RFP Home Oxygen Schedule 1-11-2023.xlsx

XLSX spreadsheet 606 KB Posted

Attached to
VISN 15 Home Oxygen Services Federal contract opportunity
Solicitation number
36C25522R0100
Issued by
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 15

About this file

Written by GovTribe AI ·

This is a Request for Proposal (RFP) for home oxygen services to support veterans within Veterans Integrated Services Network (VISN) 15. The RFP requires monthly fees for various home oxygen equipment including concentrators at 5 and 10 LPM, portable concentrators, additional batteries, cylinder refills in sizes B through H, liquid oxygen systems, compressors, and ventilators. The services are for a base year with two one-year options and include initial setup, monthly visits, repairs, and delivery across locations in Missouri, Kansas, Illinois, and Kentucky. Responses are due by January 11, 2023 with the contract period starting April 1, 2023 through March 31, 2024. The Department of Veterans Affairs Veterans Health Administration VISN 15 is the contracting agency.

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Other files for this federal contract opportunity

Other files attached to VISN 15 Home Oxygen Services, newest first.
File Type Posted
36C25522R0100 0005.pdf PDF
36C25522R0100 0004 Signed.pdf PDF
36C25522R0100 0003 Signed.pdf PDF
RFP Home Oxygen Schedule 11-09-2022.xlsx XLSX spreadsheet
36C25522R0100 0002 Signed.pdf PDF
RFP Home Oxygen Schedule 11-07-2022.xlsx XLSX spreadsheet
36C25522R0100 0001 Signed.pdf PDF
RFP Home Oxygen Schedule 10-24-2022.xlsx XLSX spreadsheet
PWS Supplement - Counties.pdf PDF
36C25522R0100 10-13-2022.pdf PDF
RFP Home Oxygen Schedule 10-13-2022.xlsx XLSX spreadsheet
Show all 11

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Action Line Item Information

Action Type NamePrimary IDSecondary IDMod NumberTitleOrder Discount Type NameOrder Discount TypeOrder Discount
VHA-SUPPLIES-FSS-ORDER-MODV797P-7323A36C24921N0003P00001Percent0

KB Version: FY21.08A

Items Item Number SLIN Description Ref CLIN Comment Include Comments in Document Contract Period Pop Begin Pop End Quantity Unit of Measure Packaging Multiple Receipt Type Line Item Is Unit Price Item Discount Type Name Item Discount Date Updated Address1 Address2 Address3 City State Zip Zip4 Country Mark For Contact Name Contact Phone Contact Email Delivery Date FOB Special Instructions Include Instructions/Comments in Document PRINCIPAL NAICS CODE PRODUCT/SERVICE CODE UNSPSC SIC CODE MANUFACTURER PART NUMBER (MPN) NATIONAL STOCK NUMBER LOCAL STOCK NUMBER DM DOC ID DELIVERY REF. COUNTER UNIT TEXT/DESCRIPTION DELIVERY REFERENCE ITEM MASTER FILE NUMBER EXPENDABLE/NON-EXPENDABLE QUANTITY REQUESTED UNIT OF PURCHASE CODE UNIT OF PURCHASE TEXT/DESC. NDC FOOD GROUP CODE NIF ITEM NUMBER MINIMUM ORDER QUANTITY MAXIMUM ORDER QUANTITY REQUIRED ORDER MULTIPLE UNIT CONVERSION FACTOR SPECIAL REMARKS CLINICAL DISCIPLINE ITEM PRICE ON BPA BASE OR OPTION PERIOD ITEM CONTROLLED SUBSTANCE BASE LINE ITEM NUMBER ENVIRONMENTAL ATTRIBUTE CODE ESTIMATED QUANTITY ITEM PRICE ON FSS/BOA ITEM PRICE ON FSS ITEM PRICE ON FSS (1-500 UNITS) ITEM PRICE ON FSS (501-1000 UNITS) ITEM PRICE ON FSS (1001-1500 UNITS) ITEM PRICE ON FSS (1500+ UNITS) EVALUATED ITEM PRICE ON FSS GPC ACCEPTED GREEN PRODUCT HAZARDOUS MATERIAL ITEM PART NAME ITEM PART NUMBER tc={C7D4309F-80DF-4295-96C6-A068BB3BC06B}: [Threaded comment]

Your version of Excel allows you to read this threaded comment; however, any edits to it will get removed if the file is opened in a newer version of Excel. Learn more: https://go.microsoft.com/fwlink/?linkid=870924

Comment:

