B.01_Combined_Synopsis_and_Solicitation_W81K00-19-T-M022_Attachment_1_Required_Immunochemistry_Stains_Matrix.xlsx

XLSX spreadsheet 20 KB Posted Jul 18, 2019

Attached to: Immunochemistry Stains
Solicitation number: W81K00-19-T-M022
Issued by: Department of the Army Medical Command

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Attachment 1 - Required Stains

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B.01_Combined_Synopsis_and_Solicitation_W81K00-19-T-M022_Amendment_0001.pdf	PDF	Aug 5, 2019
B.01_Combined_Synopsis_and_Solicitation_W81K00-19-T-M022_Final.pdf	PDF	Jul 18, 2019

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FY19 - Base Period

Immunochemistry Stains FY19
1 Sep to 30 to Sep 2019
CPT	Description	Estimated Quantity	Unit Price per Result	Extended Price
81210	MOLECULAR BRAF, GENE ANALYSIS	2		$ - 0	20	12	1.67
81235	MOLEC EGFR GENE ANALYSIS, COMMON VARIANTS	2		$ - 0	20		1.67
81275	KRAS GENE ANALYSIS	1		$ - 0	15		1.25
81276	KRAS EXON 3 VARIANTS	1		$ - 0	15		1.25
81301	MICROSATELLITE INSTABILITY ANALYSIS	2		$ - 0	20		1.67
81305	MYD88 GENE ANALYSIS	1		$ - 0	5		0.42
81311	NRAS EXON 2, 3 VARIANTS	1		$ - 0	5		0.42
81403	JAK2; LEVEL 4 DNA SEQUENCE ANALYSIS	1		$ - 0	5		0.42
81404	PIK3CA	1		$ - 0	5		0.42
88237	TISS CULT FOR NEOPLST DISORDERS, BN MRW, BLD CELL	1		$ - 0	10		0.83
88239	TISSUE CULTURE FOR CHROMOSOME-SOLID TUMOR	1		$ - 0	10		0.83
88261	CHRM ANALYSIS,CT 5 CELL, 1 KAROTYPE WITH BANDING	1		$ - 0	10		0.83
88262	CHROMOSOME ANALYSIS, 15-20 CELLS	1		$ - 0	10		0.83
88263	CHROMOSOME ANALYSIS, COUNT 45 CELLS FOR MOSAICISM	1		$ - 0	5		0.42
88264	CHROMOSOME ANALYSIS, 20-25 CELLS	1		$ - 0	10		0.83
88267	CHRM ANALYSIS,AMNIO FLD OR CHORIONIC VILLUS CNT 15 CL	1		$ - 0	10		0.83
88271	MOLECULAR CYTOGENETICS PROBE	2		$ - 0	20		1.67
88280	CHRM ANALYSIS; ADDITIONAL KAROTYPES, EACH STUDY	2		$ - 0	20		1.67
88291	INTERPRETATION AND REPORT	17		$ - 0	200		16.67
88305	GROSS & MICRO, LEVEL 4	1		$ - 0	15		1.25
88313	SPECIAL STAIN, ROUTINE	4		$ - 0	45		3.75
88321	PATHOLOGY SLIDE CONSULT	3		$ - 0	30		2.50
88323	PATHOLOGY CONSULTATION WITH PROCESSING	4		$ - 0	45		3.75
88341	IMMUNOHISTOCHEMISTRY,EACH ADDITIONAL ANTIBODY	23		$ - 0	275		22.92
88341TC	TECH ‐ IMMUNOHISTOCHEMISTRY,EACH ADDTL ANITBODY	1		$ - 0	1		0.08
88342	IMMUNOHISTOCHEMISTRY, 1ST ANTIBODY	8		$ - 0	100		8.33
88342TC	TECH ‐ IMMUNOHISTOCHEMISTRY, 1ST ANTIBODY	1		$ - 0	1		0.08
88346	IMMUNOFLUORESCENT STUDY, EA SPECIMEN 1ST ANTIBODY	1		$ - 0	15		1.25
88348	ELECTRON MICROSCOPY STUDY	1		$ - 0	15		1.25
88350	IMMUNOFLUORESCENT STUDY, EA ADDITIONAL ANTIBODY	11		$ - 0	135		11.25
88360	QUANT IMMUNOHISTOCHEMISTRY, EACH ANTIBODY	13		$ - 0	150		12.50
88364	TISSUE IN SITU HYBRIDIZATION, EA ADDTL PROBE	1		$ - 0	1		0.08
88365	TISSUE IN SITU HYBRIDIZATION, 1ST PROBE	1		$ - 0	1		0.08
88377	MORPHOMETRIC ANALYSIS, IN SITU, MANL,EA MULTIPLEX	1		$ - 0	1		0.08
88381	MICRODISSECTION	10		$ - 0	120		10.00
FY19 Base Period Total				$ - 0

