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36C26224Q1010
PAGE 1 OF
1. REQUISITION NO.
2. CONTRACT NO.
3. AWARD/EFFECTIVE DATE
4. ORDER NO.
5. SOLICITATION NUMBER
6. SOLICITATION ISSUE DATE
a. NAME
b. TELEPHONE NO. (No Collect Calls)
8. OFFER DUE DATE/LOCAL
TIME
9. ISSUED BY
CODE
10. THIS ACQUISITION IS
UNRESTRICTED OR
SET ASIDE:
% FOR:
SMALL BUSINESS
HUBZONE SMALL
BUSINESS
SERVICE-DISABLED
VETERAN-OWNED
SMALL BUSINESS
WOMEN-OWNED SMALL BUSINESS
(WOSB) ELIGIBLE UNDER THE WOMEN-OWNED
SMALL BUSINESS PROGRAM
EDWOSB
8(A)
NAICS:
SIZE STANDARD:
11. DELIVERY FOR FOB DESTINA-
TION UNLESS BLOCK IS
MARKED
SEE SCHEDULE
12. DISCOUNT TERMS
13a. THIS CONTRACT IS A
RATED ORDER UNDER
DPAS (15 CFR 700)
13b. RATING
14. METHOD OF SOLICITATION
RFQ
IFB
RFP
15. DELIVER TO
CODE
16. ADMINISTERED BY
CODE
17a. CONTRACTOR/OFFEROR
CODE
FACILITY CODE
18a. PAYMENT WILL BE MADE BY
CODE
TELEPHONE NO.
DUNS:
DUNS+4:
PHONE:
FAX:
17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN OFFER 18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK BELOW IS CHECKED
SEE ADDENDUM
19.
20.
21.
22.
23.
24.
ITEM NO.
SCHEDULE OF SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT
(Use Reverse and/or Attach Additional Sheets as Necessary)
25. ACCOUNTING AND APPROPRIATION DATA
26. TOTAL AWARD AMOUNT (For Govt. Use Only) 27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA
ARE
ARE NOT ATTACHED.
27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA
ARE
ARE NOT ATTACHED
28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN _______________
29. AWARD OF CONTRACT: REF. ___________________________________ OFFER
COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND
DATED ________________________________. YOUR OFFER ON SOLICITATION
DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY
(BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE
ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED
SET FORTH HEREIN IS ACCEPTED AS TO ITEMS:
30a. SIGNATURE OF OFFEROR/CONTRACTOR 31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER) 30b. NAME AND TITLE OF SIGNER (TYPE OR PRINT) 30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER (TYPE OR PRINT) 31c. DATE SIGNED
AUTHORIZED FOR LOCAL REPRODUCTION
(REV. NOV 2021)
PREVIOUS EDITION IS NOT USABLE
Prescribed by GSA - FAR (48 CFR) 53.212
7. FOR SOLICITATION
INFORMATION CALL:
STANDARD FORM 1449
SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES
OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30
501-25-1-109-0001
Rebecca Gaba
36C262 Department of Veterans Affairs Network Contracting Office 22 4811 Airport Plaza Drive Suite 600 Long Beach CA 90815
X
621991 $40 Million
N/A X
36C262
VISN 22 Southern California Healthcare Centers See Section B – Paragraph B.2.3
Network Contracting Office 22 4811 Airport Plaza Drive Suite 600 Long Beach CA 90815
Financial Services Center Submit Invoices Electronically to www.tungsten-network.com/us/en
(877) 752-0900 Option #2
See CONTINUATION Page
VISN 22 East sites of Albuquerque, NM; Phoenix, AZ; and Prescott, AZ requires Human Blood Products and Blood Related Services in accordance with the schedule herein.
Period of Performance: 10/1/2024 – 09/30/2029
See CONTINUATION Page
Table of Contents
| SECTION B - CONTINUATION OF SF 1449 BLOCKS | 4 |
| B.1 CONTRACT ADMINISTRATION DATA | 4 |
| B.2 DESCRIPTION OF CONTRACT | 5 |
| B.3 PRICE/COST SCHEDULE | 8 |
| B.4 STATEMENT OF WORK | 37 |
| SECTION C - CONTRACT CLAUSES | 52 |
| C.1 52.212-4 CONTRACT TERMS AND CONDITIONS—COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES (NOV 2023) | 52 |
| C.2 52.216-18 ORDERING (AUG 2020) | 58 |
| C.3 52.216-19 ORDER LIMITATIONS (OCT 1995) | 58 |
| C.4 52.216-22 INDEFINITE QUANTITY (OCT 1995) | 59 |
| C.5 52.216-32 TASK-ORDER AND DELIVERY-ORDER OMBUDSMAN (SEP 2019) | 59 |
| C.6 52.217-6 OPTION FOR INCREASED QUANTITY (MAR 1989) | 60 |
| C.7 52.217-8 OPTION TO EXTEND SERVICES (NOV 1999) | 60 |
| C.8 VAAR 852.212-70 PROVISIONS AND CLAUSES APPLICABLE TO VA ACQUISITION OF COMMERCIAL ITEMS (APR 2020) | 60 |
| C.9 VAAR 852.219-74 LIMITATIONS ON SUBCONTRACTING—MONITORING AND COMPLIANCE (JUL 2018) | 62 |
| C.10 VAAR 852.219-75 SUBCONTRACTING COMMITMENTS MONITORING AND COMPLIANCE (JUL 2018) | 63 |
| C.11 VAAR 852.247-73 PACKING FOR DOMESTIC SHIPMENT (OCT 2018) | 63 |
| C.12 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998) | 63 |
| C.13 52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT STATUTES OR EXECUTIVE ORDERS—COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES (FEB 2024) | 64 |
| C.14 VAAR 852.273-75 – SECURITY REQUIREMENTS FOR UNCLASSIFIED INFORMATION TECHNOLOGY RESOURCES (INTERIM – OCTOBER 2008) | 71 |
| C.15 MANDATORY WRITTEN DISCLOSURES | 71 |
| SECTION D - CONTRACT DOCUMENTS, EXHIBITS, OR ATTACHMENTS | 72 |
| SECTION E - SOLICITATION PROVISIONS | 73 |
| E.1 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES (SEP 2023) | 73 |
| E.2 52.204-24 REPRESENTATION REGARDING CERTAIN TELECOMMUNICATIONS AND VIDEO SURVEILLANCE SERVICES OR EQUIPMENT (NOV 2021) | 79 |
| E.3 52.209-7 INFORMATION REGARDING RESPONSIBILITY MATTERS (OCT 2018) | 81 |
| E.4 52.216-1 TYPE OF CONTRACT (APR 1984) | 83 |
| E.5 52.233-2 SERVICE OF PROTEST (SEP 2006) | 83 |
| E.6 VAAR 852.233-70 PROTEST CONTENT/ALTERNATIVE DISPUTE RESOLUTION (OCT 2018) | 83 |
| E.7 VAAR 852.233-71 ALTERNATE PROTEST PROCEDURE (OCT 2018) | 84 |
| E.8 52.252-1 SOLICITATION PROVISIONS INCORPORATED BY REFERENCE (FEB 1998) | 84 |
| E.9 52.212-2 EVALUATION—COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES (NOV 2021) | 85 |
| E.10 52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS—COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES (FEB 2024) | 86 |
| E.11 VAAR 852.273-74 AWARD WITHOUT EXCHANGES (JAN 2003) | 103 |
| E.12. VAAR 852.215-72 NOTICE OF INTENT TO RE-SOLICIT (OCT 2019) | 103 |
Page 1 of
Page 1 of
SECTION B - CONTINUATION OF SF 1449 BLOCKS
B.1 CONTRACT ADMINISTRATION DATA
1. Contract Administration: All contract administration matters will be handled by the following individuals:
a. CONTRACTOR:
b. GOVERNMENT: Contracting Officer 36C262 Robert W. Hutchison at robert.hutchison1@va.gov Department of Veterans Affairs (VA) Network Contracting Office 22 4811 Airport Plaza Drive Suite 600 Long Beach CA 90815
2. CONTRACTOR REMITTANCE ADDRESS: All payments by the Government to the contractor will be made in accordance with:
| [X] |
| 52.232-33, Payment by Electronic Funds Transfer—System For Award Management, or |
| [] |
| 52.232-36, Payment by Third Party |
3. INVOICES: Invoices shall be submitted in arrears:
| a. Quarterly | [] |
| b. Semi-Annually | [] |
| c. Other | [X] As agreed upon by all parties. |
4. GOVERNMENT INVOICE ADDRESS: All Invoices from the contractor shall be submitted electronically in accordance with VAAR Clause 852.232-72 Electronic Submission of Payment Requests.
Department of Veterans Affairs Financial Services Center Submit Invoices Electronically to www.tungsten-network.com/us/en
5. ACKNOWLEDGMENT OF AMENDMENTS: The offeror acknowledges receipt of amendments to the Solicitation numbered and dated as follows:
B.2 DESCRIPTION OF CONTRACT
1. INTENT: In the spirit of the Federal Acquisition Streamlining Act and pursuant to Federal Acquisition Regulation (FAR) Part 12, FAR Part 13, and FAR Part 16, the Department of Veterans Affairs (VA), Veterans Integrated Service Network (VISN) 22 East Sites Healthcare Centers (VISN 22 East sites) is establishing this single award Indefinite-Delivery / Indefinite-Quantity (IDIQ) contract for Human Blood Products and Related Services described within this solicitation. However, the government reserves the right to establish a multiple award IDIQ if it’s in the governments best interest to do so. The Contractor shall make available for purchase all the necessary products and services commercially available by Contractor to meet VISN 22 East sites needs as outlined within this IDIQ. In addition, as requirements change, products and services may be added or deleted by supplemental agreement of the Government and the Contractor. Prices in this schedule represent an all-inclusive rate including labor, incidental costs, overhead, processing fee, delivery fee, handling fee, and insurance premium payments for applicable insurance coverage. Costs not incorporated into the contractor’s price will not be reimbursed by the Government.
