8._AP_Price_List_Attachment_7.xlsx

XLSX spreadsheet 26 KB Posted

Attached to
Lab Testing Services Federal contract opportunity
Solicitation number
FA8601-17-R-0060
Issued by
Department of the Air Force Materiel Command Lifecycle Management Center Wright Patterson Air Force Base

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8._Updated_Price_List_Attachment_7.xlsx XLSX spreadsheet
2._Provisions_&_Clauses_Redacted.pdf PDF
7._FAR_52.212-3_Attachment_6.pdf PDF
5._FAR_52.222-25_Attachment_4.pdf PDF
4._FAR_52.222-22_Attachment_3.pdf PDF
3._Performance_Work_Statement.pdf PDF
6._FAR_52.209-2_Attachment_5.pdf PDF

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Sheet1 Please provide a price for all tests. If there is a test you cannot or do not perform, please mark "N/A" in the Unit Price column.

CPTDESCRIPTIONQuantityUnit of Issue (ea.)Price per Service CountTotal
81206BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; major breakpoint, qualitative or quantitative$ - 0
81207minor breakpoint, qualitative or quantitative$ - 0
81210BRAF (v-raf murine sarcoma viral oncogene homolog B1) (eg, colon cancer), gene analysis, V600E variant$ - 0
81211BRCA1&2 SEQ & COM DUP/DEL$ - 0
81212BRCA1&2 185&5385&6174 VAR$ - 0
81213BRCA1&2 UNCOM DUP/DEL VAR$ - 0
81214BRCA1 FULL SEQ & COM DUP/DEL$ - 0
81215BRCA1 GENE KNOWN FAM VARIANT$ - 0
81217BRCA2 GENE KNOWN FAM VARIANT$ - 0
81225Cyp2c19 gene com variants$ - 0
81235EGFR (epidermal growth factor receptor) (eg, non-small cell lung cancer) gene analysis, common variants (eg, exon 19 LREA deletion, L858R, T790M, G719A, G719S, L861Q)$ - 0
81245FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis, internal tandem duplication (ITD) variants (ie, exons 14, 15)$ - 0
81261IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect abnormal clonal population(s); amplified methodology (eg, polymerase chain reaction)$ - 0
81263IGH@ (Immunoglobulin heavy chain locus) (eg, leukemia and lymphoma, B-cell), variable region somatic mutation analysis$ - 0
81264IGK REARRANGEABN CLONAL POP$ - 0
81267Chimerism (engraftment) analysis, post transplantation specimen (eg, hematopoietic stem cell), includes comparison to previously performed baseline analyses; without cell selection$ - 0
81270JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) gene analysis, p.Val617Phe (V617F) variant$ - 0
81275KRAS (v-Ki-ras2 Kirsten rat sarcoma viral oncogene) (eg, carcinoma) gene analysis, variants in codons 12 and 13$ - 0
81290MCOLN1 GENE$ - 0
81291MTHFR GENE$ - 0
81292MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis$ - 0
81293known familial variants$ - 0
81294MLH1 GENE DUP/DELETE VARIANT$ - 0
