36C24618Q0725-002.xlsx
XLSX spreadsheet 22 KB Posted
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- Asheville Radiopharmaceutical Services
- Solicitation number
- 36C24618Q0725
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36C24618Q0725 Attachment A Pricing Schedule.xlsx
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| File | Type | Posted |
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| 36C24618Q0725-0001001.pdf | ||
| 36C24618Q0725-0001000.docx | DOCX document | |
| 36C24618Q0725-001.pdf | ||
| 36C24618Q0725-000.docx | DOCX document | |
| 36C24618Q0725-003.docx | DOCX document |
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Sheet1
SCHEDULE B - PRICE SCHEDULE
| Radiopharmaceutical Contract | ||
| Overview by Year: | ||
| Base Year | $0.00 | |
| Option YR 1 | $0.00 | |
| Option YR 2 | $0.00 | |
| Option YR 3 | $0.00 | |
| Option YR 4 | $0.00 | |
| TOTAL: | $0.00 |
| Breakdown by Individual CLIN / Year: | |||||
| Base Year 1 October 1, 2018 – September 30, 2019 | |||||
| Line | Description of Services | Estimated Quantity | Unit | Unit Price | Total |
| 1 | 99mTc Pertechnetate-(Point Flood Source), 500 uCi-3 mCi | 25 | EA | $0.00 | $0.00 |
| 2 | 99mTc Pertechnetate-(Linearity Source), per mCi | 400 | EA | $0.00 | $0.00 |
| 3 | 99mTc Pertechnetate, 0 to 25 mCi | 10 | EA | $0.00 | $0.00 |
| 4 | 99mTc Sulfur Colloid, 0 to 8 mCi | 5 | EA | $0.00 | $0.00 |
| 5 | 99mTc Sulfur Colloid, 15 mCi | 10 | EA | $0.00 | $0.00 |
| 6 | 99mTc Sulfur Colloid, (filtered), 0.5-2 mCi | 8 | EA | $0.00 | $0.00 |
| 7 | 99mTc MAA, 0 to 5 mCi | 50 | EA | $0.00 | $0.00 |
| 8 | 99mTc HDP, 0 to 30 mCi | 250 | EA | $0.00 | $0.00 |
| 9 | 99mTc DTPA, 0 to 20 mCi | 1 | EA | $0.00 | $0.00 |
| 10 | 99mTc DTPA, 21 to 75 mCi | 50 | EA | $0.00 | $0.00 |
| 11 | 99mTc MAG 3, 0 to 10 mCi | 20 | EA | $0.00 | $0.00 |
| 12 | 99mTc Choletec, 0 to 10 mCi | 50 | EA | $0.00 | $0.00 |
| 13 | 99mTc Hepatolite, 0 to 10 mCi | 1 | EA | $0.00 | $0.00 |
| 14 | 99mTc Neurolite, 0 to 25 mCi –Exametazime | 1 | EA | $0.00 | $0.00 |
| 15 | Indium-111 Capromab (Prostascint) | 1 | EA | $0.00 | $0.00 |
| 16 | Indium-111 Pentetrotide (Neuroendocrine) | 1 | EA | $0.00 | $0.00 |
| 17 | 67 Gallium Citrate, per mCi | 10 | EA | $0.00 | $0.00 |
| 18 | 201Thallium Chloride, per mCi | 15 | EA | $0.00 | $0.00 |
| 19 | 123 Iodine Diagnostic Capsule, 100 uCi | 1 | EA | $0.00 | $0.00 |
| 20 | 123 Iodine Diagnostic Capsule, 200 uCi | 40 | EA | $0.00 | $0.00 |
| 21 | 123 Iodine MIBG, 10 mCi | 1 | EA | $0.00 | $0.00 |
| 22 | 123 Iodine-WB-Diagnostic Capsule, 0-3 mCi | 1 | EA | $0.00 | $0.00 |
| 23 | Hetastarch WBC Set-up Syringe | 3 | EA | $0.00 | $0.00 |
