MAKO SOW SPB0005 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

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 At Home Pooled Standard At Home Region 1 $40.00 per employee $40.00 per employee $60.00 per employee $40.00 per employee $60.00 per employee $100.00 $100.00 Supplied by State Region 2 $40.00 per employee $40.00 per employee $60.00 per employee $40.00 per employee $60.00 per employee $100.00 $100.00 Supplied by State Region 3 $40.00 per employee $40.00 per employee $60.00 per employee $40.00 per employee $60.00 per employee $100.00 $100.00 Supplied by State Region 4 $40.00 per employee $40.00 per employee $60.00 per employee $40.00 per employee $60.00 per employee $100.00 $100.00 Supplied by State Region 5 $40.00 per employee $40.00 per employee $60.00 per employee $40.00 per employee $60.00 per employee $100.00 $100.00 Supplied by State

> Service:

> Service:

> Service:

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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"

COVID-19 Testing Pricing Sheet

Additional Services

If no collection support is needed the only cost is the Diagnsotic testing services. The cost includes the swabs, transport, shipping, testing, and reporting

Mako can support with mass testing events if needed

Company Name:

Date:

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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

Wood

Region 1 Region 2 Region 3 Region 4 Region 4

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