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{"sheet":"Introduction","index":0,"n_rows":16,"n_cols":2,"rows_kept":16,"cut":false,"hidden":false,"merged":[]}
[]
[null,"Point of Care (POC) Testing of International Normalized Ratio (INR) for Patients on Oral Anticoagulation Therapy"]
[]
[null,"POC INR Costing Tool"]
[]
[null,"CADTH undertook an assessment and issued optimal use recommendations on point of care (POC) technologies for measuring the international normalized ratio (INR) in patients receiving anticoagulation therapy with warfarin:"]
[null,"http://www.cadth.ca/en/products/optimal-use/poc-inr"]
[]
[null,"Three POC INR testing strategies were compared with laboratory testing:"]
[null,"Patient self-management (PSM), in which the patient self-tests the INR using a POC device, and also self-adjusts the dose of the anticoagulant medication based on the results using a predetermined algorithm or protocol"]
[null,"Patient self-testing (PST), in which the patient self-tests the INR using a POC device and a clinician adjusts the dose of anticoagulant medication based on the results"]
[null,"Clinic-based POC INR testing, in which POC testing is performed in a clinical setting such as a physician’s office or anticoagulation clinic."]
[]
[null,"POC INR technologies were found to be accurate compared with laboratory testing. PSM was clinically effective and cost-effective compared with laboratory testing, and was recommended for patients willing and able to perform self-management. For patients who are not willing or able to manage their own dose adjustments, PST was recommended as an option only if there are significant barriers to accessing lab services. POC INR testing in a clinic was found to be potentially more costly than lab testing; however, this may vary depending on the setting."]
[]
[null,"CADTH has developed the POC INR costing tool to assist decision-makers considering the implementation of POC INR technology. It facilitates estimation of the total costs associated with implementing PSM, PST, or clinic-based POC INR testing by allowing users to enter setting-specific information regarding caseload, practice patterns, and costs. It should be noted that the tool only accounts for costs related to the provision of testing and associated clinical care for each strategy; costs related to downstream clinical consequences are not considered."]

{"sheet":"Tool","index":1,"n_rows":72,"n_cols":17,"rows_kept":72,"cut":false,"hidden":false,"merged":[[55,1,72,1],[70,2,72,2],[25,2,26,2],[28,2,29,2],[3,1,30,1],[36,2,37,2],[39,2,40,2],[42,2,43,2],[4,2,5,2],[7,2,8,2],[10,2,11,2],[13,2,14,2],[22,2,23,2],[33,2,34,2],[45,2,46,2],[32,1,48,1],[50,1,53,2],[16,2,17,2],[19,2,20,2],[0,10,1,10],[2,1,2,2],[0,1,1,2],[0,4,1,4],[0,6,1,6],[0,8,1,8]]}
[null,"Strategy",null,null,"Lab",null,"PSM",null,"PST",null,"Clinic-Based POC",null,null,null,null,"POC","Point of Care "]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"PSM","Patient Self-Management"]
[null,"Number of Patients Served (Per Year)",null,null,1,null,1,null,1,null,1,null,null,null,null,"PST","Patient Self-Testing"]
[null,"Costs"]
[null,null,"Per-Test Fixed Costs",null,null,null,null,null,null,null,null,null,1]
[]
[]
[null,null,"Per-Test Variable Costs",null,null,null,null,null,null,null,null,null,2]
[]
[]
[null,null,"POC Device Costs",null,null,null,null,null,null,null,null,null,3]
[]
[]
[null,null,"Unit Cost of Lancets",null,null,null,null,null,null,null,null,null,4]
[]
[]
[null,null,"Unit Cost of Strips ",null,null,null,null,null,null,null,null,null,5]
[]
[]
[null,null,"Nursing Cost (Per Hour)",null,null,null,null,null,null,null,null,null,13]
[]
[]
[null,null,"Primary Care Physician Cost (Per Visit)",null,null,null,null,null,null,null,null,null,7]
[]
