SPB0005_Attachment_1_-_Rate_Card.pdf

This document is a COVID-19 Testing Pricing Sheet template that appears to be part of a state or local contract vehicle for testing services. The document is formatted as a DocuSign envelope but does not identify specific states, agencies, or company names, as it appears to be a blank template form waiting to be completed by contracting parties.

The pricing structure covers three testing models across five geographic regions: Model A (Diagnostic Testing), Model B (Screening Testing), and Model C (Outbreak Testing). Services include telehealth and on-site options, routine and event-based testing, and laboratory diagnostic services with both lab-based (24-hour turnaround) and point-of-care testing capabilities. The template shows pricing for Region 1 only, with hourly fees of $25.00 and site fees of $20.00 across all service categories, while Regions 2-5 remain blank for completion. The document includes sections for additional services not specifically listed in the standard pricing structure, with options for detailed descriptions or attachments to specify supplementary offerings within the contract scope.