PRICE SCHEDULE - TEST LIST.xlsx
XLSX spreadsheet 99 KB Posted
- Solicitation number
- 36C26026Q0551
About this file
This is a Price Schedule document for blood and blood products to be supplied to the Seattle Division of the VA Puget Sound Health Care System. The contract covers the period from August 1, 2026, through July 31, 2027, with the principal NAICS code 621991 (Blood and Organ Banks) and product/service code Q515 (Medical - Pathology). The schedule itemizes 229 line items across four pricing options (Base, Option 1, Option 2, Option 3, and Option 4), with quantities and unit prices for various blood products and related services.
The line items encompass a comprehensive range of blood bank services including red blood cells (leukoreduced, irradiated, frozen, washed, and CMV-negative variants), platelets (by apheresis with various processing methods), plasma products (fresh frozen plasma in multiple volumes and preparations), and cryoprecipitate. The schedule also includes testing services such as hepatitis screening (HBSAG, anti-HCV, anti-HBC), HIV and HTLV antibody testing, blood typing (ABO and RH), crossmatching (antiglobulin and electronic), HLA typing and antibody detection, coagulation studies, and specialized procedures such as therapeutic plasma exchange and platelet pheresis. Monthly service fees are included for software licensing, site monitoring, support/maintenance, and transportation. Unit prices range from zero dollars for items with zero quantities to $2,100 for electronic crossmatching services. The document shows consistent pricing across all four options for identical line items, indicating standardized rates for the contract period.
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Other files
| File | Type | Posted |
|---|---|---|
| S02 36C26026Q0551.pdf | ||
| FY26 BLOOD AND BLOOD PRODUCTS SOW.pdf | ||
| Wage Determination 2015-5535 Revision 27 Dated 12-03-25.txt | TXT text file |
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Text version
Item Information
| Item Number | Description | Contract Period | Pop Begin | Pop End | Quantity | Unit of Measure | Unit Price | Amount | PRINCIPAL NAICS CODE | PRODUCT/SERVICE CODE | UNSPSC | SIC CODE | MANUFACTURER PART NUMBER (MPN) | NATIONAL STOCK NUMBER | LOCAL STOCK NUMBER |
| 0001 | Cryoprecipitated Ahf, Preparation | Base | 8/1/26 | 7/31/27 | 20.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 1015-00 | ||||||
| 0002 | Pooled Cryo (Flat Fee) | Base | 8/1/26 | 20.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 1025-00 | |||||||
| 0003 | Plasma Cryo Depleted, Preparation | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 1815-00 | ||||||||
| 0004 | Fresh Frozen Plasma(250ml) | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 1825-00 | ||||||||
| 0005 | Fresh Frozen Plasma(250ml), type AB | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 1825-01 | ||||||||
| 0006 | FFP Frozen w/i 24 Hours | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 1825-10 | ||||||||
| 0007 | FFP Frozen w/i 24 Hours type AB | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 1825-11 | ||||||||
| 0008 | Fresh Frozen Plasma(50ml), Prep | Base | 100.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 1835-11 | ||||||||
| 0009 | Liquid Plasma | Base | 100.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 1845-00 | ||||||||
| 0010 | Deglycerolized-Autologous RBC | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 2407-00 | ||||||||
| 0011 | Autologous RBC, Frozen | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 2412-00 | ||||||||
| 0012 | Red Blood Cells(Auto) Processing | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 2420-00 | ||||||||
| 0013 | Resuspended Cells, Processing | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 2485-00 | ||||||||
| 0014 | RBC, Leukoreduced | Base | 715.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 2520-00 | ||||||||
| 0015 | RBC, Leukoreduced, returned AB | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 2520-00 | ||||||||
| 0016 | RBC, Leukoreduced, Frozen | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 2521-00 | ||||||||
| 0017 | RBC, Leukoreduced, CMV NEG | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 2540-00 | ||||||||
| 0018 | RBC, Leukoreduced, Irradiate | Base | 1,020.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 2560-00 | ||||||||
| 0019 | RBC, Leukoreduced, Irradiate, CMV | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 2580-00 | ||||||||
| 0020 | RBC, Leukoreduced, Washed | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 2601-00 | ||||||||
| 0021 | RBC, LR, IRR, Washed | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 2610-00 | ||||||||
| 0022 | RBC, LR, Frozen, Washed, Deglycerolized | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 2620-00 | ||||||||
| 0023 | RBC, LR, IRR, Frozen, Washed, Deglycerolized | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 2640-00 | ||||||||
| 0024 | Assigned Pediatric 8-Pack Billing | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3045-00 | ||||||||
| 0025 | PLATELETS BY APHERESIS DIRECTED | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3520-00 | ||||||||
| 0026 | Platelets by Apheresis LR | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3526-01 | ||||||||
| 0027 | Platelets by Apheresis LR IRRD | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3526-03 | ||||||||
| 0028 | Platelets by Apheresis LR, CMV, IRRD | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3526-04 | ||||||||
| 0029 | GRANULOCYTES BY APHERESIS | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3540-00 | ||||||||
| 0030 | PRT Platelets | Base | 160.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3526-21 | ||||||||
| 0031 | LVDS Platelets by Apheresis LR IRRD | Base | 490.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3526-33 | ||||||||
| 0032 | LVDS Platelets by Apheresis LR IRRD HLA Matched | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3526-35 | ||||||||
| 0033 | Hepatitis Test (HBSAG) | Base | 120.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3060-00 | ||||||||