item part number = distributor. Insert OEM part number of there isn't a distributor.ITEM TYPEITEMS PER UNIT OF SALE (UOS)LATEX FREEITEM MODEL NUMBEROEM CAGE CODEOEM COUNTRY OF ORIGINOEM DUNS NUMBEROEM NAMESALE START DATESALE END DATEITEM SALE PRICESALIENT CHARACTERISTICREFERENCED CONTRACT NUMBERREFERENCED CONTRACT LINE NUMBERREFERENCED CONTRACT SUB LINE NUMBERDRAWING NUMBERSPECIFICATION NUMBERSERIAL NUMBERMANUFACTURER NAMEYEAR OF MANUFACTUREPROGRAM CODEVENDOR PART NUMBERTSP AUTHENTICATION CODETRANSPORTATION PRIORITY NUMBERMonthly Total EstimateAnnual Total Estimate
00015 LPM CONCENTRATOR WITH BACKUP SYSTEM AND PORTABLE SYSTEM MONTHLY FEE.This shall include the initial set up and all visits related to the oxygen system by a Trained Certified Technican, a Certified Respiratory Therapist (CRT) or a Registered Respiratory Therapist (RRT), back-up system complete with cylinder, regulator, stand, tubing, cannulas, filter(s) and humidifier as needed, portable cylinders with wheeled cart and/or bag, regulator and/or demand pulse conserving device and all supplies including cannulas, masks, tubing, filters, and humidifiers. Includes all cylinder demurrage charges. E1390BaseNSP532283Q20101E01-21
0001AColumbia, MOBase04/01/2303/31/24740MOPriced532283Q20101E01-2100
0001BKansas City, MOBase04/01/2303/31/24747MOPriced532283Q20101E01-2100
0001CLeavenworth, KSBase04/01/2303/31/24276MOPriced532283Q20101E01-2100
0001DMarion, ILBase04/01/2303/31/24843MOPriced532283Q20101E06-2100
0001EPoplar Bluff, MOBase04/01/2303/31/24599MOPriced532283Q20101E06-2100
0001FSt. Louis, MOBase04/01/2303/31/24746MOPriced532283Q20101E06-2100
0001GTopeka, KSBase04/01/2303/31/24313MOPriced532283Q20101E06-2100
0001HWichita, KSBase04/01/2303/31/24509MOPriced532283Q20101E01-2100
Sub-Total00
000210 LPM CONCENTRATOR WITH BACKUP SYSTEM AND PORTABLE SYSTEM MONTHLY FEE.
This shall include the initial set up and all visits related to the oxygen system by a Trained Certified Technican, a Certified Respiratory Therapist (CRT) or a Registered Respiratory Therapist (RRT), back-up system complete with cylinder, regulator, stand, tubing, cannulas, filter(s) and humidifier as needed, portable cylinders with wheeled cart and/or bag, regulator and/or demand pulse conserving device and all supplies including cannulas, masks, tubing, filters, and humidifiers. Includes all cylinder demurrage charges. E1390BaseNSP532283Q20101E01-21
0002AColumbia, MOBase04/01/2303/31/2489MOPriced532283Q20101E01-2100
0002BKansas City, MOBase04/01/2303/31/2455MOPriced532283Q20101E01-2100
0002CLeavenworth, KSBase04/01/2303/31/2412MOPriced532283Q20101E06-2100
0002DMarion, ILBase04/01/2303/31/2428MOPriced532283Q20101E06-2100
0002EPoplar Bluff, MO04/01/2303/31/2418MOPriced532283Q20101E06-2100
0002FSt. Louis, MO04/01/2303/31/2461MOPriced532283Q20101E06-2100
0002GTopeka, KS04/01/2303/31/2410MOPriced532283Q20100
0002HWichita, KSBase04/01/2303/31/2420MOPriced532283Q20100
Sub-Total00
0003PORTABLE CONCENTRATOR SYSTEM WITH 2 BACKUP BATTERIES, DESK TOP CHARGER AND BACK UP SYSTEM MONTHLY FEE.
This shall include the initial set up and all visits related to the oxygen system by a Trained Certified Technican, a Certified Respiratory Therapist (CRT) or a Registered Respiratory Therapist (RRT), back-up system complete with cylinder, regulator, stand, tubing, cannulas, masks, filter(s) and humidifier as needed. Includes all cylinder demurrage charges. E1392BaseNSP532283Q201
0003AColumbia, MOBase04/01/2303/31/24342MOPriced532283Q20100
0003BKansas City, MOBase04/01/2303/31/24290MOPriced532283Q20100
0003CLeavenworth, KSBase04/01/2303/31/24128MOPriced532283Q20100
0003DMarion, ILBase04/01/2303/31/24177MOPriced532283Q20100
0003EPoplar Bluff, MOBase04/01/2303/31/24145MOPriced532283Q20100
0003FSt. Louis, MOBase04/01/2303/31/24735MOPriced532283Q20100
0003GTopeka, KSBase04/01/2303/31/24149MOPriced532283Q20100
0003HWichita, KSBase04/01/2303/31/24174MOPriced532283Q20100
Sub-Total00
0004PORTABLE CONCENTRATOR BATTERIES IN EXCESS OF THE 2 PROVIDED WITH THE PORTABLE CONCENTRATOR MONTHLY FEE. (E1357)BaseNSP532283Q201
0004AColumbia, MOBase04/01/2303/31/24390MOPriced532283Q20100
0004BKansas City, MOBase04/01/2303/31/2486MOPriced532283Q20100
0004CLeavenworth, KSBase04/01/2303/31/24138MOPriced532283Q20100
0004DMarion, ILBase04/01/2303/31/2435MOPriced532283Q20100
0004EPoplar Bluff, MOBase04/01/2303/31/2436MOPriced532283Q20100
0004FSt. Louis, MOBase04/01/2303/31/24137MOPriced532283Q20100
0004GTopeka, KSBase04/01/2303/31/24160MOPriced532283Q20100
0004HWichita, KSBase04/01/2303/31/2421MOPriced532283Q20100
Sub-Total00
