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["IHiT/ŚWB/konkurs/1/2014",null,null,null,"Załącznik nr 1"]
[]
[]
["………………………………………"]
["             Pieczęć firmowa"]
[]
[null,"Oferta asortymentowo - cenowa"]
[null,"Badania rutynowe"]
["L.p.","Przedmiot zamówienia / Badania rutynowe","Przewidywana ilość badań na okres … miesięcy","Cena jednostkowa brutto","Wartość brutto"]
["1.","1,25 dihydroksy D3",105]
["2.","17-OH-Kortykosteroidy",15]
["3.","Witamina 25-OH D3",825]
["4.","P-ciała p/cytrulinowe",110]
["5.","P-ciała p/sercowe",10]
["6.","P-ciała p/receptorom TSH",210]
["7.","P-ciała p/kardiolipinie (IgM i IgG)",150]
["8.","P-ciała p/kardiolipinowe ACA IgG",30]
["9.","P-ciała p/kardiolipinowe ACA IgM",30]
["10.","Fosfataza kwaśna ACP",30]
["11.","ACTH",110]
["12.","AFP",520]
["13.","P-ciała p/gliadynie IgA",80]
["14.","P-ciała p/gliadynie IgG",80]
["15.","P-ciała p/gliadynie IgA i IgG (IIF)",30]
["16.","P-ciała p/HAV IgM",20]
["17.","P-ciała p/HAV total",20]
["18.","P-ciała p/HBc",20]
["19.","P-ciała p/HBc IgM",20]
["20.","P-ciała p/HBs",35]
["21.","P-ciała p/HCV",320]
["22.","Albumina",12000]
["23.","Aldosteron",50]
["24.","Fosfataza alkaliczna ALP",25000]
["25.","ALP izoenzym kostny",40]
["26.","ALT",70000]
["27.","P-ciała p/mitochondrialne AMA",10]
["28.","Amoniak",400]
["29.","Amylaza",2000]
["30.","Amylaza w moczu",200]
["31.","P-ciała p/jądrowe ANA (IF)",2080]
["32.","P-ciała p/jądrowe i p/cytoplazmatyczne (ANA2)",360]
["33.","ANA Profil 3",360]
["34.","P-ciała p/granulocytarne ANCA typ świecenia",210]
["35.","P-ciała p/cytoplazmie granulocytów ANCA",30]
["36.","Androstendion",30]
["37.","P-ciała p/antygenom jajnika",20]
["38.","P-ciała p/antygenom łożyska",20]
["39.","P-ciała p/Pneumocystis jiroveci  APCA",40]
["40.","Czas kaolinowo-kefalinowy",6500]
["41.","P-ciała p/retikulinowe ARA - IgA, IgG",20]
["42.","P-ciała p/retikulinie IgA",70]
["43.","P-ciała p/retikulinie IgG",70]
["44.","P-ciała p/retikulinie, p/endomysium, p/gliadynie ",210]
["45.","Aktywność reninowa osocza",20]
["46.","P-ciała p/m. szkieletowym ASMA",30]
["47.","ASO",100]
["48.","AST",60000]
["49.","P-ciała p/tyreoglobulinie TG",270]
["50.","P-ciała p/peroksydazie tarczycowej TPO",520]
["51.","Beta HCG",220]
["52.","Test ciążowy",200]
["53.","Witamina B12",10000]
["54.","Beta2-mikroglobulina",5000]
["55.","P-ciała p/bąblowcowe IgG",40]
["56.","P-ciała p/kanalikom żółciowym BCA",30]
["57.","Bilirubina bezpośrednia",3500]
["58.","Bilirubina frakcje",100]
["59.","Bilirubina całkowita",65000]
["60.","NT-proBNP",600]
["61.","Badanie Ogólne Moczu",3280]
["62.","P-ciała p/Borrelia IgG",210]
["63.","P-ciała p/Borrelia IgG, Western-blot",60]
["64.","P-ciała p/Borrelia IgM",210]
["65.","P-ciała p/Borrelia IgM, Westen blot",60]
["66.","P-ciała p/Borrelia IgG i IgM metodą Western blot",20]
["67.","P-ciała p/Bordetella pertussis IgA",20]
["68.","P-ciała p/Bordetella pertussis IgG",30]
["69.","P-ciała p/Brucella sp.",30]