81295MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis$ - 0
81296known familial variants$ - 0
81297MSH2 GENE DUP/DELETE VARIANT$ - 0
81298MSH6 (mutS homolog 6 [E. coli]) (eg, hereditary nonpolyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis$ - 0
81299MSH6 GENE KNOWN VARIANTS$ - 0
81300MSH6 GENE DUP/DELETE VARIANT$ - 0
81301Microsatellite instability analysis (eg, hereditary nonpolyposis colorectal cancer, Lynch syndrome) of markers for mismatch repair deficiency (eg, BAT25, BAT26), includes comparison of neoplastic and normal tissue, if performed$ - 0
81302MECP2 GENE FULL SEQ$ - 0
81303MECP2 GENE KNOWN VARIANT$ - 0
81304MECP2 GENE DUP/DELET VARIANT$ - 0
81310NPM1 (nucleophosmin) (eg, acute myeloid leukemia) gene analysis, exon 12 variants$ - 0
81315PML/RARalpha, (t(15;17)), (promyelocytic leukemia/ retinoic acid receptor alpha) (eg, promyelocytic leukemia) translocation analysis; common breakpoints (eg, intron 3 and intron 6), qualitative or quantitative$ - 0
81316PML/RARALPHA 1 BREAKPOINT$ - 0
81317PMS2 GENE FULL SEQ ANALYSIS$ - 0
81318PMS2 KNOWN FAMILIAL VARIANTS$ - 0
81319PMS2 GENE DUP/DELET VARIANTS$ - 0
81321PTEN GENE FULL SEQUENCE$ - 0
81340TRB@ GENE REARRANGE AMPLIFY$ - 0
81342TRG GENE REARRANGEMENT ANAL$ - 0
81350UGT1A1 (UDP glucuronosyltransferase 1 family, polypeptide A1) (eg, irinotecan metabolism), gene analysis, common variants (eg, *28, *36, *37)$ - 0
81400MOPATH PROCEDURE LEVEL 1$ - 0
81401Molecular pathology procedure, Level 2 (eg, 2-10 SNPs, 1 methylated variant, or 1 somatic variant [typically using nonsequencing target variant analysis], or detection of a dynamic mutation disorder/triplet repeat)$ - 0
81402Molecular pathology procedure, Level 3 (eg, >10 SNPs, 2-10 methylated variants, or 2-10 somatic variants [typically using non-sequencing target variant analysis], immunoglobulin and T-cell receptor gene rearrangements, duplication/deletion variants of 1 exon, loss of heterozygosity [LOH], uniparental disomy [UPD])$ - 0
81403Molecular pathology procedure, Level 4 (eg, analysis of single exon by DNA sequence analysis, analysis of >10 amplicons using multiplex PCR in 2 or more independent reactions, mutation scanning or duplication/deletion variants of 2-5 exons)$ - 0
81404Molecular pathology procedure, Level 5 (eg, analysis of 2-5 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 6-10 exons, or characterization of a dynamic mutation disorder/triplet repeat by Southern blot analysis)$ - 0
81405Molecular pathology procedure, Level 6 (eg, analysis of 6-10 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 11-25 exons, regionally targeted cytogenomic array analysis)$ - 0
81406MOPATH PROCEDURE LEVEL 7$ - 0
