Estimated Price Schedule.docx

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Q301--Specialized Laboratory Testing, VA Palo Alto Health Care System
Solicitation number
36C26126Q1110
Issued by

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This is an Estimated Price Schedule for specialized laboratory testing services to be provided to the VA Palo Alto Health Care System under a one-year base period of performance from October 1, 2026, through September 30, 2027. The schedule itemizes 25 distinct medical reference laboratory tests across CPT codes and procedures, with quantities ranging from 2 to 11 units per test line item. Tests encompass specialized diagnostics including neurological evaluations (demyelinating disease, CNS autoimmune panels), hematology studies (erythrocytosis evaluation, BPGM gene sequencing, VHL gene analysis), oncology-related assays (paraneoplastic autoantibody evaluations, DLL3 immunohistochemistry), and proteomic analyses (amyloid protein identification via LC-MS/MS, quantitative M-protein studies). All line items are classified under NAICS Code 621511 (Medical Laboratories) and PSC Q301 (Medical - Reference Laboratory Testing).

The price schedule contains blank fields for unit pricing and total amounts to be completed by contractors submitting proposals. The procurement is structured as a firm-fixed-price contract with quantities specified for each of the 25 test types, totaling 104 test units across the base period. Contractors responding to the related Sources Sought announcement (Solicitation Number 36C26126Q1110) should reference this pricing template when developing their cost proposals. The Government indicated that responses to the Sources Sought must be submitted by August 17, 2026, with the contract period commencing October 1, 2026.

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?.## PRICE/COST SCHEDULE

ITEM INFORMATION

ITEM NUMBER
DESCRIPTION OF SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT
11.00
EA
__________________
__________________

Encephalopathy, Autoimm/Paraneo, S Contract Period: Base POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 621511 - Medical Laboratories PRODUCT/SERVICE CODE: Q301 - Medical - Reference Laboratory Testing 86255x23, 86341

10.00
EA
__________________
__________________

MyoMarker 3 Profile

POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 621511 - Medical Laboratories

83516x9, 86235x7

7.00
EA
__________________
__________________

Amyloid Protein ID, Par, LC MS/MS

POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 621511 - Medical Laboratories

88313

6.00
EA
__________________
__________________

Axonal, Autoimm/Paraneo, S

POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 621511 - Medical Laboratories

84182, 86255x12

6.00
EA
__________________
__________________

Enceph, Autoimm/Paraneo, CSF

POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 621511 - Medical Laboratories

86255x23, 86341

4.00
EA
__________________
__________________

Alpha-Galactosidase, Leukocytes

POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 621511 - Medical Laboratories

82657

4.00
EA
__________________
__________________

DLL3(SP347)Semi-Quant IHC,Manual

POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 621511 - Medical Laboratories

88360

4.00
EA
__________________
__________________

Paraneoplastic Autoantibody Eval, S

POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 621511 - Medical Laboratories

86255x9

4.00
EA
__________________
__________________

Erythrocytosis Evaluation

POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 621511 - Medical Laboratories

020x2, 83021, 83789

3.00
EA
__________________
__________________

BPGM Full Gene Sequencing

POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 621511 - Medical Laboratories

81479

3.00
EA
__________________
__________________

Demyelinating Neuropathy Ab Eval, S

POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 621511 - Medical Laboratories

83516x5, 83520, 86255x2

3.00
EA
__________________
__________________

GI Dysmotility, Autoimm/Paraneo, S

POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 621511 - Medical Laboratories

83519

3.00
EA
__________________
__________________

Hereditary Erythrocytosis Mut, B

POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 621511 - Medical Laboratories

81479

2.00
EA
__________________
__________________

Pathology Consult

POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 621511 - Medical Laboratories

88321

2.00
EA
__________________
__________________

Pathology Consult

POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 621511 - Medical Laboratories

88342

2.00
EA
__________________
__________________

Pathology Consult

POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 621511 - Medical Laboratories

88365

3.00
EA
__________________
__________________

Quantitative M-protein Study, S

POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 621511 - Medical Laboratories

0077U, 82784x3

3.00
EA
__________________
__________________

Stiff-Person/PERM Eval, S

POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 621511 - Medical Laboratories

0431U, 86255x2, 86341

3.00
EA
__________________
__________________

VHL Gene Erythrocytosis Mutations

POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 621511 - Medical Laboratories

81404

3.00
EA
__________________
__________________

CNS Demyelinating Disease Evaluation, Serum - ARUP similar test

POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 621511 - Medical Laboratories

86053, 86363

3.00
EA
__________________
__________________

Collapsin Response-Mediator Protein-5 (CRMP-5) Neuronal IgG Titer, Serum

POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 621511 - Medical Laboratories

86256

3.00
EA
__________________
__________________

Collapsin Response-Mediator Protein-5-IgG, Western Blot, Serum

POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 621511 - Medical Laboratories

84182

3.00
EA
__________________
__________________

Myelin Oligodendrocyte Glycoprotein (MOG-IgG-1) Fluorescence-Activated Cell Sorting (FACS) Titer Ass

POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 621511 - Medical Laboratories

86363

3.00
EA
__________________
__________________

Neuromyelitis Optica (NMO)/Aquaporin-4 FACS IgG Assay Titer, Serum

POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 621511 - Medical Laboratories

86053

3.00
EA
__________________
__________________

Paraneoplastic Vision Loss Evaluation, Serum

POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 621511 - Medical Laboratories

84182, 86255

GRAND TOTAL
__________________

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