0005CYLINDER SIZE M or H MONTHLY CHARGE FOR STAND ALONE SYSTEM. This shall include initial set up and all visits related to the oxygen system by a Trained Certified Technican, a Certified Respiratory Therapist (CRT) or a Registered Respiratory Therapist (RRT), the cylinder (s), regulator, flow meter, safety stand, humidifier and all disposable supplies. Includes all cylinder demurrage charges. E0424BaseNSP532283Q201
0005AColumbia, MOBase04/01/2303/31/2438MOPriced532283Q20100
0005BKansas City, MOBase04/01/2303/31/2487MOPriced532283Q20100
0005CLeavenworth, KSBase04/01/2303/31/2417MOPriced532283Q20100
0005DMarion, ILBase04/01/2303/31/247MOPriced532283Q20100
0005EPoplar Bluff, MOBase04/01/2303/31/245MOPriced532283Q20100
0005FSt. Louis, MOBase04/01/2303/31/2426MOPriced532283Q20100
0005GTopeka, KSBase04/01/2303/31/2416MOPriced532283Q20100
0005HWichita, KSBase04/01/2303/31/2451MOPriced532283Q20100
Sub-Total00
0006DEMAND PULSE CONSERVER CANNULA - Includes delivery. A4615BaseNSP532283Q201
0006AColumbia, MOBase04/01/2303/31/248EAPriced532283Q20100
0006BKansas City, MOBase04/01/2303/31/247EAPriced532283Q20100
0006CLeavenworth, KSBase04/01/2303/31/245EAPriced532283Q20100
0006DMarion, ILBase04/01/2303/31/245EAPriced532283Q20100
0006EPoplar Bluff, MOBase04/01/2303/31/245EAPriced532283Q20100
0006FSt. Louis, MOBase04/01/2303/31/245EAPriced532283Q20100
0006GTopeka, KSBase04/01/2303/31/245EAPriced532283Q20100
0006HWichita, KSBase04/01/2303/31/245EAPriced532283Q20100
Sub-Total00
0007CYLINDER SIZE H OR M REFILL. Includes all delivery and demurrage charges. E0443BaseNSP532283Q201
0007AColumbia, MOBase04/01/2303/31/247EAPriced532283Q20100
0007BKansas City, MOBase04/01/2303/31/2415EAPriced532283Q20100
0007CLeavenworth, KSBase04/01/2303/31/245EAPriced532283Q20100
0007DMarion, ILBase04/01/2303/31/245EAPriced532283Q20100
0007EPoplar Bluff, MOBase04/01/2303/31/245EAPriced532283Q20100
0007FSt. Louis, MOBase04/01/2303/31/245EAPriced532283Q20100
0007GTopeka, KSBase04/01/2303/31/245EAPriced532283Q20100
0007HWichita, KSBase04/01/2303/31/248EAPriced532283Q20100
Sub-Total00
0008CYLINDER SIZE E REFILL. Includes all delivery and demurrage charges. E0443BaseNSP532283Q201
0008AColumbia, MOBase04/01/2303/31/24711EAPriced532283Q20100
0008BKansas City, MOBase04/01/2303/31/24339EAPriced532283Q20100
0008CLeavenworth, KSBase04/01/2303/31/24150EAPriced532283Q20100
0008DMarion, ILBase04/01/2303/31/24493EAPriced532283Q20100
0008EPoplar Bluff, MOBase04/01/2303/31/24460EAPriced532283Q20100
0008FSt. Louis, MOBase04/01/2303/31/24300EAPriced532283Q20100
0008GTopeka, KSBase04/01/2303/31/24154EAPriced532283Q20100
0008HWichita, KSBase04/01/2303/31/24889EAPriced532283Q20100
Sub-Total00
0009CYLINDER SIZE D REFILL. Includes all delivery and demurrage charges. E0443BaseNSP532283Q201
0009AColumbia, MOBase04/01/2303/31/24400EAPriced532283Q20100
0009BKansas City, MOBase04/01/2303/31/24192EAPriced532283Q20100
0009CLeavenworth, KSBase04/01/2303/31/2491EAPriced532283Q20100
0009DMarion, ILBase04/01/2303/31/24423EAPriced532283Q20100
0009EPoplar Bluff, MOBase04/01/2303/31/24313EAPriced532283Q20100
0009FSt. Louis, MOBase04/01/2303/31/24216EAPriced532283Q20100
0009GTopeka, KSBase04/01/2303/31/24132EAPriced532283Q20100
0009HWichita, KSBase04/01/2303/31/24184EAPriced532283Q20100
Sub-Total00
0010CYLINDER SIZE B (M6) REFILL. Includes all delivery and demurrage charges. E0443BaseNSP532283Q201
0010AColumbia, MOBase04/01/2303/31/24374EAPriced532283Q20100
0010BKansas City, MOBase04/01/2303/31/24381EAPriced532283Q20100
0010CLeavenworth, KSBase04/01/2303/31/2452EAPriced532283Q20100
0010DMarion, ILBase04/01/2303/31/24477EAPriced532283Q20100
0010EPoplar Bluff, MOBase04/01/2303/31/24298EAPriced532283Q20100
0010FSt. Louis, MOBase04/01/2303/31/24317EAPriced532283Q20100
0010GTopeka, KSBase04/01/2303/31/2445EAPriced532283Q20100
0010HWichita, KSBase04/01/2303/31/24142EAPriced532283Q20100
Sub-Total00
0011LIQUID OXYGEN SYSTEM MONTHLY FEE. This shall include the initial set up and all visits related to the system by a Trained Certified Technican, a Trained Certified Technican, a Certified Respiratory Therapist (CRT) or a Registered Respiratory Therapist (RRT), back-up system complete and all related monthly supplies. E0439b.BaseNSP532283Q201
0011AColumbia, MOBase04/01/2303/31/242MOPriced532283Q20100
0011BKansas City, MOBase04/01/2303/31/242MOPriced532283Q20100
0011CLeavenworth, KSBase04/01/2303/31/242MOPriced532283Q20100
0011DMarion, ILBase04/01/2303/31/242MOPriced532283Q20100
0011EPoplar Bluff, MOBase04/01/2303/31/242MOPriced532283Q20100
0011FSt. Louis, MOBase04/01/2303/31/242MOPriced532283Q20100
0011GTopeka, KSBase04/01/2303/31/242MOPriced532283Q20100
0011HWichita, KSBase04/01/2303/31/242MOPriced532283Q20100
Sub-Total00
0012LIQUID OXYGEN SYSTEM (PORTABLE) MONTHLY FEE. This shall include initial set up and all visits related to the system by a Trained Certified Technican, a Certified Respiratory Therapist (CRT) or a Registered Respiratory Therapist (RRT), and all related monthly supplies. E0434BaseNSP532283Q201
