue Stain - GLOBAL	1		$ - 0
88341	IHC Qualitative Addt'l Single Antibody - GLOBAL	16		$ - 0
88342	IHC per specimen, initial single antibody - GLOBAL	2		$ - 0
88360	IHC Quantitative Morphometric Analysis - GLOBAL	1		$ - 0
				$ - 0
	SUBTOTAL (Products)			$ - 0

Ordering Period 3

CPT Code #	Description/Part Number*	Qty	Price	Extended Amount
88237	Tissue Culture Bone Marrow/Blood	48		$ - 0
88237	Addt'l Tissue Culture Bone Marrow/Blood	22		$ - 0
88237	Tissue Culture Bone Marrow/Blood - NO GROW	3		$ - 0
88239	Tissue Culture Solid Tumor - NO GROW	1		$ - 0
88280	Chromosome Analysis Additional Karyotypes	9		$ - 0
88291	Cytogenetics Interpretation and Report	46		$ - 0
88291	Cytogenetics Interpretation and Report	1		$ - 0
88374	FISH AUTO - GLOBAL (Multiplex Probe)	90		$ - 0
88374 PC	FISH AUTO - PC (Multiplex Probe)	253		$ - 0
88374 TC	FISH AUTO - TC (Multiplex Probe)	254		$ - 0
88377	FISH MANUAL - GLOBAL (Multiplex Probe)	16		$ - 0
88377 PC	FISH MANUAL - PC (Multiplex Probe)	15		$ - 0
88377 TC	FISH MANUAL - TC (Multiplex Probe)	15		$ - 0
88377	LUNG FISH MANUAL - GLOBAL (Multiplex probe)	8		$ - 0
88377 PC	LUNG FISH MANUAL - PC (Multiplex probe)	6		$ - 0
88377 TC	LUNG FISH MANUAL - TC (Multiplex probe)	6		$ - 0
N/A	FLOW Additional Markers	120		$ - 0
88185	FLOW 88185 Over 24 Panel Markers	529		$ - 0
88188	FLOW Interpretation 9-15 Markers	6		$ - 0
88189	FLOW Interpretation 16 or More Markers	114		$ - 0
88185	FLOW ZAP70 Panel Markers	4		$ - 0
88313 TC	Tissue Stain - TC	2		$ - 0
88341	IHC Qualitative Addt'l Single Antibody - GLOBAL	1		$ - 0
88341 PC	IHC Qualitative Addt'l Single Antibody - PC	1		$ - 0
88341 TC	IHC Qualitative Addt'l Single Antibody - TC	571		$ - 0
88342	IHC per specimen, initial single antibody - GLOBAL	7		$ - 0
88342 PC	IHC per specimen, initial single antibody - PC	1		$ - 0
88342 TC	IHC per specimen, initial single antibody - TC	284		$ - 0
88344 TC	IHC Qualitative Each Multiplex Antibody - TC	49		$ - 0
88360	IHC Quantitative Morphometric Analysis - GLOBAL	8		$ - 0
88360 PC	IHC Quantitative Morphometric Analysis - PC	1		$ - 0
88360 TC	IHC Quantitative Morphometric Analysis - TC	3		$ - 0
88361	IHC Quantitative Morph Analysis - GLOBAL AUTOMATED	51		$ - 0
88361 PC	IHC Quantitative Morph Analysis - PC AUTOMATED	8		$ - 0
88361 TC	IHC Quantitative Morph Analysis - TC AUTOMATED	8		$ - 0
88364 TC	In Situ Hybridization-ea addt'l single prob-TC	12		$ - 0
88365 TC	In situ hybridization, initial single probe - TC	10		$ - 0
88364	HPV ISH, ea addt'l single prob - GLOBAL	5		$ - 0
88365	HPV ISH, initial single probe - GLOBAL	3		$ - 0
88360	FDA PD-L1 - GLOBAL	19		$ - 0
88360 PC	FDA PD-L1 - PC	6		$ - 0
88360 TC	FDA PD-L1 - TC	6		$ - 0
81210	BRAF Mutation Analysis	6		$ - 0
81263	IgVH Mutation Analysis	10		$ - 0
81270	JAK2 V617F Mutation Analysis	21		$ - 0
81301	Microsatellite Instability Analysis	2		$ - 0