[]
[null,null,"Specialist Cost (Per Visit)",null,null,null,null,null,null,null,null,null,8]
[]
[]
[null,null," Anticoagulation Clinic Cost (Per Consultation)"]
[]
[]
[]
[null,"Patterns of Care "]
[null,null,"Duration of One-Time Patient Training by Nurses",null,null,null,null,null,null,null,null,null,14]
[]
[]
[null,null,"Annual Number of Primary Care Physician Visits (Per Patient)"]
[]
[]
[null,null,"Annual Number of Specialist Visits (Per Patient)"]
[]
[]
[null,null,"Annual Number of Anticoagulation Clinic Visits (Per Patient)"]
[]
[]
[null,null,"Nursing Time (Per Visit)"]
[]
[]
[]
[]
[null,"Annual Number of INR Tests (Per Patient)"]
[null,null,null,null,null,null,null,null,null,null,null,null,10]
[]
[]
[]
[null,"Results of Cost Analysis"]
[null,null,"Equipment",null,{"$f":"Engine!E25","v":1},null,{"$f":"Engine!E36","v":99.8},null,{"$f":"Engine!E48","v":99.8},null,{"$f":"Engine!E60","v":411.2}]
[]
[null,null,"Testing",null,{"$f":"Engine!E26","v":12},null,{"$f":"Engine!E37","v":50.94},null,{"$f":"Engine!E49","v":50.94},null,{"$f":"Engine!E61","v":51.36}]
[]
[null,null,"One-Time Training",null,{"$f":"Engine!K30","v":0},null,{"$f":"Engine!E38","v":9.875},null,{"$f":"Engine!E50","v":9.875},null,{"$f":"Engine!E62","v":0}]
[]
[null,null,"Nursing Time",null,{"$f":"Engine!E27","v":237},null,{"$f":"Engine!E39","v":237},null,{"$f":"Engine!E51","v":237},null,{"$f":"Engine!E63","v":237}]
[]
[null,null,"Primary Care Physicians",null,{"$f":"Engine!E28","v":203.39999999999998},null,{"$f":"Engine!E40","v":203.39999999999998},null,{"$f":"Engine!E52","v":203.39999999999998},null,{"$f":"Engine!E64","v":203.39999999999998}]
[]
[null,null,"Specialists",null,{"$f":"Engine!E29","v":253.07999999999998},null,{"$f":"Engine!E41","v":253.07999999999998},null,{"$f":"Engine!E53","v":253.07999999999998},null,{"$f":"Engine!E65","v":253.07999999999998}]
[]
[null,null,"Anticoagulation Clinic",null,{"$f":"Engine!E30","v":36},null,{"$f":"Engine!E42","v":36},null,{"$f":"Engine!E54","v":36},null,{"$f":"Engine!E66","v":36}]
[]
[null,null,"Total Costs (Annual)"]
[null,null,null,null,{"$f":"Engine!E31","v":742.48},null,{"$f":"Engine!E44","v":890.09500000000003},null,{"$f":"Engine!E56","v":890.09500000000003},null,{"$f":"Engine!E68","v":1192.04}]

{"sheet":"Tool Notes","index":2,"n_rows":15,"n_cols":2,"rows_kept":15,"cut":false,"hidden":false,"merged":[]}
[]
[null,"Point of Care (POC) Testing of International Normalized Ratio (INR) for Patients on Oral Anticoagulation Therapy"]
[]
[null,"POC INR Costing Tool"]
[]
[null,"Tool Notes"]
["•","Default values for costs and other inputs in the tool were obtained from CADTH’s economic analysis of POC INR, which used published resources to estimate costs supplemented with expert opinion. Selecting \"Enter value\" in the drop-down windows allows the user to enter setting-specific costs and other inputs. Only numerical values are accepted in these cells."]
["•","To compare total costs between two or more strategies, the number of patients entered should be equal."]
["•","The tool assumes that only one strip and one lancet is needed for each INR test performed on a POC device (i.e., there are no wasted supplies)."]
["•","The \"Per-Test Fixed Costs\" field under the \"Lab\" column represents the total fixed costs associated with lab testing of INR (e.g., capital cost of equipment, utilities, maintenance, etc.) expressed on a per-test basis. The default value is based on expert opinion. "]
["•","The \"Per-Test Variable Costs\" field under the \"Lab\" column represents the total variable costs incurred by the laboratory per INR test (e.g., staff time, reagents, etc.). The default value is based on expert opinion. Alternatively, the cost per test billed to the payer may be entered here, if appropriate."]