0012AColumbia, MOBase04/01/2303/31/242MOPriced532283Q20100
0012BKansas City, MOBase04/01/2303/31/242MOPriced532283Q20100
0012CLeavenworth, KSBase04/01/2303/31/242MOPriced532283Q20100
0012DMarion, ILBase04/01/2303/31/242MOPriced532283Q20100
0012EPoplar Bluff, MOBase04/01/2303/31/242MOPriced532283Q20100
0012FSt. Louis, MOBase04/01/2303/31/242MOPriced532283Q20100
0012GTopeka, KSBase04/01/2303/31/242MOPriced532283Q20100
0012HWichita, KSBase04/01/2303/31/242MOPriced532283Q20100
Sub-Total00
0013LIQUID OXYGEN PER POUND. Includes all delivery charges. E0442BaseNSP532283Q201
0013AColumbia, MOBase04/01/2303/31/24306LBPriced532283Q20100
0013BKansas City, MOBase04/01/2303/31/24306LBPriced532283Q20100
0013CLeavenworth, KSBase04/01/2303/31/24306LBPriced532283Q20100
0013DMarion, ILBase04/01/2303/31/24306LBPriced532283Q20100
0013EPoplar Bluff, MOBase04/01/2303/31/24306LBPriced532283Q20100
0013FSt. Louis, MOBase04/01/2303/31/24306LBPriced532283Q20100
0013GTopeka, KSBase04/01/2303/31/24306LBPriced532283Q20100
0013HWichita, KSBase04/01/2303/31/24306LBPriced532283Q20100
Sub-Total00
0014AEROSOL COMPRESSOR MONTHLY FEE: This shall include initial set up and all visits related to the system by a Trained Certified Technican, a Certified Respiratory Therapist (CRT) or a Registered Respiratory Therapist (RRT), and all related monthly supplies. E0565BaseNSP532283Q201
0014AColumbia, MOBase04/01/2303/31/245MOPriced532283Q20100
0014BKansas City, MOBase04/01/2303/31/245MOPriced532283Q20100
0014CLeavenworth, KSBase04/01/2303/31/245MOPriced532283Q20100
0014DMarion, ILBase04/01/2303/31/245MOPriced532283Q20100
0014EPoplar Bluff, MOBase04/01/2303/31/245MOPriced532283Q20100
0014FSt. Louis, MOBase04/01/2303/31/2414MOPriced532283Q20100
0014GTopeka, KSBase04/01/2303/31/245MOPriced532283Q20100
0014HWichita, KSBase04/01/2303/31/245MOPriced532283Q20100
Sub-Total00
0015HEATED INTEGRATED COMPRESSOR MONTHLY FEE: This shall include initial set up and all visits related to the system by a Trained Certified Technican, a Certified Respiratory Therapist (CRT) or a Registered Respiratory Therapist (RRT), and all related monthly supplies. E0585BaseNSP532283Q201
0015AColumbia, MOBase04/01/2303/31/245MOPriced532283Q20100
0015BKansas City, MOBase04/01/2303/31/245MOPriced532283Q20100
0015CLeavenworth, KSBase04/01/2303/31/245MOPriced532283Q20100
0015DMarion, ILBase04/01/2303/31/247MOPriced532283Q20100
0015EPoplar Bluff, MOBase04/01/2303/31/245MOPriced532283Q20100
0015FSt. Louis, MOBase04/01/2303/31/245MOPriced532283Q20100
0015GTopeka, KSBase04/01/2303/31/245MOPriced532283Q20100
0015HWichita, KSBase04/01/2303/31/245MOPriced532283Q20100
Sub-Total00
0016VENTILATOR MONTHLY FEE. This shall include the initial visit, ventilator, backup ventilator, initial visit, monthly visits, set-up, and service by a Certified Respiratory Therapist (CRT) or a Registered Respiratory Therapist (RRT), all related monthly supplies. E0450BaseNSP532283Q201
0016AColumbia, MOBase04/01/2303/31/246MOPriced532283Q20100
0016BKansas City, MOBase04/01/2303/31/2418MOPriced532283Q20100
0016CLeavenworth, KSBase04/01/2303/31/245MOPriced532283Q20100
0016DMarion, ILBase04/01/2303/31/248MOPriced532283Q20100
0016EPoplar Bluff, MOBase04/01/2303/31/2414MOPriced532283Q20100
0016FSt. Louis, MOBase04/01/2303/31/2427MOPriced532283Q20100
0016GTopeka, KSBase04/01/2303/31/245MOPriced532283Q20100
0016HWichita, KSBase04/01/2303/31/245MOPriced532283Q20100
Sub-Total00
0017EMERGENCY SET UP FEE - Set up called in after 3PM and requires same day delivery. VA 120BaseNSP532283Q201
0017AColumbia, MOBase04/01/2303/31/245FEEPriced532283Q20100
0017BKansas City, MOBase04/01/2303/31/246FEEPriced532283Q20100
0017CLeavenworth, KSBase04/01/2303/31/245FEEPriced532283Q20100
0017DMarion, ILBase04/01/2303/31/2412FEEPriced532283Q20100
0017EPoplar Bluff, MOBase04/01/2303/31/2414FEEPriced532283Q20100
0017FSt. Louis, MOBase04/01/2303/31/245FEEPriced532283Q20100
0017GTopeka, KSBase04/01/2303/31/245FEEPriced532283Q20100
0017HWichita, KSBase04/01/2303/31/245FEEPriced532283Q20100
Sub-Total00
0018BI-DIRECTIONAL THERMAL FUSES SET UP FEE - Included in the fee of the bi-directional thermal fuse is installation and patient education of the bi-directional thermal fuses on all oxygen systems.BaseNSP532283Q201
0018AColumbia, MOBase04/01/2303/31/24117FEEPriced532283Q20100
0018BKansas City, MOBase04/01/2303/31/2495FEEPriced532283Q20100
0018CLeavenworth, KSBase04/01/2303/31/2426FEEPriced532283Q20100
0018DMarion, ILBase04/01/2303/31/24121FEEPriced532283Q20100
0018EPoplar Bluff, MOBase04/01/2303/31/24114FEEPriced532283Q20100
0018FSt. Louis, MOBase04/01/2303/31/24115FEEPriced532283Q20100
0018GTopeka, KSBase04/01/2303/31/2432FEEPriced532283Q20100
0018HWichita, KSBase04/01/2303/31/2475FEEPriced532283Q20100
Sub-Total00