["70.","Inhibitor C1 – esterazy (ilościowo)",20]
["71.","Dopełniacz, C3",40]
["72.","Dopełniacz, C4",40]
["73.","Wapń",60000]
["74.","Wapń wydalanie",1000]
["75.","Wapń w moczu",50]
["76.","Wapń zjonizowany",720]
["77.","CA 125",600]
["78.","CA 15-3",210]
["79.","CA 19-9",720]
["80.","Ca 72-4",20]
["81.","P-ciała p/granulocytarne cANCA",30]
["82.","CEA",730]
["83.","Ceruloplazmina",50]
["84.","P-ciała p/Chlamydia (pneumoniae, trachomatis) IgA",20]
["85.","P-ciała p/Chlamydia (pneumoniae, trachomatis) IgG",20]
["86.","P-ciała p/Chlamydia pneumoniae IgG",60]
["87.","P-ciała p/Chlamydia pneumoniae IgM",70]
["88.","P-ciała p/Chlamydia pneumoniae IgG i IgM",20]
["89.","P-ciała p/Chlamydia trachomatis IgA",30]
["90.","P-ciała p/Chlamydia trachomatis IgG",40]
["91.","P-ciała p/Chlamydia trachomatis IgM",40]
["92.","P-ciała p/Chlamydia trachomatis IgA, IgG, IgM",20]
["93.","Cholesterol całkowity",3600]
["94.","Cholinesteraza",20]
["95.","CK",1000]
["96.","CK-MB aktywnoœæ",2000]
["97.","Chlorki",1500]
["98.","Chlorki wydalanie",20]
["99.","Chlorki w moczu",20]
["100.","P-ciała p/CMV IgG",30]
["101.","P-ciała p/CMV IgM",40]
["102.","P-ciała p/CMV IgM",20]
["103.","CRP",28000]
["104.","Miedź",40]
["105.","Miedź wydalanie",20]
["106.","Miedź w moczu",20]
["107.","Cyklosporyna",1200]
["108.","Dermatophagoides pteronyssinus D1",20]
["109.","D-dimer",250]
["110.","DHEA",20]
["111.","DHEAS",40]
["112.","Digoksyna",30]
["113.","P-ciała p/dwuniciowemu DNA (dsDNA)",30]
["114.","Pies sierść i naskórek E2",20]
["115.","P-ciała p/EBV IgG",110]
["116.","P-ciała p/EBV IgM",110]
["117.","P-ciała p/endomysium IgA i IgG (Profil)",60]
["118.","P-ciała p/endomysium IgA (IIF)",110]
["119.","P-ciała p/endomysium IgG (IIF)",110]
["120.","P-ciała p/endomysium IgG i gliadynie IgG (IIF)",20]
["121.","P-ciała p/endomysium i p/retikulinie IgA, IgG - ",30]
["122.","Erytropoetyna",3500]
["123.","Estradiol",310]
["124.","Mleko krowie F2",20]
["125.","Wieprzowina F26",20]
["126.","Gluten F79",20]
["127.","Żelazo",30000]
["128.","Ferrytyna",23000]
["129.","Fibrynogen",50]
["130.","FSH",110]
["131.","Trijodotyronina wolna FT3",2000]
["132.","Tyroksyna wolna FT4",2500]
["133.","GGT",43000]
["134.","Hormon wzrostu",30]
["135.","Test tolerancji glukozy (75g - 0, 2h)",40]
["136.","Glukoza w moczu wydalanie",20]
["137.","Glukoza w moczu",100]
["138.","Glukoza",55000]
["139.","P-ciała p/beta2 glikoproteinie 1 IgG",110]
["140.","P-ciała p/beta2 glikoproteinie 1 IgM",110]
["141.","Posiew plwociny w kierunku gruźlicy",110]
["142.","Szybki posiew w kierunku gruźlicy",60]
["143.","Mieszanka traw wczesnych GX1",15]
["144.","Trawy mieszane późnokwitnące GX2",15]
["145.","Haptoglobina",40]
["146.","Hemoglobina glikowana HbA1c",550]
["147.","Antygen HBs",120]
["148.","Cholesterol HDL",1100]
["149.","Helicobacter pylori - antygen w kale",60]
["150.","P-ciała p/Helicobacter pylori - test jakościowy",30]