| 0034 | HEP B Surface(HBS) Neutralization | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3062-02 | ||||||||
| 0035 | Hepatitis Test (Anti-HCV) | Base | 120.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3063-00 | ||||||||
| 0036 | HEPATITIS C (HCV) RIBA TEST | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3063-03 | ||||||||
| 0037 | Hepatitis Test (Anti-HBC) | Base | 120.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3064-00 | ||||||||
| 0038 | Serologic Test For Syphilis | Base | 120.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3067-00 | ||||||||
| 0039 | FLOURESCENT TREPONEMAL ANTIBODY TEST FTA | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3067-01 | ||||||||
| 0040 | Anti Cytomegalovirus(CMV) Test | Base | 120.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3070-00 | ||||||||
| 0041 | Chagas Test-Patient | Base | 20.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3071-01 | ||||||||
| 0042 | Chagas Confirmatory Testing | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3071-02 | ||||||||
| 0043 | Anti-HIV 1/2 Antibody Test | Base | 100.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3075-00 | ||||||||
| 0044 | HIV 1/2 Confirmation | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3075-04 | ||||||||
| 0045 | Anti HTLV-1/-2 Test | Base | 100.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3076-00 | ||||||||
| 0046 | HTLV Confirmation | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3076-03 | ||||||||
| 0047 | Donor HCV NAT Test | Base | 20.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3077-05 | ||||||||
| 0048 | Donor HIV NAT Test | Base | 20.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3077-07 | ||||||||
| 0049 | DONOR HBV NAT | Base | 20.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3078-06 | ||||||||
| 0050 | Donor WNV Nat | Base | 20.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3078-08 | ||||||||
| 0051 | EBV-VCA-IgG | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3078-16 | ||||||||
| 0052 | Epstein Barr Virus NA-IgG | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3078-17 | ||||||||
| 0053 | Toxoplasma-IgG | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3078-18 | ||||||||
| 0054 | Zika Virus by Nucleic Acid Testing | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3078-24 | ||||||||
| 0055 | THERAPEUTIC PLASMA EXCH | Base | 30.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3515-00 | ||||||||
| 0056 | THERAPEUTIC PLATELETPHERESIS | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3529-00 | ||||||||
| 0057 | THERAPEUTIC RED CELL EXCH | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3536-00 | ||||||||
| 0058 | THERAPEUTIC LEUKAPHERESIS | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3542-00 | ||||||||
| 0059 | CUSTOM PRIME | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3593-04 | ||||||||
| 0060 | Travel | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3548-00 | ||||||||
| 0061 | EMERGENCY REQUEST | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3548-10 | ||||||||
| 0062 | SETUP FEE | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3593-00 | ||||||||
| 0063 | Red Cell Genotyping for Single Antigen | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3117-01 | ||||||||
| 0064 | Rh Genotyping - Multiplex (D,C) | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3117-02 | ||||||||
| 0065 | Red Cell Genotyping for MNS | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3117-03 | ||||||||
| 0066 | Red Cell Genotyping Multiple Groups | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3117-04 | ||||||||
| 0067 | Rhd Zygosity inc CDE Systems | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3117-05 | ||||||||
| 0068 | RhD Evaluation | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3117-07 | ||||||||
| 0069 | ABO Blood Groups by PCR | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3117-08 | ||||||||
| 0070 | RhD variant - weak D type 1, 2, and 3 | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3117-09 | ||||||||
| 0071 | Thrombin Time | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3200-02 | ||||||||
| 0072 | Prothrombin Time | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3200-04 | ||||||||
| 0073 | aPTT | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3200-05 | ||||||||
| 0074 | Factor XIII (By Urea Solubility) | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3200-07 | ||||||||
| 0075 | Factor XIII Quantitative | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3210-34 | ||||||||
| 0076 | Fibrinogen Activity | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3200-08 | ||||||||
| 0077 | CBC with Diff | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3200-09 | ||||||||
| 0078 | aPTT 1:1 Mix | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3200-10 | ||||||||
| 0079 | Reptilase Time | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3200-11 | ||||||||
| 0080 | VWF Activity by Ristocetin Cofactor | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3210-03 | ||||||||
| 0081 | FDP in plasma (semi quantitative) | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3210-06 | ||||||||
| 0082 | Factor V Activity | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3210-11 | ||||||||
| 0083 | Factor VII Activity | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3210-12 | ||||||||
| 0084 | Factor VIII Activity (one stage) | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3210-13 | ||||||||
| 0085 | Factor IX Activity | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3210-14 | ||||||||
| 0086 | Factor X Activity | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3210-15 | ||||||||
| 0087 | Factor XII Activity | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3210-17 | ||||||||
| 0088 | Factor VIII Activity (Chromogenic) | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3210-18 | ||||||||
| 0089 | VWF Antigen | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3210-20 | ||||||||