Total 0 0

10015 LPM CONCENTRATOR WITH BACKUP SYSTEM AND PORTABLE SYSTEM MONTHLY FEE.This shall include the initial set up and all visits related to the oxygen system by a Trained Certified Technican, a Certified Respiratory Therapist (CRT) or a Registered Respiratory Therapist (RRT), back-up system complete with cylinder, regulator, stand, tubing, cannulas, filter(s) and humidifier as needed, portable cylinders with wheeled cart and/or bag, regulator and/or demand pulse conserving device and all supplies including cannulas, masks, tubing, filters, and humidifiers. Includes all cylinder demurrage charges. E1390Year 2NSP532283Q201
1001AColumbia, MOYear 204/01/2403/31/25740MOPriced532283Q201
1001BKansas City, MOYear 204/01/2403/31/25747MOPriced532283Q201
1001CLeavenworth, KSYear 204/01/2403/31/25276MOPriced532283Q201
1001DMarion, ILYear 204/01/2403/31/25843MOPriced532283Q201
1001EPoplar Bluff, MOYear 204/01/2403/31/25599MOPriced532283Q201
1001FSt. Louis, MOYear 204/01/2403/31/25746MOPriced532283Q201
1001GTopeka, KSYear 204/01/2403/31/25313MOPriced532283Q201
1001HWichita, KSYear 204/01/2403/31/25509MOPriced532283Q201
Sub-Total
100210 LPM CONCENTRATOR WITH BACKUP SYSTEM AND PORTABLE SYSTEM MONTHLY FEE.
This shall include the initial set up and all visits related to the oxygen system by a Trained Certified Technican, a Certified Respiratory Therapist (CRT) or a Registered Respiratory Therapist (RRT), back-up system complete with cylinder, regulator, stand, tubing, cannulas, filter(s) and humidifier as needed, portable cylinders with wheeled cart and/or bag, regulator and/or demand pulse conserving device and all supplies including cannulas, masks, tubing, filters, and humidifiers. Includes all cylinder demurrage charges. E1390Year 2NSP532283Q201
1002AColumbia, MOYear 204/01/2403/31/2589MOPriced532283Q201
1002BKansas City, MOYear 204/01/2403/31/2555MOPriced532283Q201
1002CLeavenworth, KSYear 204/01/2403/31/2512MOPriced532283Q201
1002DMarion, ILYear 204/01/2403/31/2528MOPriced532283Q201
1002EPoplar Bluff, MOYear 204/01/2403/31/2518MOPriced532283Q201
1002FSt. Louis, MOYear 204/01/2403/31/2561MOPriced532283Q201
1002GTopeka, KSYear 204/01/2403/31/2510MOPriced532283Q201
1002HWichita, KSYear 204/01/2403/31/2520MOPriced532283Q201
Sub-Total532283Q201
1003PORTABLE CONCENTRATOR SYSTEM WITH 2 BACKUP BATTERIES, DESK TOP CHARGER AND BACK UP SYSTEM MONTHLY FEE.
This shall include the initial set up and all visits related to the oxygen system by a Trained Certified Technican, a Certified Respiratory Therapist (CRT) or a Registered Respiratory Therapist (RRT), back-up system complete with cylinder, regulator, stand, tubing, cannulas, masks, filter(s) and humidifier as needed. Includes all cylinder demurrage charges. E1392Year 2NSP532283Q201
1003AColumbia, MOYear 204/01/2403/31/25342MOPriced532283Q201
1003BKansas City, MOYear 204/01/2403/31/25290MOPriced532283Q201
1003CLeavenworth, KSYear 204/01/2403/31/25128MOPriced532283Q201
1003DMarion, ILYear 204/01/2403/31/25177MOPriced532283Q201
1003EPoplar Bluff, MOYear 204/01/2403/31/25145MOPriced532283Q201
1003FSt. Louis, MOYear 204/01/2403/31/25735MOPriced532283Q201
1003GTopeka, KSYear 204/01/2403/31/25149MOPriced532283Q201
1003HWichita, KSYear 204/01/2403/31/25174MOPriced532283Q201
Sub-Total
1004PORTABLE CONCENTRATOR BATTERIES IN EXCESS OF THE 2 PROVIDED WITH THE PORTABLE CONCENTRATOR MONTHLY FEE. (E1357)Year 2NSP532283Q201
1004AColumbia, MOYear 204/01/2403/31/25390MOPriced532283Q201
1004BKansas City, MOYear 204/01/2403/31/2586MOPriced532283Q201
1004CLeavenworth, KSYear 204/01/2403/31/25138MOPriced532283Q201
1004DMarion, ILYear 204/01/2403/31/2535MOPriced532283Q201
1004EPoplar Bluff, MOYear 204/01/2403/31/2536MOPriced532283Q201
1004FSt. Louis, MOYear 204/01/2403/31/25137MOPriced532283Q201
1004GTopeka, KSYear 204/01/2403/31/25160MOPriced532283Q201
1004HWichita, KSYear 204/01/2403/31/2521MOPriced532283Q20110041004100410041004100410041004100410041004100410041004100410041004100410041004100410041004100410041004100410041004100410041004100410041004
Sub-Total
1005CYLINDER SIZE M or H MONTHLY CHARGE FOR STAND ALONE SYSTEM. This shall include initial set up and all visits related to the oxygen system by a Trained Certified Technican, a Certified Respiratory Therapist (CRT) or a Registered Respiratory Therapist (RRT), the cylinder (s), regulator, flow meter, safety stand, humidifier and all disposable supplies. Includes all cylinder demurrage charges. E0424Year 2NSP532283Q201
1005AColumbia, MOYear 204/01/2403/31/2538MOPriced532283Q201
1005BKansas City, MOYear 204/01/2403/31/2587MOPriced532283Q201
