Attachment_3___STX_-_Price_Book.xlsx
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- 36C25719Q0110
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36C25719Q0110 Attachment 3 _ STX - Price Book.xlsx
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| Attachment_2___VCB_-_Statement_of_Work.docx | DOCX document | |
| Attachment_1___STX_-_Statement_of_Work.docx | DOCX document | |
| 36C25719Q0110.docx | DOCX document | |
| RFQ_-_36C25719Q0110.docx | DOCX document | |
| Attachment_4___VCB_-_Price_Book.xlsx | XLSX spreadsheet |
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BASE YR
| ATTACHMENT 3 - PRICE BOOK DATED 12-20-2018 36C25719Q0110 |
| *Note: The equipment list is subject to change throughout the life of the contract. Reimbursement is based on actual certifications and re-certifications performed. Line Item Totals are Not To Exceed (NTE) values. Line items 0001 through 0006 are separately priced and found within the Price/Cost Schedule in the SF 1449. |
| LINE ITEM 0007 | ||||
| PERIOD OF PERFORMANCE - BASE YEAR | ||||
| Audie L. Murphy VA Medical Center, 7400 Merton Minter, San Antonio, TX 78229-4404 | ||||
| ITEM | EE# | ANNUAL CERT COST | RECERT COST | |
| 1 | Faxitron Cabinet 2 Faxitron PathVision, PathVision 23x29 | A40239 | ||
| 2 | Faxitron Cabinet Faxitron , 43855A | 59962 | ||
| 3 | Mini C-arm General Electric mini 6800 CP, OEC MiniView 6800 | 72611 | ||
| 4 | C-arm (9800+) General Electric 9800 + Vascular, 9800 Mobile C-arm | 73054 | ||
| 5 | C-arm #5 (9800) General Electric 9800 + Vascular, 9800 Mobile C-arm | 77096 | ||
| 6 | ECTC Handheld dental Aseptico Aribex Nomad, ARU-06CE-1110 | 78529 | ||
| 7 | OMS Planmeca Dental - Panoramic Planmeca ProMax | 80425 | ||
| 8 | C-arm B (9900) General Electric - OEC 9900 Elite Vas MTS, OEC 9900 Elite | 80795 | ||
| 9 | CR Mammography - AD General Electric Diamond, MGX-2000 | 80800 | ||
| 10 | Angio AP Tube Philips Allura Xper FD20, 9919 320 51452 | 80804 | ||
| 11 | Angio Lat Tube Philips Allura Xper FD10, 9919 320 51452 | 80804 | ||
| 12 | AP Cath Lab 1 (GE) - AP General Electric Innova, 5314431-10 | 092947 AP | ||
| 13 | Biplane - AP Cath Lab 1 (GE) - AP General Electric Innova, 5314431-10 | 092947 AP | ||
| 14 | Lat Cath Lab 1 (GE) - Lat General Electric Innova, 5314431-10 | 092947 Lat | ||
| 15 | Biplane - Lat Cath Lab 1 (GE) - Lat General Electric Innova, 5314431-10 | 092947 Lat | ||
| 16 | Rad Room 2 General Electric Definium, 5270661 | 96913 | ||
| 17 | C-arm #6 (9900) General Electric - OEC 9900 Elite ESP, OEC 9900 Elite | 97116 | ||
| 18 | C-arm (Pain Clinic 9900 ES0983) General Electric - OEC 9900 Elite | 98671 | ||
| 19 | MRI Siemens Siemens Magnetom Espree Tim 76x18, 10018165 | 98763 | ||
| 20 | PET/CT (CT scanner GE VCT) General Electric VCT, SFDA 2007333 0064 | 100778 | ||
| 21 | PET/CT (PET scanner) General Electric Discovery VCT, SFDA 2007333 0064 | 100778 | ||
| 22 | Bone Densitometer (Radiology) General Electric Lunar, H8610PA | 106554 | ||
| 23 | GEM Clinic pano/cone beam dental Carestream CS9300 | 106705 | ||
| 24 | Nuc Med (Barco 10 MP) Barco New Coronis Grayscale, MDCG-10130 | 117086 | ||
| 25 | Bone Densitometer (Rm A705) Hologic Discovery QDR Series, Discovery A | 118504 | ||
| 26 | Cardiac SPECT camera General Electric Discovery NM 530c | 125265 | ||
| 27 | Philips Portable #10 Philips MobileDiagnost Wdr | 126213 | ||
| 28 | Philips Portable #12 Philips MobileDiagnost wDR | 126214 | ||
| 29 | Philips Portable #8 Philips MobileDiagnost wDR | 126215 | ||
| 30 | Philips Portable #11 Philips MobileDiagnost wDR | 126216 | ||
| 31 | Philips Portable #9 Philips MobileDiagnost wDR | 126218 | ||
| 32 | Pain Clinic C-arm (Ziehm) Ziehm Vision RFC | 128748 | ||
| 33 | G E Discovery NM/CT 670, 5411378-11 | 130203 SPECT | ||
| 34 | G E Discovery NM/CT 670, 5411378-11 | 130203 CT | ||
| 35 | G E Optima NM/CT 640 | 130941 SPECT | ||
| 36 | G E Optima NM/CT 640, 2227720 | 130941 CT | ||
| 37 | O-arm Medtronic O-arm | 131068 | ||
| 38 | SPECT camera General Electric Discovery NM/CT 670, 5411378-11 | 132416 SPECT | ||
| 39 | CT scanner General Electric Discovery NM/CT 670, 5411378-11 | 132416 CT | ||
| 40 | MRI GE 3T General Electric Discovery MR750w GEM | 133033 | ||
| 41 | SPECT camera General Electric Optima NM/CT 640, 5370540-43 | 133556 SPECT | ||
| 42 | CT scanner General Electric Optima NM/CT 640, 5370540-43 | 133556 CT | ||
| 43 | C-Arm #6 (9900 Blue) General Electric - OEC OEC 9900 Elite Vas MTS, OEC 9900 Elite | 133770 | ||
| 44 | C-Arm #8 (9900 Red) General Electric - OEC OEC 9900 Elite Vas MTS, OEC 9900 Elite | 133771 | ||