81407MOPATH PROCEDURE LEVEL 8$ - 0
81408MOPATH PROCEDURE LEVEL 9$ - 0
81445Oncovantage$ - 0
81479UNLISTED MOLECULAR PATHOLOGY PROCEDURE$ - 0
86152Cell enumeration using immunologic selection and ident in fluid spec (circulating tumor cells)$ - 0
86153Cell enumer using immun sel and ident in fluid spec; physician interp & report, when required$ - 0
CPTDESCRIPTIONQuantityUnit of Issue (ea.)Price per Service CountTotal
82013ACETYLCHOLINESTERASE$ - 0
82106ALPHA-FETOPROTEIN; AMNIOTIC FLUID$ - 0
82232BETA-2 MICROGLOBULIN$ - 0
82657ENZYM ACTIV-CELLS/TISS NES; NONRAD$ - 0
83033HGB; F QUAL TEST FECAL$ - 0
84702GONADOTROPIN CHORIONIC; QUAN$ - 0
84999UNLISTED CHEMISTRY PROCEDURE$ - 0
85060BLD SMEAR PERIPHRL INTRPT W/REPORT$ - 0
85097BONE MARROW; SMEAR INTERPT ONLY$ - 0
85540LEUKOCYTE ALKALINE PHOSPHATASE W/C$ - 0
86336INHIBIN A$ - 0
86356MONONUCLEAR CELL ANTIGEN,QUANTITATIVE,EACH ANTIGEN$ - 0
87480AGT-DNA/RNA; CANDIDA SPECIES-DIREC$ - 0
87481AGT-DNA/RNA; CANDIDA SPECIES-AMPLI$ - 0
87491AGT-DNA/RNA; CHLAMYDIA TRACH-AMPLI$ - 0
87510AGT-DNA/RNA; GARDNERELLA VAG-DIREC$ - 0
87511AGT-DNA/RNA; GARDNERELLA VAG-AMPLI$ - 0
87529AGT-DNA/RNA; HERPES SIMPLEX-AMPLI$ - 0
87591AGT-DNA/RNA; NEISSER GONORRHEA-AMP$ - 0
87623HPV LOW RISK$ - 0
87624HPV HIGH RISK$ - 0
87625HPV 16/18 GENOTYPE$ - 0
87653INFECTIOUS AGENT DETECTION BY NUCLEIC ACID(DNA OR RNA); STREP, GROUP B, AMPLIFI$ - 0
87660INFECT AGENT DETECT BY NUCLEIC ACID TRICHOMONAS VAGINALIS DIRECT PROBE TECH.$ - 0
87661TRICHOMONAS VAGINALIS AMPLIF$ - 0
87798AGT-DNA/RNA; NOS-AMPLIFIED PROBE$ - 0
88104CYTOPATH NO CERV/VAG; SMEARS W/INT$ - 0
88104-TCCYTOPATH NO CERV/VAG; SMEARS W/INT - TC Only$ - 0
88106CYTOPATH FL NONGYN, FILTER$ - 0
88106-TCCYTOPATH FL NONGYN, FILTER - TC Only$ - 0
88107CYTOPATH NO CERV/VAG; PREP W/INTRP$ - 0
88108CYTOPATH CONCENTRA-SMEARS & INTERP$ - 0
88108-TCCYTOPATH CONCENTRA-SMEARS & INTERP - TC Only$ - 0
88112CYTOPATH, SELECTIVE CELL. ENH. TECH W/ INTRPRTTN EXPT CERV OF VAG CERV OR VAG.$ - 0
88112-TCCYTOPATH, SELECTIVE CELL. ENH. TECH W/ INTRPRTTN EXPT CERV OF VAG CERV OR VAG. - TC Only$ - 0
88120CYTOPATHOLOGY, IN SITU HYBRIDIZATION (EG, FISH), URINARY TRACT SPECIMEN WITH MORPHOMETRIC ANALYSIS, 3-5 MOLECULAR PROBES, EACH SPECIMEN; MANUAL$ - 0
88120 26CYTOPATHOLOGY, IN SITU HYBRIDIZATION (EG, FISH), URINARY TRACT SPECIMEN WITH MORPHOMETRIC ANALYSIS, 3-5 MOLECULAR PROBES, EACH SPECIMEN; MANUAL - PC$ - 0
88120 TCCYTOPATHOLOGY, IN SITU HYBRIDIZATION (EG, FISH), URINARY TRACT SPECIMEN WITH MORPHOMETRIC ANALYSIS, 3-5 MOLECULAR PROBES, EACH SPECIMEN; MANUAL - TC$ - 0
88121CYTOPATHOLOGY, IN SITU HYBRIDIZATION (EG, FISH), URINARY TRACT SPECIMEN WITH MORPHOMETRIC ANALYSIS, 3-5 MOLECULAR PROBES, EACH SPECIMEN; USING COMPUTER-ASSISTED TECHNOLOGY$ - 0
