8._Updated_Price_List_Attachment_7.xlsx

XLSX spreadsheet 27 KB Posted Jul 28, 2017

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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Attachment 7, Please use this updated price list as it has more information to help provide a more complete proposal.

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File	Type	Posted
2._Provisions_&_Clauses_Redacted.pdf	PDF	Jul 27, 2017
7._FAR_52.212-3_Attachment_6.pdf	PDF	Jul 27, 2017
5._FAR_52.222-25_Attachment_4.pdf	PDF	Jul 27, 2017
8._AP_Price_List_Attachment_7.xlsx	XLSX spreadsheet	Jul 27, 2017
4._FAR_52.222-22_Attachment_3.pdf	PDF	Jul 27, 2017
3._Performance_Work_Statement.pdf	PDF	Jul 27, 2017
6._FAR_52.209-2_Attachment_5.pdf	PDF	Jul 27, 2017

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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. Please note that these quantities are only an estimate

CPT	DESCRIPTION	Quantity (per year)	Unit of Issue (ea.)	Cost per Service Count	Total
81206	BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; major breakpoint, qualitative or quantitative	3			$ - 0
81207	minor breakpoint, qualitative or quantitative	1			$ - 0
81210	BRAF (v-raf murine sarcoma viral oncogene homolog B1) (eg, colon cancer), gene analysis, V600E variant	15			$ - 0
81211	BRCA1&2 SEQ & COM DUP/DEL	3			$ - 0
81212	BRCA1&2 185&5385&6174 VAR	3			$ - 0
81213	BRCA1&2 UNCOM DUP/DEL VAR	3			$ - 0
81214	BRCA1 FULL SEQ & COM DUP/DEL	3			$ - 0
81215	BRCA1 GENE KNOWN FAM VARIANT	3			$ - 0
81217	BRCA2 GENE KNOWN FAM VARIANT	3			$ - 0
81225	Cyp2c19 gene com variants	3			$ - 0
81235	EGFR (epidermal growth factor receptor) (eg, non-small cell lung cancer) gene analysis, common variants (eg, exon 19 LREA deletion, L858R, T790M, G719A, G719S, L861Q)	15			$ - 0
81245	FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis, internal tandem duplication (ITD) variants (ie, exons 14, 15)	5			$ - 0
81261	IGH@ (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)	5			$ - 0
81263	IGH@ (Immunoglobulin heavy chain locus) (eg, leukemia and lymphoma, B-cell), variable region somatic mutation analysis	5			$ - 0
81264	IGK REARRANGEABN CLONAL POP	1			$ - 0
81267	Chimerism (engraftment) analysis, post transplantation specimen (eg, hematopoietic stem cell), includes comparison to previously performed baseline analyses; without cell selection	1			$ - 0
81270	JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) gene analysis, p.Val617Phe (V617F) variant	2			$ - 0
81275	KRAS (v-Ki-ras2 Kirsten rat sarcoma viral oncogene) (eg, carcinoma) gene analysis, variants in codons 12 and 13	5			$ - 0
81290	MCOLN1 GENE	1			$ - 0
81291	MTHFR GENE	1			$ - 0
81292	MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis	1			$ - 0