2. TERM OF CONTRACT: This IDIQ shall be for a five (5) year base period and will be reviewed annually to ensure the IDIQ terms are met, and to assess current market conditions and determine price reasonableness. Additional discounts maybe requested by VISN 22 East sites at any time. If the Contractor fails to perform in a manner satisfactory to the Contracting Officer (CO), this IDIQ may be canceled with thirty (30) days written notice to the Contractor by the CO.
3. PARTICIPATING FACILITIES: The following VISN 22 East sites are included in this IDIQ.
3.1 New Mexico VA Healthcare System | 1501 San Pedro SE, Albuquerque, NM 87108
3.2 Phoenix VA Healthcare System | 650 E. Indian School Rd, Phoenix, AZ 85012
3.3 Northern Arizona VA Healthcare System | 500 HW 89N, Prescott, AZ 86313
4. IDIQ LIMITS: The guaranteed minimum amount for this contract is $1,000.00. The maximum aggregate value / ceiling of the orders that can be placed under this contract is $7,000,000.00. The Government does not guarantee that it will place any orders under this contract in excess of the guaranteed minimum amount. This IDIQ contract shall not exceed a total duration of sixty-six (66) months from the effective date of the IDIQ, whichever occurs first. Pricing shall be established based on the estimated quantities listed in (Attachment B) – Five (5) Year Pricing Spreadsheet.
5. IDIQ ORDERS: This IDIQ is a pricing agreement and does not obligate any funds. The Government is obligated only to the extent of authorized IDIQ Delivery Orders (DOs) issued under the IDIQ by authorized individuals. DO’s shall be identified by the IDIQ Number TBD and DO Number 36C262(fiscal year)N(sequential four digit number). DO’s may include option years, if it is determined that option years would be in the best interest of the Government. Any DO’s issued during the effective term of this IDIQ shall be completed by the Contractor within the time specified in the DO, including all option years, which may extend beyond the IDIQ term. All products and services ordered under DO’s shall be subject to the terms and conditions of this IDIQ. The Contractor shall accept the price, terms and conditions of an issued DO as long as they do not conflict with the terms set forth in the IDIQ. Single DO’s shall be limited to $1,500,000.00 per order. This amount is subject to change if additional supplies and services are needed to meet VISN 22 East sites’ needs.
6. ORDERING METHOD: All orders shall be placed against valid DO’s signed by the CO. The CO shall designate primary facility Points of Contact (POC’s), as necessary, which may coordinate delivery quantities and schedule via Electronic Data Interchange (EDI), telephone, facsimile, email or other written communication, identifying the products by number, quantity, purchase price, address for delivery, and any special instructions.
7. DELIVERY ORDER ORDERING PROCEDURES: To comply with FAR part 16.505(b)(1) Fair Opportunity for Orders Under Multiple Award Contracts, DO’s issued against a multiple award IDIQ contract shall be competed amongst all multiple award IDIQ contract holders. Initial DO’s awarded within one (1) month of the IDIQ award shall provide fair opportunity during the multiple award IDIQ evaluation and award. All DO’s beyond the initial orders identified in the IDIQ solicitation shall be competed by issuing requests for quotes (RFQ). Evaluation criteria used to determine the DO awardee will be price and schedule. Delivery Orders for human blood products and related services at the VA East Sites Healthcare Centers identified in the schedule will be issued for one or more of the line items shown in Section B.2, Price/Cost Schedule. Prices shown in the schedule are the maximum prices that the Contractor may charge for each line item listed during the dates shown in the schedule. The Contractor may propose pricing less than the schedule; however, proposed prices shall not exceed the schedule pricing applicable to the dates that apply to the DO period of performance.
8. IDIQ PROGRAM MANAGER: The Contractor shall provide a primary IDIQ program manager who shall be responsible for the performance of the work under the IDIQ. In addition, the program manager shall act as the main focal point of communication between the CO and the Contractor. The name of this person shall be designated in writing to the CO. The program manager shall have full authority to act on behalf of the Contractor on all contractual/IDIQ matters relating to daily operation of the IDIQ.
9. ORDERING CONTACT: The Contractor shall list in the spaces below the name(s) and address(es) of customer service departments with whom the Government facilities shall place orders:
10. DELIVERY: The Contractor shall deliver all supplies and services identified in the schedule to the locations identified in Section B.2.3, Participating Facilities. The delivery location is subject to change as required by the designated authority or authorized personnel at the receiving facility. The primary facility POC shall be required to notify the Contractor when delivery locations have been changed.
All deliveries shall be accompanied by a delivery ticket or sales slip which shall contain Contractor name, date of order, date of delivery, itemized list of products furnished, including product description and quantity shipped. All deliveries shall be made during normal working hours from 8:00a.m. to 4:00p.m, PDT unless specified otherwise. The Contractor shall provide an emergency point of contact, if different from the standard points of contacts.
11. PACKAGING: All supplies shall be adequately packaged to prevent damage during shipping, handling and storage. Bags or packages shall be whole, intact, and not otherwise torn or damaged. Upon delivery, the Government shall examine all packages. The Contractor shall be required to replace unacceptable or damaged products at the Contractor’s expense.
12. INVOICING AND PAYMENT INFORMATION: An itemized invoice shall be submitted weekly, bi-weekly, monthly or upon expiration of this IDIQ, whichever occurs first, for all deliveries made during a billing period and for which payment has not been received. These invoices need not be supported by copies of delivery tickets. Invoices shall be submitted to WWW.TUNGSTEN-NETWORK.COM in accordance with FAR Part 52.232-34, Payment by Electronic Funds Transfer and VAAR Part 852.232-72.
The following information shall be listed on all invoices (Failure to comply may result in refusal of an invoice resulting in delayed payment at the fault of the Contractor).
12.1.1 Facility’s Name and address where service was provided
12.1.2 IDIQ Number (For Example: 36C26225D0001)
12.1.3 Delivery Order Number (For Example: 36C26225N0001)
12.1.4 Obligation Number (For Example: 600C50001)
12.1.5 A Line Item break down of usage for example:
12.1.6 Line item 1 GI Scope Lease: 1 MO at $400.00
12.1.7 Line item 4 GI Service Maintenance: 1 MO at $10.00
12.1.8 Include the period of time that is being invoiced for in the invoice.
12.1.9 IDIQ Holder’s Internal Contract number (if applicable)
12.1.10 Include point of contact for concerns and questions. Contractor must name a specific person, phone number and email.
