CTR076512_Pricing.pdf

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Attached to
AZ|CTR076512
Contract number
CTR076512
Issued by
Arizona

About this file

This document is a Price Sheet for a Fixed Price Contract, identified by Contract No. CTR076512. The document appears to be related to a healthcare or medical service contract, specifically involving neonatal consultation and case management activities.

The contract establishes a rate of $100.00 per call for Neonatal Consultation and Case Management Activities, based on AHCCS Fee Code 99205 for a Non-Facility Rate. The total annual contract value is not to exceed $50,000.00. The pricing structure is fixed, with a clear per-call rate and an annual maximum expenditure limit, suggesting this is a potentially renewable or ongoing service agreement for specialized medical consultation services.

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