81293	known familial variants	1			$ - 0
81294	MLH1 GENE DUP/DELETE VARIANT	15			$ - 0
81295	MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis	15			$ - 0
81296	known familial variants	1			$ - 0
81297	MSH2 GENE DUP/DELETE VARIANT	15			$ - 0
81298	MSH6 (mutS homolog 6 [E. coli]) (eg, hereditary nonpolyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis	15			$ - 0
81299	MSH6 GENE KNOWN VARIANTS	15			$ - 0
81300	MSH6 GENE DUP/DELETE VARIANT	15			$ - 0
81301	Microsatellite 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	15			$ - 0
81302	MECP2 GENE FULL SEQ	1			$ - 0
81303	MECP2 GENE KNOWN VARIANT	1			$ - 0
81304	MECP2 GENE DUP/DELET VARIANT	1			$ - 0
81310	NPM1 (nucleophosmin) (eg, acute myeloid leukemia) gene analysis, exon 12 variants	1			$ - 0
81315	PML/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	1			$ - 0
81316	PML/RARALPHA 1 BREAKPOINT	1			$ - 0
81317	PMS2 GENE FULL SEQ ANALYSIS	1			$ - 0
81318	PMS2 KNOWN FAMILIAL VARIANTS	1			$ - 0
81319	PMS2 GENE DUP/DELET VARIANTS	1			$ - 0
81321	PTEN GENE FULL SEQUENCE	1			$ - 0
81340	TRB@ GENE REARRANGE AMPLIFY	1			$ - 0
81342	TRG GENE REARRANGEMENT ANAL	1			$ - 0
81350	UGT1A1 (UDP glucuronosyltransferase 1 family, polypeptide A1) (eg, irinotecan metabolism), gene analysis, common variants (eg, 28, 36, *37)	1			$ - 0
81400	MOPATH PROCEDURE LEVEL 1	0			$ - 0
81401	Molecular 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			$ - 0
81402	Molecular 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			$ - 0
81403	Molecular 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			$ - 0
81404	Molecular 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)	3			$ - 0
81405	Molecular 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)	1			$ - 0
81406	MOPATH PROCEDURE LEVEL 7	0			$ - 0
81407	MOPATH PROCEDURE LEVEL 8	0			$ - 0
81408	MOPATH PROCEDURE LEVEL 9	0			$ - 0
81445	Oncovantage	3			$ - 0
81479	UNLISTED MOLECULAR PATHOLOGY PROCEDURE	3			$ - 0
86152	Cell enumeration using immunologic selection and ident in fluid spec (circulating tumor cells)	1			$ - 0
86153	Cell enumer using immun sel and ident in fluid spec; physician interp & report, when required	1			$ - 0

CPT	DESCRIPTION	Quantity	Unit of Issue (ea.)	Cost per Service Count	Total
82013	ACETYLCHOLINESTERASE				$ - 0
82106	ALPHA-FETOPROTEIN; AMNIOTIC FLUID				$ - 0
82232	BETA-2 MICROGLOBULIN				$ - 0
82657	ENZYM ACTIV-CELLS/TISS NES; NONRAD				$ - 0
83033	HGB; F QUAL TEST FECAL				$ - 0
84702	GONADOTROPIN CHORIONIC; QUAN				$ - 0
84999	UNLISTED CHEMISTRY PROCEDURE				$ - 0
85060	BLD SMEAR PERIPHRL INTRPT W/REPORT	5			$ - 0
85097	BONE MARROW; SMEAR INTERPT ONLY				$ - 0
85540	LEUKOCYTE ALKALINE PHOSPHATASE W/C				$ - 0
86336	INHIBIN A				$ - 0
86356	MONONUCLEAR CELL ANTIGEN,QUANTITATIVE,EACH ANTIGEN				$ - 0