1005CLeavenworth, KSYear 204/01/2403/31/2517MOPriced532283Q201
1005DMarion, ILYear 204/01/2403/31/257MOPriced532283Q201
1005EPoplar Bluff, MOYear 204/01/2403/31/255MOPriced532283Q201
1005FSt. Louis, MOYear 204/01/2403/31/2526MOPriced532283Q201
1005GTopeka, KSYear 204/01/2403/31/2516MOPriced532283Q201
1005HWichita, KSYear 204/01/2403/31/2551MOPriced532283Q201
Sub-Total
1006DEMAND PULSE CONSERVER CANNULA - Includes delivery. A4615Year 2NSP532283Q201
1006AColumbia, MOYear 204/01/2403/31/258EAPriced532283Q201
1006BKansas City, MOYear 204/01/2403/31/257EAPriced532283Q201
1006CLeavenworth, KSYear 204/01/2403/31/255EAPriced532283Q201
1006DMarion, ILYear 204/01/2403/31/255EAPriced532283Q201
1006EPoplar Bluff, MOYear 204/01/2403/31/255EAPriced532283Q201
1006FSt. Louis, MOYear 204/01/2403/31/255EAPriced532283Q201
1006GTopeka, KSYear 204/01/2403/31/255EAPriced532283Q201
1006HWichita, KSYear 204/01/2403/31/255EAPriced532283Q201
Sub-Total
1007CYLINDER SIZE H OR M REFILL. Includes all delivery and demurrage charges. E0443Year 2NSP532283Q201
1007AColumbia, MOYear 204/01/2403/31/257EAPriced532283Q201
1007BKansas City, MOYear 204/01/2403/31/2515EAPriced532283Q201
1007CLeavenworth, KSYear 204/01/2403/31/255EAPriced532283Q201
1007DMarion, ILYear 204/01/2403/31/255EAPriced532283Q201
1007EPoplar Bluff, MOYear 204/01/2403/31/255EAPriced532283Q201
1007FSt. Louis, MOYear 204/01/2403/31/255EAPriced532283Q201
1007GTopeka, KSYear 204/01/2403/31/255EAPriced532283Q201
1007HWichita, KSYear 204/01/2403/31/258EAPriced532283Q201
Sub-Total
1008CYLINDER SIZE E REFILL. Includes all delivery and demurrage charges. E0443Year 2NSP532283Q201
1008AColumbia, MOYear 204/01/2403/31/25711EAPriced532283Q201
1008BKansas City, MOYear 204/01/2403/31/25339EAPriced532283Q201
1008CLeavenworth, KSYear 204/01/2403/31/25150EAPriced532283Q201
1008DMarion, ILYear 204/01/2403/31/25493EAPriced532283Q201
1008EPoplar Bluff, MOYear 204/01/2403/31/25460EAPriced532283Q201
1008FSt. Louis, MOYear 204/01/2403/31/25300EAPriced532283Q201
1008GTopeka, KSYear 204/01/2403/31/25154EAPriced532283Q201
1008HWichita, KSYear 204/01/2403/31/25889EAPriced532283Q201
Sub-Total
1009CYLINDER SIZE D REFILL. Includes all delivery and demurrage charges. E0443Year 2NSP532283Q201
1009AColumbia, MOYear 204/01/2403/31/25400EAPriced532283Q201
1009BKansas City, MOYear 204/01/2403/31/25192EAPriced532283Q201
1009CLeavenworth, KSYear 204/01/2403/31/2591EAPriced532283Q201
1009DMarion, ILYear 204/01/2403/31/25423EAPriced532283Q201
1009EPoplar Bluff, MOYear 204/01/2403/31/25313EAPriced532283Q201
1009FSt. Louis, MOYear 204/01/2403/31/25216EAPriced532283Q201
1009GTopeka, KSYear 204/01/2403/31/25132EAPriced532283Q201
1009HWichita, KSYear 204/01/2403/31/25184EAPriced532283Q201
Sub-Total
1010CYLINDER SIZE B (M6) REFILL. Includes all delivery and demurrage charges. E0443Year 2NSP532283Q201
1010AColumbia, MOYear 204/01/2403/31/25374EAPriced532283Q201
1010BKansas City, MOYear 204/01/2403/31/25381EAPriced532283Q201
1010CLeavenworth, KSYear 204/01/2403/31/2552EAPriced532283Q201
1010DMarion, ILYear 204/01/2403/31/25477EAPriced532283Q201
1010EPoplar Bluff, MOYear 204/01/2403/31/25298EAPriced532283Q201
1010FSt. Louis, MOYear 204/01/2403/31/25317EAPriced532283Q201
1010GTopeka, KSYear 204/01/2403/31/2545EAPriced532283Q201
1010HWichita, KSYear 204/01/2403/31/25142EAPriced532283Q201
Sub-Total
1011LIQUID OXYGEN SYSTEM MONTHLY FEE. This shall include the initial set up and all visits related to the system by a Trained Certified Technican, a Trained Certified Technican, a Certified Respiratory Therapist (CRT) or a Registered Respiratory Therapist (RRT), back-up system complete and all related monthly supplies. E0439b.Year 2NSP532283Q201
1011AColumbia, MOYear 204/01/2403/31/252MOPriced532283Q201
1011BKansas City, MOYear 204/01/2403/31/252MOPriced532283Q201
1011CLeavenworth, KSYear 204/01/2403/31/252MOPriced532283Q201
1011DMarion, ILYear 204/01/2403/31/252MOPriced532283Q201
1011EPoplar Bluff, MOYear 204/01/2403/31/252MOPriced532283Q201
1011FSt. Louis, MOYear 204/01/2403/31/252MOPriced532283Q201
1011GTopeka, KSYear 204/01/2403/31/252MOPriced532283Q201
1011HWichita, KSYear 204/01/2403/31/252MOPriced532283Q201
Sub-Total
1012LIQUID OXYGEN SYSTEM (PORTABLE) MONTHLY FEE. This shall include initial set up and all visits related to the system by a Trained Certified Technican, a Certified Respiratory Therapist (CRT) or a Registered Respiratory Therapist (RRT), and all related monthly supplies. E0434Year 2NSP532283Q201
1012AColumbia, MOYear 204/01/2403/31/252MOPriced532283Q201
1012BKansas City, MOYear 204/01/2403/31/252MOPriced532283Q201