| 0090 | Von Willebrand Factor Multimers | Base | 40.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3210-24 | ||||||||
| 0091 | Von Willebrand Collagen Binding | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3210-26 | ||||||||
| 0092 | Factor VIII INHIBITOR TITER-PORCINE | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3220-05 | ||||||||
| 0093 | Staclot-La (Hexagonal Pl) | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3220-06 | ||||||||
| 0094 | dRVVT Screen | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3220-07 | ||||||||
| 0095 | dRVVT Confirmation | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3220-08 | ||||||||
| 0096 | Factor IX Inhib Bethesda Human | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3220-09 | ||||||||
| 0097 | Factor II Inhib Bethesda Human | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3220-10 | ||||||||
| 0098 | Factor V Inhib Bethesda Human | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3220-11 | ||||||||
| 0099 | Factor VII Inhib Bethesda Human | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3220-12 | ||||||||
| 0100 | Factor X Inhib Bethesda Human | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3220-13 | ||||||||
| 0101 | Factor XI Inhib Bethesda Human | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3220-14 | ||||||||
| 0102 | Factor VIII Inhibitor Bethesda Titer - Chromogenic | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3220-22 | ||||||||
| 0103 | Antiplasmin | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3230-04 | ||||||||
| 0104 | Platelet Aggregation (9 Agonists) | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3240-01 | ||||||||
| 0105 | Red Cell Separate for Phenotyping | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3131-00 | ||||||||
| 0106 | RIPA | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3240-04 | ||||||||
| 0107 | Platelet Function Assay (PFA) Epine | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3245-01 | ||||||||
| 0108 | Platelet Function Assay (PFA) Adp | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3245-02 | ||||||||
| 0109 | HEMOPHILIA A Mutation Evaluation | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3250-02 | ||||||||
| 0110 | Factor VIII Inversion | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3250-05 | ||||||||
| 0111 | DNA Von Willebrand Disease Type 2A/2B/2M | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3250-08 | ||||||||
| 0112 | DNA Von Willebrand Disease Type 2N | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3250-09 | ||||||||
| 0113 | Hemophilia B Mutation Evaluation | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3250-10 | ||||||||
| 0114 | Genotype for known Hemophilia/VWD mutations | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3250-11 | ||||||||
| 0115 | DECEASED DONOR WORKUP | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3081-07 | ||||||||
| 0116 | DECEASED DONOR WORKUP-IMPORT | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3081-08 | ||||||||
| 0117 | HLA B27 TYPING | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3082-00 | ||||||||
| 0118 | HLA A 29 Typing | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3082-01 | ||||||||
| 0119 | HLA B51 Typing | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3082-02 | ||||||||
| 0120 | HLA B57:01 Typing | Base | 50.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3082-03 | ||||||||
| 0121 | HLA B58:01 Typing | Base | 50.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3082-04 | ||||||||
| 0122 | HLA B15 Typing | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3082-05 | ||||||||
| 0123 | HLA-DQ2/DQ8/DQA1*05 (Celiac association) | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3082-07 | ||||||||
| 0124 | HLA ANTIBODY DETECTION | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3083-06 | ||||||||
| 0125 | HLA Antibody Specificity | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3083-16 | ||||||||
| 0126 | HLA Antibody Specificity Monitoring DSA | Base | 40.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3083-17 | ||||||||
| 0127 | HLA Antibody Specificity Monitoring DSA - STAT | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3083-18 | ||||||||
| 0128 | MIC Antibody Specificity | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3083-19 | ||||||||
| 0129 | C1q fixing HLA Antibody Specificity | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3083-20 | ||||||||
| 0130 | C1q fixing HLA Antibody Monitoring DSA | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3083-21 | ||||||||
| 0131 | Anti-AT1R Antibody | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3083-50 | ||||||||
| 0132 | HLA CLASS I (A,B, C) TYPING | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3084-00 | ||||||||
| 0133 | HLA CLASS II (DR,DQ) TYPING | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3084-01 | ||||||||
| 0134 | MICA Typing | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3084-04 | ||||||||
| 0135 | HLA CLASS I & CLASS II (A,B,C,DR,DQ) Typing | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3084-06 | ||||||||
| 0136 | SPECIMEN PROCESSING (SERUM) | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3085-00 | ||||||||
| 0137 | SPECIMEN PROCESSING (CELLS) | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3085-01 | ||||||||
| 0138 | LYMPHOCYTE CROSSMATCH | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3088-00 | ||||||||
| 0139 | LYMPHOCYTE CROSSMATCH - STAT | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3088-02 | ||||||||
| 0140 | LYMPHOCYTE CROSSMATCH -Cytotoxicity | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3088-03 | ||||||||
| 0141 | Platelet Alloantibody Workup (Basic) | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3630-00 | ||||||||
| 0142 | HLA -A2 or A*0201 Typing | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3915-07 | ||||||||
| 0143 | HIGH-RESOLUTION TYPING, HLA-A | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3915-10 | ||||||||
| 0144 | HIGH-RESOLUTION TYPING, HLA-B | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3915-11 | ||||||||