87480	AGT-DNA/RNA; CANDIDA SPECIES-DIREC				$ - 0
87481	AGT-DNA/RNA; CANDIDA SPECIES-AMPLI				$ - 0
87491	AGT-DNA/RNA; CHLAMYDIA TRACH-AMPLI				$ - 0
87510	AGT-DNA/RNA; GARDNERELLA VAG-DIREC				$ - 0
87511	AGT-DNA/RNA; GARDNERELLA VAG-AMPLI				$ - 0
87529	AGT-DNA/RNA; HERPES SIMPLEX-AMPLI				$ - 0
87591	AGT-DNA/RNA; NEISSER GONORRHEA-AMP				$ - 0
87623	HPV LOW RISK				$ - 0
87624	HPV HIGH RISK				$ - 0
87625	HPV 16/18 GENOTYPE				$ - 0
87653	INFECTIOUS AGENT DETECTION BY NUCLEIC ACID(DNA OR RNA); STREP, GROUP B, AMPLIFI				$ - 0
87660	INFECT AGENT DETECT BY NUCLEIC ACID TRICHOMONAS VAGINALIS DIRECT PROBE TECH.				$ - 0
87661	TRICHOMONAS VAGINALIS AMPLIF				$ - 0
87798	AGT-DNA/RNA; NOS-AMPLIFIED PROBE				$ - 0
88104	CYTOPATH NO CERV/VAG; SMEARS W/INT				$ - 0
88104-TC	CYTOPATH NO CERV/VAG; SMEARS W/INT - TC Only				$ - 0
88106	CYTOPATH FL NONGYN, FILTER				$ - 0
88106-TC	CYTOPATH FL NONGYN, FILTER - TC Only				$ - 0
88107	CYTOPATH NO CERV/VAG; PREP W/INTRP				$ - 0
88108	CYTOPATH CONCENTRA-SMEARS & INTERP				$ - 0
88108-TC	CYTOPATH CONCENTRA-SMEARS & INTERP - TC Only				$ - 0
88112	CYTOPATH, SELECTIVE CELL. ENH. TECH W/ INTRPRTTN EXPT CERV OF VAG CERV OR VAG.				$ - 0
88112-TC	CYTOPATH, SELECTIVE CELL. ENH. TECH W/ INTRPRTTN EXPT CERV OF VAG CERV OR VAG. - TC Only				$ - 0
88120	CYTOPATHOLOGY, IN SITU HYBRIDIZATION (EG, FISH), URINARY TRACT SPECIMEN WITH MORPHOMETRIC ANALYSIS, 3-5 MOLECULAR PROBES, EACH SPECIMEN; MANUAL				$ - 0
88120 26	CYTOPATHOLOGY, IN SITU HYBRIDIZATION (EG, FISH), URINARY TRACT SPECIMEN WITH MORPHOMETRIC ANALYSIS, 3-5 MOLECULAR PROBES, EACH SPECIMEN; MANUAL - PC				$ - 0
88120 TC	CYTOPATHOLOGY, IN SITU HYBRIDIZATION (EG, FISH), URINARY TRACT SPECIMEN WITH MORPHOMETRIC ANALYSIS, 3-5 MOLECULAR PROBES, EACH SPECIMEN; MANUAL - TC				$ - 0
88121	CYTOPATHOLOGY, IN SITU HYBRIDIZATION (EG, FISH), URINARY TRACT SPECIMEN WITH MORPHOMETRIC ANALYSIS, 3-5 MOLECULAR PROBES, EACH SPECIMEN; USING COMPUTER-ASSISTED TECHNOLOGY				$ - 0
88121 26	CYTOPATHOLOGY, IN SITU HYBRIDIZATION (EG, FISH), URINARY TRACT SPECIMEN WITH MORPHOMETRIC ANALYSIS, 3-5 MOLECULAR PROBES, EACH SPECIMEN; MANUAL - PC				$ - 0
88121 TC	CYTOPATHOLOGY, IN SITU HYBRIDIZATION (EG, FISH), URINARY TRACT SPECIMEN WITH MORPHOMETRIC ANALYSIS, 3-5 MOLECULAR PROBES, EACH SPECIMEN; MANUAL - TC				$ - 0
88125	CYTOPATHOLOGY, FORENSIC				$ - 0
88125 26	CYTOPATHOLOGY, FORENSIC - PC				$ - 0
88125 TC	CYTOPATHOLOGY, FORENSIC - TC				$ - 0
88141	CYTOPATH CERV/VAG; REQ INTERPT PHY				$ - 0
88142	CYTPTH CERV/VAG; MANUAL SCRN-SUPRV				$ - 0
88160	CYTPATH SMEARS; SCREEN & INTRPT				$ - 0
88160-TC	CYTPATH SMEARS; SCREEN & INTRPT - TC Only				$ - 0
88161	CYTOPATH SMEAR; PREP/SCREEN/INTERP				$ - 0
88161-TC	CYTOPATH SMEAR; PREP/SCREEN/INTERP - TC Only				$ - 0