["151.","P-ciała p/Helicobacter pylori IgG",530]
["152.","HIV - antygen/przeciwciała",20]
["153.","Homocysteina (HOMOCYST-A)",3210]
["154.","P-ciała p/wirusowi opryszczki HSV IgG",30]
["155.","P-ciała p/wirusowi opryszczki HSV IgM",30]
["156.","Mieszanka kurzu domowego HX2",20]
["157.","Immunoglobuliny IgA, IgG, IgM",500]
["158.","IgA",220]
["159.","IgE całkowite",210]
["160.","IgG",1100]
["161.","IgM",210]
["162.","Insulina",60]
["163.","PTH intact",520]
["164.","Panel jelitowo-żołądkowy IIF",20]
["165.","Jonogram",10]
["166.","Jonogram (Na, K)",21000]
["167.","Potas",100000]
["168.","Potas wydalanie",40]
["169.","Posiew kału w kierunku nosicielstwa (1 próbka)",20]
["170.","Antygen adenowirusów w kale",100]
["171.","Kał badanie ogólne",60]
["172.","Krew utajona w kale",2050]
["173.","Antygen Giardia intestinalis w kale",110]
["174.","Pasożyty/jaja pasożytów w kale",1010]
["175.","Antygen rotawirusów w kale",100]
["176.","Kalcytonina",60]
["177.","Karbamazepina",20]
["178.","Katecholaminy w moczu",20]
["179.","Klirens kreatyniny (Kreat:SUR, Kreat:DZM, Klirens)",30]
["180.","Klirens kreatyniny (Kreat:SUR, Kreat:DZM, Klirens)",110]
["181.","Kortyzol",210]
["182.","Kortyzol wydalanie 24h",30]
["183.","Kreatynina",100000]
["184.","Kreatynina wydalanie 24h",60]
["185.","Kreatynina w moczu",160]
["186.","Kwas foliowy",8000]
["187.","Kwas walproinowy",30]
["188.","Kwasy żółciowe",20]
["189.","Antykoagulant tocznia DRVVT",10]
["190.","Odczyn lateksowy",60]
["191.","P-ciała p/cytolowe LC1",20]
["192.","LDH",40000]
["193.","LH",50]
["194.","Lipaza",900]
["195.","Profil lipidowy",5010]
["196.","P-ciała p/Listeria monocytogenes",20]
["197.","P-ciała p/mikrosomalne wątrobowo-nerkowe LKM-1",20]
["198.","P-ciała p/mikrosomom wątroby i nerki IIF",20]
["199.","Kał - posiew w kierunku nosicielstwa Salmonella i Shigella",20]
["200.","P-ciała p/mitochondrialne typ M-2",20]
["201.","Albuminy  wydalanie",20]
["202.","Albuminy w moczu (ilościowo)",20]
["203.","Methemoglobina (kp)",20]
["204.","Magnez",25000]
["205.","Magnez wydalanie",10]
["206.","Magnez w moczu",10]
["207.","Mleczany",10]
["208.","Badanie ogólne moczu",28000]
["209.","Morfologia analizator 5 diff",180000]
["210.","Wykrywanie antygenu Rota- i Adenowirusów",10]
["211.","Mycobacterium tuberculosis metodą PCR",100]
["212.","Posiew moczu",20]
["213.","Metotreksat",500]
["214.","P-ciała p/Mycoplasma pneumoniae IgG",110]
["215.","P-ciała p/Mycoplasma pneumoniae IgM",110]
["216.","Kwas mykofenolowy",160]
["217.","Sód",90000]
["218.","Sód wydalanie",50]
["219.","Elektrolity w moczu (Na, K) - wydalanie",20]
["220.","Elektrolity w moczu (Na, K)",30]
["221.","Profil Nerkowy",20]
["222.","OB",27300]
["223.","OSAD",26000]
["224.","Osmolalność osocza",40]
["225.","Osmolalność moczu",10]
["226.","P-ciała p/wirusowi ospy wietrznej IgM VZV",20]
["227.","Fosforany",16000]
["228.","Posiew w kierunku gruźlicy",20]
["229.","Posiew moczu",20]