88121 26CYTOPATHOLOGY, IN SITU HYBRIDIZATION (EG, FISH), URINARY TRACT SPECIMEN WITH MORPHOMETRIC ANALYSIS, 3-5 MOLECULAR PROBES, EACH SPECIMEN; MANUAL - PC$ - 0
88121 TCCYTOPATHOLOGY, IN SITU HYBRIDIZATION (EG, FISH), URINARY TRACT SPECIMEN WITH MORPHOMETRIC ANALYSIS, 3-5 MOLECULAR PROBES, EACH SPECIMEN; MANUAL - TC$ - 0
88125CYTOPATHOLOGY, FORENSIC$ - 0
88125 26CYTOPATHOLOGY, FORENSIC - PC$ - 0
88125 TCCYTOPATHOLOGY, FORENSIC - TC$ - 0
88141CYTOPATH CERV/VAG; REQ INTERPT PHY$ - 0
88142CYTPTH CERV/VAG; MANUAL SCRN-SUPRV$ - 0
88160CYTPATH SMEARS; SCREEN & INTRPT$ - 0
88160-TCCYTPATH SMEARS; SCREEN & INTRPT - TC Only$ - 0
88161CYTOPATH SMEAR; PREP/SCREEN/INTERP$ - 0
88161-TCCYTOPATH SMEAR; PREP/SCREEN/INTERP - TC Only$ - 0
88162-TCCYTOPATH SMEAR: PREP/SCREEN/INTREP EXT STUDY - TC Only$ - 0
88164CYTOPATH SLIDES-CERV/VAG; MAN SCRN$ - 0
88172CYTOPATHOLOGY,EVAL FINE NEEDLE ASP;IMM CYTO STUDY TO DET ADE FOR DX,FIRST EVAL$ - 0
88172-TCCYTOPATHOLOGY,EVAL FINE NEEDLE ASP;IMM CYTO STUDY TO DET ADE FOR DX,FIRST EVAL - TC Only$ - 0
88173EVAL FINE NEEDL ASPIRAT;INTRPT/REP$ - 0
88173-TCEVAL FINE NEEDL ASPIRAT;INTRPT/REP - TC Only$ - 0
88174CYTOPATH, CERV/VAG COLLECTED IN PRES FLUID, AUTOMATED THIN LAYER PREP$ - 0
88175W/ SCREENING BY AUTOMATED SYSTEM & MAN. RESCREENING, UNDER PHYS. SPRVSN$ - 0
88177CYTOPATHOLOGY, EVAL FINE NEEDLE ASPIRATE; INTERPRETATION & REPORT$ - 0
88177 26CYTOPATHOLOGY, EVAL FINE NEEDLE ASPIRATE; INTERPRETATION & REPORT - PC$ - 0
88177 TCCYTOPATHOLOGY, EVAL FINE NEEDLE ASPIRATE; INTERPRETATION & REPORT - TC$ - 0
88182FLO CYTOMETRY; CELL CYCLE/DNA ANAL$ - 0
88182-26FLO CYTOMETRY; CELL CYCLE/DNA ANAL - PC Only$ - 0
88182-TCFLO CYTOMETRY; CELL CYCLE/DNA ANAL - TC Only$ - 0
88184FLOW CYMETRY, CELL SURF., CYTOPLASMIC, OR NUC. MARKER, TC ONLY, 1ST MARKER$ - 0
88185EACH ADDITIONAL MARKER (LIST SEPERATELY IN ADDITION TO CODE FOR FIRST MARKER)$ - 0
88187FLOW CYMETRY, INTERPRETATION, 2 TO 8$ - 0
881889 TO 15 MARKERS$ - 0
8818916 OR MORE MARKERS$ - 0
88230TISS CULT NON-NEOPLASM; LYMPHOCYTE$ - 0
88233TISS CULT NON-NEOPLASM; SKIN$ - 0
88235TISS CULT NON-NEOPLAS; AMNIOT FLUI$ - 0
88237TISS CULT NEOPLASM; MARROW/BLD CEL$ - 0
88239TISS CULTURE NEOPLASM; SOLID TUMOR$ - 0
88249CHROMOSOME ANALYSIS 100$ - 0
88261CHROMO ANALY; CT 5 CEL 1 KAROTYPE$ - 0
88262CHROMO ANALY; CT 15-20 CELL 2 KARY$ - 0
88263CHROMO ANALY; CT 45 CEL MOSAICISM$ - 0
88264CHROMOSOME ANALY; ANALY 20-25 CELL$ - 0
88267CHROMO ANALY AMNIO FLUID CT 15 CEL$ - 0
88269CHROMO ANAL AMNIO FLD CT 6-12 COLN$ - 0
88271MOLEC CYTOGEN; DNA PROBE EA$ - 0
88272MOLEC CYTOGEN; CHROMOSOM HYBRID 3-$ - 0
88273CYTOGEN; CHROMOSOM HYBRID 10-3O CE$ - 0