88162-TC	CYTOPATH SMEAR: PREP/SCREEN/INTREP EXT STUDY - TC Only				$ - 0
88164	CYTOPATH SLIDES-CERV/VAG; MAN SCRN				$ - 0
88172	CYTOPATHOLOGY,EVAL FINE NEEDLE ASP;IMM CYTO STUDY TO DET ADE FOR DX,FIRST EVAL				$ - 0
88172-TC	CYTOPATHOLOGY,EVAL FINE NEEDLE ASP;IMM CYTO STUDY TO DET ADE FOR DX,FIRST EVAL - TC Only				$ - 0
88173	EVAL FINE NEEDL ASPIRAT;INTRPT/REP				$ - 0
88173-TC	EVAL FINE NEEDL ASPIRAT;INTRPT/REP - TC Only				$ - 0
88174	CYTOPATH, CERV/VAG COLLECTED IN PRES FLUID, AUTOMATED THIN LAYER PREP				$ - 0
88175	W/ SCREENING BY AUTOMATED SYSTEM & MAN. RESCREENING, UNDER PHYS. SPRVSN				$ - 0
88177	CYTOPATHOLOGY, EVAL FINE NEEDLE ASPIRATE; INTERPRETATION & REPORT				$ - 0
88177 26	CYTOPATHOLOGY, EVAL FINE NEEDLE ASPIRATE; INTERPRETATION & REPORT - PC				$ - 0
88177 TC	CYTOPATHOLOGY, EVAL FINE NEEDLE ASPIRATE; INTERPRETATION & REPORT - TC				$ - 0
88182	FLO CYTOMETRY; CELL CYCLE/DNA ANAL				$ - 0
88182-26	FLO CYTOMETRY; CELL CYCLE/DNA ANAL - PC Only				$ - 0
88182-TC	FLO CYTOMETRY; CELL CYCLE/DNA ANAL - TC Only				$ - 0
88184	FLOW CYMETRY, CELL SURF., CYTOPLASMIC, OR NUC. MARKER, TC ONLY, 1ST MARKER				$ - 0
88185	EACH ADDITIONAL MARKER (LIST SEPERATELY IN ADDITION TO CODE FOR FIRST MARKER)				$ - 0
88187	FLOW CYMETRY, INTERPRETATION, 2 TO 8				$ - 0
88188	9 TO 15 MARKERS				$ - 0
88189	16 OR MORE MARKERS				$ - 0
88230	TISS CULT NON-NEOPLASM; LYMPHOCYTE				$ - 0
88233	TISS CULT NON-NEOPLASM; SKIN				$ - 0
88235	TISS CULT NON-NEOPLAS; AMNIOT FLUI				$ - 0
88237	TISS CULT NEOPLASM; MARROW/BLD CEL				$ - 0
88239	TISS CULTURE NEOPLASM; SOLID TUMOR				$ - 0
88249	CHROMOSOME ANALYSIS 100				$ - 0
88261	CHROMO ANALY; CT 5 CEL 1 KAROTYPE				$ - 0
88262	CHROMO ANALY; CT 15-20 CELL 2 KARY				$ - 0
88263	CHROMO ANALY; CT 45 CEL MOSAICISM				$ - 0
88264	CHROMOSOME ANALY; ANALY 20-25 CELL				$ - 0
88267	CHROMO ANALY AMNIO FLUID CT 15 CEL				$ - 0
88269	CHROMO ANAL AMNIO FLD CT 6-12 COLN				$ - 0
88271	MOLEC CYTOGEN; DNA PROBE EA				$ - 0
88272	MOLEC CYTOGEN; CHROMOSOM HYBRID 3-				$ - 0
88273	CYTOGEN; CHROMOSOM HYBRID 10-3O CE				$ - 0
88274	CYTOGEN; INTERPHASE HYBRID 25-99				$ - 0
88275	CYTOGEN; INTERPHASE HYBRID 100-300				$ - 0
88280	CHROMOSOME ANALY; ADD KARYOTYPES E				$ - 0
88283	CHROMO ANALY; ADD SPECIALIZED BAND				$ - 0
88285	CHROMO ANALY; ADD CELLS COUNTED EA				$ - 0
88289	CHROMO ANALY; ADD HIGH RESOLUTION				$ - 0
88300	SURGICAL PATHOLOGY LEVEL I				$ - 0
88300-26	SURGICAL PATHOLOGY LEVEL I - PC Only				$ - 0
88300-TC	SURGICAL PATHOLOGY LEVEL I - TC Only				$ - 0
88302	SURGICAL PATHOLOGY LEVEL II				$ - 0
88302-26	SURGICAL PATHOLOGY LEVEL II - PC Only				$ - 0
88302-TC	SURGICAL PATHOLOGY LEVEL II - TC Only				$ - 0
88304	SURGICAL PATHOLOGY LEVEL III				$ - 0