81310	NPM1 Mutation Analysis	1		$ - 0
81315	PML-RARA	2		$ - 0
81342	T-Cell Receptor Gamma Gene Rearrangement	2		$ - 0
81401	BCL-1 Translocation t(11:14)	3		$ - 0
81402	MPL Mutation Analysis	2		$ - 0
81403	JAK2 EXON 12-14 Mutation Analysis	6		$ - 0
81170	ABL1 Kinase Domain Mutation Analysis	9		$ - 0
81479	B-Cell Gene Rearrangement	1		$ - 0
81401	BCL-2 Translocation t(14;18)	2		$ - 0
81479	BCR-ABL1 Standard p210, p190 (major/minor)	61		$ - 0
81166	BRCA1 Mutation & Del/Dup Analysis	1		$ - 0
81162	BRCA 1 & 2 Mutation & Del/Dup Analysis	5		$ - 0
81219	Calreticulin (CALR) Mutation Analysis	3		$ - 0
81272	KIT (C-KIT) Mutation Analysis	2		$ - 0
81235	EGFR Mutation Analysis	7		$ - 0
81479	FLT3 Mutation (ITD & TKD) Analysis	1		$ - 0
81479	IDH1/IDH2 Mutation Analysis	1		$ - 0
81479	JAK2 V617F with Reflex to EXON 12-14	52		$ - 0
81275	KRAS Mutation Analysis	4		$ - 0
81288	MLH1 Promoter Methylation Analysis	1		$ - 0
81479	MPN Extended Reflex Panel	1		$ - 0
81479	MPN Standard Reflex Panel	1		$ - 0
81305	MYD88 Mutation Analysis	3		$ - 0
81311	NRAS Mutation Analysis Exons 2&3	1		$ - 0
81314	PDGFRa Mutation Analysis	1		$ - 0
81479	RAS/RAF Panel	10		$ - 0
81340	T-Cell Receptor Beta Gene Rearrangement	1		$ - 0
81450	NeoTYPE™ AML Prognostic Profile	3		$ - 0
81445	NeoTYPE™ Colorectal Tumor Profile	2		$ - 0
81445	NeoTYPE™ Head & Neck Tumor Profile	1		$ - 0
81445	NeoTYPE™ Liver/Biliary Tumor Profile	1		$ - 0
81450	NeoTYPE™ Lymphoma Profile	1		$ - 0
81450	NeoTYPE™ MDS/CMML Profile	7		$ - 0
81450	NeoLAB™ MDS/CMML Profile - Liquid Biopsy	1		$ - 0
81445	NeoTYPE™ Myeloid Disorders Profile	4		$ - 0
85097	Bone Marrow Interp	3		$ - 0
88305	Surgical Path/Gross Micro - Level IV - GLOBAL	2		$ - 0
88307	Surgical Path/Gross Micro - Level V - GLOBAL	1		$ - 0
88313	Tissue Stain - GLOBAL	1		$ - 0
88341	IHC Qualitative Addt'l Single Antibody - GLOBAL	16		$ - 0
88342	IHC per specimen, initial single antibody - GLOBAL	2		$ - 0
88360	IHC Quantitative Morphometric Analysis - GLOBAL	1		$ - 0
				$ - 0
	SUBTOTAL (Products)			$ - 0

Ordering Period 4

CPT Code #	Description/Part Number*	Qty	Price	Extended Amount
88237	Tissue Culture Bone Marrow/Blood	48		$ - 0
88237	Addt'l Tissue Culture Bone Marrow/Blood	22		$ - 0
88237	Tissue Culture Bone Marrow/Blood - NO GROW	3		$ - 0
88239	Tissue Culture Solid Tumor - NO GROW	1		$ - 0
88280	Chromosome Analysis Additional Karyotypes	9		$ - 0
88291	Cytogenetics Interpretation and Report	46		$ - 0
88291	Cytogenetics Interpretation and Report	1		$ - 0
88374	FISH AUTO - GLOBAL (Multiplex Probe)	90		$ - 0
88374 PC	FISH AUTO - PC (Multiplex Probe)	253		$ - 0
88374 TC	FISH AUTO - TC (Multiplex Probe)	254		$ - 0
88377	FISH MANUAL - GLOBAL (Multiplex Probe)	16		$ - 0
88377 PC	FISH MANUAL - PC (Multiplex Probe)	15		$ - 0
88377 TC	FISH MANUAL - TC (Multiplex Probe)	15		$ - 0