| 45 | C-Arm #7 (9900 Green) General Electric - OEC OEC 9900 Elite Vas MTS, OEC 9900 Elite | 133772 | ||
| 46 | Rad Room 3 General Electric Proteus, 5270661 | 135020 | ||
| 47 | Radiographic Room H113 General Electric Discovery XR656, 5270661 | 135873 | ||
| 48 | C-arm (Speech Pathology) General Electric - OEC OEC 9900 Elite, OEC 9900 Elite GSP | 136114 | ||
| 49 | Radiographic Rm H103 General Electric Discovery XR656, 5270661 | 136163 | ||
| 50 | Cath Lab 2 (Philips Allura Xper) Philips Allura Xper FD20 (Clarity), 722 028 | 136244 | ||
| 51 | Toshiba Lrge Bore CT Toshiba Aquilion LB, TSX-201A/3L | 136589 | ||
| 52 | SCIC C-Arm (GE-OEC 9900) General Electric - OEC 9900 Elite ESP, OEC 9900 Elite | 136615 | ||
| 53 | RF Room (H122) General Electric Precision 500 R/F, 5263908-2 | 136728 | ||
| 54 | Carestream 2200 EAYP031 Dental Carestream , CS 2200 | 137039 | ||
| 55 | Carestream 2200 EAYP032 Dental Carestream , CS 2200 | 137040 | ||
| 56 | OR Mini C-Arm Orthoscan Orthoscan FD, OrthoScan FD 1000-0004 | 137220 | ||
| 57 | OR Hybrid Room Philips Allura Xper FD20 (Clarity), 968600200544 | 137434 | ||
| 58 | RF Room 5 (H124) General Electric Precision 500 R/F, 5270661 | 137694 | ||
| 59 | GE Revolution CT General Electric Revolution CT, 5212920-150 | 138719 | ||
| 60 | Toshiba Aquillon Prime CT Toshiba Aquilion Prime, TSX-303A/FL | 142125 | ||
| 61 | Angio IR-H133 Philips Allura Xper FD20 (Clarity), 989600200544 | 143467 | ||
| 62 | Nomad Pro2 Dental (sn:24852) Aribex Nomad Pro 2 | 143955 | ||
| 63 | C-arm General Electric OEC Elite CFD, 5451963 | 146214 | ||
| 64 | Radiographic Room Fuji FDR AcSelerate, control: 9777.65.R2 | 146484 | ||
| 65 | Cath Lab #3 Philips Allura Xper FD20 (Clarity), 9896-002-00544 | 147945 | ||
| 66 | General Electric - OEC 9900 Elite, Model: 5451963 | 150021 | ||
| 67 | Orthoscan Orthoscan Mobile D1, Model: 1000-0004-FD | 150254 | ||
| 68 | Siemens Uroskop Omnia Max, Model: 5756270 | 150533 | ||
| Line Item Sub Total | 0.00 | 0.00 | ||
| Line Item Total | $ - 0 |
| LINE ITEM 0008 | ||||
| PERIOD OF PERFORMANCE - BASE YEAR | ||||
| VA San Antonio Dental Clinic, 8410 Data Point, San Antonio, TX 78229 | ||||
| ITEM | EE# | CERT Price | RECERT PRICE | |
| 1 | Aseptico Portable Dental Aseptico Aribex Nomad, ARU-06CE-110 | 78531 | ||
| 2 | OMS Handheld dental Aseptico Aribex Nomad, ARU-06CE-1110 | 78532 | ||
| 3 | Planmeca Panoramic Planmeca ProMax | 80426 | ||
| 4 | Carestream 2200 EAYP033 Carestream , CS 2200 | 137041 | ||
| 5 | Carestream 2200 EAYP034 Carestream , CS 2200 | 137042 | ||
| 6 | Carestream 2200 EAYP035 Carestream , CS 2200 | 137043 | ||
| 7 | Carestream 2200 EAYP071 Carestream , CS 2200 | 137044 | ||
| 8 | Carestream 2200 EAYP073 Carestream , CS 2200 | 137045 | ||
| 9 | Carestream 2200 EAYP074 Carestream , CS 2200 | 137046 | ||
| 10 | Nomad Pro 2 S/N 21353 Aribex Nomad Pro 2 | 137453 | ||
| 11 | Nomad Pro 2 S/N 21355 Aribex Nomad Pro 2 | 137454 | ||
| 12 | Nomad Pro 2 S/N 21352 Aribex Nomad Pro 2 | 137455 | ||
| 13 | Nomad Pro 2 S/N 21247 Aribex Nomad Pro 2 | 137456 | ||
| 14 | Nomad Pro2 Dental (sn:24844) Aribex Nomad Pro 2 | 143951 | ||
| 15 | Nomad Pro2 Dental (sn:24845) Aribex Nomad Pro 2 | 143952 | ||
| 16 | Nomad Pro2 Dental (sn:24848) Aribex Nomad Pro 2 | 143953 | ||
| 17 | Nomad Pro2 Dental (sn:24854) Aribex Nomad Pro 2 | 143956 | ||
| Line Item Sub Total | 0.00 | 0.00 | ||
| Line Item Total | $ - 0 |
| LINE ITEM 0009 | ||||
| PERIOD OF PERFORMANCE - BASE YEAR | ||||
| Frank Tejeda Clinic, 5788 Eckhert Rd, San Antonio, TX 78240 | ||||
| ITEM | EE# | CERT Price | RECERT PRICE | |
| 1 | Rad Room (Tejeda OP room 128) General Electric Discovery, 628844 | 113080 | ||
| 2 | Rad Room (Tejeda OP room 134) General Electric Discovery, 628844 | 115012 | ||
| Line Item Sub Total | 0.00 | 0.00 | ||
| Line Item Total | $ - 0 |
| LINE ITEM 0010 | ||||
| PERIOD OF PERFORMANCE - BASE YEAR | ||||
| Randolph Dental Clinic, 1 Harmon Drive,Bldg 1032, JBSA Randolph, TX 78150-0000 | ||||
| ITEM | EE# | CERT Price | RECERT PRICE | |
| 1 | Dental Panoramic - Randolph Carestream CS 8100 3D | 129667 | ||
| 2 | Nomad Pro2 Dental (sn:24850) Aribex Nomad Pro 2 | 143954 | ||
| Line Item Sub Total | 0.00 | 0.00 | ||
| Line Item Total | $ - 0 |
| LINE ITEM 0011 | ||||
| PERIOD OF PERFORMANCE - BASE YEAR | ||||
| VA North Central Federal Clinic, 17440 Henderson Pass, San Antonio, TX 78232 | ||||
| ITEM | EE# | CERT Price | RECERT PRICE | |
| 1 | Bone densitometer - NCC General Electric Prodigy Advance, DXA 8743 | 80775 | ||
| 2 | 3D Mammo Hologic Dimensions 3D, ASY-03694 | 135018 | ||
| 3 | Radiographic Room Fuji Siemens, Fuji D-EVO | 142295 | ||
| 4 | NCC Mammo Workstation Barco Coronis Color Next, MDMC-12122 | 145446 1 | ||
| 5 | Mammo Unit: Hologic Affirm,Model: ASY-08832 | 148290 | ||
| Line Item Sub Total | 0.00 | 0.00 | ||
| Line Item Total | $ - 0 |
| LINE ITEM 0012 | ||||
| PERIOD OF PERFORMANCE - BASE YEAR | ||||
| Kerrville VA Medical Center, 3600 Memorial Blvd, Kerrville, TX 78028 | ||||
| ITEM | EE# | CERT Price | RECERT PRICE | |
| 1 | C-arm #4 (9800) OEC 9800 + Vascular, 9800 MOBILE C-ARM | 60537 | ||
| 2 | Handheld dental Aseptico Aribex Nomad, ARU-06CE-1110 | 78528 | ||
| 3 | Panoramic Dental Planmeca ProMax | 80427 | ||
| 4 | Portable Rad AMX #5 General Electric AMX 700, 51514814 | 82436 | ||
| 5 | Carestream 2200 DLYP002 Carestream CS 2200 | 137038 | ||
| 6 | Nomad Pro2 Dental (sn:24840) Aribex Nomad Pro 2 | 143950 | ||
| 7 | Mobile Digital Mammo General Electric Essential, 51 49456-5 | 109803 | ||
| 8 | Bone Densitometer - KD General Electric Lunar | 109805 | ||
| 9 | Mammo RWS (ID#117081) Barco Coronis, MDCG-5121 | 117081 | ||
| 10 | Portable Rad. #7 Philips MobileDiagnost wDR | 126217 | ||
| 11 | RF Room 209 General Electric Precision 500 R/F, 5263908-2 | 137924 | ||
| 12 | Radiographic Room 212 General Electric Discovery, 5270661 | 141091 | ||
| 13 | Aquilion Prime CT Toshiba Aquilion Prime, CKCN-017A\2B | 142446 | ||
| Line Item Sub Total | 0.00 | 0.00 | ||
| Line Item Total | $ - 0 |
BASE YEAR TOTAL (NTE) $ - 0
OPTION YR 1
| ATTACHMENT 3 - PRICE BOOK DATED 12-20-2018 36C25719Q0110 |
| *Note: The equipment list is subject to change throughout the life of the contract. Reimbursement is based on actual certifications and re-certifications performed. Line Item Totals are Not To Exceed (NTE) values. Line items 0001 through 0006 are separately priced and found within the Price/Cost Schedule in the SF 1449. |
| LINE ITEM 1007 | ||||
| PERIOD OF PERFORMANCE - OPTION YEAR 1 | ||||
| Audie L. Murphy VA Medical Center, 7400 Merton Minter, San Antonio, TX 78229-4404 | ||||
| ITEM | EE# | ANNUAL CERT COST | RECERT COST | |
| 1 | Faxitron Cabinet 2 Faxitron PathVision, PathVision 23x29 | A40239 | ||
| 2 | Faxitron Cabinet Faxitron , 43855A | 59962 | ||
| 3 | Mini C-arm General Electric mini 6800 CP, OEC MiniView 6800 | 72611 | ||
| 4 | C-arm (9800+) General Electric 9800 + Vascular, 9800 Mobile C-arm | 73054 | ||
| 5 | C-arm #5 (9800) General Electric 9800 + Vascular, 9800 Mobile C-arm | 77096 | ||
| 6 | ECTC Handheld dental Aseptico Aribex Nomad, ARU-06CE-1110 | 78529 | ||
| 7 | OMS Planmeca Dental - Panoramic Planmeca ProMax | 80425 | ||
| 8 | C-arm B (9900) General Electric - OEC 9900 Elite Vas MTS, OEC 9900 Elite | 80795 | ||
| 9 | CR Mammography - AD General Electric Diamond, MGX-2000 | 80800 | ||
| 10 | Angio AP Tube Philips Allura Xper FD20, 9919 320 51452 | 80804 | ||
| 11 | Angio Lat Tube Philips Allura Xper FD10, 9919 320 51452 | 80804 | ||
| 12 | AP Cath Lab 1 (GE) - AP General Electric Innova, 5314431-10 | 092947 AP | ||
| 13 | Biplane - AP Cath Lab 1 (GE) - AP General Electric Innova, 5314431-10 | 092947 AP | ||
| 14 | Lat Cath Lab 1 (GE) - Lat General Electric Innova, 5314431-10 | 092947 Lat | ||
| 15 | Biplane - Lat Cath Lab 1 (GE) - Lat General Electric Innova, 5314431-10 | 092947 Lat | ||
| 16 | Rad Room 2 General Electric Definium, 5270661 | 96913 | ||
| 17 | C-arm #6 (9900) General Electric - OEC 9900 Elite ESP, OEC 9900 Elite | 97116 | ||
| 18 | C-arm (Pain Clinic 9900 ES0983) General Electric - OEC 9900 Elite | 98671 | ||
| 19 | MRI Siemens Siemens Magnetom Espree Tim 76x18, 10018165 | 98763 | ||
| 20 | PET/CT (CT scanner GE VCT) General Electric VCT, SFDA 2007333 0064 | 100778 | ||
| 21 | PET/CT (PET scanner) General Electric Discovery VCT, SFDA 2007333 0064 | 100778 | ||
| 22 | Bone Densitometer (Radiology) General Electric Lunar, H8610PA | 106554 | ||
| 23 | GEM Clinic pano/cone beam dental Carestream CS9300 | 106705 | ||
| 24 | Nuc Med (Barco 10 MP) Barco New Coronis Grayscale, MDCG-10130 | 117086 | ||
| 25 | Bone Densitometer (Rm A705) Hologic Discovery QDR Series, Discovery A | 118504 | ||
| 26 | Cardiac SPECT camera General Electric Discovery NM 530c | 125265 | ||
| 27 | Philips Portable #10 Philips MobileDiagnost Wdr | 126213 | ||
| 28 | Philips Portable #12 Philips MobileDiagnost wDR | 126214 | ||
| 29 | Philips Portable #8 Philips MobileDiagnost wDR | 126215 | ||
| 30 | Philips Portable #11 Philips MobileDiagnost wDR | 126216 | ||
| 31 | Philips Portable #9 Philips MobileDiagnost wDR | 126218 | ||
| 32 | Pain Clinic C-arm (Ziehm) Ziehm Vision RFC | 128748 | ||
| 33 | G E Discovery NM/CT 670, 5411378-11 | 130203 SPECT | ||
| 34 | G E Discovery NM/CT 670, 5411378-11 | 130203 CT | ||
| 35 | G E Optima NM/CT 640 | 130941 SPECT | ||
| 36 | G E Optima NM/CT 640, 2227720 | 130941 CT | ||
| 37 | O-arm Medtronic O-arm | 131068 | ||
| 38 | SPECT camera General Electric Discovery NM/CT 670, 5411378-11 | 132416 SPECT | ||
| 39 | CT scanner General Electric Discovery NM/CT 670, 5411378-11 | 132416 CT | ||
| 40 | MRI GE 3T General Electric Discovery MR750w GEM | 133033 | ||
| 41 | SPECT camera General Electric Optima NM/CT 640, 5370540-43 | 133556 SPECT | ||
| 42 | CT scanner General Electric Optima NM/CT 640, 5370540-43 | 133556 CT | ||
| 43 | C-Arm #6 (9900 Blue) General Electric - OEC OEC 9900 Elite Vas MTS, OEC 9900 Elite | 133770 | ||
| 44 | C-Arm #8 (9900 Red) General Electric - OEC OEC 9900 Elite Vas MTS, OEC 9900 Elite | 133771 | ||
| 45 | C-Arm #7 (9900 Green) General Electric - OEC OEC 9900 Elite Vas MTS, OEC 9900 Elite | 133772 | ||
| 46 | Rad Room 3 General Electric Proteus, 5270661 | 135020 | ||
| 47 | Radiographic Room H113 General Electric Discovery XR656, 5270661 | 135873 | ||
| 48 | C-arm (Speech Pathology) General Electric - OEC OEC 9900 Elite, OEC 9900 Elite GSP | 136114 | ||
| 49 | Radiographic Rm H103 General Electric Discovery XR656, 5270661 | 136163 | ||
| 50 | Cath Lab 2 (Philips Allura Xper) Philips Allura Xper FD20 (Clarity), 722 028 | 136244 | ||
| 51 | Toshiba Lrge Bore CT Toshiba Aquilion LB, TSX-201A/3L | 136589 | ||
| 52 | SCIC C-Arm (GE-OEC 9900) General Electric - OEC 9900 Elite ESP, OEC 9900 Elite | 136615 | ||
| 53 | RF Room (H122) General Electric Precision 500 R/F, 5263908-2 | 136728 | ||
| 54 | Carestream 2200 EAYP031 Dental Carestream , CS 2200 | 137039 | ||
| 55 | Carestream 2200 EAYP032 Dental Carestream , CS 2200 | 137040 | ||
| 56 | OR Mini C-Arm Orthoscan Orthoscan FD, OrthoScan FD 1000-0004 | 137220 | ||
| 57 | OR Hybrid Room Philips Allura Xper FD20 (Clarity), 968600200544 | 137434 | ||
| 58 | RF Room 5 (H124) General Electric Precision 500 R/F, 5270661 | 137694 | ||
| 59 | GE Revolution CT General Electric Revolution CT, 5212920-150 | 138719 | ||
| 60 | Toshiba Aquillon Prime CT Toshiba Aquilion Prime, TSX-303A/FL | 142125 | ||
| 61 | Angio IR-H133 Philips Allura Xper FD20 (Clarity), 989600200544 | 143467 | ||
| 62 | Nomad Pro2 Dental (sn:24852) Aribex Nomad Pro 2 | 143955 | ||
| 63 | C-arm General Electric OEC Elite CFD, 5451963 | 146214 | ||
| 64 | Radiographic Room Fuji FDR AcSelerate, control: 9777.65.R2 | 146484 | ||
| 65 | Cath Lab #3 Philips Allura Xper FD20 (Clarity), 9896-002-00544 | 147945 | ||
| 66 | General Electric - OEC 9900 Elite, Model: 5451963 | 150021 | ||
| 67 | Orthoscan Orthoscan Mobile D1, Model: 1000-0004-FD | 150254 | ||
| 68 | Siemens Uroskop Omnia Max, Model: 5756270 | 150533 | ||
| Line Item Sub Total | 0.00 | 0.00 | ||
| Line Item Total | $ - 0 |
| LINE ITEM 1008 | ||||
| PERIOD OF PERFORMANCE - OPTION YEAR 1 | ||||
| VA San Antonio Dental Clinic, 8410 Data Point, San Antonio, TX 78229 | ||||
| ITEM | EE# | CERT Price | RECERT PRICE | |
| 1 | Aseptico Portable Dental Aseptico Aribex Nomad, ARU-06CE-110 | 78531 | ||
| 2 | OMS Handheld dental Aseptico Aribex Nomad, ARU-06CE-1110 | 78532 | ||
| 3 | Planmeca Panoramic Planmeca ProMax | 80426 | ||
| 4 | Carestream 2200 EAYP033 Carestream , CS 2200 | 137041 | ||
| 5 | Carestream 2200 EAYP034 Carestream , CS 2200 | 137042 | ||
| 6 | Carestream 2200 EAYP035 Carestream , CS 2200 | 137043 | ||
| 7 | Carestream 2200 EAYP071 Carestream , CS 2200 | 137044 | ||
| 8 | Carestream 2200 EAYP073 Carestream , CS 2200 | 137045 | ||
| 9 | Carestream 2200 EAYP074 Carestream , CS 2200 | 137046 | ||
| 10 | Nomad Pro 2 S/N 21353 Aribex Nomad Pro 2 | 137453 | ||
| 11 | Nomad Pro 2 S/N 21355 Aribex Nomad Pro 2 | 137454 | ||
| 12 | Nomad Pro 2 S/N 21352 Aribex Nomad Pro 2 | 137455 | ||
| 13 | Nomad Pro 2 S/N 21247 Aribex Nomad Pro 2 | 137456 | ||
| 14 | Nomad Pro2 Dental (sn:24844) Aribex Nomad Pro 2 | 143951 | ||
| 15 | Nomad Pro2 Dental (sn:24845) Aribex Nomad Pro 2 | 143952 | ||
| 16 | Nomad Pro2 Dental (sn:24848) Aribex Nomad Pro 2 | 143953 | ||
| 17 | Nomad Pro2 Dental (sn:24854) Aribex Nomad Pro 2 | 143956 | ||
| Line Item Sub Total | 0.00 | 0.00 | ||
| Line Item Total | $ - 0 |
| LINE ITEM 1009 | ||||
| PERIOD OF PERFORMANCE - OPTION YEAR 1 | ||||
| Frank Tejeda Clinic, 5788 Eckhert Rd, San Antonio, TX 78240 | ||||
| ITEM | EE# | CERT Price | RECERT PRICE | |
| 1 | Rad Room (Tejeda OP room 128) General Electric Discovery, 628844 | 113080 | ||
| 2 | Rad Room (Tejeda OP room 134) General Electric Discovery, 628844 | 115012 | ||
| Line Item Sub Total | 0.00 | 0.00 | ||
| Line Item Total | $ - 0 |
| LINE ITEM 1010 | ||||
| PERIOD OF PERFORMANCE - OPTION YEAR 1 | ||||
| Randolph Dental Clinic, 1 Harmon Drive,Bldg 1032, JBSA Randolph, TX 78150-0000 | ||||
| ITEM | EE# | CERT Price | RECERT PRICE | |
| 1 | Dental Panoramic - Randolph Carestream CS 8100 3D | 129667 | ||
| 2 | Nomad Pro2 Dental (sn:24850) Aribex Nomad Pro 2 | 143954 | ||
| Line Item Sub Total | 0.00 | 0.00 | ||
| Line Item Total | $ - 0 |
| LINE ITEM 1011 | ||||
| PERIOD OF PERFORMANCE - OPTION YEAR 1 | ||||
| VA North Central Federal Clinic, 17440 Henderson Pass, San Antonio, TX 78232 | ||||
| ITEM | EE# | CERT Price | RECERT PRICE | |
| 1 | Bone densitometer - NCC General Electric Prodigy Advance, DXA 8743 | 80775 | ||
| 2 | 3D Mammo Hologic Dimensions 3D, ASY-03694 | 135018 | ||
| 3 | Radiographic Room Fuji Siemens, Fuji D-EVO | 142295 | ||
| 4 | NCC Mammo Workstation Barco Coronis Color Next, MDMC-12122 | 145446 1 | ||
| 5 | Mammo Unit: Hologic Affirm,Model: ASY-08832 | 148290 | ||
| Line Item Sub Total | 0.00 | 0.00 | ||
| Line Item Total | $ - 0 |
| LINE ITEM 1012 | ||||
| PERIOD OF PERFORMANCE - OPTION YEAR 1 | ||||
| Kerrville VA Medical Center, 3600 Memorial Blvd, Kerrville, TX 78028 | ||||
| ITEM | EE# | CERT Price | RECERT PRICE | |
| 1 | C-arm #4 (9800) OEC 9800 + Vascular, 9800 MOBILE C-ARM | 60537 | ||
| 2 | Handheld dental Aseptico Aribex Nomad, ARU-06CE-1110 | 78528 | ||
| 3 | Panoramic Dental Planmeca ProMax | 80427 | ||
| 4 | Portable Rad AMX #5 General Electric AMX 700, 51514814 | 82436 | ||
| 5 | Carestream 2200 DLYP002 Carestream CS 2200 | 137038 | ||
| 6 | Nomad Pro2 Dental (sn:24840) Aribex Nomad Pro 2 | 143950 | ||
| 7 | Mobile Digital Mammo General Electric Essential, 51 49456-5 | 109803 | ||
| 8 | Bone Densitometer - KD General Electric Lunar | 109805 | ||
| 9 | Mammo RWS (ID#117081) Barco Coronis, MDCG-5121 | 117081 | ||
| 10 | Portable Rad. #7 Philips MobileDiagnost wDR | 126217 | ||
| 11 | RF Room 209 General Electric Precision 500 R/F, 5263908-2 | 137924 | ||
| 12 | Radiographic Room 212 General Electric Discovery, 5270661 | 141091 | ||
| 13 | Aquilion Prime CT Toshiba Aquilion Prime, CKCN-017A\2B | 142446 | ||
| Line Item Sub Total | 0.00 | 0.00 | ||
| Line Item Total | $ - 0 |
OPTION YEAR 1 TOTAL (NTE) $ - 0
OPTION YR 2
| ATTACHMENT 3 - PRICE BOOK DATED 12-20-2018 36C25719Q0110 |
| *Note: The equipment list is subject to change throughout the life of the contract. Reimbursement is based on actual certifications and re-certifications performed. Line Item Totals are Not To Exceed (NTE) values. Line items 0001 through 0006 are separately priced and found within the Price/Cost Schedule in the SF 1449. |
| LINE ITEM 2007 | ||||
| PERIOD OF PERFORMANCE - OPTION YEAR 2 | ||||
| Audie L. Murphy VA Medical Center, 7400 Merton Minter, San Antonio, TX 78229-4404 | ||||
| ITEM | EE# | ANNUAL CERT COST | RECERT COST | |
| 1 | Faxitron Cabinet 2 Faxitron PathVision, PathVision 23x29 | A40239 | ||
| 2 | Faxitron Cabinet Faxitron , 43855A | 59962 | ||
| 3 | Mini C-arm General Electric mini 6800 CP, OEC MiniView 6800 | 72611 | ||
| 4 | C-arm (9800+) General Electric 9800 + Vascular, 9800 Mobile C-arm | 73054 | ||
| 5 | C-arm #5 (9800) General Electric 9800 + Vascular, 9800 Mobile C-arm | 77096 | ||
| 6 | ECTC Handheld dental Aseptico Aribex Nomad, ARU-06CE-1110 | 78529 | ||
| 7 | OMS Planmeca Dental - Panoramic Planmeca ProMax | 80425 | ||
| 8 | C-arm B (9900) General Electric - OEC 9900 Elite Vas MTS, OEC 9900 Elite | 80795 | ||
| 9 | CR Mammography - AD General Electric Diamond, MGX-2000 | 80800 | ||
| 10 | Angio AP Tube Philips Allura Xper FD20, 9919 320 51452 | 80804 | ||
| 11 | Angio Lat Tube Philips Allura Xper FD10, 9919 320 51452 | 80804 | ||
| 12 | AP Cath Lab 1 (GE) - AP General Electric Innova, 5314431-10 | 092947 AP | ||
| 13 | Biplane - AP Cath Lab 1 (GE) - AP General Electric Innova, 5314431-10 | 092947 AP | ||
| 14 | Lat Cath Lab 1 (GE) - Lat General Electric Innova, 5314431-10 | 092947 Lat | ||
| 15 | Biplane - Lat Cath Lab 1 (GE) - Lat General Electric Innova, 5314431-10 | 092947 Lat | ||
| 16 | Rad Room 2 General Electric Definium, 5270661 | 96913 | ||
| 17 | C-arm #6 (9900) General Electric - OEC 9900 Elite ESP, OEC 9900 Elite | 97116 | ||
| 18 | C-arm (Pain Clinic 9900 ES0983) General Electric - OEC 9900 Elite | 98671 | ||
| 19 | MRI Siemens Siemens Magnetom Espree Tim 76x18, 10018165 | 98763 | ||
| 20 | PET/CT (CT scanner GE VCT) General Electric VCT, SFDA 2007333 0064 | 100778 | ||
| 21 | PET/CT (PET scanner) General Electric Discovery VCT, SFDA 2007333 0064 | 100778 | ||
| 22 | Bone Densitometer (Radiology) General Electric Lunar, H8610PA | 106554 | ||
| 23 | GEM Clinic pano/cone beam dental Carestream CS9300 | 106705 | ||
| 24 | Nuc Med (Barco 10 MP) Barco New Coronis Grayscale, MDCG-10130 | 117086 | ||
| 25 | Bone Densitometer (Rm A705) Hologic Discovery QDR Series, Discovery A | 118504 | ||
| 26 | Cardiac SPECT camera General Electric Discovery NM 530c | 125265 | ||
| 27 | Philips Portable #10 Philips MobileDiagnost Wdr | 126213 | ||
| 28 | Philips Portable #12 Philips MobileDiagnost wDR | 126214 | ||
| 29 | Philips Portable #8 Philips MobileDiagnost wDR | 126215 | ||
| 30 | Philips Portable #11 Philips MobileDiagnost wDR | 126216 | ||
| 31 | Philips Portable #9 Philips MobileDiagnost wDR | 126218 | ||
| 32 | Pain Clinic C-arm (Ziehm) Ziehm Vision RFC | 128748 | ||
| 33 | G E Discovery NM/CT 670, 5411378-11 | 130203 SPECT | ||
| 34 | G E Discovery NM/CT 670, 5411378-11 | 130203 CT | ||
| 35 | G E Optima NM/CT 640 | 130941 SPECT | ||
| 36 | G E Optima NM/CT 640, 2227720 | 130941 CT | ||
| 37 | O-arm Medtronic O-arm | 131068 | ||
| 38 | SPECT camera General Electric Discovery NM/CT 670, 5411378-11 | 132416 SPECT | ||
| 39 | CT scanner General Electric Discovery NM/CT 670, 5411378-11 | 132416 CT | ||
| 40 | MRI GE 3T General Electric Discovery MR750w GEM | 133033 | ||
| 41 | SPECT camera General Electric Optima NM/CT 640, 5370540-43 | 133556 SPECT | ||
| 42 | CT scanner General Electric Optima NM/CT 640, 5370540-43 | 133556 CT | ||
| 43 | C-Arm #6 (9900 Blue) General Electric - OEC OEC 9900 Elite Vas MTS, OEC 9900 Elite | 133770 | ||
| 44 | C-Arm #8 (9900 Red) General Electric - OEC OEC 9900 Elite Vas MTS, OEC 9900 Elite | 133771 | ||
| 45 | C-Arm #7 (9900 Green) General Electric - OEC OEC 9900 Elite Vas MTS, OEC 9900 Elite | 133772 | ||
| 46 | Rad Room 3 General Electric Proteus, 5270661 | 135020 | ||
| 47 | Radiographic Room H113 General Electric Discovery XR656, 5270661 | 135873 | ||
| 48 | C-arm (Speech Pathology) General Electric - OEC OEC 9900 Elite, OEC 9900 Elite GSP | 136114 | ||
| 49 | Radiographic Rm H103 General Electric Discovery XR656, 5270661 | 136163 | ||
| 50 | Cath Lab 2 (Philips Allura Xper) Philips Allura Xper FD20 (Clarity), 722 028 | 136244 | ||
| 51 | Toshiba Lrge Bore CT Toshiba Aquilion LB, TSX-201A/3L | 136589 | ||
| 52 | SCIC C-Arm (GE-OEC 9900) General Electric - OEC 9900 Elite ESP, OEC 9900 Elite | 136615 | ||
| 53 | RF Room (H122) General Electric Precision 500 R/F, 5263908-2 | 136728 | ||
| 54 | Carestream 2200 EAYP031 Dental Carestream , CS 2200 | 137039 | ||
| 55 | Carestream 2200 EAYP032 Dental Carestream , CS 2200 | 137040 | ||
| 56 | OR Mini C-Arm Orthoscan Orthoscan FD, OrthoScan FD 1000-0004 | 137220 | ||
| 57 | OR Hybrid Room Philips Allura Xper FD20 (Clarity), 968600200544 | 137434 | ||
| 58 | RF Room 5 (H124) General Electric Precision 500 R/F, 5270661 | 137694 | ||
| 59 | GE Revolution CT General Electric Revolution CT, 5212920-150 | 138719 | ||
| 60 | Toshiba Aquillon Prime CT Toshiba Aquilion Prime, TSX-303A/FL | 142125 | ||
| 61 | Angio IR-H133 Philips Allura Xper FD20 (Clarity), 989600200544 | 143467 | ||
| 62 | Nomad Pro2 Dental (sn:24852) Aribex Nomad Pro 2 | 143955 | ||
| 63 | C-arm General Electric OEC Elite CFD, 5451963 | 146214 | ||
| 64 | Radiographic Room Fuji FDR AcSelerate, control: 9777.65.R2 | 146484 | ||
| 65 | Cath Lab #3 Philips Allura Xper FD20 (Clarity), 9896-002-00544 | 147945 | ||
| 66 | General Electric - OEC 9900 Elite, Model: 5451963 | 150021 | ||
| 67 | Orthoscan Orthoscan Mobile D1, Model: 1000-0004-FD | 150254 | ||
| 68 | Siemens Uroskop Omnia Max, Model: 5756270 | 150533 | ||
| Line Item Sub Total | 0.00 | 0.00 | ||
| Line Item Total | $ - 0 |
| LINE ITEM 2008 | ||||
| PERIOD OF PERFORMANCE - OPTION YEAR 2 | ||||
| VA San Antonio Dental Clinic, 8410 Data Point, San Antonio, TX 78229 | ||||
| ITEM | EE# | CERT Price | RECERT PRICE | |
| 1 | Aseptico Portable Dental Aseptico Aribex Nomad, ARU-06CE-110 | 78531 | ||
| 2 | OMS Handheld dental Aseptico Aribex Nomad, ARU-06CE-1110 | 78532 | ||
| 3 | Planmeca Panoramic Planmeca ProMax | 80426 | ||
| 4 | Carestream 2200 EAYP033 Carestream , CS 2200 | 137041 | ||
| 5 | Carestream 2200 EAYP034 Carestream , CS 2200 | 137042 | ||
| 6 | Carestream 2200 EAYP035 Carestream , CS 2200 | 137043 | ||
| 7 | Carestream 2200 EAYP071 Carestream , CS 2200 | 137044 | ||
| 8 | Carestream 2200 EAYP073 Carestream , CS 2200 | 137045 | ||
| 9 | Carestream 2200 EAYP074 Carestream , CS 2200 | 137046 | ||
| 10 | Nomad Pro 2 S/N 21353 Aribex Nomad Pro 2 | 137453 | ||
| 11 | Nomad Pro 2 S/N 21355 Aribex Nomad Pro 2 | 137454 | ||
| 12 | Nomad Pro 2 S/N 21352 Aribex Nomad Pro 2 | 137455 | ||
| 13 | Nomad Pro 2 S/N 21247 Aribex Nomad Pro 2 | 137456 | ||
| 14 | Nomad Pro2 Dental (sn:24844) Aribex Nomad Pro 2 | 143951 | ||
| 15 | Nomad Pro2 Dental (sn:24845) Aribex Nomad Pro 2 | 143952 | ||
| 16 | Nomad Pro2 Dental (sn:24848) Aribex Nomad Pro 2 | 143953 | ||
| 17 | Nomad Pro2 Dental (sn:24854) Aribex Nomad Pro 2 | 143956 | ||
| Line Item Sub Total | 0.00 | 0.00 | ||
| Line Item Total | $ - 0 |
| LINE ITEM 2009 | ||||
| PERIOD OF PERFORMANCE - OPTION YEAR 2 | ||||
| Frank Tejeda Clinic, 5788 Eckhert Rd, San Antonio, TX 78240 | ||||
| ITEM | EE# | CERT Price | RECERT PRICE | |
| 1 | Rad Room (Tejeda OP room 128) General Electric Discovery, 628844 | 113080 | ||
| 2 | Rad Room (Tejeda OP room 134) General Electric Discovery, 628844 | 115012 | ||
| Line Item Sub Total | 0.00 | 0.00 | ||
| Line Item Total | $ - 0 |
| LINE ITEM 2010 | ||||
| PERIOD OF PERFORMANCE - OPTION YEAR 2 | ||||
| Randolph Dental Clinic, 1 Harmon Drive,Bldg 1032, JBSA Randolph, TX 78150-0000 | ||||
| ITEM | EE# | CERT Price | RECERT PRICE | |
| 1 | Dental Panoramic - Randolph Carestream CS 8100 3D | 129667 | ||
| 2 | Nomad Pro2 Dental (sn:24850) Aribex Nomad Pro 2 | 143954 | ||
| Line Item Sub Total | 0.00 | 0.00 | ||
| Line Item Total | $ - 0 |
| LINE ITEM 2011 | ||||
| PERIOD OF PERFORMANCE - OPTION YEAR 2 | ||||
| VA North Central Federal Clinic, 17440 Henderson Pass, San Antonio, TX 78232 | ||||
| ITEM | EE# | CERT Price | RECERT PRICE | |
| 1 | Bone densitometer - NCC General Electric Prodigy Advance, DXA 8743 | 80775 | ||
| 2 | 3D Mammo Hologic Dimensions 3D, ASY-03694 | 135018 | ||
| 3 | Radiographic Room Fuji Siemens, Fuji D-EVO | 142295 | ||
| 4 | NCC Mammo Workstation Barco Coronis Color Next, MDMC-12122 | 145446 1 | ||
| 5 | Mammo Unit: Hologic Affirm,Model: ASY-08832 | 148290 | ||
| Line Item Sub Total | 0.00 | 0.00 | ||
| Line Item Total | $ - 0 |
| LINE ITEM 2012 | ||||
| PERIOD OF PERFORMANCE - OPTION YEAR 2 | ||||
| Kerrville VA Medical Center, 3600 Memorial Blvd, Kerrville, TX 78028 | ||||
| ITEM | EE# | CERT Price | RECERT PRICE | |
| 1 | C-arm #4 (9800) OEC 9800 + Vascular, 9800 MOBILE C-ARM | 60537 | ||
| 2 | Handheld dental Aseptico Aribex Nomad, ARU-06CE-1110 | 78528 | ||
| 3 | Panoramic Dental Planmeca ProMax | 80427 | ||
| 4 | Portable Rad AMX #5 General Electric AMX 700, 51514814 | 82436 | ||
| 5 | Carestream 2200 DLYP002 Carestream CS 2200 | 137038 | ||
| 6 | Nomad Pro2 Dental (sn:24840) Aribex Nomad Pro 2 | 143950 | ||
| 7 | Mobile Digital Mammo General Electric Essential, 51 49456-5 | 109803 | ||
| 8 | Bone Densitometer - KD General Electric Lunar | 109805 | ||
| 9 | Mammo RWS (ID#117081) Barco Coronis, MDCG-5121 | 117081 | ||
| 10 | Portable Rad. #7 Philips MobileDiagnost wDR | 126217 | ||
| 11 | RF Room 209 General Electric Precision 500 R/F, 5263908-2 | 137924 | ||
| 12 | Radiographic Room 212 General Electric Discovery, 5270661 | 141091 | ||
| 13 | Aquilion Prime CT Toshiba Aquilion Prime, CKCN-017A\2B | 142446 | ||
| Line Item Sub Total | 0.00 | 0.00 | ||
| Line Item Total | $ - 0 |
OPTION YEAR 2 TOTAL (NTE) $ - 0
OPTION YR 3
| ATTACHMENT 3 - PRICE BOOK DATED 12-20-2018 36C25719Q0110 |
| *Note: The equipment list is subject to change throughout the life of the contract. Reimbursement is based on actual certifications and re-certifications performed. Line Item Totals are Not To Exceed (NTE) values. Line items 0001 through 0006 are separately priced and found within the Price/Cost Schedule in the SF 1449. |
| LINE ITEM 3007 | ||||
| PERIOD OF PERFORMANCE - OPTION YEAR 3 | ||||
| Audie L. Murphy VA Medical Center, 7400 Merton Minter, San Antonio, TX 78229-4404 | ||||
| ITEM | EE# | ANNUAL CERT COST | RECERT COST | |
| 1 | Faxitron Cabinet 2 Faxitron PathVision, PathVision 23x29 | A40239 | ||
| 2 | Faxitron Cabinet Faxitron , 43855A | 59962 | ||
| 3 | Mini C-arm General Electric mini 6800 CP, OEC MiniView 6800 | 72611 | ||
| 4 | C-arm (9800+) General Electric 9800 + Vascular, 9800 Mobile C-arm | 73054 | ||
| 5 | C-arm #5 (9800) General Electric 9800 + Vascular, 9800 Mobile C-arm | 77096 | ||
| 6 | ECTC Handheld dental Aseptico Aribex Nomad, ARU-06CE-1110 | 78529 | ||
| 7 | OMS Planmeca Dental - Panoramic Planmeca ProMax | 80425 | ||
| 8 | C-arm B (9900) General Electric - OEC 9900 Elite Vas MTS, OEC 9900 Elite | 80795 | ||
| 9 | CR Mammography - AD General Electric Diamond, MGX-2000 | 80800 | ||
| 10 | Angio AP Tube Philips Allura Xper FD20, 9919 320 51452 | 80804 | ||
| 11 | Angio Lat Tube Philips Allura Xper FD10, 9919 320 51452 | 80804 | ||
| 12 | AP Cath Lab 1 (GE) - AP General Electric Innova, 5314431-10 | 092947 AP | ||
| 13 | Biplane - AP Cath Lab 1 (GE) - AP General Electric Innova, 5314431-10 | 092947 AP | ||
| 14 | Lat Cath Lab 1 (GE) - Lat General Electric Innova, 5314431-10 | 092947 Lat | ||
| 15 | Biplane - Lat Cath Lab 1 (GE) - Lat General Electric Innova, 5314431-10 | 092947 Lat | ||
| 16 | Rad Room 2 General Electric Definium, 5270661 | 96913 | ||
| 17 | C-arm #6 (9900) General Electric - OEC 9900 Elite ESP, OEC 9900 Elite | 97116 | ||
| 18 | C-arm (Pain Clinic 9900 ES0983) General Electric - OEC 9900 Elite | 98671 | ||
| 19 | MRI Siemens Siemens Magnetom Espree Tim 76x18, 10018165 | 98763 | ||
| 20 | PET/CT (CT scanner GE VCT) General Electric VCT, SFDA 2007333 0064 | 100778 | ||
| 21 | PET/CT (PET scanner) General Electric Discovery VCT, SFDA 2007333 0064 | 100778 | ||
| 22 | Bone Densitometer (Radiology) General Electric Lunar, H8610PA | 106554 | ||
| 23 | GEM Clinic pano/cone beam dental Carestream CS9300 | 106705 | ||
| 24 | Nuc Med (Barco 10 MP) Barco New Coronis Grayscale, MDCG-10130 | 117086 | ||
| 25 | Bone Densitometer (Rm A705) Hologic Discovery QDR Series, Discovery A | 118504 | ||
| 26 | Cardiac SPECT camera General Electric Discovery NM 530c | 125265 | ||
| 27 | Philips Portable #10 Philips MobileDiagnost Wdr | 126213 | ||
| 28 | Philips Portable #12 Philips MobileDiagnost wDR | 126214 | ||
| 29 | Philips Portable #8 Philips MobileDiagnost wDR | 126215 | ||
| 30 | Philips Portable #11 Philips MobileDiagnost wDR | 126216 | ||
| 31 | Philips Portable #9 Philips MobileDiagnost wDR | 126218 | ||
| 32 | Pain Clinic C-arm (Ziehm) Ziehm Vision RFC | 128748 | ||
| 33 | G E Discovery NM/CT 670, 5411378-11 | 130203 SPECT | ||
| 34 | G E Discovery NM/CT 670, 5411378-11 | 130203 CT | ||
| 35 | G E Optima NM/CT 640 | 130941 SPECT | ||
| 36 | G E Optima NM/CT 640, 2227720 | 130941 CT | ||
| 37 | O-arm Medtronic O-arm | 131068 | ||
| 38 | SPECT camera General Electric Discovery NM/CT 670, 5411378-11 | 132416 SPECT | ||
| 39 | CT scanner General Electric Discovery NM/CT 670, 5411378-11 | 132416 CT | ||
| 40 | MRI GE 3T General Electric Discovery MR750w GEM | 133033 | ||
| 41 | SPECT camera General Electric Optima NM/CT 640, 5370540-43 | 133556 SPECT | ||
| 42 | CT scanner General Electric Optima NM/CT 640, 5370540-43 | 133556 CT | ||
| 43 | C-Arm #6 (9900 Blue) General Electric - OEC OEC 9900 Elite Vas MTS, OEC 9900 Elite | 133770 | ||
| 44 | C-Arm #8 (9900 Red) General Electric - OEC OEC 9900 Elite Vas MTS, OEC 9900 Elite | 133771 | ||
| 45 | C-Arm #7 (9900 Green) General Electric - OEC OEC 9900 Elite Vas MTS, OEC 9900 Elite | 133772 | ||
| 46 | Rad Room 3 General Electric Proteus, 5270661 | 135020 | ||
| 47 | Radiographic Room H113 General Electric Discovery XR656, 5270661 | 135873 | ||
| 48 | C-arm (Speech Pathology) General Electric - OEC OEC 9900 Elite, OEC 9900 Elite GSP | 136114 | ||
| 49 | Radiographic Rm H103 General Electric Discovery XR656, 5270661 | 136163 | ||
| 50 | Cath Lab 2 (Philips Allura Xper) Philips Allura Xper FD20 (Clarity), 722 028 | 136244 | ||
| 51 | Toshiba Lrge Bore CT Toshiba Aquilion LB, TSX-201A/3L | 136589 | ||
| 52 | SCIC C-Arm (GE-OEC 9900) General Electric - OEC 9900 Elite ESP, OEC 9900 Elite | 136615 | ||
| 53 | RF Room (H122) General Electric Precision 500 R/F, 5263908-2 | 136728 | ||
| 54 | Carestream 2200 EAYP031 Dental Carestream , CS 2200 | 137039 | ||
| 55 | Carestream 2200 EAYP032 Dental Carestream , CS 2200 | 137040 | ||
| 56 | OR Mini C-Arm Orthoscan Orthoscan FD, OrthoScan FD 1000-0004 | 137220 | ||
| 57 | OR Hybrid Room Philips Allura Xper FD20 (Clarity), 968600200544 | 137434 | ||
| 58 | RF Room 5 (H124) General Electric Precision 500 R/F, 5270661 | 137694 | ||
| 59 | GE Revolution CT General Electric Revolution CT, 5212920-150 | 138719 | ||
| 60 | Toshiba Aquillon Prime CT Toshiba Aquilion Prime, TSX-303A/FL | 142125 | ||
| 61 | Angio IR-H133 Philips Allura Xper FD20 (Clarity), 989600200544 | 143467 | ||
| 62 | Nomad Pro2 Dental (sn:24852) Aribex Nomad Pro 2 | 143955 | ||
| 63 | C-arm General Electric OEC Elite CFD, 5451963 | 146214 | ||
| 64 | Radiographic Room Fuji FDR AcSelerate, control: 9777.65.R2 | 146484 | ||
| 65 | Cath Lab #3 Philips Allura Xper FD20 (Clarity), 9896-002-00544 | 147945 | ||
| 66 | General Electric - OEC 9900 Elite, Model: 5451963 | 150021 | ||
| 67 | Orthoscan Orthoscan Mobile D1, Model: 1000-0004-FD | 150254 | ||
| 68 | Siemens Uroskop Omnia Max, Model: 5756270 | 150533 | ||
| