Accelerated Attachment 1 - Rate Card.pdf

COVID-19 Testing and Analysis Rate Card, 505505-W22-SPB0005-00

Defenitions Lab based - testing done at the lab Point of Care - bedside testing, any diagnostic test that isn't done in the lab. Testing performed as close as possible to the patient. Bed-side testing, near-patient testing, remote testing, mobile testing, rapid diagnostics Diagnostic testing - used to help diagnose a disease or condition.

Trip Fee - for each testing event and location that occurs at a school facility or event.

Community Testing -

Instructions For specimen collection, identify the hourly staff rate and site fees for each testing model in each geographic region where specimen collection and/or testing services are available for Agencies/Campuses. If services are not available for the model and/or region, leave that field blank.

Details and definitions of these testing models are available in Statement of work (SOW) SPB0005 / Addendums / Attachments. For Diagnostic Testing, identify the price per test by test type.

Turn Around Time - Lab-based tests should have a 24 hour turnaround time from collection to result, or or as agreed between Contractor and End User.

Additional Services - any services being offered not specifically mentioned on the pricing sheet but are within the scope of work may be detailed here. If using an attachment to detail additional services use "See Attachement X" Region Map Tab - This is to define the regions referenced on the Pricing Sheet

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Region Model A: Diagnostic Testing Model B: Screening Testing Model C: Outbreak Testing Laboratory Diagnostic Testing Services (See Region Map A1: Telehealth A2: On Site B1: Routine B2: Event/Activity Small scale Large scale Lab-based (24 hours, collect to result) Point of Care (Antigen) * Influenza A, B & RSV by PCR

Tab) Hourly Fee Site Fee Hourly Fee Site Fee Hourly Fee Site Fee Hourly Fee Site Fee Hourly fee Site fee Hourly fee Site fee Standard-COVID PCR At Home ** Standard At Home ** Standard At Home ** Region 1 $99.00 N/A $150.00 N/A $150.00 N/A $150.00 N/A $225.00 N/A $225.00 N/A $100.00 $100.00 $35.00 $35.00 $100.00 $100.00 Region 2 $99.00 N/A $150.00 N/A $150.00 N/A $150.00 N/A $225.00 N/A $225.00 N/A $100.00 $100.00 $35.00 $35.00 $100.00 $100.00 Region 3 $99.00 N/A $150.00 N/A $150.00 N/A $150.00 N/A $225.00 N/A $225.00 N/A $100.00 $100.00 $35.00 $35.00 $100.00 $100.00 Region 4 $99.00 N/A $150.00 N/A $150.00 N/A $150.00 N/A $225.00 N/A $225.00 N/A $100.00 $100.00 $35.00 $35.00 $100.00 $100.00 Region 5 $99.00 N/A $150.00 N/A $150.00 N/A $150.00 N/A $225.00 N/A $225.00 N/A $100.00 $100.00 $35.00 $35.00 $100.00 $100.00

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*Any services being offered not specifically mentioned on the pricing sheet but are within the scope of work may be detailed here. If using an attachment to detail additional services use "See Attachement X"

2. There may be additional fees to provide climate controlled tenting and/or facility space as temperatures drop through fall and winter. State of WI and/or counties may need to provide facility space for K-12 and Commuity testing.

1. Turn Around Time - Lab-based tests should have a 24 hour turnaround time from Accessioning at lab to result, or or as agreed between Contractor and End User.

COVID-19 Testing Pricing Sheet

Additional Services

ACL maintains a courier network that covers approximately 90% of the State of Wisconsin. In order to expedite delivery, ACL will utilize our transportation and hub network for K-12 samples and Community Site samples. This will minimize sample handling through a middleman.

Base charge is total miles driven from nearest ACL hub location to pick up site and back to nearest AA hub location at rate of $1/mile. Line Haul Charge is total miles from ACL hub location to lab drop off location at rate of $1/mile. All line haul and base charges are subject to a minimum $50 charge for service. Hub locations include Eau Claire, La Crosse, Madison, Milwaukee, Neenah, Platteville, Portage, Prarie du Chien, Rhinelander, Wausau, Wauwatosa.

* - Point of Care (Antigen) tests will be $35 each for kits provided by State of WI. Point of Care (Antigen) tests will be $40 each for kits provided by ACL.

** - At Home testing will require reimbursements for actual shipping costs plus 25% to cover supplies and handling subject to a minimum $40 charge.

Date: September 28, 2021 Company Name: Accelerated Clinical Laboratories LLC (ACL)

ACL will apply quality control procedures related to the Antigen rapid test kits at a rate of $75 per each kit

Shipping costs to K-12 schools will require reimbursements for actual shipping costs plus 25% to cover supplies and handling subject to a minimum $40 charge.

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Ashland Adams Brown Columbia Kenosha Barron Buffalo Calumet Dane Milwaukee Bayfield Chippewa Door Dodge Ozaukee Burnett Clark Fond du Lac Green Racine Douglas Crawford Green Lake Grant Sheboygan Iron Dunn Kewaunee Iowa Walworth Polk Eau Claire Manitowoc Jefferson Washington Price Jackson Marinette Lafayette Waukesha Rusk Juneau Marquette Richland Sawyer La Crosse Menominee Rock Taylor Marathon Oconto Sauk Washburn Monroe Outagamie Florence Pepin Shawano Forest Pierce Waupaca Langlade Portage Waushara Lincoln St. Croix Winnebago Oneida Trempealeau Vilas Vernon

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Region 1 Region 2 Region 3 Region 4 Region 4

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