| 0145 | HIGH-RESOLUTION TYPING, HLA-C | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3915-12 | ||||||||
| 0146 | HIGH-RESOLUTION TYPING, HLA-DPA1 | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3915-20 | ||||||||
| 0147 | HIGH-RESOLUTION TYPING, HLA-DPB1 | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3915-21 | ||||||||
| 0148 | HIGH-RESOLUTION TYPING, HLA-DQA1 | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3915-30 | ||||||||
| 0149 | HIGH-RESOLUTION TYPING, HLA-DQB1 | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3915-31 | ||||||||
| 0150 | HIGH-RESOLUTION TYPING, HLA-DRB1 | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3915-40 | ||||||||
| 0151 | High Resolution HLA DRB3/DRB4/DRB5 | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3915-41 | ||||||||
| 0152 | CROSSMATCH ANTIGLOBULIN IRL | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3015-02 | ||||||||
| 0153 | CROSSMATCH ELECTRONIC IRL | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3035-02 | ||||||||
| 0154 | STAT FEE - IRL | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3059-03 | ||||||||
| 0155 | ANTIBODY SCREEN IRL | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3104-02 | ||||||||
| 0156 | RED CELL ANTIBODY TITRATION | Base | 20.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3115-00 | ||||||||
| 0157 | RH PHENOTYPE (D,C,E,C Antigentype) | Base | 20.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3117-00 | ||||||||
| 0158 | Patient PHENOTYPE Single Antigen | Base | 20.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3118-00 | ||||||||
| 0159 | Screening of compatible RBC units | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3120-00 | ||||||||
| 0160 | Direct Antiglobulin Test Monospecific IRL | Base | 20.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3125-01 | ||||||||
| 0161 | Direct Antiglobulin Test Polyspecific IRL | Base | 20.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3125-02 | ||||||||
| 0162 | Red Cell ANTIBODY PANEL (per panel) | Base | 120.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3126-00 | ||||||||
| 0163 | Red Cell ANTIBODY PANEL (per panel) TSL | Base | 20.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3126-03 | ||||||||
| 0164 | Autoabsorption | Base | 20.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3127-00 | ||||||||
| 0165 | ALLOABSORPTION | Base | 20.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3128-00 | ||||||||
| 0166 | ELUTION | Base | 20.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3129-00 | ||||||||
| 0167 | NEUTRALIZATION | Base | 20.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3130-00 | ||||||||
| 0168 | Chemical Treatment Red Cells | Base | 70.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3132-00 | ||||||||
| 0169 | Enzyme Treatment Red Cells | Base | 20.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3133-00 | ||||||||
| 0170 | CHEMICAL TREATMENT SERUM | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3134-00 | ||||||||
| 0171 | PATIENT PHENOTYPE EXTENDED | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3136-00 | ||||||||
| 0172 | Lectin Panel | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3137-00 | ||||||||
| 0173 | DONATH-LANDSTEINER | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3139-00 | ||||||||
| 0174 | THERMAL AMPLITUDE | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3140-00 | ||||||||
| 0175 | AFTER HOURS SURCHARGE | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3141-00 | ||||||||
| 0176 | UNIT PHENOTYPE/ANTIGEN/UNIT | Base | 340.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3143-00 | ||||||||
| 0177 | HEMOGLOBIN S SCREEN | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3144-00 | ||||||||
| 0178 | SCREEN FOR FETAL-MATRN HEMORRHAGE | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3145-00 | ||||||||
| 0179 | KLEIHAUER-BETKE STAIN | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3146-00 | ||||||||
| 0180 | Rare/Uncommon Unit Search Fee | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3147-00 | ||||||||
| 0181 | Imported Unit Fees - per unit | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3147-01 | ||||||||
| 0182 | RARE UNIT FEE | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3153-00 | ||||||||
| 0183 | ADAMTS 13 ACTIVITY | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3260-01 | ||||||||
| 0184 | ADAMTS 13 INHIBITOR | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3260-02 | ||||||||
| 0185 | ADAMTS-13 Antibody | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3260-03 | ||||||||
| 0186 | Platelet Alloantibody Workup (Advanced) | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3635-00 | ||||||||
| 0187 | Platelet Autoantibody Test | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3640-00 | ||||||||
| 0188 | Platelet Drug Antibody Test | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3650-00 | ||||||||
| 0189 | Hep/PF4 IgG ELISA (HIT) | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3655-10 | ||||||||
| 0190 | Hep/PF4 IgG ELISA Confirmation | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3655-20 | ||||||||
| 0191 | Post-Transfusion Purpura (PTP) Workup | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3660-00 | ||||||||
| 0192 | Neonatal Alloimmune Thrombocytopenia Eval | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3670-00 | ||||||||
| 0193 | Platelet Typing/Single Platelet Antigen | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3680-00 | ||||||||
| 0194 | TYPE CONFIRM UNIT | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3010-00 | ||||||||
| 0195 | CROSSMATCH ANTIGLOBULIN | Base | 50.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3015-00 | ||||||||
| 0196 | RETROSPECTIVE XMATCH ANTIGLOBULIN | Base | 20.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3015-01 | ||||||||
| 0197 | Xmatch Immediate Spin | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3020-00 | ||||||||
| 0198 | ABO COMPATIBLE TEST | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3025-00 | ||||||||
| 0199 | XMatch Potential Donor ABO Compatible | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3030-01 | ||||||||