88304-26	SURGICAL PATHOLOGY LEVEL III - PC Only				$ - 0
88304-TC	SURGICAL PATHOLOGY LEVEL III - TC Only				$ - 0
88305	SURGICAL PATHOLOGY LEVEL IV	10			$ - 0
88305-26	SURGICAL PATHOLOGY LEVEL IV - PC Only				$ - 0
88305-TC	SURGICAL PATHOLOGY LEVEL IV - TC Only				$ - 0
88307	SURGICAL PATHOLOGY LEVEL V				$ - 0
88307-26	SURGICAL PATHOLOGY LEVEL V - PC Only				$ - 0
88307-TC	SURGICAL PATHOLOGY LEVEL V - TC Only				$ - 0
88309	SURGICAL PATHOLOGY LEVEL VI				$ - 0
88309-26	SURGICAL PATHOLOGY LEVEL VI - PC Only				$ - 0
88309-TC	SURGICAL PATHOLOGY LEVEL VI - TC Only				$ - 0
88311	DECALCIFICATION PROC				$ - 0
88311-26	DECALCIFICATION PROC - PC Only				$ - 0
88311-TC	DECALCIFICATION PROC - TC Only				$ - 0
88312	SPECIAL STAINS; GRP I FOR MICROORGANISMS, INCLUDING INTERPRETATIONS & REPORT	10			$ - 0
88312-26	SPECIAL STAINS; GRP I FOR MICROORGANISMS, INCLUDING INTERPRETATIONS & REPORT - PC Only				$ - 0
88312-TC	SPECIAL STAINS; GRP I FOR MICROORGANISMS, INCLUDING INTERPRETATIONS & REPORT - TC Only	5			$ - 0
88313	SPEC STAINS; GROUP II, ALL OTH EX IMMUNOCYTO & IMMUNOPEROX STA, INC INT/REP	10			$ - 0
88313-26	SPEC STAINS; GROUP II, ALL OTH EX IMMUNOCYTO & IMMUNOPEROX STA, INC INT/REP - PC Only				$ - 0
88313-TC	SPEC STAINS; GROUP II, ALL OTH EX IMMUNOCYTO & IMMUNOPEROX STA, INC INT/REP - TC Only	10			$ - 0
88314	SPEC STAIN; HISTOCHEM STAIN W/FROZ SECT, INC INT/REP				$ - 0
88314-26	SPEC STAIN; HISTOCHEM STAIN W/FROZ SECT, INC INT/REP - PC Only				$ - 0
88314-TC	SPEC STAIN; HISTOCHEM STAIN W/FROZ SECT, INC INT/REP - TC Only				$ - 0
88319	DETERM HSTOCHEM/CYTCHEM ID ENZYM E				$ - 0
88319-TC	DETERM HSTOCHEM/CYTCHEM ID ENZYM E - TC Only				$ - 0
88321	CONS & REPRT REF SLIDES PREP ELSEW	400			$ - 0
88323	CONS & REPRT REF MAT REQ PREP SLID	100			$ - 0
88323-26	CONS & REPRT REF MAT REQ PREP SLID - PC Only				$ - 0
88323-TC	CONS & REPRT REF MAT REQ PREP SLID - TC Only				$ - 0
88325	CONS COMP W/REVW RECORD/SPECMN/REP				$ - 0
88331	PATH CONS DURNG SURG; FROZEN 1 SPE				$ - 0
88331-26	PATH CONS DURNG SURG; FROZEN 1 SPE - PC Only				$ - 0
88331-TC	PATH CONS DURNG SURG; FROZEN 1 SPE - TC Only				$ - 0
88332-TC	EACH ADD TIS BLOCK W/FROZ SEC(LIST SE IN ADD TO CODE FOR PRIM PROC);+88331 - TC Only				$ - 0
88333-TC	PATHOLOGY CONS DURING SURG, CYTOLOGIC EXAM INITIAL SITE - TC Only				$ - 0
88334-TC	CYTO EXAM EACH ADD SITE(LIST SEP IN ADD TO CODE FOR PRIM PROC);+88331 OR 88333 - TC Only				$ - 0
88341	Immunohisto antibody slide	400			$ - 0
88341TC	Immunohisto antibody slide	100			$ - 0
8834126	Immunohisto antibody slide				$ - 0
88342	IMMUNOCYTOCHEMISTRY EA ANTIB - initial stain	400			$ - 0
88342-26	IMMUNOCYTOCHEMISTRY EA ANTIB - initial stain - PC Only				$ - 0
88342-TC	IMMUNOCYTOCHEMISTRY EA ANTIB - initial stain - TC Only	50			$ - 0