| 24 | WBC Set-up Syringe, 1000 units heparin | 3 | EA | $0.00 | $0.00 |
| 25 | Ceretec (Tc99m Labeled) WBC | 3 | EA | $0.00 | $0.00 |
| 26 | (In111 Labeled) WBC | 3 | EA | $0.00 | $0.00 |
| 27 | Pyrophosphate, per vial | 1 | EA | $0.00 | $0.00 |
| 28 | Sincalide, (generic Kinevac), 0-2 mcg in 50 ml bag | 30 | EA | $0.00 | $0.00 |
| 29 | Sincalide (generic Kinevac), each additional mcg | 10 | EA | $0.00 | $0.00 |
| 30 | RBC Tagging Kit, Ultratag per kit | 1 | EA | $0.00 | $0.00 |
| 31 | AMICI, Inc. Swirler Model #7030 20/BX | 5 | BX | $0.00 | $0.00 |
| 32 | 99mTc Sestamibi, 10 mCi | 1400 | EA | $0.00 | $0.00 |
| 33 | 99m Tc Sestamibi, 30 mCi | 1600 | EA | $0.00 | $0.00 |
| 34 | Any additional Non-HEU cost per dose | 1 | EA | $0.00 | $0.00 |
| 35 | Cobalt 57 Sheet sources | 1 | EA | $0.00 | $0.00 |
| 36 | Cobalt 57 vial sources | 1 | EA | $0.00 | $0.00 |
| 37 | Cobalt 57 pen markers | 1 | EA | $0.00 | $0.00 |
| 38 | Cobalt 57 spot markers | 2 | EA | $0.00 | $0.00 |
| 39 | Cesium 137 vial sources | 1 | EA | $0.00 | $0.00 |
| 40 | Cesium 137 spot sources | 4 | EA | $0.00 | $0.00 |
| 41 | Survey Meter Calibration by accredited company | 6 | EA | $0.00 | $0.00 |
| 42 | Misc. charges not listed above (fuel, emerg., holiday, wkd, etc.) | 1 | EA | $0.00 | $0.00 |
| TOTAL Base Year Price: | $0.00 |
| Option Year 1 October 1, 2019 – September 30, 2020 | |||||
| Line | Description of Services | Estimated Quantity | Unit | Unit Price | Total |
| 1001 | 99mTc Pertechnetate-(Point Flood Source), 500 uCi-3 mCi | 25 | EA | $0.00 | $0.00 |
| 1002 | 99mTc Pertechnetate-(Linearity Source), per mCi | 400 | EA | $0.00 | $0.00 |
| 1003 | 99mTc Pertechnetate, 0 to 25 mCi | 10 | EA | $0.00 | $0.00 |
| 1004 | 99mTc Sulfur Colloid, 0 to 8 mCi | 5 | EA | $0.00 | $0.00 |
| 1005 | 99mTc Sulfur Colloid, 15 mCi | 10 | EA | $0.00 | $0.00 |
| 1006 | 99mTc Sulfur Colloid, (filtered), 0.5-2 mCi | 8 | EA | $0.00 | $0.00 |
| 1007 | 99mTc MAA, 0 to 5 mCi | 50 | EA | $0.00 | $0.00 |
| 1008 | 99mTc HDP, 0 to 30 mCi | 250 | EA | $0.00 | $0.00 |
| 1009 | 99mTc DTPA, 0 to 20 mCi | 1 | EA | $0.00 | $0.00 |
| 1010 | 99mTc DTPA, 21 to 75 mCi | 50 | EA | $0.00 | $0.00 |
| 1011 | 99mTc MAG 3, 0 to 10 mCi | 20 | EA | $0.00 | $0.00 |
| 1012 | 99mTc Choletec, 0 to 10 mCi | 50 | EA | $0.00 | $0.00 |
| 1013 | 99mTc Hepatolite, 0 to 10 mCi | 1 | EA | $0.00 | $0.00 |
| 1014 | 99mTc Neurolite, 0 to 25 mCi –Exametazime | 1 | EA | $0.00 | $0.00 |
| 1015 | Indium-111 Capromab (Prostascint) | 1 | EA | $0.00 | $0.00 |
| 1016 | Indium-111 Pentetrotide (Neuroendocrine) | 1 | EA | $0.00 | $0.00 |
| 1017 | 67 Gallium Citrate, per mCi | 10 | EA | $0.00 | $0.00 |
| 1018 | 201Thallium Chloride, per mCi | 15 | EA | $0.00 | $0.00 |