13. IDIQ REVIEW: The Contractor shall conduct a complete IDIQ review with the CO/CS annually and/or as requested by the CO/CS, to ensure the IDIQ terms and conditions are being met, analyze and project item ordering trends, and discuss all other actions that are within the scope of this IDIQ.
B.3 PRICE/COST SCHEDULE
0001 - Phoenix Blood Products / Services / Reference Labs / Year #1 Pricing 10/1/24 - 9/30/25
| Line Items |
| Description |
| Quantity |
| Unit Price |
| 0001A |
| Leukoreduced Whole Blood |
| 1 |
| 0001B |
| Leukoreduced Red Blood Cells |
| 1 |
| 0001C |
| Red Blood Cells Restocking Fee (per unit) |
| 1 |
| 0001D |
| Fresh Frozen Plasma Restocking Fee (returned >6 months until expiring) |
| 1 |
| 0001E |
| Fresh Frozen Plasma (200-400ml) |
| 1 |
| 0001F |
| Cryoprecipitated AHF Pools |
| 1 |
| 0001G |
| Cryoprecipitated AHF Pools Restocking Fee (returned >6 months until expiring) |
| 1 |
| 0001H |
| Cryoprecipitated AHF Single |
| 1 |
| 0001I |
| Cryoprecipitated AHF Single Restocking Fee (returned >6 months until expiring) |
| 1 |
| 0001J |
| Pathogen Reduced Platelets/Psoralen |
| 1 |
| 0001K |
| LVDS >36 Platelets |
| 1 |
| 0001M |
| Directed Donor Fee |
| 1 |
| 0001N |
| Autologous/Directed Transport |
| 1 |
| 0001R |
| Direct Antiglobulin Test |
| 1 |
| 0001S |
| DAT NEG AIHA Eval |
| 1 |
| 0001V |
| Adsorption Procedure |
| 1 |
| 0001X |
| Enzyme Panel-manufactured |
| 1 |
| 0001Y |
| Elution Procedure |
| 1 |
| 0001Z |
| Red Cell Separation Method |
| 1 |
| 0001AA |
| Red Cell Treatment |
| 1 |
| 0001AB |
| Red Cell Stroma Allo |
| 1 |
| 0001AC |
| Serum Treatment w/Chem |
| 1 |
| 0001AD |
| Serum neut/Inhib |
| 1 |
| 0001AE |
| Donath-Lan. Test |
| 1 |
| 0001AF |
| Antibody I.D. Panel |
| 1 |
| 0001AG |
| Antibody ID Panel Rare |
| 1 |
| 0001AH |
| Antibody Screening |
| 1 |
| 0001AI |
| 4C Antibody Screen |
| 1 |
| 0001AJ |
| Titration Studies (per Tit.) |
| 1 |
| 0001AK |
| Cold Agglutinin Titer |
| 1 |
| 0001AL |
| Pathological Cold Agg. |
| 1 |
| 0001AM |
| Rare Unit Fee, per comp |
| 1 |
| 0001AN |
| CMV Testing (per unit) |
| 1 |
| 0001AO |
| Hemoglobin S-product |
| 1 |
| 0001AP |
| Unconfirmed Antigen Request, per component |
| 1 |
| 0001AQ |
| HLA Selected PLT Fee, per Comp. |
| 1 |
| 0001AR |
| Crossmatched PLT Tagging, per comp. |
| 1 |
| 0001AS |
| Irradiation (per component) |
| 1 |
| 0001AT |
| Platelet Antibody Screen |
| 1 |
| 0001AU |
| Platelet Crossmatch (per strip tested) |
| 1 |
| 0001AW |
| Sample Handling Fee |
| 1 |
| 0001AY |
| STAT Processing Fee (product) |
| 1 |
| 0001AZ |
| STAT Ordering Fee (product) |
| 1 |
| 0001BA |
| STAT Request-Sample workup |
| 1 |
| 0001BB |
| On Call Fee (non-bus hrs) |
| 1 |
| 0001BC |
| ASAP Order Fee (Product)* |
| 1 |
| 0001BD |
| ASAP Request -Sample workup |
| 1 |
| 0001BE |
| Washing (per component) |
| 1 |
| 0001BF |
| Compatibility Screen |
| 1 |
| 0001BH |
| Blood Type Recheck |
| 1 |
| 0001BI |
| Donor/Product Search Fee, per search |
| 1 |
| 0001BJ |
| Rare Search Fee, per search |
| 1 |
| 0001BK |
| ARDP Fee, per unit |
| 1 |
| 0001BL |
| Import Fee, per unit |
| 1 |
| 0001BM |
| CMV Neg, per comp |
| 1 |
| 0001BN |
| Deglycerolization (per component) |
| 1 |
| 0001BO |
| External TS/ESP Initial Setup |
| 1 |
| 0001BP |
| External TS/ESP Service Fee, monthly |
| 1 |
| 0001BQ |
| External TS/ESR Stocking Fee, Monthly |
| 1 |
| 0001BR |
| Specimen Hold, each |
| 1 |
| 0001BS |
| STAT Delivery Fee |
| 1 |
| 0001BT |
| ASAP Delivery Fee |
| 1 |
| 0001BU |
| Molecular Sequencing Test |
| 1 |
| 0001BV |
| Molecular Extended Red Cell genotype/phenotype testing |
| 1 |
| 0001BW |
| Molecular Genotype-Platelet (HPA) |
| 1 |
| 0001BX |
| Antigen Typing, Patient, Per Antigen |
| 1 |
| 0001BY |
| Antigen Typing, Patient, Rare, Per Antigen |
| 1 |
| 0001BZ |
| Antigen Typing, Donor, Per Antigen |
| 1 |
| 0001CA |
| Antigen Typing, Rare, Per Antigen |
| 1 |
| 0001CB |
| Antigen Typing, Donor-Confirmation/History |
| 1 |
| 0001CC |
| Antigen Screen 1 - 10 (per unit) |
| 1 |
| 0001CD |
| Antigen Screen 11 - 20 (per unit) |
| 1 |
| 0001CE |
| Antigen Screen 21 - 30 (per unit) |
| 1 |
| 0001CF |
| Antigen Screen 31 - 40 (per unit) |
| 1 |
| 0001CG |
| Antigen Screen 41 - 50 (per unit) |
| 1 |
| 0001CH |
| Antigen Screen 51 - 60 (per unit) |
| 1 |
| 0001CI |
| Antigen Screen 61 - 70 (per unit) |
| 1 |
| 0001CJ |
| RHD Genotype Test |
| 1 |
| 0001CK |
| RHCE Genotype Test |
| 1 |
| 0001CL |
| Rho Immune Globulin |
| 1 |
| 0001CP |
| HLA Class I (A,B) |
| 1 |
| 0001CQ |
| Donor Testing HLA I |
| 1 |
| 0001CT |
| HLA-Type for Patient & Donor |
| 1 |
| 0001CU |
| HLA Class I Type |
| 1 |
| 0001CV |
| HLA Class II Type |
| 1 |
| 0001CY |
| Priority Reference Testing |
| 1 |
| 0001CZ |
| STAT Charge After Hour Reference Testing |
| 1 |
| 0001DA |
| Return Credit for RBCs >14 Days (As a Percentage) |
(If no return credit, enter 0)
1001 - Phoenix Blood Products / Services / Reference Labs / Year #2 Pricing 10/1/25 - 9/30/26
| Line Items |
| Description |
| Quantity |
| Unit Price |
| 1001A |
| Leukoreduced Whole Blood |
| 1 |
| 1001B |
| Leukoreduced Red Blood Cells |
| 1 |
| 1001C |
| Red Blood Cells Restocking Fee (per unit) |
| 1 |
| 1001D |
| Fresh Frozen Plasma Restocking Fee (returned >6 months until expiring) |
| 1 |
| 1001E |
| Fresh Frozen Plasma (200-400ml) |
| 1 |
| 1001F |
| Cryoprecipitated AHF Pools |
| 1 |
| 1001G |
| Cryoprecipitated AHF Pools Restocking Fee (returned >6 months until expiring) |
| 1 |
| 1001H |
| Cryoprecipitated AHF Single |
| 1 |
| 1001I |
| Cryoprecipitated AHF Single Restocking Fee (returned >6 months until expiring) |
| 1 |
| 1001J |
| Pathogen Reduced Platelets/Psoralen |
| 1 |
| 1001K |
| LVDS >36 Platelets |
| 1 |
| 1001M |
| Directed Donor Fee |
| 1 |
| 1001N |
| Autologous/Directed Transport |
| 1 |
| 1001R |
| Direct Antiglobulin Test |
| 1 |
| 1001S |
| DAT NEG AIHA Eval |
| 1 |
| 1001V |
| Adsorption Procedure |
| 1 |
| 1001X |
| Enzyme Panel-manufactured |
| 1 |
| 1001Y |
| Elution Procedure |
| 1 |
| 1001Z |
| Red Cell Separation Method |
| 1 |
| 1001AA |
| Red Cell Treatment |
| 1 |
| 1001AB |
| Red Cell Stroma Allo |
| 1 |
| 1001AC |
| Serum Treatment w/Chem |
| 1 |
| 1001AD |
| Serum neut/Inhib |
| 1 |
| 1001AE |
| Donath-Lan. Test |
| 1 |
| 1001AF |
| Antibody I.D. Panel |
| 1 |
| 1001AG |
| Antibody ID Panel Rare |
| 1 |
| 1001AH |
| Antibody Screening |
| 1 |
| 1001AI |
| 4C Antibody Screen |
| 1 |
| 1001AJ |
| Titration Studies (per Tit.) |
| 1 |
| 1001AK |
| Cold Agglutinin Titer |
| 1 |
| 1001AL |
| Pathological Cold Agg. |
| 1 |
| 1001AM |
| Rare Unit Fee, per comp |
| 1 |
| 1001AN |
| CMV Testing (per unit) |
| 1 |
| 1001AO |
| Hemoglobin S-product |
| 1 |
| 1001AP |
| Unconfirmed Antigen Request, per component |
| 1 |
| 1001AQ |
| HLA Selected PLT Fee, per Comp. |
| 1 |
| 1001AR |
| Crossmatched PLT Tagging, per comp. |
| 1 |
| 1001AS |
| Irradiation (per component) |
| 1 |
| 1001AT |
| Platelet Antibody Screen |
| 1 |
| 1001AU |
| Platelet Crossmatch (per strip tested) |
| 1 |
| 1001AW |
| Sample Handling Fee |
| 1 |
| 1001AY |
| STAT Processing Fee (product) |
| 1 |
| 1001AZ |
| STAT Ordering Fee (product) |
| 1 |
| 1001BA |
| STAT Request-Sample workup |
| 1 |
| 1001BB |
| On Call Fee (non-bus hours) |
| 1 |
| 1001BC |
| ASAP Order Fee (Product)* |
| 1 |
| 1001BD |
| ASAP Request -Sample workup |
| 1 |
| 1001BE |
| Washing (per component) |
| 1 |
| 1001BF |