["•","For the \"Clinic-Based POC\" strategy, the tool assumes that one professional-grade device will be used by the entered number of patients. If it is expected that more than one device will be required for the anticipated caseload, please enter the total cost of the planned number of devices. "]
["•","\"Patterns of Care\" captures the annual number and types of health care visits (primary care physician, specialist, anticoagulation clinic) and nursing time per visit expected for an average patient managed by each of the INR testing strategies. There is also a field to capture the length of one-time patient training by a nurse for patients performing PSM or PST."]
["•","POC devices are assumed to have a useful life of five years. Similarly, one-time patient training by nurses is assumed to be required every five years. Hence, the acquisition cost of POC devices and patient training costs are divided by five in the estimation of total annual costs. "]
["•","Costs associated with POC device maintenance, training, and accreditation are not included in the tool. "]

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[null,null,null,null,null,null,"Lab","PSM","PST","Clinic",null,1,6,null,"Frequency"]
[null,null,null,"Lab equipment cost per patient",null,2,2,null,null,null,null,2,12]
["Cost of POC device",499,null,"Lab testing cost per patient",null,3,2,null,null,null,null,3,26]
[null,"Enter value",null,"cost of POC device",null,4,null,1,1,1,null,4,52]
[null,null,null,"cost of POC lancets",null,5,null,1,1,1]
["Cost of Professional Grade POC Device",2056,null,"cost of POC strips",null,6,null,1,1,1,null,1,75,null,"Duration of nursing 1-time training"]
[null,"Enter value",null,"VOID",null,null,null,null,null,null,null,2,150]
[null,null,null,"Cost per visit to physician",null,8,2,2,2,2]
["Cost of Patient-Grade Lancet",0.16,null,"cost per visit to specialist",null,9,2,2,2,2,null,1,0,null,"Cost of nursing time per hour"]
[null,"Enter value",null,"cost per visit to anticoagulation clinic",null,10,2,2,2,2,null,2,39.5]
[null,null,null,"Frequency of testing",null,11,1,1,1,1]
["Cost of Patient-Grade Strip",8.33,null,"duration of 1 time training by nurses",null,12,null,1,1,null,null,1,15,null,"Duration of nursing time"]
[null,"Enter value",null,"duration of nursing time per visit",null,13,1,1,1,1]
[null,null,null,"cost of nursing time (per hour)",null,14,2,2,2,2,null,1,0,null,"Cost of visit to physician"]
["Cost of Professional-Grade Lancet",0.23,null,"number of physician visits annually",null,15,2,2,2,2,null,2,16.95]
[null,"Enter value",null,"number of specialist visits annually",null,16,1,1,1,1]
[null,null,null,"number of anticoagulation visits annually",null,17,1,1,1,1,null,1,0,null,"Cost of visit to specialist"]
["Cost of Professional-Grade Strip",8.33,null,null,null,null,null,null,null,null,null,2,42.18]
[null,"Enter value"]