["230.","P-ciała p/granulocytarne pANCA",20]
["231.","Fosfataza kwaśna sterczowa PAP",20]
["232.","Serodiagnostyka paragrypy IgG",10]
["233.","Ołów",20]
["234.","P-ciała p/komórkom okładzinowym żołądka APCA",30]
["235.","P-ciała p/komórkom okładzinowym żołądka i czynnikowi zewnętrznemu",710]
["236.","Peptyd C",20]
["237.","C-końcowy propeptyd prokolagenu typu I (PICP)",20]
["238.","Płyn z jamy ciała - badanie ogólne",110]
["239.","P-ciała p/plemnikowe",20]
["240.","Płytki krwi",100]
["241.","Płytki krwi (krew cytrynianowa)",5000]
["242.","Płytki krwi (krew heparynizowana)",50]
["243.","Płyn mózgowo - rdzeniowy - badanie ogólne",1000]
["244.","PMR - badanie cytologiczne",1010]
["245.","Progesteron",110]
["246.","Prolaktyna",160]
["247.","Prokalcytonina",60]
["248.","Proteinogram i białko całkowite (proteinogram)",35000]
["249.","Elektroforeza białek-mocz",160]
["250.","Elektroforeza białek w PMR",20]
["251.","Proteinogram",7500]
["252.","P-ciała p/protrombinie IgG",20]
["253.","P-ciała p/protrombinie IgM",20]
["254.","PSA wolny",110]
["255.","PSA całkowity",1100]
["256.","Czas protrombinowy",6000]
["257.","P-ciała p/tkankowej transglutaminazie IgA",30]
["258.","P-ciała p/tkankowej transglutaminazie IgG",30]
["259.","P-ciała p/tkankowej transglutaminazie",30]
["260.","Retikulocyty mikroskopowo",20]
["261.","Retikulocyty automatycznie",45000]
["262.","Czynnik reumatoidalny (ilościowo)",1100]
["263.","Równowaga kwasowo-zasadowa",15000]
["264.","Kał - badanie w kierunku rota- i adenowirusów",20]
["265.","Wykonanie rozmazu barwionego krwi obwodowej",70000]
["266.","P-ciała p/wirusowi różyczki IgG",20]
["267.","P-ciała p/wirusowi różyczki IgM",20]
["268.","SHBG",20]
["269.","P-ciała p/mięśniom gładkim SMA",20]
["270.","Tacrolimus (prograf)",400]
["271.","Testosteron",170]
["272.","TIBC (Pakiet - Fe, UIBC, TIBC)",3300]
["273.","P-ciała p/Toxoplasma gondii IgG",60]
["274.","P-ciała p/Toxoplasma gondii IgM",60]
["275.","Toxo IgG - Awidność",20]
["276.","P-ciała p/Toxocara canis IgG",110]
["277.","Białko wydalanie",1600]
["278.","Białko w moczu",3500]
["279.","Transferyna",2400]
["280.","Rozpuszczalny receptor transferyny",20]
["281.","P-ciała p/Trichinella spiralis IgG",20]
["282.","Triglicerydy",1700]
["283.","Troponina I",2000]
["284.","Troponina T",10]
["285.","Transferyna + saturacja transferyny + Fe    - pakiet",40]
["286.","TSH",11000]
["287.","Czas trombinowy",10]
["288.","Trijodotyronina TT3",110]
["289.","Tyroksyna TT4",110]
["290.","Mieszanka pyłków drzew wczesnych TX5",20]
["291.","Mieszanka pyłków drzew późnych TX6",20]
["292.","Tyreoglobulina",40]
["293.","Kwas moczowy",80000]
["294.","Kwas moczowy wydalanie",20]
["295.","Kwas moczowy w moczu",20]
["296.","UIBC",1000]
["297.","Mocznik",90000]
["298.","Mocznik wydalanie",60]
["299.","Mocznik w moczu",20]
["300.","Odczyn Waaler-Rose'go",60]
["301.","Panel antygenów wątrobowych - LSP, LMA, LKM, LSA/LP, BCA",20]