| Compatibility Screen |
| 1 |
| 1001BH |
| Blood Type Recheck |
| 1 |
| 1001BI |
| Donor/Product Search Fee, per search |
| 1 |
| 1001BJ |
| Rare Search Fee, per search |
| 1 |
| 1001BK |
| ARDP Fee, per unit |
| 1 |
| 1001BL |
| Import Fee, per unit |
| 1 |
| 1001BM |
| CMV Neg, per comp |
| 1 |
| 1001BN |
| Deglycerolization (per component) |
| 1 |
| 1001BO |
| External TS/ESP Initial Setup |
| 1 |
| 1001BP |
| External TS/ESP Service Fee, monthly |
| 1 |
| 1001BQ |
| External TS/ESR Stocking Fee, Monthly |
| 1 |
| 1001BR |
| Specimen Hold, each |
| 1 |
| 1001BS |
| STAT Delivery Fee |
| 1 |
| 1001BT |
| ASAP Delivery Fee |
| 1 |
| 1001BU |
| Molecular Sequencing Test |
| 1 |
| 1001BV |
| Molecular Extended Red Cell genotype/phenotype testing |
| 1 |
| 1001BW |
| Molecular Genotype-Platelet (HPA) |
| 1 |
| 1001BX |
| Antigen Typing, Patient, Per Antigen |
| 1 |
| 1001BY |
| Antigen Typing, Patient, Rare, Per Antigen |
| 1 |
| 1001BZ |
| Antigen Typing, Donor, Per Antigen |
| 1 |
| 1001CA |
| Antigen Typing, Rare, Per Antigen |
| 1 |
| 1001CB |
| Antigen Typing, Donor-Confirmation/History |
| 1 |
| 1001CC |
| Antigen Screen 1 - 10 (per unit) |
| 1 |
| 1001CD |
| Antigen Screen 11 - 20 (per unit) |
| 1 |
| 1001CE |
| Antigen Screen 21 - 30 (per unit) |
| 1 |
| 1001CF |
| Antigen Screen 31 - 40 (per unit) |
| 1 |
| 1001CG |
| Antigen Screen 41 - 50 (per unit) |
| 1 |
| 1001CH |
| Antigen Screen 51 - 60 (per unit) |
| 1 |
| 1001CI |
| Antigen Screen 61 - 70 (per unit) |
| 1 |
| 1001CJ |
| RHD Genotype Test |
| 1 |
| 1001CK |
| RHCE Genotype Test |
| 1 |
| 1001CL |
| Rho Immune Globulin |
| 1 |
| 1001CP |
| HLA Class I (A,B) |
| 1 |
| 1001CQ |
| Donor Testing HLA I |
| 1 |
| 1001CT |
| HLA-Type for Patient & Donor |
| 1 |
| 1001CU |
| HLA Class I Type |
| 1 |
| 1001CV |
| HLA Class II Type |
| 1 |
| 1001CY |
| Priority Reference Testing |
| 1 |
| 1001CZ |
| STAT Charge After Hour Reference Testing |
| 1 |
| 1001DA |
| Return Credit for RBCs >14 Days (As a Percentage) |
2001 - Phoenix Beach Blood Products / Services / Reference Labs / Year #3 Pricing 10/1/26 - 9/30/27
| Line Items |
| Description |
| Quantity |
| Unit Price |
| 2001A |
| Leukoreduced Whole Blood |
| 1 |
| 2001B |
| Leukoreduced Red Blood Cells |
| 1 |
| 2001C |
| Red Blood Cells Restocking Fee (per unit) |
| 1 |
| 2001D |
| Fresh Frozen Plasma Restocking Fee (returned >6 months until expiring) |
| 1 |
| 2001E |
| Fresh Frozen Plasma (200-400ml) |
| 1 |
| 2001F |
| Cryoprecipitated AHF Pools |
| 1 |
| 2001G |
| Cryoprecipitated AHF Pools Restocking Fee (returned >6 months until expiring) |
| 1 |
| 2001H |
| Cryoprecipitated AHF Single |
| 1 |
| 2001I |
| Cryoprecipitated AHF Single Restocking Fee (returned >6 months until expiring) |
| 1 |
| 2001J |
| Pathogen Reduced Platelets/Psoralen |
| 1 |
| 2001K |
| LVDS >36 Platelets |
| 1 |
| 2001M |
| Directed Donor Fee |
| 1 |
| 2001N |
| Autologous/Directed Transport |
| 1 |
| 2001R |
| Direct Antiglobulin Test |
| 1 |
| 2001S |
| DAT NEG AIHA Eval |
| 1 |
| 2001V |
| Adsorption Procedure |
| 1 |
| 2001X |
| Enzyme Panel-manufactured |
| 1 |
| 2001Y |
| Elution Procedure |
| 1 |
| 2001Z |
| Red Cell Separation Method |
| 1 |
| 2001AA |
| Red Cell Treatment |
| 1 |
| 2001AB |
| Red Cell Stroma Allo |
| 1 |
| 2001AC |
| Serum Treatment w/Chem |
| 1 |
| 2001AD |
| Serum neut/Inhib |
| 1 |
| 2001AE |
| Donath-Lan. Test |
| 1 |
| 2001AF |
| Antibody I.D. Panel |
| 1 |
| 2001AG |
| Antibody ID Panel Rare |
| 1 |
| 2001AH |
| Antibody Screening |
| 1 |
| 2001AI |
| 4C Antibody Screen |
| 1 |
| 2001AJ |
| Titration Studies (per Tit.) |
| 1 |
| 2001AK |
| Cold Agglutinin Titer |
| 1 |
| 2001AL |
| Pathological Cold Agg. |
| 1 |
| 2001AM |
| Rare Unit Fee, per comp |
| 1 |
| 2001AN |
| CMV Testing (per unit) |
| 1 |
| 2001AO |
| Hemoglobin S-product |
| 1 |
| 2001AP |
| Unconfirmed Antigen Request, per component |
| 1 |
| 2001AQ |
| HLA Selected PLT Fee, per Comp. |
| 1 |
| 2001AR |
| Crossmatched PLT Tagging, per comp. |
| 1 |
| 2001AS |
| Irradiation (per component) |
| 1 |
| 2001AT |
| Platelet Antibody Screen |
| 1 |
| 2001AU |
| Platelet Crossmatch (per strip tested) |
| 1 |
| 2001AW |
| Sample Handling Fee |
| 1 |
| 2001AY |
| STAT Processing Fee (product) |
| 1 |
| 2001AZ |
| STAT Ordering Fee (product) |
| 1 |
| 2001BA |
| STAT Request-Sample workup |
| 1 |
| 2001BB |
| On Call Fee (non-bus hours) |
| 1 |
| 2001BC |
| ASAP Order Fee (Product)* |
| 1 |
| 2001BD |
| ASAP Request -Sample workup |
| 1 |
| 2001BE |
| Washing (per component) |
| 1 |
| 2001BF |
| Compatibility Screen |
| 1 |
| 2001BH |
| Blood Type Recheck |
| 1 |
| 2001BI |
| Donor/Product Search Fee, per search |
| 1 |
| 2001BJ |
| Rare Search Fee, per search |
| 1 |
| 2001BK |
| ARDP Fee, per unit |
| 1 |
| 2001BL |
| Import Fee, per unit |
| 1 |
| 2001BM |
| CMV Neg, per comp |
| 1 |
| 2001BN |
| Deglycerolization (per component) |
| 1 |
| 2001BO |
| External TS/ESP Initial Setup |
| 1 |
| 2001BP |
| External TS/ESP Service Fee, monthly |
| 1 |
| 2001BQ |
| External TS/ESR Stocking Fee, Monthly |
| 1 |
| 2001BR |
| Specimen Hold, each |
| 1 |
| 2001BS |
| STAT Delivery Fee |
| 1 |
| 2001BT |
| ASAP Delivery Fee |
| 1 |
| 2001BU |
| Molecular Sequencing Test |
| 1 |
| 2001BV |
| Molecular Extended Red Cell genotype/phenotype testing |
| 1 |
| 2001BW |
| Molecular Genotype-Platelet (HPA) |
| 1 |
| 2001BX |
| Antigen Typing, Patient, Per Antigen |
| 1 |
| 2001BY |
| Antigen Typing, Patient, Rare, Per Antigen |
| 1 |
| 2001BZ |
| Antigen Typing, Donor, Per Antigen |
| 1 |
| 2001CA |
| Antigen Typing, Rare, Per Antigen |
| 1 |
| 2001CB |
| Antigen Typing, Donor-Confirmation/History |
| 1 |
| 2001CC |
| Antigen Screen 1 - 10 (per unit) |
| 1 |
| 2001CD |
| Antigen Screen 11 - 20 (per unit) |
| 1 |
| 2001CE |
| Antigen Screen 21 - 30 (per unit) |
| 1 |
| 2001CF |
| Antigen Screen 31 - 40 (per unit) |
| 1 |
| 2001CG |
| Antigen Screen 41 - 50 (per unit) |
| 1 |
| 2001CH |
| Antigen Screen 51 - 60 (per unit) |
| 1 |
| 2001CI |
| Antigen Screen 61 - 70 (per unit) |
| 1 |
| 2001CJ |
| RHD Genotype Test |
| 1 |
| 2001CK |
| RHCE Genotype Test |
| 1 |
| 2001CL |
| Rho Immune Globulin |
| 1 |
| 2001CP |
| HLA Class I (A,B) |
| 1 |
| 2001CQ |
| Donor Testing HLA I |
| 1 |
| 2001CT |
| HLA-Type for Patient & Donor |
| 1 |
| 2001CU |
| HLA Class I Type |
| 1 |
| 2001CV |
| HLA Class II Type |
| 1 |
| 2001CY |
| Priority Reference Testing |
| 1 |
| 2001CZ |
| STAT Charge After Hour Reference Testing |
| 1 |
| 2001DA |
| Return Credit for RBCs >14 Days (As a Percentage) |
3001 - Phoenix Beach Blood Products / Services / Reference Labs / Year #4 Pricing 10/1/27 - 9/30/28
| Line Items |
| Description |
| Quantity |
| Unit Price |
| 3001A |
| Leukoreduced Whole Blood |
| 1 |
| 3001B |
| Leukoreduced Red Blood Cells |
| 1 |
| 3001C |
| Red Blood Cells Restocking Fee (per unit) |
| 1 |
| 3001D |
| Fresh Frozen Plasma Restocking Fee (returned >6 months until expiring) |
| 1 |
| 3001E |
| Fresh Frozen Plasma (200-400ml) |
| 1 |
| 3001F |
| Cryoprecipitated AHF Pools |
| 1 |
| 3001G |
| Cryoprecipitated AHF Pools Restocking Fee (returned >6 months until expiring) |
| 1 |
| 3001H |
| Cryoprecipitated AHF Single |
| 1 |
| 3001I |
| Cryoprecipitated AHF Single Restocking Fee (returned >6 months until expiring) |
| 1 |
| 3001J |
| Pathogen Reduced Platelets/Psoralen |