| 0200 | XMatch Potential Donor ABO Incompatible | Base | 20.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3030-02 | ||||||||
| 0201 | CROSSMATCH ELECTRONIC | Base | 2,100.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3035-00 | ||||||||
| 0202 | RETROSPECTIVE CROSSMATCH ELECTRONIC | Base | 50.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3035-01 | ||||||||
| 0203 | Uncrossmatched Unit Handling fee | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3058-00 | ||||||||
| 0204 | EMERGENCY TESTING OR RELEASE | Base | 660.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3059-00 | ||||||||
| 0205 | ABO, RH | Base | 2,040.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3103-00 | ||||||||
| 0206 | Confirmatory 2nd Sample | Base | 750.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3103-01 | ||||||||
| 0207 | ABO/RH IRL | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3103-03 | ||||||||
| 0208 | INDIRECT ANTIGLOBULIN TEST | Base | 2,040.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3104-00 | ||||||||
| 0209 | % ABO | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3105-00 | ||||||||
| 0210 | Patient antigen type - TSL | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3118-01 | ||||||||
| 0211 | HOLD Specimen Charge | Base | 40.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3122-00 | ||||||||
| 0212 | DIRECT ANTIGLOBULIN TEST | Base | 40.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3125-00 | ||||||||
| 0213 | INVESTIGATION OF TRANSFUSION REAC | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3148-00 | ||||||||
| 0214 | Limited Transfusion Reaction Invest | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3148-01 | ||||||||
| 0215 | Irradiated Unit, Preparation | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3160-00 | ||||||||
| 0216 | Reduced Volume, Preparation | Base | 100.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3170-00 | ||||||||
| 0217 | Prep of RBCs, Plasma Reduced | Option 2 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3175-00 | ||||||||
| 0217 | Prep of RBCs, Plasma Reduced | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3175-00 | ||||||||
| 0218 | Preparation of Red Cells, Washed | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3180-00 | ||||||||
| 0219 | Preparation of Platelets, Washed | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3185-00 | ||||||||
| 0220 | CMV Negative | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3190-00 | ||||||||
| 0221 | Pooling | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3195-00 | ||||||||
| 0222 | Pooling, Resuspended RBC | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3195-01 | ||||||||
| 0223 | Thawing Of Plasma | Base | 50.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3196-00 | ||||||||
| 0224 | Verax Fee | Base | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3197-00 | ||||||||
| 0225 | Hemosafe/HaemoBank - Site VPN monitoring | Base | 12.00 | MO | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 5700-31 | ||||||||
| 0226 | Hemosafe/HaemoBank - Support/Maintenance | Base | 12.00 | MO | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 5700-32 | ||||||||
| 0227 | Hemosafe/HaemoBank Software Licensing | Base | 12.00 | MO | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 5700-64 | ||||||||
| 0228 | HaemoBank 80 Rental Fee | Base | 12.00 | MO | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 5700-66 | ||||||||
| 0229 | Transportation - Monthly | Base | 12.00 | MO | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3990-00 | ||||||||
| 1001 | Cryoprecipitated Ahf, Preparation | Option 1 | 20.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 1015-00 | ||||||||
| 1002 | Pooled Cryo (Flat Fee) | Option 1 | 20.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 1025-00 | ||||||||
| 1003 | Plasma Cryo Depleted, Preparation | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 1815-00 | ||||||||
| 1004 | Fresh Frozen Plasma(250ml) | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 1825-00 | ||||||||
| 1005 | Fresh Frozen Plasma(250ml), type AB | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 1825-01 | ||||||||
| 1006 | FFP Frozen w/i 24 Hours | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 1825-10 | ||||||||
| 1007 | FFP Frozen w/i 24 Hours type AB | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 1825-11 | ||||||||
| 1008 | Fresh Frozen Plasma(50ml), Prep | Option 1 | 100.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 1835-11 | ||||||||
| 1009 | Liquid Plasma | Option 1 | 100.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 1845-00 | ||||||||
| 1010 | Deglycerolized-Autologous RBC | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 2407-00 | ||||||||
| 1011 | Autologous RBC, Frozen | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 2412-00 | ||||||||
| 1012 | Red Blood Cells(Auto) Processing | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 2420-00 | ||||||||
| 1013 | Resuspended Cells, Processing | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 2485-00 | ||||||||
| 1014 | RBC, Leukoreduced | Option 1 | 715.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 2520-00 | ||||||||
| 1015 | RBC, Leukoreduced, returned AB | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 2520-00 | ||||||||
| 1016 | RBC, Leukoreduced, Frozen | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 2521-00 | ||||||||
| 1017 | RBC, Leukoreduced, CMV NEG | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 2540-00 | ||||||||
| 1018 | RBC, Leukoreduced, Irradiate | Option 1 | 1,020.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 2560-00 | ||||||||
| 1019 | RBC, Leukoreduced, Irradiate, CMV | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 2580-00 | ||||||||
| 1020 | RBC, Leukoreduced, Washed | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 2601-00 | ||||||||
| 1021 | RBC, LR, IRR, Washed | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 2610-00 | ||||||||