88377	LUNG FISH MANUAL - GLOBAL (Multiplex probe)	8		$ - 0
88377 PC	LUNG FISH MANUAL - PC (Multiplex probe)	6		$ - 0
88377 TC	LUNG FISH MANUAL - TC (Multiplex probe)	6		$ - 0
N/A	FLOW Additional Markers	120		$ - 0
88185	FLOW 88185 Over 24 Panel Markers	529		$ - 0
88188	FLOW Interpretation 9-15 Markers	6		$ - 0
88189	FLOW Interpretation 16 or More Markers	114		$ - 0
88185	FLOW ZAP70 Panel Markers	4		$ - 0
88313 TC	Tissue Stain - TC	2		$ - 0
88341	IHC Qualitative Addt'l Single Antibody - GLOBAL	1		$ - 0
88341 PC	IHC Qualitative Addt'l Single Antibody - PC	1		$ - 0
88341 TC	IHC Qualitative Addt'l Single Antibody - TC	571		$ - 0
88342	IHC per specimen, initial single antibody - GLOBAL	7		$ - 0
88342 PC	IHC per specimen, initial single antibody - PC	1		$ - 0
88342 TC	IHC per specimen, initial single antibody - TC	284		$ - 0
88344 TC	IHC Qualitative Each Multiplex Antibody - TC	49		$ - 0
88360	IHC Quantitative Morphometric Analysis - GLOBAL	8		$ - 0
88360 PC	IHC Quantitative Morphometric Analysis - PC	1		$ - 0
88360 TC	IHC Quantitative Morphometric Analysis - TC	3		$ - 0
88361	IHC Quantitative Morph Analysis - GLOBAL AUTOMATED	51		$ - 0
88361 PC	IHC Quantitative Morph Analysis - PC AUTOMATED	8		$ - 0
88361 TC	IHC Quantitative Morph Analysis - TC AUTOMATED	8		$ - 0
88364 TC	In Situ Hybridization-ea addt'l single prob-TC	12		$ - 0
88365 TC	In situ hybridization, initial single probe - TC	10		$ - 0
88364	HPV ISH, ea addt'l single prob - GLOBAL	5		$ - 0
88365	HPV ISH, initial single probe - GLOBAL	3		$ - 0
88360	FDA PD-L1 - GLOBAL	19		$ - 0
88360 PC	FDA PD-L1 - PC	6		$ - 0
88360 TC	FDA PD-L1 - TC	6		$ - 0
81210	BRAF Mutation Analysis	6		$ - 0
81263	IgVH Mutation Analysis	10		$ - 0
81270	JAK2 V617F Mutation Analysis	21		$ - 0
81301	Microsatellite Instability Analysis	2		$ - 0
81310	NPM1 Mutation Analysis	1		$ - 0
81315	PML-RARA	2		$ - 0
81342	T-Cell Receptor Gamma Gene Rearrangement	2		$ - 0
81401	BCL-1 Translocation t(11:14)	3		$ - 0
81402	MPL Mutation Analysis	2		$ - 0
81403	JAK2 EXON 12-14 Mutation Analysis	6		$ - 0
81170	ABL1 Kinase Domain Mutation Analysis	9		$ - 0
81479	B-Cell Gene Rearrangement	1		$ - 0
81401	BCL-2 Translocation t(14;18)	2		$ - 0
81479	BCR-ABL1 Standard p210, p190 (major/minor)	61		$ - 0
81166	BRCA1 Mutation & Del/Dup Analysis	1		$ - 0
81162	BRCA 1 & 2 Mutation & Del/Dup Analysis	5		$ - 0
81219	Calreticulin (CALR) Mutation Analysis	3		$ - 0
81272	KIT (C-KIT) Mutation Analysis	2		$ - 0
81235	EGFR Mutation Analysis	7		$ - 0
81479	FLT3 Mutation (ITD & TKD) Analysis	1		$ - 0
81479	IDH1/IDH2 Mutation Analysis	1		$ - 0
81479	JAK2 V617F with Reflex to EXON 12-14	52		$ - 0
81275	KRAS Mutation Analysis	4		$ - 0
81288	MLH1 Promoter Methylation Analysis	1		$ - 0
81479	MPN Extended Reflex Panel	1		$ - 0
81479	MPN Standard Reflex Panel	1		$ - 0
81305	MYD88 Mutation Analysis	3		$ - 0