| 1 |
| 3001K |
| LVDS >36 Platelets |
| 1 |
| 3001M |
| Directed Donor Fee |
| 1 |
| 3001N |
| Autologous/Directed Transport |
| 1 |
| 3001R |
| Direct Antiglobulin Test |
| 1 |
| 3001S |
| DAT NEG AIHA Eval |
| 1 |
| 3001V |
| Adsorption Procedure |
| 1 |
| 3001X |
| Enzyme Panel-manufactured |
| 1 |
| 3001Y |
| Elution Procedure |
| 1 |
| 3001Z |
| Red Cell Separation Method |
| 1 |
| 3001AA |
| Red Cell Treatment |
| 1 |
| 3001AB |
| Red Cell Stroma Allo |
| 1 |
| 3001AC |
| Serum Treatment w/Chem |
| 1 |
| 3001AD |
| Serum neut/Inhib |
| 1 |
| 3001AE |
| Donath-Lan. Test |
| 1 |
| 3001AF |
| Antibody I.D. Panel |
| 1 |
| 3001AG |
| Antibody ID Panel Rare |
| 1 |
| 3001AH |
| Antibody Screening |
| 1 |
| 3001AI |
| 4C Antibody Screen |
| 1 |
| 3001AJ |
| Titration Studies (per Tit.) |
| 1 |
| 3001AK |
| Cold Agglutinin Titer |
| 1 |
| 3001AL |
| Pathological Cold Agg. |
| 1 |
| 3001AM |
| Rare Unit Fee, per comp |
| 1 |
| 3001AN |
| CMV Testing (per unit) |
| 1 |
| 3001AO |
| Hemoglobin S-product |
| 2 |
| 3001AP |
| Unconfirmed Antigen Request, per component |
| 2 |
| 3001AQ |
| HLA Selected PLT Fee, per Comp. |
| 1 |
| 3001AR |
| Crossmatched PLT Tagging, per comp. |
| 1 |
| 3001AS |
| Irradiation (per component) |
| 1 |
| 3001AT |
| Platelet Antibody Screen |
| 1 |
| 3001AU |
| Platelet Crossmatch (per strip tested) |
| 1 |
| 3001AW |
| Sample Handling Fee |
| 1 |
| 3001AY |
| STAT Processing Fee (product) |
| 1 |
| 3001AZ |
| STAT Ordering Fee (product) |
| 1 |
| 3001BA |
| STAT Request-Sample workup |
| 1 |
| 3001BB |
| On Call Fee (non-bus hours) |
| 1 |
| 3001BC |
| ASAP Order Fee (Product)* |
| 1 |
| 3001BD |
| ASAP Request -Sample workup |
| 1 |
| 3001BE |
| Washing (per component) |
| 1 |
| 3001BF |
| Compatibility Screen |
| 1 |
| 3001BH |
| Blood Type Recheck |
| 1 |
| 3001BI |
| Donor/Product Search Fee, per search |
| 1 |
| 3001BJ |
| Rare Search Fee, per search |
| 1 |
| 3001BK |
| ARDP Fee, per unit |
| 1 |
| 3001BL |
| Import Fee, per unit |
| 1 |
| 3001BM |
| CMV Neg, per comp |
| 1 |
| 3001BN |
| Deglycerolization (per component) |
| 1 |
| 3001BO |
| External TS/ESP Initial Setup |
| 1 |
| 3001BP |
| External TS/ESP Service Fee, monthly |
| 1 |
| 3001BQ |
| External TS/ESR Stocking Fee, Monthly |
| 1 |
| 3001BR |
| Specimen Hold, each |
| 1 |
| 3001BS |
| STAT Delivery Fee |
| 1 |
| 3001BT |
| ASAP Delivery Fee |
| 1 |
| 3001BU |
| Molecular Sequencing Test |
| 1 |
| 3001BV |
| Molecular Extended Red Cell genotype/phenotype testing |
| 1 |
| 3001BW |
| Molecular Genotype-Platelet (HPA) |
| 1 |
| 3001BX |
| Antigen Typing, Patient, Per Antigen |
| 1 |
| 3001BY |
| Antigen Typing, Patient, Rare, Per Antigen |
| 1 |
| 3001BZ |
| Antigen Typing, Donor, Per Antigen |
| 1 |
| 3001CA |
| Antigen Typing, Rare, Per Antigen |
| 1 |
| 3001CB |
| Antigen Typing, Donor-Confirmation/History |
| 1 |
| 3001CC |
| Antigen Screen 1 - 10 (per unit) |
| 1 |
| 3001CD |
| Antigen Screen 11 - 20 (per unit) |
| 1 |
| 3001CE |
| Antigen Screen 21 - 30 (per unit) |
| 1 |
| 3001CF |
| Antigen Screen 31 - 40 (per unit) |
| 1 |
| 3001CG |
| Antigen Screen 41 - 50 (per unit) |
| 1 |
| 3001CH |
| Antigen Screen 51 - 60 (per unit) |
| 1 |
| 3001CI |
| Antigen Screen 61 - 70 (per unit) |
| 1 |
| 3001CJ |
| RHD Genotype Test |
| 1 |
| 3001CK |
| RHCE Genotype Test |
| 1 |
| 3001CL |
| Rho Immune Globulin |
| 1 |
| 3001CP |
| HLA Class I (A,B) |
| 1 |
| 3001CQ |
| Donor Testing HLA I |
| 1 |
| 3001CT |
| HLA-Type for Patient & Donor |
| 1 |
| 3001CU |
| HLA Class I Type |
| 1 |
| 3001CV |
| HLA Class II Type |
| 1 |
| 3001CY |
| Priority Reference Testing |
| 1 |
| 3001CZ |
| STAT Charge After Hour Reference Testing |
| 1 |
| 3001DA |
| Return Credit for RBCs >14 Days (As a Percentage) |
4001 - Phoenix Blood Products / Services / Reference Labs / Year #5 Pricing 10/1/28 - 9/30/29
| Line Items |
| Description |
| Quantity |
| Unit Price |
| 4001A |
| Leukoreduced Whole Blood |
| 1 |
| 4001B |
| Leukoreduced Red Blood Cells |
| 1 |
| 4001C |
| Red Blood Cells Restocking Fee (per unit) |
| 1 |
| 4001D |
| Fresh Frozen Plasma Restocking Fee (returned >6 months until expiring) |
| 1 |
| 4001E |
| Fresh Frozen Plasma (200-400ml) |
| 1 |
| 4001F |
| Cryoprecipitated AHF Pools |
| 1 |
| 4001G |
| Cryoprecipitated AHF Pools Restocking Fee (returned >6 months until expiring) |
| 1 |
| 4001H |
| Cryoprecipitated AHF Single |
| 1 |
| 4001I |
| Cryoprecipitated AHF Single Restocking Fee (returned >6 months until expiring) |
| 1 |
| 4001J |
| Pathogen Reduced Platelets/Psoralen |
| 1 |
| 4001K |
| LVDS >36 Platelets |
| 1 |
| 4001M |
| Directed Donor Fee |
| 1 |
| 4001N |
| Autologous/Directed Transport |
| 1 |
| 4001R |
| Direct Antiglobulin Test |
| 1 |
| 4001S |
| DAT NEG AIHA Eval |
| 1 |
| 4001V |
| Adsorption Procedure |
| 1 |
| 4001X |
| Enzyme Panel-manufactured |
| 1 |
| 4001Y |
| Elution Procedure |
| 1 |
| 4001Z |
| Red Cell Separation Method |
| 1 |
| 4001AA |
| Red Cell Treatment |
| 1 |
| 4001AB |
| Red Cell Stroma Allo |
| 1 |
| 4001AC |
| Serum Treatment w/Chem |
| 1 |
| 4001AD |
| Serum neut/Inhib |
| 1 |
| 4001AE |
| Donath-Lan. Test |
| 1 |
| 4001AF |
| Antibody I.D. Panel |
| 1 |
| 4001AG |
| Antibody ID Panel Rare |
| 1 |
| 4001AH |
| Antibody Screening |
| 1 |
| 4001AI |
| 4C Antibody Screen |
| 1 |
| 4001AJ |
| Titration Studies (per Tit.) |
| 1 |
| 4001AK |
| Cold Agglutinin Titer |
| 1 |
| 4001AL |
| Pathological Cold Agg. |
| 1 |
| 4001AM |
| Rare Unit Fee, per comp |
| 1 |
| 4001AN |
| CMV Testing (per unit) |
| 1 |
| 4001AO |
| Hemoglobin S-product |
| 1 |
| 4001AP |
| Unconfirmed Antigen Request, per component |
| 1 |
| 4001AQ |
| HLA Selected PLT Fee, per Comp. |
| 1 |
| 4001AR |
| Crossmatched PLT Tagging, per comp. |
| 1 |
| 4001AS |
| Irradiation (per component) |
| 1 |
| 4001AT |
| Platelet Antibody Screen |
| 1 |
| 4001AU |
| Platelet Crossmatch (per strip tested) |
| 1 |
| 4001AW |
| Sample Handling Fee |
| 1 |
| 4001AY |
| STAT Processing Fee (product) |
| 1 |
| 4001AZ |
| STAT Ordering Fee (product) |
| 1 |
| 4001BA |
| STAT Request-Sample workup |
| 1 |
| 4001BB |
| On Call Fee (non-bus hours) |
| 1 |
| 4001BC |
| ASAP Order Fee (Product)* |
| 1 |
| 4001BD |
| ASAP Request -Sample workup |
| 1 |
| 4001BE |
| Washing (per component) |
| 1 |
| 4001BF |
| Compatibility Screen |
| 1 |
| 4001BH |
| Blood Type Recheck |
| 1 |
| 4001BI |
| Donor/Product Search Fee, per search |
| 1 |
| 4001BJ |
| Rare Search Fee, per search |
| 1 |
| 4001BK |
| ARDP Fee, per unit |
| 1 |
| 4001BL |
| Import Fee, per unit |
| 1 |
| 4001BM |
| CMV Neg, per comp |
| 1 |
| 4001BN |
| Deglycerolization (per component) |
| 1 |
| 4001BO |
| External TS/ESP Initial Setup |
| 1 |
| 4001BP |
| External TS/ESP Service Fee, monthly |
| 1 |
| 4001BQ |
| External TS/ESR Stocking Fee, Monthly |
| 1 |
| 4001BR |
| Specimen Hold, each |
| 1 |
| 4001BS |
| STAT Delivery Fee |
| 1 |
| 4001BT |
| ASAP Delivery Fee |
| 1 |
| 4001BU |
| Molecular Sequencing Test |
| 1 |
| 4001BV |
| Molecular Extended Red Cell genotype/phenotype testing |
| 1 |
| 4001BW |
| Molecular Genotype-Platelet (HPA) |
| 1 |
| 4001BX |
| Antigen Typing, Patient, Per Antigen |
| 1 |
| 4001BY |
| Antigen Typing, Patient, Rare, Per Antigen |
| 1 |
| 4001BZ |
| Antigen Typing, Donor, Per Antigen |
| 1 |
| 4001CA |
| Antigen Typing, Rare, Per Antigen |