88274CYTOGEN; INTERPHASE HYBRID 25-99$ - 0
88275CYTOGEN; INTERPHASE HYBRID 100-300$ - 0
88280CHROMOSOME ANALY; ADD KARYOTYPES E$ - 0
88283CHROMO ANALY; ADD SPECIALIZED BAND$ - 0
88285CHROMO ANALY; ADD CELLS COUNTED EA$ - 0
88289CHROMO ANALY; ADD HIGH RESOLUTION$ - 0
88300SURGICAL PATHOLOGY LEVEL I$ - 0
88300-26SURGICAL PATHOLOGY LEVEL I - PC Only$ - 0
88300-TCSURGICAL PATHOLOGY LEVEL I - TC Only$ - 0
88302SURGICAL PATHOLOGY LEVEL II$ - 0
88302-26SURGICAL PATHOLOGY LEVEL II - PC Only$ - 0
88302-TCSURGICAL PATHOLOGY LEVEL II - TC Only$ - 0
88304SURGICAL PATHOLOGY LEVEL III$ - 0
88304-26SURGICAL PATHOLOGY LEVEL III - PC Only$ - 0
88304-TCSURGICAL PATHOLOGY LEVEL III - TC Only$ - 0
88305SURGICAL PATHOLOGY LEVEL IV$ - 0
88305-26SURGICAL PATHOLOGY LEVEL IV - PC Only$ - 0
88305-TCSURGICAL PATHOLOGY LEVEL IV - TC Only$ - 0
88307SURGICAL PATHOLOGY LEVEL V$ - 0
88307-26SURGICAL PATHOLOGY LEVEL V - PC Only$ - 0
88307-TCSURGICAL PATHOLOGY LEVEL V - TC Only$ - 0
88309SURGICAL PATHOLOGY LEVEL VI$ - 0
88309-26SURGICAL PATHOLOGY LEVEL VI - PC Only$ - 0
88309-TCSURGICAL PATHOLOGY LEVEL VI - TC Only$ - 0
88311DECALCIFICATION PROC$ - 0
88311-26DECALCIFICATION PROC - PC Only$ - 0
88311-TCDECALCIFICATION PROC - TC Only$ - 0
88312SPECIAL STAINS; GRP I FOR MICROORGANISMS, INCLUDING INTERPRETATIONS & REPORT$ - 0
88312-26SPECIAL STAINS; GRP I FOR MICROORGANISMS, INCLUDING INTERPRETATIONS & REPORT - PC Only$ - 0
88312-TCSPECIAL STAINS; GRP I FOR MICROORGANISMS, INCLUDING INTERPRETATIONS & REPORT - TC Only$ - 0
88313SPEC STAINS; GROUP II, ALL OTH EX IMMUNOCYTO & IMMUNOPEROX STA, INC INT/REP$ - 0
88313-26SPEC STAINS; GROUP II, ALL OTH EX IMMUNOCYTO & IMMUNOPEROX STA, INC INT/REP - PC Only$ - 0
88313-TCSPEC STAINS; GROUP II, ALL OTH EX IMMUNOCYTO & IMMUNOPEROX STA, INC INT/REP - TC Only$ - 0
88314SPEC STAIN; HISTOCHEM STAIN W/FROZ SECT, INC INT/REP$ - 0
88314-26SPEC STAIN; HISTOCHEM STAIN W/FROZ SECT, INC INT/REP - PC Only$ - 0
88314-TCSPEC STAIN; HISTOCHEM STAIN W/FROZ SECT, INC INT/REP - TC Only$ - 0
88319DETERM HSTOCHEM/CYTCHEM ID ENZYM E$ - 0
88319-TCDETERM HSTOCHEM/CYTCHEM ID ENZYM E - TC Only$ - 0
88321CONS & REPRT REF SLIDES PREP ELSEW$ - 0
88323CONS & REPRT REF MAT REQ PREP SLID$ - 0
88323-26CONS & REPRT REF MAT REQ PREP SLID - PC Only$ - 0
88323-TCCONS & REPRT REF MAT REQ PREP SLID - TC Only$ - 0
88325CONS COMP W/REVW RECORD/SPECMN/REP$ - 0
88331PATH CONS DURNG SURG; FROZEN 1 SPE$ - 0
88331-26PATH CONS DURNG SURG; FROZEN 1 SPE - PC Only$ - 0
88331-TCPATH CONS DURNG SURG; FROZEN 1 SPE - TC Only$ - 0
88332-TCEACH ADD TIS BLOCK W/FROZ SEC(LIST SE IN ADD TO CODE FOR PRIM PROC);+88331 - TC Only$ - 0
88333-TCPATHOLOGY CONS DURING SURG, CYTOLOGIC EXAM INITIAL SITE - TC Only$ - 0