["302.","Panel wątrobowy pełny (ANA2, AMA, SMA, LKM, LSP, SLA/LP)",70]
["303.","Profil Wątrobowy",20]
["304.","WR",90]
["305.","P-ciała p/Yersinia enterocolitica IgA",10]
["306.","P-ciała p/Yersinia enterocolitica IgG",10]
["307.","P-ciała p/serotypom Yersinia sp.",60]
["308.","Zestaw atopowy (20 alergenów)",20]
["309.","Zestaw inhalacyjny (20 alergenów)",20]
["310.","Cynk",20]
["311.","Zestaw pokarmowy (20 alergenów)",20]
["312.","Zestaw reakcji krzyżowych (20 alergenów)",20]
[null,"RAZEM"]
[]
[null,null,"……………………………………………"]
[null,null,"podpis i imienna pieczątka osoby uprawnionej "]
[null,null,"do reprezentowania firmy"]

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["IHiT/ŚWB/konkurs/1/2014",null,null,null,"Załącznik nr 1"]
[]
[]
["………………………………………"]
["             Pieczęć firmowa"]
[]
[null,"Oferta asortymentowo - cenowa"]
[null,"Badania na cito"]
["L.p.","Przedmiot zamówienia / Badania na cito","Przewidywana ilość badań na okres … miesięcy","Cena jednostkowa brutto","Wartość brutto"]
["1.","Albumina",600]
["2.","Fosfataza alkaliczna ALP",10000]
["3.","ALT",20000]
["4.","Amylaza",200]
["5.","Amylaza w moczu",20]
["6.","Czas kaolinowo-kefalinowy",220]
["7.","ASO",20]
["8.","AST",18000]
["9.","Test ciążowy",20]
["10.","Witamina B12",1000]
["11.","Beta2-mikroglobulina",300]
["12.","Bilirubina bezpośrednia",480]
["13.","Bilirubina frakcje",10]
["14.","Bilirubina całkowita",16000]
["15.","NT-proBNP",40]
["16.","Wapń",10000]
["17.","Wapń w moczu",20]
["18.","CK",100]
["19.","CK-MB aktywność",500]
["20.","Chlorki",150]
["21.","CRP",1500]
["22.","D-dimer",10]
["23.","Digoksyna",10]
["24.","Trijodotyronina wolna FT3",150]
["25.","Tyroksyna wolna FT4",150]
["26.","Glukoza",15000]
["27.","Jonogram",10]
["28.","Potas",20000]
["29.","Antygen adenowirusów w kale",10]
["30.","Antygen rotawirusów w kale",10]
["31.","Kreatynina",25000]
["32.","Antykoagulant tocznia DRVVT",10]
["33.","LDH",18000]
["34.","Lipaza",100]
["35.","Magnez",10000]
["36.","Mleczany",10]
["37.","Morfologia analizator 5 diff",45000]
["38.","Wykrywanie antygenu Rota- i Adenowirusów",10]
["39.","Metotreksat",10]
["40.","Sód",20000]
["41.","Fosforany",10000]
["42.","Fosforany mocz",10]
["43.","Płytki krwi",100]
["44.","Płytki krwi (krew cytrynianowa)",4500]
["45.","Płyn mózgowo - rdzeniowy - badanie ogólne",1000]
["46.","Czas protrombinowy",500]
["47.","Retikulocyty mikroskopowo",10]
["48.","Retikulocyty automatycznie",15000]
["49.","Równowaga kwasowo-zasadowa",500]
["50.","Białko całkowite",700]
["51.","Troponina I",600]
["52.","Troponina T",10]
["53.","TSH",700]
["54.","Czas trombinowy",10]
["55.","Kwas moczowy",25000]
["56.","Mocznik",18000]
[null,"RAZEM"]
[]
[null,"Wyniki badań na cito muszą być dostarczone do Kliniki nie później niż w ciągu 1 godziny od czasu otrzymania materiału do badania"]
[null,null,"……………………………………………"]
[null,null,"podpis i imienna pieczątka osoby uprawnionej "]
[null,null,"do reprezentowania firmy"]