Pricing Schedule.pdf

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Sources Sought Notice Kayenta Health Center Laboratory - Newborn Screening Test
Solicitation number
KHC-SD-SS-2023-0030
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IHS IEE Representation Form.pdf PDF

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Text version

Line Item Total Line Items

1 $

2 $

3 $

4 $

Signature:

Vendors Point of Contact Date

UEI#:

Kayenta Health Center Laboratory ‐ Newborn Screening Fees

Pricing Schedule for Services ‐ FY 2023

Total =

Second Option Year Service Agreement (Jan. 1, 2025 through Dec. 31, 2025)

Third Option Year Services Agreement (Jan. 1, 2026 through Dec. 31, 2026)

Description

Base Year: Newborn Screen, Colorado (includes MS/MS), Newborn Screen, Non‐Colorado First Screen (includes MS/MS), Newborn Screen, Non‐Colorado Second Screen (no MS/MS), Newborn Metabolic Screen Wyoming/Non‐Colorado First/Second Screen (includes MS/MS) and not does include courier costs nor linkage to specialty to specialty consultations. (Date of Award through December 31, 2023)

First Option Year Service Agreement (Jan. 1, 2024 through Dec. 31, 2024)

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