36C25818Q0069-00002002.pdf

36C25818Q0069

B.3 PRICE SCHEDULE

The guaranteed minimum award amount for this contract is $ 75.00. The maximum aggregate value of orders that can be placed under this contract is $3,000,000.00. The Government does not guarantee that it will place any orders under this contract in excess of the guaranteed minimum award amount.

ITEM INFORMATION

CLIN DESCRIPTION OF SUPPLIES/SERVICES

UNIT

PRICE

ESTIMATED

SUB TOTAL FOR

ALL SUB CLINS:

0001 Teleradiology Services for the Southern Arizona VA Health Care System in accordance with the performance work statement for the interpretation of the following Modalities:

Contract Period: Base POP Begin: 10-01-2018 POP End: 09-30-2019

0001AA General Radiographic Procedure (Plain Film X-ray);

Emergent and Non-emergent

0001AB Computed Tomography (CT)/Computerized Axial Tomography (CAT Scan); Emergent and Non-emergent

0001AC Magnetic Resonance Imaging (MRI)/Magnetic Resonance Angiography (MRA); Emergent and Non-emergent

0001AD Nuclear Medicine (NM); Emergent and Non-emergent _________

0001AE Ultrasound Imagining; Emergent and Non-emergent _________

1001 Teleradiology Services for the Southern Arizona VA Health Care System in accordance with the performance work statement for the interpretation of the following Modalities:

Contract Period: Option 1 POP Begin: 10-01-2019 POP End: 09-30-2020

1001AA General Radiographic Procedure (Plain Film X-ray);

Emergent and Non-emergent

1001AB Computed Tomography (CT)/Computerized Axial Tomography (CAT Scan); Emergent and Non-emergent

1001AC Magnetic Resonance Imaging (MRI)/Magnetic Resonance Angiography (MRA); Emergent and Non-emergent

1001AD Nuclear Medicine (NM); Emergent and Non-emergent _________

1001AE Ultrasound Imagining; Emergent and Non-emergent _________

CLIN DESCRIPTION OF SUPPLIES/SERVICES

UNIT

PRICE

ESTIMATED

SUB TOTAL FOR

ALL SUB CLINS:

2001 Teleradiology Services for the Southern Arizona VA Health Care System in accordance with the performance work statement for the interpretation of the following Modalities:

Contract Period: Option 2 POP Begin: 10-01-2020 POP End: 09-30-2021

2001AA General Radiographic Procedure (Plain Film X-ray);

Emergent and Non-emergent

2001AB Computed Tomography (CT)/Computerized Axial Tomography (CAT Scan); Emergent and Non-emergent

2001AC Magnetic Resonance Imaging (MRI)/Magnetic Resonance Angiography (MRA); Emergent and Non-emergent

2001AD Nuclear Medicine (NM); Emergent and Non-emergent _________

2001AE Ultrasound Imagining; Emergent and Non-emergent _________

3001 Teleradiology Services for the Southern Arizona VA Health Care System in accordance with the performance work statement for the interpretation of the following Modalities:

Contract Period: Option 3 POP Begin: 10-01-2021 POP End: 09-30-2022

3001AA General Radiographic Procedure (Plain Film X-ray);

Emergent and Non-emergent

3001AB Computed Tomography (CT)/Computerized Axial Tomography (CAT Scan); Emergent and Non-emergent

3001AC Magnetic Resonance Imaging (MRI)/Magnetic Resonance Angiography (MRA); Emergent and Non-emergent

3001AD Nuclear Medicine (NM); Emergent and Non-emergent _________

3001AE Ultrasound Imagining; Emergent and Non-emergent _________

CLIN DESCRIPTION OF SUPPLIES/SERVICES

UNIT

PRICE

ESTIMATED

SUB TOTAL FOR

ALL SUB CLINS:

4001 Teleradiology Services for the Southern Arizona VA Health Care System in accordance with the performance work statement for the interpretation of the following Modalities:

Contract Period: Option 4 POP Begin: 10-01-2022 POP End: 09-30-2023

4001AA General Radiographic Procedure (Plain Film X-ray);

Emergent and Non-emergent

4001AB Computed Tomography (CT)/Computerized Axial Tomography (CAT Scan); Emergent and Non-emergent

4001AC Magnetic Resonance Imaging (MRI)/Magnetic Resonance Angiography (MRA); Emergent and Non-emergent

4001AD Nuclear Medicine (NM); Emergent and Non-emergent _________

4001AE Ultrasound Imagining; Emergent and Non-emergent _________

GRAND

TOTAL