FY20 - Option 1

Immunochemistry Stains FY20
1 Oct 2019 to 30 Sep 2020
CPT	Description	Estimated Quantity
Unit Price per Result	Extended Price
81210	MOLECULAR BRAF, GENE ANALYSIS	20	$ - 0
81235	MOLEC EGFR GENE ANALYSIS, COMMON VARIANTS	20	$ - 0
81275	KRAS GENE ANALYSIS	15	$ - 0
81276	KRAS EXON 3 VARIANTS	15	$ - 0
81301	MICROSATELLITE INSTABILITY ANALYSIS	20	$ - 0
81305	MYD88 GENE ANALYSIS	5	$ - 0
81311	NRAS EXON 2, 3 VARIANTS	5	$ - 0
81403	JAK2; LEVEL 4 DNA SEQUENCE ANALYSIS	5	$ - 0
81404	PIK3CA	5	$ - 0
88237	TISS CULT FOR NEOPLST DISORDERS, BN MRW, BLD CELL	10	$ - 0
88239	TISSUE CULTURE FOR CHROMOSOME-SOLID TUMOR	10	$ - 0
88261	CHRM ANALYSIS,CT 5 CELL, 1 KAROTYPE WITH BANDING	10	$ - 0
88262	CHROMOSOME ANALYSIS, 15-20 CELLS	10	$ - 0
88263	CHROMOSOME ANALYSIS, COUNT 45 CELLS FOR MOSAICISM	5	$ - 0
88264	CHROMOSOME ANALYSIS, 20-25 CELLS	10	$ - 0
88267	CHRM ANALYSIS,AMNIO FLD OR CHORIONIC VILLUS CNT 15 CL	10	$ - 0
88271	MOLECULAR CYTOGENETICS PROBE	20	$ - 0
88280	CHRM ANALYSIS; ADDITIONAL KAROTYPES, EACH STUDY	20	$ - 0
88291	INTERPRETATION AND REPORT	200	$ - 0
88305	GROSS & MICRO, LEVEL 4	15	$ - 0
88313	SPECIAL STAIN, ROUTINE	45	$ - 0
88321	PATHOLOGY SLIDE CONSULT	30	$ - 0
88323	PATHOLOGY CONSULTATION WITH PROCESSING	45	$ - 0
88341	IMMUNOHISTOCHEMISTRY,EACH ADDITIONAL ANTIBODY	275	$ - 0
88341TC	TECH ‐ IMMUNOHISTOCHEMISTRY,EACH ADDTL ANITBODY	1	$ - 0
88342	IMMUNOHISTOCHEMISTRY, 1ST ANTIBODY	100	$ - 0
88342TC	TECH ‐ IMMUNOHISTOCHEMISTRY, 1ST ANTIBODY	1	$ - 0
88346	IMMUNOFLUORESCENT STUDY, EA SPECIMEN 1ST ANTIBODY	15	$ - 0
88348	ELECTRON MICROSCOPY STUDY	15	$ - 0
88350	IMMUNOFLUORESCENT STUDY, EA ADDITIONAL ANTIBODY	135	$ - 0
88360	QUANT IMMUNOHISTOCHEMISTRY, EACH ANTIBODY	150	$ - 0
88364	TISSUE IN SITU HYBRIDIZATION, EA ADDTL PROBE	1	$ - 0
88365	TISSUE IN SITU HYBRIDIZATION, 1ST PROBE	1	$ - 0
88377	MORPHOMETRIC ANALYSIS, IN SITU, MANL,EA MULTIPLEX	1	$ - 0
88381	MICRODISSECTION	120	$ - 0
FY20 OY1 Period Total			$ - 0