| 1022 | RBC, LR, Frozen, Washed, Deglycerolized | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 2620-00 | ||||||||
| 1023 | RBC, LR, IRR, Frozen, Washed, Deglycerolized | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 2640-00 | ||||||||
| 1024 | Assigned Pediatric 8-Pack Billing | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3045-00 | ||||||||
| 1025 | PLATELETS BY APHERESIS DIRECTED | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3520-00 | ||||||||
| 1026 | Platelets by Apheresis LR | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3526-01 | ||||||||
| 1027 | Platelets by Apheresis LR IRRD | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3526-03 | ||||||||
| 1028 | Platelets by Apheresis LR, CMV, IRRD | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3526-04 | ||||||||
| 1029 | GRANULOCYTES BY APHERESIS | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3540-00 | ||||||||
| 1030 | PRT Platelets | Option 1 | 160.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3526-21 | ||||||||
| 1031 | LVDS Platelets by Apheresis LR IRRD | Option 1 | 490.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3526-33 | ||||||||
| 1032 | LVDS Platelets by Apheresis LR IRRD HLA Matched | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3526-35 | ||||||||
| 1033 | Hepatitis Test (HBSAG) | Option 1 | 120.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3060-00 | ||||||||
| 1034 | HEP B Surface(HBS) Neutralization | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3062-02 | ||||||||
| 1035 | Hepatitis Test (Anti-HCV) | Option 1 | 120.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3063-00 | ||||||||
| 1036 | HEPATITIS C (HCV) RIBA TEST | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3063-03 | ||||||||
| 1037 | Hepatitis Test (Anti-HBC) | Option 1 | 120.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3064-00 | ||||||||
| 1038 | Serologic Test For Syphilis | Option 1 | 120.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3067-00 | ||||||||
| 1039 | FLOURESCENT TREPONEMAL ANTIBODY TEST FTA | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3067-01 | ||||||||
| 1040 | Anti Cytomegalovirus(CMV) Test | Option 1 | 120.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3070-00 | ||||||||
| 1041 | Chagas Test-Patient | Option 1 | 20.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3071-01 | ||||||||
| 1042 | Chagas Confirmatory Testing | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3071-02 | ||||||||
| 1043 | Anti-HIV 1/2 Antibody Test | Option 1 | 100.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3075-00 | ||||||||
| 1044 | HIV 1/2 Confirmation | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3075-04 | ||||||||
| 1045 | Anti HTLV-1/-2 Test | Option 1 | 100.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3076-00 | ||||||||
| 1046 | HTLV Confirmation | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3076-03 | ||||||||
| 1047 | Donor HCV NAT Test | Option 1 | 20.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3077-05 | ||||||||
| 1048 | Donor HIV NAT Test | Option 1 | 20.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3077-07 | ||||||||
| 1049 | DONOR HBV NAT | Option 1 | 20.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3078-06 | ||||||||
| 1050 | Donor WNV Nat | Option 1 | 20.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3078-08 | ||||||||
| 1051 | EBV-VCA-IgG | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3078-16 | ||||||||
| 1052 | Epstein Barr Virus NA-IgG | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3078-17 | ||||||||
| 1053 | Toxoplasma-IgG | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3078-18 | ||||||||
| 1054 | Zika Virus by Nucleic Acid Testing | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3078-24 | ||||||||
| 1055 | THERAPEUTIC PLASMA EXCH | Option 1 | 30.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3515-00 | ||||||||
| 1056 | THERAPEUTIC PLATELETPHERESIS | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3529-00 | ||||||||
| 1057 | THERAPEUTIC RED CELL EXCH | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3536-00 | ||||||||
| 1058 | THERAPEUTIC LEUKAPHERESIS | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3542-00 | ||||||||
| 1059 | CUSTOM PRIME | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3593-04 | ||||||||
| 1060 | Travel | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3548-00 | ||||||||
| 1061 | EMERGENCY REQUEST | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3548-10 | ||||||||
| 1062 | SETUP FEE | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3593-00 | ||||||||
| 1063 | Red Cell Genotyping for Single Antigen | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3117-01 | ||||||||
| 1064 | Rh Genotyping - Multiplex (D,C) | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3117-02 | ||||||||
| 1065 | Red Cell Genotyping for MNS | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3117-03 | ||||||||
| 1066 | Red Cell Genotyping Multiple Groups | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3117-04 | ||||||||
| 1067 | Rhd Zygosity inc CDE Systems | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3117-05 | ||||||||
| 1068 | RhD Evaluation | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3117-07 | ||||||||
| 1069 | ABO Blood Groups by PCR | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3117-08 | ||||||||
| 1070 | RhD variant - weak D type 1, 2, and 3 | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3117-09 | ||||||||
| 1071 | Thrombin Time | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3200-02 | ||||||||
| 1072 | Prothrombin Time | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3200-04 | ||||||||
| 1073 | aPTT | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3200-05 | ||||||||
| 1074 | Factor XIII (By Urea Solubility) | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3200-07 | ||||||||
| 1075 | Factor XIII Quantitative | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3210-34 | ||||||||
| 1076 | Fibrinogen Activity | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3200-08 | ||||||||
