Attachment_3-Exhibit_AB_Ordering_Period_2.pdf

Exhibit AB FA3010-16-R-0002 Attachment 3

Dated: 20 Oct 2015

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ESTIMATED

QUANTITY UNIT PRICE TOTAL PRICE

GENERAL CHEMISTRY

AB01 Cost Per Reportable Result GLYCOCYLATED HEMAGLOBIN A1C - No Pretreatment Required 13770 $ $

AB02 Cost Per Reportable Result ALBUMIN 30753 $ $

AB03 Cost Per Reportable Result AMMONIA 170 $ $

AB04 Cost Per Reportable Result AMYLASE 561 $ $

AB05 Cost Per Reportable Result ALKALINE PHOSPHATASE 23421 $ $

AB06 Cost Per Reportable Result ALANINE AMINOTRANSFERASE (ALT) 24095 $ $

AB07 Cost Per Reportable Result ASPARTATE AMINOTRANSFERASE (AST) 24363 $ $

AB08 Cost Per Reportable Result BLOOD UREA NITOGEN 41991 $ $

AB09 Cost Per Reportable Result CALCIUM 42279 $ $

AB10 Cost Per Reportable Result CHOLESTEROL 14842 $ $

AB11 Cost Per Reportable Result CREATINE KINASE - TOTAL 4410 $ $

AB12 Cost Per Reportable Result CREATININE 51837 $ $

AB13 Cost Per Reportable Result DIRECT BILIRUBIN 3446 $ $

AB14 Cost Per Reportable Result ALCOHOL 393 $ $

AB15 Cost Per Reportable Result FERRITIN 3244 $ $

AB16 Cost Per Reportable Result GAMMA-GLUTAMYL TRANSFERASE 319 $ $

AB17 Cost Per Reportable Result GLUCOSE 42259 $ $

AB18 Cost Per Reportable Result HIGH DENSITY LYPOPROTIEN - DIRECT 14821 $ $

AB19 Cost Per Reportable Result LOW DENSITY LYPOPROTIEN - DIRECT 14836 $ $

AB20 Cost Per Reportable Result IRON (NO PRETREATMENT) 4776 $ $

AB21 Cost Per Reportable Result LACTATE 1495 $ $

AB22 Cost Per Reportable Result LACTIC DEHYDROGENASE 928 $ $

AB23 Cost Per Reportable Result LIPASE 1735 $ $

AB24 Cost Per Reportable Result MAGNESIUM 6925 $ $

AB25 Cost Per Reportable Result PHOSPHOROUS 9972 $ $

AB26 Cost Per Reportable Result PREALBUMIN 126 $ $

AB27 Cost Per Reportable Result TOTAL BILIRUBIN 23978 $ $

AB28 Cost Per Reportable Result IRON BINDING CAPACITY 4754 $ $

AB29 Cost Per Reportable Result TOTAL PROTEIN 23751 $ $

CHEMISTRY & SPECIAL CHEMISTRY TESTING KEESLER AFB, MS

Ordering Period 2: 1 Apr 2017 - 31 Mar 2018

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ESTIMATED

QUANTITY UNIT PRICE TOTAL PRICE

CHEMISTRY & SPECIAL CHEMISTRY TESTING KEESLER AFB, MS

Ordering Period 2: 1 Apr 2017 - 31 Mar 2018

AB30 Cost Per Reportable Result TRANSFERRIN 4754 $ $

AB31 Cost Per Reportable Result TRIGLYCERIDE 14859 $ $

AB32 Cost Per Reportable Result URIC ACID 1549 $ $

ELECTROLYTES

AB33 Cost Per Reportable Result SODIUM 40969 $ $

AB34 Cost Per Reportable Result POTASSIUM 40953 $ $

AB35 Cost Per Reportable Result CHLORIDE 40517 $ $

AB36 Cost Per Reportable Result CARBON DIOXIDE 39098 $ $

IMMUNOCHEMISTRY

AB37 Cost Per Reportable Result 3RD GENERATION TOTAL PROSTATE SPECIFIC ANTIGEN (PSA) 2541 $ $

AB38 Cost Per Reportable Result 3RD GENERATION THYROID STYMULATING HORMONE (TSH) 13728 $ $

AB39 Cost Per Reportable Result ALPHA FETAL PROTIEN 188 $ $

AB40 Cost Per Reportable Result ANTI STREPTOLYSIN O (ASO) 26 $ $

AB41 Cost Per Reportable Result B12, VITAMIN 3037 $ $

AB42 Cost Per Reportable Result CA-125 ANTIGEN 98 $ $

AB43 Cost Per Reportable Result CARCINOEMBRYONIC ANTIGEN (CEA) 505 $ $

AB44 Cost Per Reportable Result CORTISOL 387 $ $

AB45 Cost Per Reportable Result TOTAL 25-HYDROXYVITAMIN D (TOTAL VITAMIN D) 6630 $ $