FY21 - Option 2

Immunochemistry Stains FY21
1 Oct 2020 to 30 Sep 2021
CPT	Description	Estimated Quantity
Unit Price per Result	Extended Price
81210	MOLECULAR BRAF, GENE ANALYSIS	20	$ - 0
81235	MOLEC EGFR GENE ANALYSIS, COMMON VARIANTS	20	$ - 0
81275	KRAS GENE ANALYSIS	15	$ - 0
81276	KRAS EXON 3 VARIANTS	15	$ - 0
81301	MICROSATELLITE INSTABILITY ANALYSIS	20	$ - 0
81305	MYD88 GENE ANALYSIS	5	$ - 0
81311	NRAS EXON 2, 3 VARIANTS	5	$ - 0
81403	JAK2; LEVEL 4 DNA SEQUENCE ANALYSIS	5	$ - 0
81404	PIK3CA	5	$ - 0
88237	TISS CULT FOR NEOPLST DISORDERS, BN MRW, BLD CELL	10	$ - 0
88239	TISSUE CULTURE FOR CHROMOSOME-SOLID TUMOR	10	$ - 0
88261	CHRM ANALYSIS,CT 5 CELL, 1 KAROTYPE WITH BANDING	10	$ - 0
88262	CHROMOSOME ANALYSIS, 15-20 CELLS	10	$ - 0
88263	CHROMOSOME ANALYSIS, COUNT 45 CELLS FOR MOSAICISM	5	$ - 0
88264	CHROMOSOME ANALYSIS, 20-25 CELLS	10	$ - 0
88267	CHRM ANALYSIS,AMNIO FLD OR CHORIONIC VILLUS CNT 15 CL	10	$ - 0
88271	MOLECULAR CYTOGENETICS PROBE	20	$ - 0
88280	CHRM ANALYSIS; ADDITIONAL KAROTYPES, EACH STUDY	20	$ - 0
88291	INTERPRETATION AND REPORT	200	$ - 0
88305	GROSS & MICRO, LEVEL 4	15	$ - 0
88313	SPECIAL STAIN, ROUTINE	45	$ - 0
88321	PATHOLOGY SLIDE CONSULT	30	$ - 0
88323	PATHOLOGY CONSULTATION WITH PROCESSING	45	$ - 0
88341	IMMUNOHISTOCHEMISTRY,EACH ADDITIONAL ANTIBODY	275	$ - 0
88341TC	TECH ‐ IMMUNOHISTOCHEMISTRY,EACH ADDTL ANITBODY	1	$ - 0
88342	IMMUNOHISTOCHEMISTRY, 1ST ANTIBODY	100	$ - 0
88342TC	TECH ‐ IMMUNOHISTOCHEMISTRY, 1ST ANTIBODY	1	$ - 0
88346	IMMUNOFLUORESCENT STUDY, EA SPECIMEN 1ST ANTIBODY	15	$ - 0
88348	ELECTRON MICROSCOPY STUDY	15	$ - 0
88350	IMMUNOFLUORESCENT STUDY, EA ADDITIONAL ANTIBODY	135	$ - 0
88360	QUANT IMMUNOHISTOCHEMISTRY, EACH ANTIBODY	150	$ - 0
88364	TISSUE IN SITU HYBRIDIZATION, EA ADDTL PROBE	1	$ - 0
88365	TISSUE IN SITU HYBRIDIZATION, 1ST PROBE	1	$ - 0
88377	MORPHOMETRIC ANALYSIS, IN SITU, MANL,EA MULTIPLEX	1	$ - 0
88381	MICRODISSECTION	120	$ - 0
FY21 OY1 Period Total			$ - 0

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