[null,null,null,null,null,null,null,null,null,null,null,1,0,null,"Cost of consult from anticoagulation"]
["One-time training ",0,null,"Calculations",null,null,null,null,null,null,null,2,6]
[null,39.5]
[null,"Enter value",null,"Lab",null,null,null,null,null,null,null,1,0]
[null,null,null,null,null,null,"# Patients",{"$f":"Tool!E3","v":1},null,"Nursing time (min)",{"$f":"Tool!E47","v":0},2,1,null,"Cost of lab equipment per patient"]
["Cost of Visit to Physician",0,null,"Equipment",{"$f":"H24*IF(G2=3,H26,VLOOKUP(G2,L23:M24,2,FALSE))","v":1},null,null,null,null,"# of physician visits",{"$f":"Tool!E38","v":0}]
[null,16.95,null,"Testing cost",{"$f":"H24*IF(G3=3,H27,VLOOKUP(G3,L26:M27,2,FALSE))*IF(G11<5,VLOOKUP(G11,L1:M4,2,FALSE),K28)","v":12},null,"equip/patient",{"$f":"Tool!E6","v":0},null,"# of specialist visits",{"$f":"Tool!E41","v":0},1,0]
[null,"Enter value",null,"Nursing Time",{"$f":"H24*((IF(G13=1,M12,K24))/60)*(IF(G14=3,H31,VLOOKUP(G14,L9:M10,2,FALSE)))*K29","v":237},null,"lab cost",{"$f":"Tool!E9","v":0},null,"# anticoagulation vists",{"$f":"Tool!E44","v":0},2,2,null,"cost per lab test per patient"]
[null,null,null,"Physician costs",{"$f":"H24*IF(G8=3,H29,VLOOKUP(G8,L14:M15,2,FALSE))*IF(G15<5,VLOOKUP(G15,L1:M4,2,FALSE),K25)","v":203.39999999999998},null,"Visit to specialist",{"$f":"Tool!E27","v":0},null,"Frequency of testing",{"$f":"Tool!E53","v":0}]
["Cost of Visit to Specialist ",0,null,"specialist costs",{"$f":"$H$24*IF($G$9=3,$H$28,VLOOKUP($G$9,$L$17:$M$18,2,FALSE))*IF($G$16<5,VLOOKUP($G$16,$L$1:$M$4,2,FALSE),$K$26)","v":253.07999999999998},null,"Visit to physician",{"$f":"Tool!E24","v":0},null,"# of nursing visits",{"$f":"(IF($G$15=5,$K$25,VLOOKUP($G$15,$L$1:$M$4,2,FALSE)))+(IF($G$16=5,$K$26,VLOOKUP($G$16,$L$1:$M$4,2,FALSE)))+(IF($G$17=5,$K$27,VLOOKUP($G$17,$L$1:$M$4,2,FALSE)))","v":24}]
[null,42.18,null,"Anticoagulation costs",{"$f":"$H$24*IF($G$10=3,$H$30,VLOOKUP($G$10,$L$20:$M$21,2,FALSE))*IF($G$17<5,VLOOKUP($G$17,$L$1:$M$4,2,FALSE),$K$27)","v":36},null,"Visit to anticoagulation ",{"$f":"Tool!E30","v":0}]
[null,"Enter value",null,"Total",{"$f":"SUM(E25:E30)","v":742.48},null,"Nursing Cost ($)",{"$f":"Tool!E21","v":0}]
[]
["Cost of consult from Anticoagulation Clinic",0]
[null,6,null,"PSM",null,null,"# Patients",{"$f":"Tool!G3","v":1}]
[null,"Enter value"]
[null,null,null,"Equipment",{"$f":"($H$34*IF($H$4=1,$B$3,$H$36))/5","v":99.8},null,"POC Device",{"$f":"Tool!$G$12","v":0},null,"1 time training (min)",{"$f":"Tool!$G$35","v":0}]
["Cost per Lab test",0,null,"Testing cost",{"$f":"$H$34*(IF($H$5=1,$B$9,$H$37)+IF($H$6=1,$B$12,$H$38))*IF($H$11<5,VLOOKUP($H$11,$L$1:$M$4,2,FALSE),$K$41)","v":50.94},null,"Lancets",{"$f":"Tool!$G$15","v":0},null,"Nursing time (min/visit)",{"$f":"Tool!$G$47","v":0}]
[null,2,null,"1 time training",{"$f":"($H$34*(IF($H$12=3,$K$36,VLOOKUP($H$12,$L$6:$M$7,2,FALSE))/60)*IF($H$14=3,$H$42,VLOOKUP($H$14,$L$9:$M$10,2,FALSE)))/5","v":9.875},null,"Strips",{"$f":"Tool!$G$18","v":0},null,"# of Physician visits",{"$f":"Tool!$G$38","v":0}]