88334-TCCYTO EXAM EACH ADD SITE(LIST SEP IN ADD TO CODE FOR PRIM PROC);+88331 OR 88333 - TC Only$ - 0
88341Immunohisto antibody slide$ - 0
88341TCImmunohisto antibody slide$ - 0
8834126Immunohisto antibody slide$ - 0
88342IMMUNOCYTOCHEMISTRY EA ANTIB - initial stain$ - 0
88342-26IMMUNOCYTOCHEMISTRY EA ANTIB - initial stain - PC Only$ - 0
88342-TCIMMUNOCYTOCHEMISTRY EA ANTIB - initial stain - TC Only$ - 0
88343IMMUNOCYTOCHEMISTRY EA ANTIB - each add'l stain$ - 0
88343-26IMMUNOCYTOCHEMISTRY EA ANTIB - each add'l stain - PC Only$ - 0
88343-TCIMMUNOCYTOCHEMISTRY EA ANTIB - each add'l stain - TC Only$ - 0
88344Immunohisto antibody slide$ - 0
88344-26Immunohisto antibody slide$ - 0
88344-TCImmunohisto antibody slide$ - 0
88346IMMUNOFLUOR STUDY EA ANTIB; DIRECT$ - 0
88346-26IMMUNOFLUOR STUDY EA ANTIB; DIRECT - PC Only$ - 0
88346-TCIMMUNOFLUOR STUDY EA ANTIB; DIRECT - TC Only$ - 0
88347IMMUNOFLUOR STUDY EA ANTIB; INDIRE$ - 0
88347-26IMMUNOFLUOR STUDY EA ANTIB; INDIRE - PC Only$ - 0
88347-TCIMMUNOFLUOR STUDY EA ANTIB; INDIRE - TC Only$ - 0
88348ELECTRON MICRO; DX$ - 0
88348-26ELECTRON MICRO; DX - PC Only$ - 0
88348-TCELECTRON MICRO; DX - TC Only$ - 0
88349ELECTRON MICRO; SCANNING$ - 0
88349-26ELECTRON MICRO; SCANNING - PC Only$ - 0
88349-TCELECTRON MICRO; SCANNING - TC Only$ - 0
88355MORPHOMETRIC ANALYSIS; SKELETAL MUSCLE$ - 0
88355 26MORPHOMETRIC ANALYSIS; SKELETAL MUSCLE - PC$ - 0
88355 TCMORPHOMETRIC ANALYSIS; SKELETAL MUSCLE - TC$ - 0
88356MORPHOMETRIC ANALYSIS; NERVE$ - 0
88356 26ELECTRON MICROSCOPY; SCANNING - PC$ - 0
88356 TCELECTRON MICROSCOPY; SCANNING - TC$ - 0
88358MORPHOMETRIC ANALY; TUMOR$ - 0
88358-26MORPHOMETRIC ANALY; TUMOR - PC Only$ - 0
88358-TCMORPHOMETRIC ANALY; TUMOR - TC Only$ - 0
88360MORPH ANALYSIS, TUMOR IMMUNOHISTOCHEM QUANT OR SEMIQUANT, EA ANTIBODY; MANUAL$ - 0
88360-26MORPH ANALYSIS, TUMOR IMMUNOHISTOCHEM QUANT OR SEMIQUANT, EA ANTIBODY; MANUAL - PC Only$ - 0
88360-TCMORPH ANALYSIS, TUMOR IMMUNOHISTOCHEM QUANT OR SEMIQUANT, EA ANTIBODY; MANUAL - TC Only$ - 0
88361TUMOR IMMUNOHISTOCHEMISTRY QUANTITATIVE OR SEMIQUANTITATIVE$ - 0
88361-26TUMOR IMMUNOHISTOCHEMISTRY QUANTITATIVE OR SEMIQUANTITATIVE - PC Only$ - 0
88361-TCTUMOR IMMUNOHISTOCHEMISTRY QUANTITATIVE OR SEMIQUANTITATIVE - TC Only$ - 0
88362-TCNERV TEASING PREP - TC Only$ - 0
88365TISS IN SITU HYBRIDIZ INTRPT & REP$ - 0
88365-26TISS IN SITU HYBRIDIZ INTRPT & REP - PC Only$ - 0
88365-TCTISS IN SITU HYBRIDIZ INTRPT & REP - TC Only$ - 0
88367-TCMORPHOMETRIC ANALYSIS, IN SITU HYBRIDIZATION, EA PROBE, USING COM ASSTD TECH. - TC Only$ - 0
88368MORPH ANALYSIS, IN SITU HYBRID EA PROBE;MANUAL$ - 0