| 1077 | CBC with Diff | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3200-09 | ||||||||
| 1078 | aPTT 1:1 Mix | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3200-10 | ||||||||
| 1079 | Reptilase Time | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3200-11 | ||||||||
| 1080 | VWF Activity by Ristocetin Cofactor | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3210-03 | ||||||||
| 1081 | FDP in plasma (semi quantitative) | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3210-06 | ||||||||
| 1082 | Factor V Activity | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3210-11 | ||||||||
| 1083 | Factor VII Activity | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3210-12 | ||||||||
| 1084 | Factor VIII Activity (one stage) | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3210-13 | ||||||||
| 1085 | Factor IX Activity | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3210-14 | ||||||||
| 1086 | Factor X Activity | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3210-15 | ||||||||
| 1087 | Factor XII Activity | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3210-17 | ||||||||
| 1088 | Factor VIII Activity (Chromogenic) | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3210-18 | ||||||||
| 1089 | VWF Antigen | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3210-20 | ||||||||
| 1090 | Von Willebrand Factor Multimers | Option 1 | 40.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3210-24 | ||||||||
| 1091 | Von Willebrand Collagen Binding | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3210-26 | ||||||||
| 1092 | Factor VIII INHIBITOR TITER-PORCINE | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3220-05 | ||||||||
| 1093 | Staclot-La (Hexagonal Pl) | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3220-06 | ||||||||
| 1094 | dRVVT Screen | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3220-07 | ||||||||
| 1095 | dRVVT Confirmation | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3220-08 | ||||||||
| 1096 | Factor IX Inhib Bethesda Human | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3220-09 | ||||||||
| 1097 | Factor II Inhib Bethesda Human | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3220-10 | ||||||||
| 1098 | Factor V Inhib Bethesda Human | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3220-11 | ||||||||
| 1099 | Factor VII Inhib Bethesda Human | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3220-12 | ||||||||
| 1100 | Factor X Inhib Bethesda Human | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3220-13 | ||||||||
| 1101 | Factor XI Inhib Bethesda Human | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3220-14 | ||||||||
| 1102 | Factor VIII Inhibitor Bethesda Titer - Chromogenic | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3220-22 | ||||||||
| 1103 | Antiplasmin | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3230-04 | ||||||||
| 1104 | Platelet Aggregation (9 Agonists) | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3240-01 | ||||||||
| 1105 | Red Cell Separate for Phenotyping | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3131-00 | ||||||||
| 1106 | RIPA | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3240-04 | ||||||||
| 1107 | Platelet Function Assay (PFA) Epine | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3245-01 | ||||||||
| 1108 | Platelet Function Assay (PFA) Adp | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3245-02 | ||||||||
| 1109 | HEMOPHILIA A Mutation Evaluation | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3250-02 | ||||||||
| 1110 | Factor VIII Inversion | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3250-05 | ||||||||
| 1111 | DNA Von Willebrand Disease Type 2A/2B/2M | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3250-08 | ||||||||
| 1112 | DNA Von Willebrand Disease Type 2N | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3250-09 | ||||||||
| 1113 | Hemophilia B Mutation Evaluation | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3250-10 | ||||||||
| 1114 | Genotype for known Hemophilia/VWD mutations | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3250-11 | ||||||||
| 1115 | DECEASED DONOR WORKUP | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3081-07 | ||||||||
| 1116 | DECEASED DONOR WORKUP-IMPORT | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3081-08 | ||||||||
| 1117 | HLA B27 TYPING | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3082-00 | ||||||||
| 1118 | HLA A 29 Typing | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3082-01 | ||||||||
| 1119 | HLA B51 Typing | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3082-02 | ||||||||
| 1120 | HLA B57:01 Typing | Option 1 | 50.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3082-03 | ||||||||
| 1121 | HLA B58:01 Typing | Option 1 | 50.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3082-04 | ||||||||
| 1122 | HLA B15 Typing | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3082-05 | ||||||||
| 1123 | HLA-DQ2/DQ8/DQA1*05 (Celiac association) | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3082-07 | ||||||||
| 1124 | HLA ANTIBODY DETECTION | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3083-06 | ||||||||
| 1125 | HLA Antibody Specificity | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3083-16 | ||||||||
| 1126 | HLA Antibody Specificity Monitoring DSA | Option 1 | 40.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3083-17 | ||||||||
| 1127 | HLA Antibody Specificity Monitoring DSA - STAT | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3083-18 | ||||||||
| 1128 | MIC Antibody Specificity | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3083-19 | ||||||||
| 1129 | C1q fixing HLA Antibody Specificity | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3083-20 | ||||||||
| 1130 | C1q fixing HLA Antibody Monitoring DSA | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3083-21 | ||||||||
| 1131 | Anti-AT1R Antibody | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3083-50 | ||||||||