81311	NRAS Mutation Analysis Exons 2&3	1		$ - 0
81314	PDGFRa Mutation Analysis	1		$ - 0
81479	RAS/RAF Panel	10		$ - 0
81340	T-Cell Receptor Beta Gene Rearrangement	1		$ - 0
81450	NeoTYPE™ AML Prognostic Profile	3		$ - 0
81445	NeoTYPE™ Colorectal Tumor Profile	2		$ - 0
81445	NeoTYPE™ Head & Neck Tumor Profile	1		$ - 0
81445	NeoTYPE™ Liver/Biliary Tumor Profile	1		$ - 0
81450	NeoTYPE™ Lymphoma Profile	1		$ - 0
81450	NeoTYPE™ MDS/CMML Profile	7		$ - 0
81450	NeoLAB™ MDS/CMML Profile - Liquid Biopsy	1		$ - 0
81445	NeoTYPE™ Myeloid Disorders Profile	4		$ - 0
85097	Bone Marrow Interp	3		$ - 0
88305	Surgical Path/Gross Micro - Level IV - GLOBAL	2		$ - 0
88307	Surgical Path/Gross Micro - Level V - GLOBAL	1		$ - 0
88313	Tissue Stain - GLOBAL	1		$ - 0
88341	IHC Qualitative Addt'l Single Antibody - GLOBAL	16		$ - 0
88342	IHC per specimen, initial single antibody - GLOBAL	2		$ - 0
88360	IHC Quantitative Morphometric Analysis - GLOBAL	1		$ - 0
				$ - 0
	SUBTOTAL (Products)			$ - 0

Ordering Period 5

CPT Code #	Description/Part Number*	Qty	Price	Extended Amount
88237	Tissue Culture Bone Marrow/Blood	48		$ - 0
88237	Addt'l Tissue Culture Bone Marrow/Blood	22		$ - 0
88237	Tissue Culture Bone Marrow/Blood - NO GROW	3		$ - 0
88239	Tissue Culture Solid Tumor - NO GROW	1		$ - 0
88280	Chromosome Analysis Additional Karyotypes	9		$ - 0
88291	Cytogenetics Interpretation and Report	46		$ - 0
88291	Cytogenetics Interpretation and Report	1		$ - 0
88374	FISH AUTO - GLOBAL (Multiplex Probe)	90		$ - 0
88374 PC	FISH AUTO - PC (Multiplex Probe)	253		$ - 0
88374 TC	FISH AUTO - TC (Multiplex Probe)	254		$ - 0
88377	FISH MANUAL - GLOBAL (Multiplex Probe)	16		$ - 0
88377 PC	FISH MANUAL - PC (Multiplex Probe)	15		$ - 0
88377 TC	FISH MANUAL - TC (Multiplex Probe)	15		$ - 0
88377	LUNG FISH MANUAL - GLOBAL (Multiplex probe)	8		$ - 0
88377 PC	LUNG FISH MANUAL - PC (Multiplex probe)	6		$ - 0
88377 TC	LUNG FISH MANUAL - TC (Multiplex probe)	6		$ - 0
N/A	FLOW Additional Markers	120		$ - 0
88185	FLOW 88185 Over 24 Panel Markers	529		$ - 0
88188	FLOW Interpretation 9-15 Markers	6		$ - 0
88189	FLOW Interpretation 16 or More Markers	114		$ - 0
88185	FLOW ZAP70 Panel Markers	4		$ - 0
88313 TC	Tissue Stain - TC	2		$ - 0
88341	IHC Qualitative Addt'l Single Antibody - GLOBAL	1		$ - 0
88341 PC	IHC Qualitative Addt'l Single Antibody - PC	1		$ - 0
88341 TC	IHC Qualitative Addt'l Single Antibody - TC	571		$ - 0
88342	IHC per specimen, initial single antibody - GLOBAL	7		$ - 0
88342 PC	IHC per specimen, initial single antibody - PC	1		$ - 0
88342 TC	IHC per specimen, initial single antibody - TC	284		$ - 0
88344 TC	IHC Qualitative Each Multiplex Antibody - TC	49		$ - 0
88360	IHC Quantitative Morphometric Analysis - GLOBAL	8		$ - 0
88360 PC	IHC Quantitative Morphometric Analysis - PC	1		$ - 0
88360 TC	IHC Quantitative Morphometric Analysis - TC	3		$ - 0