[null,"Enter value",null,"Nursing time",{"$f":"$H$34*K42*((IF($H$13=2,$K$37,$M$12))/60)*IF($H$14=3,$H$42,VLOOKUP($H$14,$L$9:$M$10,2,FALSE))","v":237},null,"Visit to Spec",{"$f":"Tool!$G$27","v":0},null,"# of specialist visits",{"$f":"Tool!$G$41","v":0}]
[null,null,null,"Physician Costs",{"$f":"$H$34*IF($H$8=3,$H$40,VLOOKUP($H$8,$L$14:$M$15,2,FALSE))*IF($H$15<5,VLOOKUP($H$15,$L$1:$M$4,2,FALSE),$K$38)","v":203.39999999999998},null,"Visit to Physician",{"$f":"Tool!$G$24","v":0},null,"#anticogulation clinic visits",{"$f":"Tool!$G$44","v":0}]
["Frequency of Testing (Annually)",6,null,"Specialist Costs",{"$f":"$H$34*IF($H$9=3,$H$39,VLOOKUP($H$9,$L$17:$M$18,2,FALSE))*IF($H$16<5,VLOOKUP($H$16,$L$1:$M$4,2,FALSE),$K$39)","v":253.07999999999998},null,"Visit to Anticoagulation",{"$f":"Tool!$G$30","v":0},null,"Frequency of Testing",{"$f":"Tool!$G$53","v":0}]
[null,12,null,"Anticoagulation Costs",{"$f":"$H$34*IF($H$10=3,$H$41,VLOOKUP($H$10,$L$20:$M$21,2,FALSE))*IF($H$17<5,VLOOKUP($H$17,$L$1:$M$4,2,FALSE),$K$40)","v":36},null,"Nursing cost ($/hour)",{"$f":"Tool!$G$21","v":0},null,"# of nursing visits",{"$f":"(IF($H$15=5,$K$38,VLOOKUP($H$15,$L$1:$M$4,2,FALSE)))+(IF($H$16=5,$K$39,VLOOKUP($H$16,$L$1:$M$4,2,FALSE)))+(IF($H$17=5,$K$40,VLOOKUP($H$17,$L$1:$M$4,2,FALSE)))","v":24}]
[null,26]
[null,52,null,"Total",{"$f":"SUM($E$36:$E$42)","v":890.09500000000003}]
[null,"Enter value"]
[null,null,null,"PST",null,null,"# Patients",{"$f":"Tool!I3","v":1}]
["Duration of One-time Training by Nurses for POC (minutes)","75 minutes"]
[null,"150 minutes",null,"Equipment",{"$f":"($H$46*IF($I$4=1,$B$3,$H$48))/5","v":99.8},null,"POC Device",{"$f":"Tool!$I$12","v":0},null,"1 time training (min)",{"$f":"Tool!$I$35","v":0}]
[null,"Enter value",null,"Testing cost",{"$f":"$H$46*(IF($I$5=1,$B$9,$H$49)+IF($I$6=1,$B$12,$H$50))*IF($I$11<5,VLOOKUP($I$11,$L$1:$M$4,2,FALSE),$K$53)","v":50.94},null,"Lancets",{"$f":"Tool!$I$15","v":0},null,"Nursing time (min/visit)",{"$f":"Tool!$I$47","v":0}]
[null,null,null,"1 time training",{"$f":"($H$46*(IF($I$12=3,$K$48,VLOOKUP($I$12,$L$6:$M$7,2,FALSE))/60)*IF($I$14=3,$H$54,VLOOKUP($I$14,$L$9:$M$10,2,FALSE)))/5","v":9.875},null,"Strips",{"$f":"Tool!$I$18","v":0},null,"# of Physician visits",{"$f":"Tool!$I$38","v":0}]
["Duration of Nursing Time during visits (minutes)","15 minutes",null,"Nursing time",{"$f":"$H$46*$K$54*((IF($I$13=2,$K$49,$M$12))/60)*IF($I$14=3,$H$54,VLOOKUP($I$14,$L$9:$M$10,2,FALSE))","v":237},null,"Visit to Spec",{"$f":"Tool!$I$27","v":0},null,"# of specialist visits",{"$f":"Tool!$I$41","v":0}]
[null,"Enter value",null,"Physician Costs",{"$f":"$H$46*IF($I$8=3,$H$52,VLOOKUP($I$8,$L$14:$M$15,2,FALSE))*IF($I$15<5,VLOOKUP($I$15,$L$1:$M$4,2,FALSE),$K$50)","v":203.39999999999998},null,"Visit to Physician",{"$f":"Tool!$I$24","v":0},null,"#anticogulation clinic visits",{"$f":"Tool!$I$44","v":0}]