88343	IMMUNOCYTOCHEMISTRY EA ANTIB - each add'l stain	50			$ - 0
88343-26	IMMUNOCYTOCHEMISTRY EA ANTIB - each add'l stain - PC Only				$ - 0
88343-TC	IMMUNOCYTOCHEMISTRY EA ANTIB - each add'l stain - TC Only				$ - 0
88344	Immunohisto antibody slide				$ - 0
88344-26	Immunohisto antibody slide				$ - 0
88344-TC	Immunohisto antibody slide				$ - 0
88346	IMMUNOFLUOR STUDY EA ANTIB; DIRECT				$ - 0
88346-26	IMMUNOFLUOR STUDY EA ANTIB; DIRECT - PC Only				$ - 0
88346-TC	IMMUNOFLUOR STUDY EA ANTIB; DIRECT - TC Only				$ - 0
88347	IMMUNOFLUOR STUDY EA ANTIB; INDIRE				$ - 0
88347-26	IMMUNOFLUOR STUDY EA ANTIB; INDIRE - PC Only				$ - 0
88347-TC	IMMUNOFLUOR STUDY EA ANTIB; INDIRE - TC Only				$ - 0
88348	ELECTRON MICRO; DX				$ - 0
88348-26	ELECTRON MICRO; DX - PC Only				$ - 0
88348-TC	ELECTRON MICRO; DX - TC Only				$ - 0
88349	ELECTRON MICRO; SCANNING				$ - 0
88349-26	ELECTRON MICRO; SCANNING - PC Only				$ - 0
88349-TC	ELECTRON MICRO; SCANNING - TC Only				$ - 0
88355	MORPHOMETRIC ANALYSIS; SKELETAL MUSCLE				$ - 0
88355 26	MORPHOMETRIC ANALYSIS; SKELETAL MUSCLE - PC				$ - 0
88355 TC	MORPHOMETRIC ANALYSIS; SKELETAL MUSCLE - TC				$ - 0
88356	MORPHOMETRIC ANALYSIS; NERVE				$ - 0
88356 26	ELECTRON MICROSCOPY; SCANNING - PC				$ - 0
88356 TC	ELECTRON MICROSCOPY; SCANNING - TC				$ - 0
88358	MORPHOMETRIC ANALY; TUMOR				$ - 0
88358-26	MORPHOMETRIC ANALY; TUMOR - PC Only				$ - 0
88358-TC	MORPHOMETRIC ANALY; TUMOR - TC Only				$ - 0
88360	MORPH ANALYSIS, TUMOR IMMUNOHISTOCHEM QUANT OR SEMIQUANT, EA ANTIBODY; MANUAL	10			$ - 0
88360-26	MORPH ANALYSIS, TUMOR IMMUNOHISTOCHEM QUANT OR SEMIQUANT, EA ANTIBODY; MANUAL - PC Only				$ - 0
88360-TC	MORPH ANALYSIS, TUMOR IMMUNOHISTOCHEM QUANT OR SEMIQUANT, EA ANTIBODY; MANUAL - TC Only				$ - 0
88361	TUMOR IMMUNOHISTOCHEMISTRY QUANTITATIVE OR SEMIQUANTITATIVE	85			$ - 0
88361-26	TUMOR IMMUNOHISTOCHEMISTRY QUANTITATIVE OR SEMIQUANTITATIVE - PC Only				$ - 0
88361-TC	TUMOR IMMUNOHISTOCHEMISTRY QUANTITATIVE OR SEMIQUANTITATIVE - TC Only				$ - 0
88362-TC	NERV TEASING PREP - TC Only				$ - 0
88365	TISS IN SITU HYBRIDIZ INTRPT & REP	5			$ - 0
88365-26	TISS IN SITU HYBRIDIZ INTRPT & REP - PC Only				$ - 0
88365-TC	TISS IN SITU HYBRIDIZ INTRPT & REP - TC Only				$ - 0
88367-TC	MORPHOMETRIC ANALYSIS, IN SITU HYBRIDIZATION, EA PROBE, USING COM ASSTD TECH. - TC Only				$ - 0
88368	MORPH ANALYSIS, IN SITU HYBRID EA PROBE;MANUAL				$ - 0
88368-26	MORPH ANALYSIS, IN SITU HYBRID EA PROBE;MANUAL - PC Only				$ - 0
88368-TC	MORPH ANALYSIS, IN SITU HYBRID EA PROBE;MANUAL - TC Only				$ - 0
88380-TC	MICRODISSECTION(IE,SAMPLE PREP OF MICROSCOPICALLY IDENT TARGET); LASER CAPTURE - TC Only				$ - 0
88381-TC	MICRODISSECTION; MANUAL - TC Only				$ - 0
88387	TISSUE EXAM MOLECULAR STUDY				$ - 0
88387 26	TISSUE EXAM MOLECULAR STUDY - PC				$ - 0
88387 TC	TISSUE EXAM MOLECULAR STUDY - TC				$ - 0
88388	TISSUE EXAM MOLECULAR STUDY - ADD ON				$ - 0
88388 26	TISSUE EXAM MOLECULAR STUDY - ADD ON - PC				$ - 0
88388 TC	TISSUE EXAM MOLECULAR STUDY - ADD ON - TC				$ - 0
88377	M/phmtrc alys ishquant/semiq	15			$ - 0

TEST CODES	DESCRIPTION	Quantity	Unit of Issue (ea.)	Cost per Service Count	Total
0019537	TSH WITH HAMA TREATMENT	30			$ - 0
0950669	MIXING STUDIES	7			$ - 0
0950083	PLATELET FUNC SCR	7			$ - 0
0005022	REDUC SUB, FECES QL	7			$ - 0
0950084	ADP	6			$ - 0
0907190	THYROGLOBULIN AB	6			$ - 0
0907239	LEU & LYM 21 MARKERS	4			$ - 0
0907234	LEU & LYM 16 MARKERS	3			$ - 0
0907240	LEU & LYM 22 MARKERS	3			$ - 0
0907244	LEU & LYM 26 MARKERS	3			$ - 0
0900182	PLAT AGG W/RIST-MVH	3			$ - 0
0951036	TACROLIMUS	3			$ - 0
0975865	ADD'L IMMUNOSTAIN X 2	2			$ - 0
0907165	BLOOD SMEAR	2			$ - 0
0903601	BONE MARROW SMEAR	2			$ - 0
0907167	DECALCIFICATION	2			$ - 0
0950584	FISH (QUALITATIVE) X 1	2			$ - 0
0905454	IMMUNOPEROXIDASE	2			$ - 0
0907241	LEU & LYM 23 MARKERS	1			$ - 0
0905871	LEVEL IV - 2 SPECS	2			$ - 0
0975897	ADD'L FISH QUAL X 1	1			$ - 0
0975873	ADD'L IMMUNOSTAIN X 10	1			$ - 0
0950473	FACTOR V INHIBITOR	1			$ - 0
0907131	FACTOR XA	1			$ - 0
0907231	LEU & LYM 13 MARKERS	1			$ - 0
0907242	LEU & LYM 24 MARKERS	1			$ - 0
0907243	LEU & LYM 25 MARKERS	1			$ - 0
0906524	MICROORG STAIN X 3	1			$ - 0
0906529	NONMICROORG STAINS 3	1			$ - 0
0951488	S2 CYTOCHEMICAL STAIN	1			$ - 0
2012710	Aggressive B-Cell Lymphoma Rflx, Tissue	1			$ - 0
2006102	ALK by FISH, Lung	1			$ - 0
0093271	Bone Marrow/PBL Culture Bill	3			$ - 0
2002440	EGFR by Pyrosequencing	2			$ - 0
0090299	Epithelial Skin Antibodies	12			$ - 0
0050591	Ganglioside (GM1) Antibodies, IgG/IgM	1			$ - 0
2004998	Ganglioside (GM1/GD1b/GQ1b) Abs, IgG/IgM	1			$ - 0
0051033	Ganglioside Antibodies, Combined IgG/IgM	5			$ - 0
2010757	Hereditary Cancer Pan, Del/Dup	1			$ - 0
0051367	Hypochondroplasia (FGFR3) 2 Mutations	1			$ - 0
0055557	IGH-CCND1 (BCL-1/JH) t(11;14) PCR	2			$ - 0
2000770	IHC BillG Nerve Fiber PGP9.5	6			$ - 0
0070413	Inhibin B	1			$ - 0
0096043	Lymphocyte Mitogen Proliferation	6			$ - 0
2002499	MLH1 Methylation by PCR	3			$ - 0
2002360	MPD Panel by FISH	1			$ - 0
2009318	MYD88 L265P Mutation Detection by PCR	2			$ - 0
2011117	Myeloid Malignancies Mutation Panel NGS	2			$ - 0
2004221	N-methyl-D-Aspartate Rcptr Ab, IgG, Ser	5			$ - 0
2005164	N-methyl-D-Aspartate Receptor Ab, CSF	1			$ - 0
2013008	PJI Detection (Synovasure)	4			$ - 0
2012018	Skeletal Dysplasia Sequencing	1			$ - 0
2007991	Solid Tumor Mutation Panel by NGS	2			$ - 0
0051139	Specimen Identity	6			$ - 0

File details come from the government source that posted it. Updated Nov 14, 2017.