| 1132 | HLA CLASS I (A,B, C) TYPING | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3084-00 | ||||||||
| 1133 | HLA CLASS II (DR,DQ) TYPING | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3084-01 | ||||||||
| 1134 | MICA Typing | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3084-04 | ||||||||
| 1135 | HLA CLASS I & CLASS II (A,B,C,DR,DQ) Typing | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3084-06 | ||||||||
| 1136 | SPECIMEN PROCESSING (SERUM) | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3085-00 | ||||||||
| 1137 | SPECIMEN PROCESSING (CELLS) | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3085-01 | ||||||||
| 1138 | LYMPHOCYTE CROSSMATCH | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3088-00 | ||||||||
| 1139 | LYMPHOCYTE CROSSMATCH - STAT | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3088-02 | ||||||||
| 1140 | LYMPHOCYTE CROSSMATCH -Cytotoxicity | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3088-03 | ||||||||
| 1141 | Platelet Alloantibody Workup (Basic) | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3630-00 | ||||||||
| 1142 | HLA -A2 or A*0201 Typing | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3915-07 | ||||||||
| 1143 | HIGH-RESOLUTION TYPING, HLA-A | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3915-10 | ||||||||
| 1144 | HIGH-RESOLUTION TYPING, HLA-B | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3915-11 | ||||||||
| 1145 | HIGH-RESOLUTION TYPING, HLA-C | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3915-12 | ||||||||
| 1146 | HIGH-RESOLUTION TYPING, HLA-DPA1 | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3915-20 | ||||||||
| 1147 | HIGH-RESOLUTION TYPING, HLA-DPB1 | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3915-21 | ||||||||
| 1148 | HIGH-RESOLUTION TYPING, HLA-DQA1 | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3915-30 | ||||||||
| 1149 | HIGH-RESOLUTION TYPING, HLA-DQB1 | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3915-31 | ||||||||
| 1150 | HIGH-RESOLUTION TYPING, HLA-DRB1 | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3915-40 | ||||||||
| 1151 | High Resolution HLA DRB3/DRB4/DRB5 | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3915-41 | ||||||||
| 1152 | CROSSMATCH ANTIGLOBULIN IRL | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3015-02 | ||||||||
| 1153 | CROSSMATCH ELECTRONIC IRL | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3035-02 | ||||||||
| 1154 | STAT FEE - IRL | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3059-03 | ||||||||
| 1155 | ANTIBODY SCREEN IRL | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3104-02 | ||||||||
| 1156 | RED CELL ANTIBODY TITRATION | Option 1 | 20.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3115-00 | ||||||||
| 1157 | RH PHENOTYPE (D,C,E,C Antigentype) | Option 1 | 20.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3117-00 | ||||||||
| 1158 | Patient PHENOTYPE Single Antigen | Option 1 | 20.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3118-00 | ||||||||
| 1159 | Screening of compatible RBC units | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3120-00 | ||||||||
| 1160 | Direct Antiglobulin Test Monospecific IRL | Option 1 | 20.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3125-01 | ||||||||
| 1161 | Direct Antiglobulin Test Polyspecific IRL | Option 1 | 20.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3125-02 | ||||||||
| 1162 | Red Cell ANTIBODY PANEL (per panel) | Option 1 | 120.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3126-00 | ||||||||
| 1163 | Red Cell ANTIBODY PANEL (per panel) TSL | Option 1 | 20.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3126-03 | ||||||||
| 1164 | Autoabsorption | Option 1 | 20.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3127-00 | ||||||||
| 1165 | ALLOABSORPTION | Option 1 | 20.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3128-00 | ||||||||
| 1166 | ELUTION | Option 1 | 20.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3129-00 | ||||||||
| 1167 | NEUTRALIZATION | Option 1 | 20.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3130-00 | ||||||||
| 1168 | Chemical Treatment Red Cells | Option 1 | 70.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3132-00 | ||||||||
| 1169 | Enzyme Treatment Red Cells | Option 1 | 20.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3133-00 | ||||||||
| 1170 | CHEMICAL TREATMENT SERUM | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3134-00 | ||||||||
| 1171 | PATIENT PHENOTYPE EXTENDED | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3136-00 | ||||||||
| 1172 | Lectin Panel | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3137-00 | ||||||||
| 1173 | DONATH-LANDSTEINER | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3139-00 | ||||||||
| 1174 | THERMAL AMPLITUDE | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3140-00 | ||||||||
| 1175 | AFTER HOURS SURCHARGE | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3141-00 | ||||||||
| 1176 | UNIT PHENOTYPE/ANTIGEN/UNIT | Option 1 | 340.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3143-00 | ||||||||
| 1177 | HEMOGLOBIN S SCREEN | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3144-00 | ||||||||
| 1178 | SCREEN FOR FETAL-MATRN HEMORRHAGE | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3145-00 | ||||||||
| 1179 | KLEIHAUER-BETKE STAIN | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3146-00 | ||||||||
| 1180 | Rare/Uncommon Unit Search Fee | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3147-00 | ||||||||
| 1181 | Imported Unit Fees - per unit | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3147-01 | ||||||||
| 1182 | RARE UNIT FEE | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3153-00 | ||||||||
| 1183 | ADAMTS 13 ACTIVITY | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3260-01 | ||||||||
| 1184 | ADAMTS 13 INHIBITOR | Option 1 | 0.00 | EA | 621991 - Blood and Organ Banks | Q515 - Medical - Pathology | 3260-02 |
This is the start of the file's text. The full file is on GovTribe.
File details come from the government source that posted it. Updated .