88368-26MORPH ANALYSIS, IN SITU HYBRID EA PROBE;MANUAL - PC Only$ - 0
88368-TCMORPH ANALYSIS, IN SITU HYBRID EA PROBE;MANUAL - TC Only$ - 0
88380-TCMICRODISSECTION(IE,SAMPLE PREP OF MICROSCOPICALLY IDENT TARGET); LASER CAPTURE - TC Only$ - 0
88381-TCMICRODISSECTION; MANUAL - TC Only$ - 0
88387TISSUE EXAM MOLECULAR STUDY$ - 0
88387 26TISSUE EXAM MOLECULAR STUDY - PC$ - 0
88387 TCTISSUE EXAM MOLECULAR STUDY - TC$ - 0
88388TISSUE EXAM MOLECULAR STUDY - ADD ON$ - 0
88388 26TISSUE EXAM MOLECULAR STUDY - ADD ON - PC$ - 0
88388 TCTISSUE EXAM MOLECULAR STUDY - ADD ON - TC$ - 0
88377M/phmtrc alys ishquant/semiq$ - 0
CPTDESCRIPTIONQuantityUnit of Issue (ea.)Price per Service CountTotal
0019537TSH WITH HAMA TREATMENT$ - 0
0950669MIXING STUDIES$ - 0
0950083PLATELET FUNC SCR$ - 0
0005022REDUC SUB, FECES QL$ - 0
0950084ADP$ - 0
0907190THYROGLOBULIN AB$ - 0
0907239LEU & LYM 21 MARKERS$ - 0
0907234LEU & LYM 16 MARKERS$ - 0
0907240LEU & LYM 22 MARKERS$ - 0
0907244LEU & LYM 26 MARKERS$ - 0
0900182PLAT AGG W/RIST-MVH$ - 0
0951036TACROLIMUS$ - 0
0975865ADD'L IMMUNOSTAIN X 2$ - 0
0907165BLOOD SMEAR$ - 0
0903601BONE MARROW SMEAR$ - 0
0907167DECALCIFICATION$ - 0
0950584FISH (QUALITATIVE) X 1$ - 0
0905454IMMUNOPEROXIDASE$ - 0
0907241LEU & LYM 23 MARKERS$ - 0
0905871LEVEL IV - 2 SPECS$ - 0
0975897ADD'L FISH QUAL X 1$ - 0
0975873ADD'L IMMUNOSTAIN X 10$ - 0
0950473FACTOR V INHIBITOR$ - 0
0907131FACTOR XA$ - 0
0907231LEU & LYM 13 MARKERS$ - 0
0907242LEU & LYM 24 MARKERS$ - 0
0907243LEU & LYM 25 MARKERS$ - 0
0906524MICROORG STAIN X 3$ - 0
0906529NONMICROORG STAINS 3$ - 0
0951488S2 CYTOCHEMICAL STAIN$ - 0
2012710Aggressive B-Cell Lymphoma Rflx, Tissue$ - 0
2006102ALK by FISH, Lung$ - 0
0093271Bone Marrow/PBL Culture Bill$ - 0
2002440EGFR by Pyrosequencing$ - 0
0090299Epithelial Skin Antibodies$ - 0
0050591Ganglioside (GM1) Antibodies, IgG/IgM$ - 0
2004998Ganglioside (GM1/GD1b/GQ1b) Abs, IgG/IgM$ - 0
0051033Ganglioside Antibodies, Combined IgG/IgM$ - 0
2010757Hereditary Cancer Pan, Del/Dup$ - 0
0051367Hypochondroplasia (FGFR3) 2 Mutations$ - 0
0055557IGH-CCND1 (BCL-1/JH) t(11;14) PCR$ - 0
2000770IHC BillG Nerve Fiber PGP9.5$ - 0
0070413Inhibin B$ - 0
0096043Lymphocyte Mitogen Proliferation$ - 0
2002499MLH1 Methylation by PCR$ - 0
2002360MPD Panel by FISH$ - 0
2009318MYD88 L265P Mutation Detection by PCR$ - 0
2011117Myeloid Malignancies Mutation Panel NGS$ - 0
2004221N-methyl-D-Aspartate Rcptr Ab, IgG, Ser$ - 0
2005164N-methyl-D-Aspartate Receptor Ab, CSF$ - 0
2013008PJI Detection (Synovasure)$ - 0
2012018Skeletal Dysplasia Sequencing$ - 0
2007991Solid Tumor Mutation Panel by NGS$ - 0
0051139Specimen Identity$ - 0

File details come from the government source that posted it. Updated .