[null,null,null,"Specialist Costs",{"$f":"$H$46*IF($I$9=3,$H$51,VLOOKUP($I$9,$L$17:$M$18,2,FALSE))*IF($I$16<5,VLOOKUP($I$16,$L$1:$M$4,2,FALSE),$K$51)","v":253.07999999999998},null,"Visit to Anticoagulation",{"$f":"Tool!$I$30","v":0},null,"Frequency of Testing",{"$f":"Tool!$I$53","v":0}]
["Cost of lab Equipment per patient",0,null,"Anticoagulation Costs",{"$f":"$H$46*IF($I$10=3,$H$53,VLOOKUP($I$10,$L$20:$M$21,2,FALSE))*IF($I$17<5,VLOOKUP($I$17,$L$1:$M$4,2,FALSE),$K$52)","v":36},null,"Nursing cost ($/hour)",{"$f":"Tool!$I$21","v":0},null,"# of nursing visits",{"$f":"(IF($I$15=5,$K$50,VLOOKUP($I$15,$L$1:$M$4,2,FALSE)))+(IF($I$16=5,$K$51,VLOOKUP($I$16,$L$1:$M$4,2,FALSE)))+(IF($I$17=5,$K$52,VLOOKUP($I$17,$L$1:$M$4,2,FALSE)))","v":24}]
[null,1]
[null,"Enter value",null,"Total",{"$f":"SUM($E$48:$E$54)","v":890.09500000000003}]
[]
["Cost of nursing time per visit",0,null,"POC Clinic",null,null,"# Patients",{"$f":"Tool!K3","v":1}]
[null,39.5]
[null,"Enter value",null,"Equipment",{"$f":"(IF($J$4=1,$B$6/$H$58,$H$60/$H$58))/5","v":411.2},null,"POC Device",{"$f":"Tool!$K$12","v":0},null,"1 time training (min)"]
[null,null,null,"Testing cost",{"$f":"$H$58*(IF($J$5=1,$B$15,$H$61)+IF($J$6=1,$B$18,$H$62))*IF($J$11<5,VLOOKUP($J$11,$L$1:$M$4,2,FALSE),$K$65)","v":51.36},null,"Lancets",{"$f":"Tool!$K$15","v":0},null,"Nursing time (min/visit)",{"$f":"Tool!$K$47","v":0}]
["Number of visits",6,null,"1 time training",0,null,"Strips",{"$f":"Tool!$K$18","v":0},null,"# of Physician visits",{"$f":"Tool!$K$38","v":0}]
[null,12,null,"Nursing time",{"$f":"$H$58*$K$66*((IF($J$13=2,$K$61,$M$12))/60)*IF($J$14=3,$H$66,VLOOKUP($J$14,$L$9:$M$10,2,FALSE))","v":237},null,"Visit to Spec",{"$f":"Tool!$K$27","v":0},null,"# of specialist visits",{"$f":"Tool!$K$41","v":0}]
[null,26,null,"Physician Costs",{"$f":"$H$58*IF($J$8=3,$H$64,VLOOKUP($J$8,$L$14:$M$15,2,FALSE))*IF($J$15<5,VLOOKUP($J$15,$L$1:$M$4,2,FALSE),$K$62)","v":203.39999999999998},null,"Visit to Physician",{"$f":"Tool!$K$24","v":0},null,"#anticogulation clinic visits",{"$f":"Tool!$K$44","v":0}]
[null,52,null,"Specialist Costs",{"$f":"$H$58*IF($J$9=3,$H$63,VLOOKUP($J$9,$L$17:$M$18,2,FALSE))*IF($J$16<5,VLOOKUP($J$16,$L$1:$M$4,2,FALSE),$K$63)","v":253.07999999999998},null,"Visit to Anticoagulation",{"$f":"Tool!$K$30","v":0},null,"Frequency of Testing",{"$f":"Tool!$K$53","v":0}]
[null,"Enter value",null,"Anticoagulation Costs",{"$f":"$H$58*IF($J$10=3,$H$65,VLOOKUP($J$10,$L$20:$M$21,2,FALSE))*IF($J$17<5,VLOOKUP($J$17,$L$1:$M$4,2,FALSE),$K$64)","v":36},null,"Nursing cost ($/hour)",{"$f":"Tool!$K$21","v":0},null,"# of nursing visits",{"$f":"(IF($J$15=5,$K$62,VLOOKUP($J$15,$L$1:$M$4,2,FALSE)))+(IF($J$16=5,$K$63,VLOOKUP($J$16,$L$1:$M$4,2,FALSE)))+(IF($J$17=5,$K$64,VLOOKUP($J$17,$L$1:$M$4,2,FALSE)))","v":24}]
[]
[null,null,null,"Total",{"$f":"SUM($E$60:$E$66)","v":1192.04}]