AB46 Cost Per Reportable Result ESTRADIOL 217 $ $

AB47 Cost Per Reportable Result FREE PSA 598 $ $

AB48 Cost Per Reportable Result FOLLICLE STIMULATING HORMONE (FSH) 571 $ $

AB49 Cost Per Reportable Result FREE THYROXINE (FT4) 4922 $ $

AB50 Cost Per Reportable Result FOLATE 3037 $ $

AB51 Cost Per Reportable Result Beta HUMAN CHORIONIC GONADOTROPIN (HCG) 825 $ $

AB52 Cost Per Reportable Result IMMUNOGLOBULIN A 286 $ $

AB53 Cost Per Reportable Result IMMUNOGLOBULIN G 286 $ $

AB54 Cost Per Reportable Result IMMUNOGLOBULIN M 286 $ $

AB55 Cost Per Reportable Result LUTEINIZING HORMONE (LH) 571 $ $

AB56 Cost Per Reportable Result PROGESTERONE 121 $ $

AB57 Cost Per Reportable Result PROLACTIN 1110 $ $

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ESTIMATED

QUANTITY UNIT PRICE TOTAL PRICE

CHEMISTRY & SPECIAL CHEMISTRY TESTING KEESLER AFB, MS

Ordering Period 2: 1 Apr 2017 - 31 Mar 2018

AB58 Cost Per Reportable Result RAPID/INTACT PARATHYROID HORMONE (PTH) 1634 $ $

AB59 Cost Per Reportable Result RHEUMATOID FACTOR (RF) 551 $ $

AB60 Cost Per Reportable Result TRIIODOTHYRONINE (FREE T3) 584 $ $

AB61 Cost Per Reportable Result TOTAL TESTOSTERONE 676 $ $

URINE DRUGS OF ABUSE

AB62 Cost Per Reportable Result AMPHETAMINE 816 $ $

AB63 Cost Per Reportable Result BARBITURATE 816 $ $

AB64 Cost Per Reportable Result BENZODIAZEPINE 816 $ $

AB65 Cost Per Reportable Result CANNOBINOID 816 $ $

AB66 Cost Per Reportable Result COCAINE 816 $ $

AB67 Cost Per Reportable Result OPIATE 816 $ $

AB68 Cost Per Reportable Result PHENCYCLIDINE 816 $ $

THERAPEUTIC DRUGS

AB69 Cost Per Reportable Result ACETAMINOPHEN 228 $ $

AB70 Cost Per Reportable Result CARBAMAZEPINE 26 $ $

AB71 Cost Per Reportable Result DIGOXIN 126 $ $

AB72 Cost Per Reportable Result GENTAMICIN 26 $ $

AB73 Cost Per Reportable Result LITHIUM 29 $ $

AB74 Cost Per Reportable Result PHENOBARBITAL 26 $ $

AB75 Cost Per Reportable Result PHENYTOIN 28 $ $

AB76 Cost Per Reportable Result SALICYLATE 213 $ $

AB77 Cost Per Reportable Result THEOPHYLLINE 26 $ $

AB78 Cost Per Reportable Result TOBRAMYCIN 26 $ $

AB79 Cost Per Reportable Result VALPORIC ACID 102 $ $

AB80 Cost Per Reportable Result VANCOMYCIN 418 $ $

URINE CHEMISTRY

AB81 Cost Per Reportable Result URINE/CSF TOTAL PROTEIN 2244 $ $

AB82 Cost Per Reportable Result MICROALBUMIN 12197 $ $

CARDIAC TESTS

AB83 Cost Per Reportable Result C-REACTIVE PROTIEN High Sensitivity 1556 $ $

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ESTIMATED

QUANTITY UNIT PRICE TOTAL PRICE

CHEMISTRY & SPECIAL CHEMISTRY TESTING KEESLER AFB, MS

Ordering Period 2: 1 Apr 2017 - 31 Mar 2018

AB84 Cost Per Reportable Result N TERMINAL-PRO BRAIN NAUTINIC PEPTIDE 2639 $ $

AB85 Cost Per Reportable Result TROPONIN I 4080 $ $

AB86 Cost Per Reportable Result CREATINE KINASE - MUSCLE BRAIN 3968 $ $

690,034

Total Estimated

Price