| 1 |
| 4001CB |
| Antigen Typing, Donor-Confirmation/History |
| 1 |
| 4001CC |
| Antigen Screen 1 - 10 (per unit) |
| 1 |
| 4001CD |
| Antigen Screen 11 - 20 (per unit) |
| 1 |
| 4001CE |
| Antigen Screen 21 - 30 (per unit) |
| 1 |
| 4001CF |
| Antigen Screen 31 - 40 (per unit) |
| 1 |
| 4001CG |
| Antigen Screen 41 - 50 (per unit) |
| 1 |
| 4001CH |
| Antigen Screen 51 - 60 (per unit) |
| 1 |
| 4001CI |
| Antigen Screen 61 - 70 (per unit) |
| 1 |
| 4001CJ |
| RHD Genotype Test |
| 1 |
| 4001CK |
| RHCE Genotype Test |
| 1 |
| 4001CL |
| Rho Immune Globulin |
| 1 |
| 4001CP |
| HLA Class I (A,B) |
| 1 |
| 4001CQ |
| Donor Testing HLA I |
| 1 |
| 4001CT |
| HLA-Type for Patient & Donor |
| 1 |
| 4001CU |
| HLA Class I Type |
| 1 |
| 4001CV |
| HLA Class II Type |
| 1 |
| 4001CY |
| Priority Reference Testing |
| 1 |
| 4001CZ |
| STAT Charge After Hour Reference Testing |
| 1 |
| 4001DA |
| Return Credit for RBCs >14 Days (As a Percentage) |
0002 – Prescott Blood Products / Services / Reference Labs / Year #1 Pricing 10/1/24 – 09/30/25
| Line Items |
| Description |
| Quantity |
| Unit Price |
| 0002A |
| Leukoreduced Whole Blood |
| 1 |
| 0002B |
| Leukoreduced Red Blood Cells |
| 1 |
| 0002C |
| Red Blood Cells Restocking Fee (per unit) |
| 1 |
| 0002D |
| Fresh Frozen Plasma (200-400ml) |
| 1 |
| 0002E |
| Fresh Frozen Plasma Restocking Fee (returned >6 months until expiring) |
| 1 |
| 0002F |
| Cryoprecipitated AHF Pools |
| 1 |
| 0002G |
| Cryoprecipitated AHF Pools Restocking Fee (returned >6 months until expiring) |
| 1 |
| 0002H |
| Cryoprecipitated AHF Single |
| 1 |
| 0002I |
| Cryoprecipitated AHF Single Restocking Fee (returned >6 months until expiring) |
| 1 |
| 0002J |
| Pathogen Reduced Platelets//Psoralen |
| 1 |
| 0002K |
| LVDS >36 Platelets |
| 1 |
| 0002L |
| Autologous Collection (per component) |
| 1 |
| 0002M |
| Directed Collection (per component) |
| 1 |
| 0002N |
| Autologous/Directed Transport |
| 1 |
| 0002P |
| Aliquot Bags, Pediatric (attached, per set) |
| 1 |
| 0002Q |
| Antibody I.D. (complex – may include elution and/or absorption) |
| 1 |
| 0002R |
| Antibody I.D. (routine) |
| 1 |
| 0002S |
| Antibody Screening |
| 1 |
| 0002U |
| Antigen Screen 1 - 10 (per unit) |
| 1 |
| 0002V |
| Antigen Screen 11 - 20 (per unit) |
| 1 |
| 0002W |
| Antigen Screen 21 - 30 (per unit) |
| 1 |
| 0002X |
| Antigen Screen 31 - 40 (per unit) |
| 1 |
| 0002Y |
| Antigen Screen 41 - 50 (per unit) |
| 1 |
| 0002Z |
| Antigen Screen 51 - 60 (per unit) |
| 1 |
| 0002AA |
| Antigen Screen 61 - 70 (per unit) |
| 1 |
| 0002AB |
| CMV Testing (per unit) |
| 1 |
| 0002AC |
| Deglycerolization (per component) |
| 1 |
| 0002AD |
| HLA Matched Platelets (per unit) |
| 1 |
| 0002AE |
| Irradiation (per component) |
| 1 |
| 0002AF |
| Lymphocyte Collection/Research |
| 1 |
| 0002AG |
| Peripheral Stem Cell Processing |
| 1 |
| 0002AH |
| Platelet Antibody Screen |
| 1 |
| 0002AI |
| Platelet Crossmatch (per unit shipped) |
| 1 |
| 0002AJ |
| Rare Unit Search |
| 1 |
| 0002AL |
| Sample Collections |
| 1 |
| 0002AM |
| Sickle Cell Testing (per unit) |
| 1 |
| 0002AN |
| STAT Fee (Product, During Business Hours) * |
| 1 |
| 0002AO |
| STAT Fee (Product, Non-Business Hours) * |
| 1 |
| 0002AP |
| STAT Fee (Sample, During Business Hours) * |
| 1 |
| 0002AQ |
| STAT Fee (Sample, Non-Business Hours) * |
| 1 |
| 0002AR |
| Washing (per component) |
| 1 |
| 0002AS |
| Molecular genotype testing |
| 1 |
| Modifiers (Added to Unit Cost) |
| 1 |
| 0002AV |
| Type AB Single Cryo Fee |
| 1 |
| 0002AW |
| Type AB Cryo Pool Fee |
| 1 |
| 0002AY |
| Unscheduled Delivery Fee (Products) |
| 1 |
| 0002AZ |
| STAT Processing Fee (Products) |
| 1 |
| 0002BA |
| Return Credit for RBCs >14 Days (As a Percentage) |
1002 - Prescott Blood Products / Services / Reference Labs / Year #2 Pricing 10/1/25 – 09/30/26
| Line Items |
| Description |
| Quantity |
| Unit Price |
| 1002A |
| Leukoreduced Whole Blood |
| 1 |
| 1002B |
| Leukoreduced Red Blood Cells |
| 1 |
| 1002C |
| Red Blood Cells Restocking Fee (per unit) |
| 1 |
| 1002D |
| Fresh Frozen Plasma (200-400ml) |
| 1 |
| 1002E |
| Fresh Frozen Plasma Restocking Fee (returned >6 months until expiring) |
| 1 |
| 1002F |
| Cryoprecipitated AHF Pools |
| 1 |
| 1002G |
| Cryoprecipitated AHF Pools Restocking Fee (returned >6 months until expiring) |
| 1 |
| 1002H |
| Cryoprecipitated AHF Single |
| 1 |
| 1002I |
| Cryoprecipitated AHF Single Restocking Fee (returned >6 months until expiring) |
| 1 |
| 1002J |
| Pathogen Reduced Platelets//Psoralen |
| 1 |
| 1002K |
| LVDS >36 Platelets |
| 1 |
| 1002L |
| Autologous Collection (per component) |
| 1 |
| 1002M |
| Directed Collection (per component) |
| 1 |
| 1002N |
| Autologous/Directed Transport |
| 1 |
| 1002P |
| Aliquot Bags, Pediatric (attached, per set) |
| 1 |
| 1002Q |
| Antibody I.D. (complex – may include elution and/or absorption) |
| 1 |
| 1002R |
| Antibody I.D. (routine) |
| 1 |
| 1002S |
| Antibody Screening |
| 1 |
| 1002U |
| Antigen Screen 1 - 10 (per unit) |
| 1 |
| 1002V |
| Antigen Screen 11 - 20 (per unit) |
| 1 |
| 1002W |
| Antigen Screen 21 - 30 (per unit) |
| 1 |
| 1002X |
| Antigen Screen 31 - 40 (per unit) |
| 1 |
| 1002Y |
| Antigen Screen 41 - 50 (per unit) |
| 1 |
| 1002Z |
| Antigen Screen 51 - 60 (per unit) |
| 1 |
| 1002AA |
| Antigen Screen 61 - 70 (per unit) |
| 1 |
| 1002AB |
| CMV Testing (per unit) |
| 1 |
| 1002AC |
| Freezing/Deglycerolization (per component) |
| 1 |
| 1002AD |
| HLA Matched Platelets (per unit) |
| 1 |
| 1002AE |
| Irradiation (per component) |
| 1 |
| 1002AF |
| Lymphocyte Collection/Research |
| 1 |
| 1002AG |
| Peripheral Stem Cell Processing |
| 1 |
| 1002AH |
| Platelet Antibody Screen |
| 1 |
| 1002AI |
| Platelet Crossmatch (per unit shipped) |
| 1 |
| 1002AJ |
| Rare Unit Search |
| 1 |
| 1002AL |
| Sample Collections |
| 1 |
| 1002AM |
| Sickle Cell Testing (per unit) |
| 1 |
| 1002AN |
| STAT Fee (Product, During Business Hours) * |
| 1 |
| 1002AO |
| STAT Fee (Product, Non-Business Hours) * |
| 1 |
| 1002AP |
| STAT Fee (Sample, During Business Hours) * |
| 1 |
| 1002AQ |
| STAT Fee (Sample, Non-Business Hours) * |
| 1 |
| 1002AR |
| Washing (per component) |
| 1 |
| 1002AS |
| Molecular genotype testing |
| 1 |
| Modifiers (Added to Unit Cost) |
| 1 |
| 1002AV |
| Type AB Single Cryo Fee |
| 1 |
| 1002AW |
| Type AB Cryo Pool Fee |
| 1 |
| 1002AY |
| Unscheduled Delivery Fee (Products) |
| 1 |
| 1002AZ |
| STAT Processing Fee (Products) |
| 1 |
| 1002BA |
| Return Credit for RBCs >14 Days (As a Percentage) |
2002 - Prescott Blood Products / Services / Reference Labs / Year #3 Pricing 10/1/26 – 09/30/27
| Line Items |
| Description |
| Quantity |
| Unit Price |
| 2002A |
| Leukoreduced Whole Blood |
| 1 |
| 2002B |
| Leukoreduced Red Blood Cells |
| 1 |
| 2002C |
| Red Blood Cells Restocking Fee (per unit) |
| 1 |
| 2002D |
| Fresh Frozen Plasma (200-400ml) |
| 1 |
| 2002E |
| Fresh Frozen Plasma Restocking Fee (returned >6 months until expiring) |
| 1 |
| 2002F |
| Cryoprecipitated AHF Pools |
| 1 |
| 2002G |
| Cryoprecipitated AHF Pools Restocking Fee (returned >6 months until expiring) |
| 1 |
| 2002H |
| Cryoprecipitated AHF Single |
| 1 |
| 2002I |
| Cryoprecipitated AHF Single Restocking Fee (returned >6 months until expiring) |
| 1 |