88361	IHC Quantitative Morph Analysis - GLOBAL AUTOMATED	51		$ - 0
88361 PC	IHC Quantitative Morph Analysis - PC AUTOMATED	8		$ - 0
88361 TC	IHC Quantitative Morph Analysis - TC AUTOMATED	8		$ - 0
88364 TC	In Situ Hybridization-ea addt'l single prob-TC	12		$ - 0
88365 TC	In situ hybridization, initial single probe - TC	10		$ - 0
88364	HPV ISH, ea addt'l single prob - GLOBAL	5		$ - 0
88365	HPV ISH, initial single probe - GLOBAL	3		$ - 0
88360	FDA PD-L1 - GLOBAL	19		$ - 0
88360 PC	FDA PD-L1 - PC	6		$ - 0
88360 TC	FDA PD-L1 - TC	6		$ - 0
81210	BRAF Mutation Analysis	6		$ - 0
81263	IgVH Mutation Analysis	10		$ - 0
81270	JAK2 V617F Mutation Analysis	21		$ - 0
81301	Microsatellite Instability Analysis	2		$ - 0
81310	NPM1 Mutation Analysis	1		$ - 0
81315	PML-RARA	2		$ - 0
81342	T-Cell Receptor Gamma Gene Rearrangement	2		$ - 0
81401	BCL-1 Translocation t(11:14)	3		$ - 0
81402	MPL Mutation Analysis	2		$ - 0
81403	JAK2 EXON 12-14 Mutation Analysis	6		$ - 0
81170	ABL1 Kinase Domain Mutation Analysis	9		$ - 0
81479	B-Cell Gene Rearrangement	1		$ - 0
81401	BCL-2 Translocation t(14;18)	2		$ - 0
81479	BCR-ABL1 Standard p210, p190 (major/minor)	61		$ - 0
81166	BRCA1 Mutation & Del/Dup Analysis	1		$ - 0
81162	BRCA 1 & 2 Mutation & Del/Dup Analysis	5		$ - 0
81219	Calreticulin (CALR) Mutation Analysis	3		$ - 0
81272	KIT (C-KIT) Mutation Analysis	2		$ - 0
81235	EGFR Mutation Analysis	7		$ - 0
81479	FLT3 Mutation (ITD & TKD) Analysis	1		$ - 0
81479	IDH1/IDH2 Mutation Analysis	1		$ - 0
81479	JAK2 V617F with Reflex to EXON 12-14	52		$ - 0
81275	KRAS Mutation Analysis	4		$ - 0
81288	MLH1 Promoter Methylation Analysis	1		$ - 0
81479	MPN Extended Reflex Panel	1		$ - 0
81479	MPN Standard Reflex Panel	1		$ - 0
81305	MYD88 Mutation Analysis	3		$ - 0
81311	NRAS Mutation Analysis Exons 2&3	1		$ - 0
81314	PDGFRa Mutation Analysis	1		$ - 0
81479	RAS/RAF Panel	10		$ - 0
81340	T-Cell Receptor Beta Gene Rearrangement	1		$ - 0
81450	NeoTYPE™ AML Prognostic Profile	3		$ - 0
81445	NeoTYPE™ Colorectal Tumor Profile	2		$ - 0
81445	NeoTYPE™ Head & Neck Tumor Profile	1		$ - 0
81445	NeoTYPE™ Liver/Biliary Tumor Profile	1		$ - 0
81450	NeoTYPE™ Lymphoma Profile	1		$ - 0
81450	NeoTYPE™ MDS/CMML Profile	7		$ - 0
81450	NeoLAB™ MDS/CMML Profile - Liquid Biopsy	1		$ - 0
81445	NeoTYPE™ Myeloid Disorders Profile	4		$ - 0
85097	Bone Marrow Interp	3		$ - 0
88305	Surgical Path/Gross Micro - Level IV - GLOBAL	2		$ - 0
88307	Surgical Path/Gross Micro - Level V - GLOBAL	1		$ - 0
88313	Tissue Stain - GLOBAL	1		$ - 0
88341	IHC Qualitative Addt'l Single Antibody - GLOBAL	16		$ - 0
88342	IHC per specimen, initial single antibody - GLOBAL	2		$ - 0
88360	IHC Quantitative Morphometric Analysis - GLOBAL	1		$ - 0
				$ - 0
	SUBTOTAL (Products)			$ - 0

File details come from the government source that posted it. Updated Feb 23, 2021.