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Invoices

INVOICE

MP-202604-0003

LifeLink HLA LaboratorySouthwest Transplant Alliance

paid

FINANCIALS

Amount$4,800.00
Platform Fee-$60.00
Net Payout$4,740.00

CMS CLASSIFICATION

Cost Center

Organ Acquisition

Worksheet / Line

A / 00600

Description

Lab & Histocompatibility — HLA typing, crossmatching, serology

TIMELINE

Created4/6/2026
Submitted3/31/2026
Approved4/1/2026
Paid4/3/2026
Organ Typekidney
Case IDDC-2026-0412

LINE ITEMS

DESCRIPTIONQTYUNIT PRICEAMOUNT
HLA typing (Class I & II)2$1,200.00$2,400.00
Flow cytometry crossmatch2$800.00$1,600.00
Viral serology panel1$800.00$800.00