| 2002J |
| Pathogen Reduced Platelets//Psoralen |
| 1 |
| 2002K |
| LVDS >36 Platelets |
| 1 |
| 2002L |
| Autologous Collection (per component) |
| 1 |
| 2002M |
| Directed Collection (per component) |
| 1 |
| 2002N |
| Autologous/Directed Transport |
| 1 |
| 2002P |
| Aliquot Bags, Pediatric (attached, per set) |
| 1 |
| 2002Q |
| Antibody I.D. (complex – may include elution and/or absorption) |
| 1 |
| 2002R |
| Antibody I.D. (routine) |
| 1 |
| 2002S |
| Antibody Screening |
| 1 |
| 2002U |
| Antigen Screen 1 - 10 (per unit) |
| 1 |
| 2002V |
| Antigen Screen 11 - 20 (per unit) |
| 1 |
| 2002W |
| Antigen Screen 21 - 30 (per unit) |
| 1 |
| 2002X |
| Antigen Screen 31 - 40 (per unit) |
| 1 |
| 2002Y |
| Antigen Screen 41 - 50 (per unit) |
| 1 |
| 2002Z |
| Antigen Screen 51 - 60 (per unit) |
| 1 |
| 2002AA |
| Antigen Screen 61 - 70 (per unit) |
| 1 |
| 2002AB |
| CMV Testing (per unit) |
| 1 |
| 2002AC |
| Freezing/Deglycerolization (per component) |
| 1 |
| 2002AD |
| HLA Matched Platelets (per unit) |
| 1 |
| 2002AE |
| Irradiation (per component) |
| 1 |
| 2002AF |
| Lymphocyte Collection/Research |
| 1 |
| 2002AG |
| Peripheral Stem Cell Processing |
| 1 |
| 2002AH |
| Platelet Antibody Screen |
| 1 |
| 2002AI |
| Platelet Crossmatch (per unit shipped) |
| 1 |
| 2002AJ |
| Rare Unit Search |
| 1 |
| 2002AL |
| Sample Collections |
| 1 |
| 2002AM |
| Sickle Cell Testing (per unit) |
| 1 |
| 2002AN |
| STAT Fee (Product, During Business Hours) * |
| 1 |
| 2002AO |
| STAT Fee (Product, Non-Business Hours) * |
| 1 |
| 2002AP |
| STAT Fee (Sample, During Business Hours) * |
| 1 |
| 2002AQ |
| STAT Fee (Sample, Non-Business Hours) * |
| 1 |
| 2002AR |
| Washing (per component) |
| 1 |
| 2002AS |
| Molecular genotype testing |
| 1 |
| Modifiers (Added to Unit Cost) |
| 1 |
| 2002AV |
| Type AB Single Cryo Fee |
| 1 |
| 2002AW |
| Type AB Cryo Pool Fee |
| 1 |
| 2002AY |
| Unscheduled Delivery Fee (Products) |
| 1 |
| 2002AZ |
| STAT Processing Fee (Products) |
| 1 |
| 2002BA |
| Return Credit for RBCs >14 Days (As a Percentage) |
3002 - Prescott Blood Products / Services / Reference Labs / Year #4 Pricing 10/1/27 – 09/30/28
| Line Items |
| Description |
| Quantity |
| Unit Price |
| 3002A |
| Leukoreduced Whole Blood |
| 1 |
| 3002B |
| Leukoreduced Red Blood Cells |
| 1 |
| 3002C |
| Red Blood Cells Restocking Fee (per unit) |
| 1 |
| 3002D |
| Fresh Frozen Plasma (200-400ml) |
| 1 |
| 3002E |
| Fresh Frozen Plasma Restocking Fee (returned >6 months until expiring) |
| 1 |
| 3002F |
| Cryoprecipitated AHF Pools |
| 1 |
| 3002G |
| Cryoprecipitated AHF Pools Restocking Fee (returned >6 months until expiring) |
| 1 |
| 3002H |
| Cryoprecipitated AHF Single |
| 1 |
| 3002I |
| Cryoprecipitated AHF Single Restocking Fee (returned >6 months until expiring) |
| 1 |
| 3002J |
| Pathogen Reduced Platelets//Psoralen |
| 1 |
| 3002K |
| LVDS >36 Platelets |
| 1 |
| 3002L |
| Autologous Collection (per component) |
| 1 |
| 3002M |
| Directed Collection (per component) |
| 1 |
| 3002N |
| Autologous/Directed Transport |
| 1 |
| 3002P |
| Aliquot Bags, Pediatric (attached, per set) |
| 1 |
| 3002Q |
| Antibody I.D. (complex – may include elution and/or absorption) |
| 1 |
| 3002R |
| Antibody I.D. (routine) |
| 1 |
| 3002S |
| Antibody Screening |
| 1 |
| 3002U |
| Antigen Screen 1 - 10 (per unit) |
| 1 |
| 3002V |
| Antigen Screen 11 - 20 (per unit) |
| 1 |
| 3002W |
| Antigen Screen 21 - 30 (per unit) |
| 1 |
| 3002X |
| Antigen Screen 31 - 40 (per unit) |
| 1 |
| 3002Y |
| Antigen Screen 41 - 50 (per unit) |
| 1 |
| 3002Z |
| Antigen Screen 51 - 60 (per unit) |
| 1 |
| 3002AA |
| Antigen Screen 61 - 70 (per unit) |
| 1 |
| 3002AB |
| CMV Testing (per unit) |
| 1 |
| 3002AC |
| Freezing/Deglycerolization (per component) |
| 1 |
| 3002AD |
| HLA Matched Platelets (per unit) |
| 1 |
| 3002AE |
| Irradiation (per component) |
| 1 |
| 3002AF |
| Lymphocyte Collection/Research |
| 1 |
| 3002AG |
| Peripheral Stem Cell Processing |
| 1 |
| 3002AH |
| Platelet Antibody Screen |
| 1 |
| 3002AI |
| Platelet Crossmatch (per unit shipped) |
| 1 |
| 3002AJ |
| Rare Unit Search |
| 1 |
| 3002AL |
| Sample Collections |
| 1 |
| 3002AM |
| Sickle Cell Testing (per unit) |
| 1 |
| 3002AN |
| STAT Fee (Product, During Business Hours) * |
| 1 |
| 3002AO |
| STAT Fee (Product, Non-Business Hours) * |
| 1 |
| 3002AP |
| STAT Fee (Sample, During Business Hours) * |
| 1 |
| 3002AQ |
| STAT Fee (Sample, Non-Business Hours) * |
| 1 |
| 3002AR |
| Washing (per component) |
| 1 |
| 3002AS |
| Molecular genotype testing |
| 1 |
Modifiers (Added to Unit Cost)
| 3002AV |
| Type AB Single Cryo Fee |
| 1 |
| 3002AW |
| Type AB Cryo Pool Fee |
| 1 |
| 3002AY |
| Unscheduled Delivery Fee (Products) |
| 1 |
| 3002AZ |
| STAT Processing Fee (Products) |
| 1 |
| 3002BA |
| Return Credit for RBCs >14 Days (As a Percentage) |
4002 - Prescott Blood Products / Services / Reference Labs / Year #5 Pricing 10/1/28 – 09/30/29
| Line Items |
| Description |
| Quantity |
| Unit Price |
| 4002A |
| Leukoreduced Whole Blood |
| 1 |
| 4002B |
| Leukoreduced Red Blood Cells |
| 1 |
| 4002C |
| Red Blood Cells Restocking Fee (per unit) |
| 1 |
| 4002D |
| Fresh Frozen Plasma (200-400ml) |
| 1 |
| 4002E |
| Fresh Frozen Plasma Restocking Fee (returned >6 months until expiring) |
| 1 |
| 4002F |
| Cryoprecipitated AHF Pools |
| 1 |
| 4002G |
| Cryoprecipitated AHF Pools Restocking Fee (returned >6 months until expiring) |
| 1 |
| 4002H |
| Cryoprecipitated AHF Single |
| 1 |
| 4002I |
| Cryoprecipitated AHF Single Restocking Fee (returned >6 months until expiring) |
| 1 |
| 4002J |
| Pathogen Reduced Platelets//Psoralen |
| 1 |
| 4002K |
| LVDS >36 Platelets |
| 1 |
| 4002L |
| Autologous Collection (per component) |
| 1 |
| 4002M |
| Directed Collection (per component) |
| 1 |
| 4002N |
| Autologous/Directed Transport |
| 1 |
| 4002P |
| Aliquot Bags, Pediatric (attached, per set) |
| 1 |
| 4002Q |
| Antibody I.D. (complex – may include elution and/or absorption) |
| 1 |
| 4002R |
| Antibody I.D. (routine) |
| 1 |
| 4002S |
| Antibody Screening |
| 1 |
| 4002U |
| Antigen Screen 1 - 10 (per unit) |
| 1 |
| 4002V |
| Antigen Screen 11 - 20 (per unit) |
| 1 |
| 4002W |
| Antigen Screen 21 - 30 (per unit) |
| 1 |
| 4002X |
| Antigen Screen 31 - 40 (per unit) |
| 1 |
| 4002Y |
| Antigen Screen 41 - 50 (per unit) |
| 1 |
| 4002Z |
| Antigen Screen 51 - 60 (per unit) |
| 1 |
| 4002AA |
| Antigen Screen 61 - 70 (per unit) |
| 1 |
| 4002AB |
| CMV Testing (per unit) |
| 1 |
| 4002AC |
| Freezing/Deglycerolization (per component) |
| 1 |
| 4002AD |
| HLA Matched Platelets (per unit) |
| 1 |
| 4002AE |
| Irradiation (per component) |
| 1 |
| 4002AF |
| Lymphocyte Collection/Research |
| 1 |
| 4002AG |
| Peripheral Stem Cell Processing |
| 1 |
| 4002AH |
| Platelet Antibody Screen |
| 1 |
| 4002AI |
| Platelet Crossmatch (per unit shipped) |
| 1 |
| 4002AJ |
| Rare Unit Search |
| 1 |
| 4002AL |
| Sample Collections |
| 1 |
| 4002AM |
| Sickle Cell Testing (per unit) |
| 1 |
| 4002AN |
| STAT Fee (Product, During Business Hours) * |
| 1 |
| 4002AO |
| STAT Fee (Product, Non-Business Hours) * |
| 1 |
| 4002AP |
| STAT Fee (Sample, During Business Hours) * |
| 1 |
| 4002AQ |
| STAT Fee (Sample, Non-Business Hours) * |
| 1 |
| 4002AR |
| Washing (per component) |