1012CLeavenworth, KSYear 204/01/2403/31/252MOPriced532283Q201
1012DMarion, ILYear 204/01/2403/31/252MOPriced532283Q201
1012EPoplar Bluff, MOYear 204/01/2403/31/252MOPriced532283Q201
1012FSt. Louis, MOYear 204/01/2403/31/252MOPriced532283Q201
1012GTopeka, KSYear 204/01/2403/31/252MOPriced532283Q201
1012HWichita, KSYear 204/01/2403/31/252MOPriced532283Q201
Sub-Total
1013LIQUID OXYGEN PER POUND. Includes all delivery charges. E0442Year 2NSP532283Q201
1013AColumbia, MOYear 204/01/2403/31/25306LBPriced532283Q201
1013BKansas City, MOYear 204/01/2403/31/25306LBPriced532283Q201
1013CLeavenworth, KSYear 204/01/2403/31/25306LBPriced532283Q201
1013DMarion, ILYear 204/01/2403/31/25306LBPriced532283Q201
1013EPoplar Bluff, MOYear 204/01/2403/31/25306LBPriced532283Q201
1013FSt. Louis, MOYear 204/01/2403/31/25306LBPriced532283Q201
1013GTopeka, KSYear 204/01/2403/31/25306LBPriced532283Q201
1013HWichita, KSYear 204/01/2403/31/25306LBPriced532283Q201
Sub-Total
1014AEROSOL COMPRESSOR MONTHLY FEE: This shall include initial set up and all visits related to the system by a Trained Certified Technican, a Certified Respiratory Therapist (CRT) or a Registered Respiratory Therapist (RRT), and all related monthly supplies. E0565Year 2NSP532283Q201
1014AColumbia, MOYear 204/01/2403/31/255MOPriced532283Q201
1014BKansas City, MOYear 204/01/2403/31/255MOPriced532283Q201
1014CLeavenworth, KSYear 204/01/2403/31/255MOPriced532283Q201
1014DMarion, ILYear 204/01/2403/31/255MOPriced532283Q201
1014EPoplar Bluff, MOYear 204/01/2403/31/255MOPriced532283Q201
1014FSt. Louis, MOYear 204/01/2403/31/2514MOPriced532283Q201
1014GTopeka, KSYear 204/01/2403/31/255MOPriced532283Q201
1014HWichita, KSYear 204/01/2403/31/255MOPriced532283Q201
Sub-Total
1015HEATED INTEGRATED COMPRESSOR MONTHLY FEE: This shall include initial set up and all visits related to the system by a Trained Certified Technican, a Certified Respiratory Therapist (CRT) or a Registered Respiratory Therapist (RRT), and all related monthly supplies. E0585Year 2NSP532283Q201
1015AColumbia, MOYear 204/01/2403/31/255MOPriced532283Q201
1015BKansas City, MOYear 204/01/2403/31/255MOPriced532283Q201
1015CLeavenworth, KSYear 204/01/2403/31/255MOPriced532283Q201
1015DMarion, ILYear 204/01/2403/31/257MOPriced532283Q201
1015EPoplar Bluff, MOYear 204/01/2403/31/255MOPriced532283Q201
1015FSt. Louis, MOYear 204/01/2403/31/255MOPriced532283Q201
1015GTopeka, KSYear 204/01/2403/31/255MOPriced532283Q201
1015HWichita, KSYear 204/01/2403/31/255MOPriced532283Q201
Sub-Total
1016VENTILATOR MONTHLY FEE. This shall include the initial visit, ventilator, backup ventilator, initial visit, monthly visits, set-up, and service by a Certified Respiratory Therapist (CRT) or a Registered Respiratory Therapist (RRT), all related monthly supplies. E0450Year 2NSP532283Q201
1016AColumbia, MOYear 204/01/2403/31/256MOPriced532283Q201
1016BKansas City, MOYear 204/01/2403/31/2518MOPriced532283Q201
1016CLeavenworth, KSYear 204/01/2403/31/255MOPriced532283Q201
1016DMarion, ILYear 204/01/2403/31/258MOPriced532283Q201
1016EPoplar Bluff, MOYear 204/01/2403/31/2514MOPriced532283Q201
1016FSt. Louis, MOYear 204/01/2403/31/2527MOPriced532283Q201
1016GTopeka, KSYear 204/01/2403/31/255MOPriced532283Q201
1016HWichita, KSYear 204/01/2403/31/255MOPriced532283Q201
Sub-Total
1017EMERGENCY SET UP FEE - Set up called in after 3PM and requires same day delivery. VA 120Year 2NSP532283Q201
1017AColumbia, MOYear 204/01/2403/31/255FEEPriced532283Q201
1017BKansas City, MOYear 204/01/2403/31/256FEEPriced532283Q201
1017CLeavenworth, KSYear 204/01/2403/31/255FEEPriced532283Q201
1017DMarion, ILYear 204/01/2403/31/2512FEEPriced532283Q201
1017EPoplar Bluff, MOYear 204/01/2403/31/2514FEEPriced532283Q201
1017FSt. Louis, MOYear 204/01/2403/31/255FEEPriced532283Q201
1017GTopeka, KSYear 204/01/2403/31/255FEEPriced532283Q201
1017HWichita, KSYear 204/01/2403/31/255FEEPriced532283Q201
Sub-Total
1018BI-DIRECTIONAL THERMAL FUSES SET UP FEE - Included in the fee of the bi-directional thermal fuse is installation and patient education of the bi-directional thermal fuses on all oxygen systems.Year 2NSP532283Q201
1018AColumbia, MOYear 204/01/2403/31/25117FEEPriced532283Q201
1018BKansas City, MOYear 204/01/2403/31/2595FEEPriced532283Q201
1018CLeavenworth, KSYear 204/01/2403/31/2526FEEPriced532283Q201
1018DMarion, ILYear 204/01/2403/31/25121FEEPriced532283Q201
1018EPoplar Bluff, MOYear 204/01/2403/31/25114FEEPriced532283Q201
1018FSt. Louis, MOYear 204/01/2403/31/25115FEEPriced532283Q201
1018GTopeka, KSYear 204/01/2403/31/2532FEEPriced532283Q201
1018HWichita, KSYear 204/01/2403/31/2575FEEPriced532283Q201
Sub-Total

