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LINE ITEM NUMBER
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COMMODITY TYPE
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STATE TERM CONTRACT ID
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AGENCY SOLICITATION NUMBER
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Quantity |
Unit Price |
Total Unit Price |
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1
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X ray laboratory services
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3535.0000
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$1.0000
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$3,535.00
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| Blanket Purchase Order (BPO) To purchase the TC portion of a Diagnostic X-ray service for FDOH-Escambias eligible TB clients on an as needed basis. No single invoice charged against this Purchase Orde... |
| Line Item Description: Blanket Purchase Order (BPO) To purchase the TC portion of a Diagnostic X-ray service for FDOH-Escambias eligible TB clients on an as needed basis. No single invoice charged against this Purchase Order shall exceed $2,499. Technical Component AKA TC is the 1st of 2 Portions of the required diagnostic X-Ray service package (Only Portion 1 shall be PROVIDED for on this PO). Vendor shall X-ray referred clients and save images according to this PO agreement. (Portion #2 aka Reading of X-Ray, HCPCS CODE 71046 shall be provided for on a separate Vendor PO). TERM: July 01, 2026 through June 30, 2027. RATE: SHALL NOT EXCEED 100% of the current Hospital Medicare Allowable Rate for the Technical Component (TC) of the X-ray service. (Rate varies quarterly: Jan, April, July and Oct.; the current fee schedule rate for date of each service shall be attached to invoice submitted for payment.) The Published RATE can be found on the Outpatient Prospective Payment System (OPPS) addendum B - HCPCS CODE 71046 X-Rays. VENDOR: the sum of the Technical Component AKA TC shall not exceed Allowable Rate AT THE TIME OF SERVICE. FDOH-Escambia Contract Manager: Patrick Shehee patrick.shehee@flhealth.gov 850-316-2809 AUTHORIZED USERS: Patrick Shehee, Lisha Smith, Sherry Worley |
| Method of Procurement: Purchase under $2,500 [Rule 60A-1.002(2), F.A.C.] |
Line Split Details:
| Split Accounting Line Number: 1 |
| FLAIR Contract ID: |
| Org. Code and Description: 64361730104 - |
| Object Code and Description: 132019 - |
| Account Code: 64-20-2-141001-64200700-17-100777-00 |
| Split Amount: $3,535.00 |
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2
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X ray laboratory services
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300.0000
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$1.0000
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$300.00
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| Blanket Purchase Order (BPO) To purchase the TC portion of a Diagnostic X-ray service for FDOH-Escambias eligible REFUGEE clients on an as needed basis. No single invoice charged against this Purchase... |
| Line Item Description: Blanket Purchase Order (BPO) To purchase the TC portion of a Diagnostic X-ray service for FDOH-Escambias eligible REFUGEE clients on an as needed basis. No single invoice charged against this Purchase Order shall exceed $2,499. Technical Component AKA TC is the 1st of 2 Portions of the required diagnostic X-Ray service package (Only Portion 1 shall be PROVIDED for on this PO). Vendor shall X-ray referred clients and save images according to this PO agreement. (Portion #2 aka Reading of X-Ray, HCPCS CODE 71046 shall be provided for on a separate vendor PO). TERM: July 01, 2026 through June 30, 2027. RATE: SHALL NOT EXCEED 100% of the current Hospital Medicare Allowable Rate for the Technical Component (TC) of the X-ray service. (Rate varies quarterly: Jan, April, July and Oct.; the current fee schedule rate for date of each service shall be attached to invoice submitted for payment.) The Published RATE can be found on the Outpatient Prospective Payment System (OPPS) addendum B - HCPCS CODE 71046 X-Rays. VENDOR: the sum of the Technical Component AKA TC shall not exceed Allowable Rate AT THE TIME OF SERVICE. FDOH-Escambia Contract Manager: Patrick Shehee patrick.shehee@flhealth.gov 850-316-2809 AUTHORIZED USERS: Patrick Shehee, Lisha Smith, Sherry Worley |
| Method of Procurement: Purchase under $2,500 [Rule 60A-1.002(2), F.A.C.] |
Line Split Details:
| Split Accounting Line Number: 1 |
| FLAIR Contract ID: |
| Org. Code and Description: 64361720118 - |
| Object Code and Description: 132019 - |
| Account Code: 64-20-2-141001-64200700-17-100777-00 |
| Split Amount: $300.00 |
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