| 1019 | 123 Iodine Diagnostic Capsule, 100 uCi | 1 | EA | $0.00 | $0.00 |
| 1020 | 123 Iodine Diagnostic Capsule, 200 uCi | 40 | EA | $0.00 | $0.00 |
| 1021 | 123 Iodine MIBG, 10 mCi | 1 | EA | $0.00 | $0.00 |
| 1022 | 123 Iodine-WB-Diagnostic Capsule, 0-3 mCi | 1 | EA | $0.00 | $0.00 |
| 1023 | Hetastarch WBC Set-up Syringe | 3 | EA | $0.00 | $0.00 |
| 1024 | WBC Set-up Syringe, 1000 units heparin | 3 | EA | $0.00 | $0.00 |
| 1025 | Ceretec (Tc99m Labeled) WBC | 2 | EA | $0.00 | $0.00 |
| 1026 | (In111 Labeled) WBC | 2 | EA | $0.00 | $0.00 |
| 1027 | Pyrophosphate, per vial | 1 | EA | $0.00 | $0.00 |
| 1028 | Sincalide, (generic Kinevac), 0-2 mcg in 50 ml bag | 30 | EA | $0.00 | $0.00 |
| 1029 | Sincalide (generic Kinevac), each additional mcg | 10 | EA | $0.00 | $0.00 |
| 1030 | RBC Tagging Kit, Ultratag per kit | 1 | EA | $0.00 | $0.00 |
| 1031 | AMICI, Inc. Swirler Model #7030 20/BX | 5 | BX | $0.00 | $0.00 |
| 1032 | 99mTc Sestamibi, 10 mCi | 1400 | EA | $0.00 | $0.00 |
| 1033 | 99m Tc Sestamibi, 30 mCi | 1700 | EA | $0.00 | $0.00 |
| 1034 | Any additional Non-HEU cost per dose | 1 | EA | $0.00 | $0.00 |
| 1035 | Cobalt 57 Sheet sources | 1 | EA | $0.00 | $0.00 |
| 1036 | Cobalt 57 vial sources | 1 | EA | $0.00 | $0.00 |
| 1037 | Cobalt 57 pen markers | 1 | EA | $0.00 | $0.00 |
| 1038 | Cobalt 57 spot markers | 2 | EA | $0.00 | $0.00 |
| 1039 | Cesium 137 vial sources | 1 | EA | $0.00 | $0.00 |
| 1040 | Cesium 137 spot sources | 4 | EA | $0.00 | $0.00 |
| 1041 | Survey Meter Calibration by accredited company | 6 | EA | $0.00 | $0.00 |
| 1042 | Misc. charges not listed above (fuel, emerg., holiday, wkd, etc.) | 1 | EA | $0.00 | $0.00 |
| TOTAL Option Year One Price: | $0.00 |
| Option Year 2 October 1, 2020 – September 30, 2021 | |||||
| Line | Description of Services | Estimated Quantity | Unit | Unit Price | Total |
| 2001 | 99mTc Pertechnetate-(Point Flood Source), 500 uCi-3 mCi | 25 | EA | 0 | $0.00 |
| 2002 | 99mTc Pertechnetate-(Linearity Source), per mCi | 400 | EA | 0 | $0.00 |
| 2003 | 99mTc Pertechnetate, 0 to 25 mCi | 10 | EA | 0 | $0.00 |
| 2004 | 99mTc Sulfur Colloid, 0 to 8 mCi | 5 | EA | 0 | $0.00 |
| 2005 | 99mTc Sulfur Colloid, 15 mCi | 10 | EA | 0 | $0.00 |
| 2006 | 99mTc Sulfur Colloid, (filtered), 0.5-2 mCi | 8 | EA | 0 | $0.00 |
| 2007 | 99mTc MAA, 0 to 5 mCi | 50 | EA | 0 | $0.00 |
| 2008 | 99mTc HDP, 0 to 30 mCi | 250 | EA | 0 | $0.00 |
| 2009 | 99mTc DTPA, 0 to 20 mCi | 1 | EA | 0 | $0.00 |
| 2010 | 99mTc DTPA, 21 to 75 mCi | 50 | EA | 0 | $0.00 |
| 2011 | 99mTc MAG 3, 0 to 10 mCi | 20 | EA | 0 | $0.00 |
| 2012 | 99mTc Choletec, 0 to 10 mCi | 50 | EA | 0 | $0.00 |
| 2013 | 99mTc Hepatolite, 0 to 10 mCi | 1 | EA | 0 | $0.00 |