Total 0 0

20015 LPM CONCENTRATOR WITH BACKUP SYSTEM AND PORTABLE SYSTEM MONTHLY FEE.This shall include the initial set up and all visits related to the oxygen system by a Trained Certified Technican, a Certified Respiratory Therapist (CRT) or a Registered Respiratory Therapist (RRT), back-up system complete with cylinder, regulator, stand, tubing, cannulas, filter(s) and humidifier as needed, portable cylinders with wheeled cart and/or bag, regulator and/or demand pulse conserving device and all supplies including cannulas, masks, tubing, filters, and humidifiers. Includes all cylinder demurrage charges. E1390Year 3NSP532283Q201
2001AColumbia, MOYear 304/01/2503/31/26740MOPriced532283Q20100
2001BKansas City, MOYear 304/01/2503/31/26747MOPriced532283Q20100
2001CLeavenworth, KSYear 304/01/2503/31/26276MOPriced532283Q20100
2001DMarion, ILYear 304/01/2503/31/26843MOPriced532283Q20100
2001EPoplar Bluff, MOYear 304/01/2503/31/26599MOPriced532283Q20100
2001FSt. Louis, MOYear 304/01/2503/31/26746MOPriced532283Q20100
2001GTopeka, KSYear 304/01/2503/31/26313MOPriced532283Q20100
2001HWichita, KSYear 304/01/2503/31/26509MOPriced532283Q20100
Sub-Total00
200210 LPM CONCENTRATOR WITH BACKUP SYSTEM AND PORTABLE SYSTEM MONTHLY FEE.
This shall include the initial set up and all visits related to the oxygen system by a Trained Certified Technican, a Certified Respiratory Therapist (CRT) or a Registered Respiratory Therapist (RRT), back-up system complete with cylinder, regulator, stand, tubing, cannulas, filter(s) and humidifier as needed, portable cylinders with wheeled cart and/or bag, regulator and/or demand pulse conserving device and all supplies including cannulas, masks, tubing, filters, and humidifiers. Includes all cylinder demurrage charges. E1390Year 3NSP532283Q201
2002AColumbia, MOYear 304/01/2503/31/2689MOPriced532283Q20100
2002BKansas City, MOYear 304/01/2503/31/2655MOPriced532283Q20100
2002CLeavenworth, KSYear 304/01/2503/31/2612MOPriced532283Q20100
2002DMarion, ILYear 304/01/2503/31/2628MOPriced532283Q20100
2002EPoplar Bluff, MOYear 304/01/2503/31/2618MOPriced532283Q20100
2002FSt. Louis, MOYear 304/01/2503/31/2661MOPriced532283Q20100
2002GTopeka, KSYear 304/01/2503/31/2610MOPriced532283Q20100
2002HWichita, KSYear 304/01/2503/31/2620MOPriced532283Q20100
Sub-Total00
2003PORTABLE CONCENTRATOR SYSTEM WITH 2 BACKUP BATTERIES, DESK TOP CHARGER AND BACK UP SYSTEM MONTHLY FEE.
This shall include the initial set up and all visits related to the oxygen system by a Trained Certified Technican, a Certified Respiratory Therapist (CRT) or a Registered Respiratory Therapist (RRT), back-up system complete with cylinder, regulator, stand, tubing, cannulas, masks, filter(s) and humidifier as needed. Includes all cylinder demurrage charges. E1392Year 3NSP532283Q201
2003AColumbia, MOYear 304/01/2503/31/26342MOPriced532283Q20100
2003BKansas City, MOYear 304/01/2503/31/26290MOPriced532283Q20100
2003CLeavenworth, KSYear 304/01/2503/31/26128MOPriced532283Q20100
2003DMarion, ILYear 304/01/2503/31/26177MOPriced532283Q20100
2003EPoplar Bluff, MOYear 304/01/2503/31/26145MOPriced532283Q20100
2003FSt. Louis, MOYear 304/01/2503/31/26735MOPriced532283Q20100
2003GTopeka, KSYear 304/01/2503/31/26149MOPriced532283Q20100
2003HWichita, KSYear 304/01/2503/31/26174MOPriced532283Q20100
Sub-Total00
2004PORTABLE CONCENTRATOR BATTERIES IN EXCESS OF THE 2 PROVIDED WITH THE PORTABLE CONCENTRATOR MONTHLY FEE. (E1357)Year 3NSP532283Q201
2004AColumbia, MOYear 304/01/2503/31/26390MOPriced532283Q20100
2004BKansas City, MOYear 304/01/2503/31/2686MOPriced532283Q20100
2004CLeavenworth, KSYear 304/01/2503/31/26138MOPriced532283Q20100
2004DMarion, ILYear 304/01/2503/31/2635MOPriced532283Q20100
2004EPoplar Bluff, MOYear 304/01/2503/31/2636MOPriced532283Q20100
2004FSt. Louis, MOYear 304/01/2503/31/26137MOPriced532283Q20100
2004GTopeka, KSYear 304/01/2503/31/26160MOPriced532283Q20100
2004HWichita, KSYear 304/01/2503/31/2621MOPriced532283Q20100
Sub-Total00
2005CYLINDER SIZE M or H MONTHLY CHARGE FOR STAND ALONE SYSTEM. This shall include initial set up and all visits related to the oxygen system by a Trained Certified Technican, a Certified Respiratory Therapist (CRT) or a Registered Respiratory Therapist (RRT), the cylinder (s), regulator, flow meter, safety stand, humidifier and all disposable supplies. Includes all cylinder demurrage charges. E0424Year 3NSP532283Q201
2005AColumbia, MOYear 304/01/2503/31/2638MOPriced532283Q20100
2005BKansas City, MOYear 304/01/2503/31/2687MOPriced532283Q20100

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