| 1 |
| 4002AS |
| Molecular genotype testing |
| 1 |
Modifiers (Added to Unit Cost)
| 4002AV |
| Type AB Single Cryo Fee |
| 1 |
| 4002AW |
| Type AB Cryo Pool Fee |
| 1 |
| 4002AY |
| Unscheduled Delivery Fee (Products) |
| 1 |
| 4002AZ |
| STAT Processing Fee (Products) |
| 1 |
| 4002BA |
| Return Credit for RBCs >14 Days (As a Percentage) |
0003 - Albuquerque Blood Products / Services / Reference Labs / Year #1 Pricing 10/1/24 - 09/30/25
| Line Items |
| Description |
| Quantity |
| Unit Price |
| 0003A |
| Leukoreduced Whole Blood |
| 1 |
| 0003B |
| Leukoreduced Red Blood Cells |
| 1 |
| 0003C |
| Red Blood Cells Restocking Fee (per unit) |
| 1 |
| 0003D |
| Fresh Frozen Plasma (200-400ml) |
| 1 |
| 0003E |
| Fresh Frozen Plasma Restocking Fee (returned >6 months until expiring) |
| 1 |
| 0003F |
| Cryoprecipitated AHF Pools |
| 1 |
| 0003G |
| Cryoprecipitated AHF Pools Restocking Fee (returned >6 months until expiring) |
| 1 |
| 0003H |
| Cryoprecipitated AHF Single |
| 1 |
| 0003I |
| Cryoprecipitated AHF Single Restocking Fee (returned >6 months until expiring) |
| 1 |
| 0003J |
| Pathogen Reduced Platelets |
| 1 |
| 0003K |
| LVDS >36 Platelets |
| 1 |
| 0003L |
| Autologous Collection (per component) |
| 1 |
| 0003M |
| Directed Collection (per component) |
| 1 |
| 0003N |
| Autologous/Directed Transport |
| 1 |
| 0003P |
| Antibody I.D. (complex – may include elution and/or absorption) |
| 1 |
| 0003Q |
| Antibody I.D. (routine) |
| 1 |
| 0003R |
| Antibody Screening |
| 1 |
| 0003T |
| Antigen Screen 1 - 10 (per unit) |
| 1 |
| 0003U |
| Antigen Screen 11 - 20 (per unit) |
| 1 |
| 0003V |
| Antigen Screen 21 - 30 (per unit) |
| 1 |
| 0003W |
| Antigen Screen 31 - 40 (per unit) |
| 1 |
| 0003X |
| Antigen Screen 41 - 50 (per unit) |
| 1 |
| 0003Y |
| Antigen Screen 51 - 60 (per unit) |
| 1 |
| 0003Z |
| Antigen Screen 61 - 70 (per unit) |
| 1 |
| 0003AA |
| CMV Testing (per unit) |
| 1 |
| 0003AB |
| Deglycerolization (per component) |
| 1 |
| 0003AC |
| HLA Matched Platelets (per unit) |
| 1 |
| 0003AD |
| Irradiation (per component) |
| 1 |
| 0003AE |
| Lymphocyte Collection/Research |
| 1 |
| 0003AF |
| Peripheral Stem Cell Processing |
| 1 |
| 0003AG |
| Platelet Antibody Screen |
| 1 |
| 0003AH |
| Platelet Crossmatch (per unit shipped) |
| 1 |
| 0003AI |
| Rare Unit Search |
| 1 |
| 0003AK |
| Sample Collections |
| 1 |
| 0003AL |
| Sickle Cell Testing (per unit) |
| 1 |
| 0003AM |
| STAT Fee (Product, During Business Hours) * |
| 1 |
| 0003AN |
| STAT Fee (Product, Non-Business Hours) * |
| 1 |
| 0003AO |
| STAT Fee (Sample, During Business Hours) * |
| 1 |
| 0003AP |
| STAT Fee (Sample, Non-Business Hours) * |
| 1 |
| 0003AQ |
| Washing (per component) |
| 1 |
| 0003AR |
| Molecular genotype testing |
| 1 |
| 0003AS |
| ASAP Fee (Product, During Business Hours) * |
| 1 |
| 0003AT |
| ASAP Fee (Product, Non-Business Hours) * |
| 1 |
Modifiers (Added to Unit Cost)
| 0003AW |
| Type AB Single Cryo Fee |
| 1 |
| 0003AX |
| Type AB Cryo Pool Fee |
| 1 |
| 0003AZ |
| Unscheduled Delivery Fee (Products) |
| 1 |
| 0003BA |
| STAT Processing Fee (Products) |
| 1 |
| 0003BB |
| Return Credit for RBCs >14 Days (As a Percentage) |
1003 - Albuquerque Blood Products / Services / Reference Labs / Year #2 Pricing 10/1/25 - 09/30/26
| Line Items |
| Description |
| Quantity |
| Unit Price |
| 1003A |
| Leukoreduced Whole Blood |
| 1 |
| 1003B |
| Leukoreduced Red Blood Cells |
| 1 |
| 1003C |
| Red Blood Cells Restocking Fee (per unit) |
| 1 |
| 1003D |
| Fresh Frozen Plasma (200-400ml) |
| 1 |
| 1003E |
| Fresh Frozen Plasma Restocking Fee (returned >6 months until expiring) |
| 1 |
| 1003F |
| Cryoprecipitated AHF Pools |
| 1 |
| 1003G |
| Cryoprecipitated AHF Pools Restocking Fee (returned >6 months until expiring) |
| 1 |
| 1003H |
| Cryoprecipitated AHF Single |
| 1 |
| 1003I |
| Cryoprecipitated AHF Single Restocking Fee (returned >6 months until expiring) |
| 1 |
| 1003J |
| Pathogen Reduced Platelets |
| 1 |
| 1003K |
| LVDS >36 Platelets |
| 1 |
| 1003L |
| Autologous Collection (per component) |
| 1 |
| 1003M |
| Directed Collection (per component) |
| 1 |
| 1003N |
| Autologous/Directed Transport |
| 1 |
| 1003P |
| Antibody I.D. (complex – may include elution and/or absorption) |
| 1 |
| 1003Q |
| Antibody I.D. (routine) |
| 1 |
| 1003R |
| Antibody Screening |
| 1 |
| 1003T |
| Antigen Screen 1 - 10 (per unit) |
| 1 |
| 1003U |
| Antigen Screen 11 - 20 (per unit) |
| 1 |
| 1003V |
| Antigen Screen 21 - 30 (per unit) |
| 1 |
| 1003W |
| Antigen Screen 31 - 40 (per unit) |
| 1 |
| 1003X |
| Antigen Screen 41 - 50 (per unit) |
| 1 |
| 1003Y |
| Antigen Screen 51 - 60 (per unit) |
| 1 |
| 1003Z |
| Antigen Screen 61 - 70 (per unit) |
| 1 |
| 1003AA |
| CMV Testing (per unit) |
| 1 |
| 1003AB |
| Freezing/Deglycerolization (per component) |
| 1 |
| 1003AC |
| HLA Matched Platelets (per unit) |
| 1 |
| 1003AD |
| Irradiation (per component) |
| 1 |
| 1003AE |
| Lymphocyte Collection/Research |
| 1 |
| 1003AF |
| Peripheral Stem Cell Processing |
| 1 |
| 1003AG |
| Platelet Antibody Screen |
| 1 |
| 1003AH |
| Platelet Crossmatch (per unit shipped) |
| 1 |
| 1003AI |
| Rare Unit Search |
| 1 |
| 1003AK |
| Sample Collections |
| 1 |
| 1003AL |
| Sickle Cell Testing (per unit) |
| 1 |
| 1003AM |
| STAT Fee (Product, During Business Hours) * |
| 1 |
| 1003AN |
| STAT Fee (Product, Non-Business Hours) * |
| 1 |
| 1003AO |
| STAT Fee (Sample, During Business Hours) * |
| 1 |
| 1003AP |
| STAT Fee (Sample, Non-Business Hours) * |
| 1 |
| 1003AQ |
| Washing (per component) |
| 1 |
| 1003AR |
| Molecular genotype testing |
| 1 |
| 1003AS |
| ASAP Fee (Product, During Business Hours) * |
| 1 |
| 1003AT |
| ASAP Fee (Product, Non-Business Hours) * |
| 1 |
Modifiers (Added to Unit Cost)
| 1003AW |
| Type AB Single Cryo Fee |
| 1 |
| 1003AX |
| Type AB Cryo Pool Fee |
| 1 |
| 1003AZ |
| Unscheduled Delivery Fee (Products) |
| 1 |
| 1003BA |
| STAT Processing Fee (Products) |
| 1 |
| 1003BB |
| Return Credit for RBCs >14 Days (As a Percentage) |
2003 - Albuquerque Blood Products / Services / Reference Labs / Year #3 Pricing 10/1/26 - 09/30/27
| Line Items |
| Description |
| Quantity |
| Unit Price |
| 2003A |
| Leukoreduced Whole Blood |
| 1 |
| 2003B |
| Leukoreduced Red Blood Cells |
| 1 |
| 2003C |
| Red Blood Cells Restocking Fee (per unit) |
| 1 |
| 2003D |
| Fresh Frozen Plasma (200-400ml) |
| 1 |
| 2003E |
| Fresh Frozen Plasma Restocking Fee (returned >6 months until expiring) |
| 1 |
| 2003F |
| Cryoprecipitated AHF Pools |
| 1 |
| 2003G |
| Cryoprecipitated AHF Pools Restocking Fee (returned >6 months until expiring) |
| 1 |
| 2003H |
| Cryoprecipitated AHF Single |
| 1 |
| 2003I |
| Cryoprecipitated AHF Single Restocking Fee (returned >6 months until expiring) |
| 1 |
| 2003J |
| Pathogen Reduced Platelets |
| 1 |
| 2003K |
| LVDS >36 Platelets |
| 1 |
| 2003L |
| Autologous Collection (per component) |
| 1 |
| 2003M |
| Directed Collection (per component) |
| 1 |
| 2003N |
| Autologous/Directed Transport |
| 1 |
| 2003P |
| Antibody I.D. (complex – may include elution and/or absorption) |
| 1 |
| 2003Q |
| Antibody I.D. (routine) |
| 1 |
| 2003R |
| Antibody Screening |
| 1 |
| 2003T |
| Antigen Screen 1 - 10 (per unit) |
| 1 |
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