| 2014 | 99mTc Neurolite, 0 to 25 mCi –Exametazime | 1 | EA | 0 | $0.00 |
| 2015 | Indium-111 Capromab (Prostascint) | 1 | EA | 0 | $0.00 |
| 2016 | Indium-111 Pentetrotide (Neuroendocrine) | 1 | EA | 0 | $0.00 |
| 2017 | 67 Gallium Citrate, per mCi | 10 | EA | 0 | $0.00 |
| 2018 | 201Thallium Chloride, per mCi | 15 | EA | 0 | $0.00 |
| 2019 | 123 Iodine Diagnostic Capsule, 100 uCi | 1 | EA | 0 | $0.00 |
| 2020 | 123 Iodine Diagnostic Capsule, 200 uCi | 40 | EA | 0 | $0.00 |
| 2021 | 123 Iodine MIBG, 10 mCi | 1 | EA | 0 | $0.00 |
| 2022 | 123 Iodine-WB-Diagnostic Capsule, 0-3 mCi | 1 | EA | 0 | $0.00 |
| 2023 | Hetastarch WBC Set-up Syringe | 3 | EA | 0 | $0.00 |
| 2024 | WBC Set-up Syringe, 1000 units heparin | 3 | EA | 0 | $0.00 |
| 2025 | Ceretec (Tc99m Labeled) WBC | 3 | EA | 0 | $0.00 |
| 2026 | (In111 Labeled) WBC | 3 | EA | 0 | $0.00 |
| 2027 | Pyrophosphate, per vial | 1 | EA | 0 | $0.00 |
| 2028 | Sincalide, (generic Kinevac), 0-2 mcg in 50 ml bag | 30 | EA | 0 | $0.00 |
| 2029 | Sincalide (generic Kinevac), each additional mcg | 10 | EA | 0 | $0.00 |
| 2030 | RBC Tagging Kit, Ultratag per kit | 1 | EA | 0 | $0.00 |
| 2031 | AMICI, Inc. Swirler Model #7030 20/BX | 5 | BX | 0 | $0.00 |
| 2032 | 99mTc Sestamibi, 10 mCi | 1400 | EA | 0 | $0.00 |
| 2033 | 99m Tc Sestamibi, 30 mCi | 1700 | EA | 0 | $0.00 |
| 2034 | Any additional Non-HEU cost per dose | 1 | EA | 0 | $0.00 |
| 2035 | Cobalt 57 Sheet sources | 1 | EA | 0 | $0.00 |
| 2036 | Cobalt 57 vial sources | 1 | EA | 0 | $0.00 |
| 2037 | Cobalt 57 pen markers | 1 | EA | 0 | $0.00 |
| 2038 | Cobalt 57 spot markers | 2 | EA | 0 | $0.00 |
| 2039 | Cesium 137 vial sources | 1 | EA | 0 | $0.00 |
| 2040 | Cesium 137 spot sources | 4 | EA | 0 | $0.00 |
| 2041 | Survey Meter Calibration by accredited company | 6 | EA | 0 | $0.00 |
| 2042 | Misc. charges not listed above (fuel, emerg., holiday, wkd, etc.) | 1 | EA | 0 | $0.00 |
| TOTAL Option Year Two Price: | $0.00 |
| Option Year 3 October 1, 2021 – September 30, 2022 | |||||
| Line | Description of Services | Estimated Quantity | Unit | Unit Price | Total |
| 3001 | 99mTc Pertechnetate-(Point Flood Source), 500 uCi-3 mCi | 25 | EA | $0.00 | $0.00 |
| 3002 | 99mTc Pertechnetate-(Linearity Source), per mCi | 400 | EA | $0.00 | $0.00 |
| 3003 | 99mTc Pertechnetate, 0 to 25 mCi | 10 | EA | $0.00 | $0.00 |
| 3004 | 99mTc Sulfur Colloid, 0 to 8 mCi | 5 | EA | $0.00 | $0.00 |
| 3005 | 99mTc Sulfur Colloid, 15 mCi | 10 | EA | $0.00 | $0.00 |
| 3006 | 99mTc Sulfur Colloid, (filtered), 0.5-2 mCi | 8 | EA | $0.00 | $0.00 |
| 3007 | 99mTc MAA, 0 to 5 mCi | 50 | EA | $0.00 | $0.00 |
| 3008 | 99mTc HDP, 0 to 30 mCi | 250 | EA | $0.00 | $0.00 |
| 3009 | 99mTc DTPA, 0 to 20 mCi | 1 | EA | $0.00 | $0.00 |
| 3010 | 99mTc DTPA, 21 to 75 mCi | 50 | EA | $0.00 | $0.00 |
| 3011 | 99mTc MAG 3, 0 to 10 mCi | 20 | EA | $0.00 | $0.00 |
| 3012 | 99mTc Choletec, 0 to 10 mCi | 50 | EA | $0.00 | $0.00 |
| 3013 | 99mTc Hepatolite, 0 to 10 mCi | 1 | EA | $0.00 | $0.00 |
| 3014 | 99mTc Neurolite, 0 to 25 mCi –Exametazime | 1 | EA | $0.00 | $0.00 |
| 3015 | Indium-111 Capromab (Prostascint) | 1 | EA | $0.00 | $0.00 |
| 3016 | Indium-111 Pentetrotide (Neuroendocrine) | 1 | EA | $0.00 | $0.00 |
| 3017 | 67 Gallium Citrate, per mCi | 10 | EA | $0.00 | $0.00 |
| 3018 | 201Thallium Chloride, per mCi | 15 | EA | $0.00 | $0.00 |
| 3019 | 123 Iodine Diagnostic Capsule, 100 uCi | 1 | EA | $0.00 | $0.00 |
| 3020 | 123 Iodine Diagnostic Capsule, 200 uCi | 40 | EA | $0.00 | $0.00 |
| 3021 | 123 Iodine MIBG, 10 mCi | 1 | EA | $0.00 | $0.00 |
| 3022 | 123 Iodine-WB-Diagnostic Capsule, 0-3 mCi | 1 | EA | $0.00 | $0.00 |
| 3023 | Hetastarch WBC Set-up Syringe | 3 | EA | $0.00 | $0.00 |
| 3024 | WBC Set-up Syringe, 1000 units heparin | 3 | EA | $0.00 | $0.00 |
| 3025 | Ceretec (Tc99m Labeled) WBC | 3 | EA | $0.00 | $0.00 |
| 3026 | (In111 Labeled) WBC | 3 | EA | $0.00 | $0.00 |
| 3027 | Pyrophosphate, per vial | 1 | EA | $0.00 | $0.00 |
| 3028 | Sincalide, (generic Kinevac), 0-2 mcg in 50 ml bag | 30 | EA | $0.00 | $0.00 |
| 3029 | Sincalide (generic Kinevac), each additional mcg | 10 | EA | $0.00 | $0.00 |
| 3030 | RBC Tagging Kit, Ultratag per kit | 1 | EA | $0.00 | $0.00 |
| 3031 | AMICI, Inc. Swirler Model #7030 20/BX | 5 | BX | $0.00 | $0.00 |
| 3032 | 99mTc Sestamibi, 10 mCi | 1400 | EA | $0.00 | $0.00 |
| 3033 | 99m Tc Sestamibi, 30 mCi | 1700 | EA | $0.00 | $0.00 |
| 3034 | Any additional Non-HEU cost per dose | 1 | EA | $0.00 | $0.00 |
| 3035 | Cobalt 57 Sheet sources | 1 | EA | $0.00 | $0.00 |
| 3036 | Cobalt 57 vial sources | 1 | EA | $0.00 | $0.00 |
| 3037 | Cobalt 57 pen markers | 1 | EA | $0.00 | $0.00 |
| 3038 | Cobalt 57 spot markers | 2 | EA | $0.00 | $0.00 |
| 3039 | Cesium 137 vial sources | 1 | EA | $0.00 | $0.00 |
| 3040 | Cesium 137 spot sources | 4 | EA | $0.00 | $0.00 |
| 3041 | Survey Meter Calibration by accredited company | 6 | EA | $0.00 | $0.00 |
| 3042 | Misc. charges not listed above (fuel, emerg., holiday, wkd, etc.) | 1 | EA | $0.00 | $0.00 |
| TOTAL Option Year Three Price: | $0.00 |
| Option Year 4 October 1, 2022 – September 30, 2023 | |||||
| Line | Description of Services | Estimated Quantity | Unit | Unit Price | Total |
| 4001 | 99mTc Pertechnetate-(Point Flood Source), 500 uCi-3 mCi | 25 | EA | 0 | $0.00 |
| 4002 | 99mTc Pertechnetate-(Linearity Source), per mCi | 400 | EA | 0 | $0.00 |
| 4003 | 99mTc Pertechnetate, 0 to 25 mCi | 10 | EA | 0 | $0.00 |
| 4004 | 99mTc Sulfur Colloid, 0 to 8 mCi | 5 | EA | 0 | $0.00 |
| 4005 | 99mTc Sulfur Colloid, 15 mCi | 10 | EA | 0 | $0.00 |
| 4006 | 99mTc Sulfur Colloid, (filtered), 0.5-2 mCi | 8 | EA | 0 | $0.00 |
| 4007 | 99mTc MAA, 0 to 5 mCi | 50 | EA | 0 | $0.00 |
| 4008 | 99mTc HDP, 0 to 30 mCi | 250 | EA | 0 | $0.00 |
| 4009 | 99mTc DTPA, 0 to 20 mCi | 1 | EA | 0 | $0.00 |
| 4010 | 99mTc DTPA, 21 to 75 mCi | 50 | EA | 0 | $0.00 |
| 4011 | 99mTc MAG 3, 0 to 10 mCi | 20 | EA | 0 | $0.00 |
| 4012 | 99mTc Choletec, 0 to 10 mCi | 50 | EA | 0 | $0.00 |
| 4013 | 99mTc Hepatolite, 0 to 10 mCi | 1 | EA | 0 | $0.00 |
| 4014 | 99mTc Neurolite, 0 to 25 mCi –Exametazime | 1 | EA | 0 | $0.00 |
| 4015 | Indium-111 Capromab (Prostascint) | 1 | EA | 0 | $0.00 |
| 4016 | Indium-111 Pentetrotide (Neuroendocrine) | 1 | EA | 0 | $0.00 |
| 4017 | 67 Gallium Citrate, per mCi | 10 | EA | 0 | $0.00 |
| 4018 | 201Thallium Chloride, per mCi | 15 | EA | 0 | $0.00 |
| 4019 | 123 Iodine Diagnostic Capsule, 100 uCi | 1 | EA | 0 | $0.00 |
| 4020 | 123 Iodine Diagnostic Capsule, 200 uCi | 40 | EA | 0 | $0.00 |
| 4021 | 123 Iodine MIBG, 10 mCi | 1 | EA | 0 | $0.00 |
| 4022 | 123 Iodine-WB-Diagnostic Capsule, 0-3 mCi | 1 | EA | 0 | $0.00 |
| 4023 | Hetastarch WBC Set-up Syringe | 3 | EA | 0 | $0.00 |
| 4024 | WBC Set-up Syringe, 1000 units heparin | 3 | EA | 0 | $0.00 |
| 4025 | Ceretec (Tc99m Labeled) WBC | 3 | EA | 0 | $0.00 |
| 4026 | (In111 Labeled) WBC | 3 | EA | 0 | $0.00 |
| 4027 | Pyrophosphate, per vial | 1 | EA | 0 | $0.00 |
| 4028 | Sincalide, (generic Kinevac), 0-2 mcg in 50 ml bag | 30 | EA | 0 | $0.00 |
| 4029 | Sincalide (generic Kinevac), each additional mcg | 10 | EA | 0 | $0.00 |
| 4030 | RBC Tagging Kit, Ultratag per kit | 1 | EA | 0 | $0.00 |
| 4031 | AMICI, Inc. Swirler Model #7030 20/BX | 5 | BX | 0 | $0.00 |
| 4032 | 99mTc Sestamibi, 10 mCi | 1400 | EA | 0 | $0.00 |
| 4033 | 99m Tc Sestamibi, 30 mCi | 1700 | EA | 0 | $0.00 |
| 4034 | Any additional Non-HEU cost per dose | 1 | EA | 0 | $0.00 |
| 4035 | Cobalt 57 Sheet sources | 1 | EA | 0 | $0.00 |
| 4036 | Cobalt 57 vial sources | 1 | EA | 0 | $0.00 |
| 4037 | Cobalt 57 pen markers | 1 | EA | 0 | $0.00 |
| 4038 | Cobalt 57 spot markers | 2 | EA | 0 | $0.00 |
| 4039 | Cesium 137 vial sources | 1 | EA | 0 | $0.00 |
| 4040 | Cesium 137 spot sources | 4 | EA | 0 | $0.00 |
| 4041 | Survey Meter Calibration by accredited company | 6 | EA | 0 | $0.00 |
| 4042 | Misc. charges not listed above (fuel, emerg., holiday, wkd, etc.) | 1 | EA | 0 | $0.00 |
| TOTAL Option Year Four Price: | $0.00 |
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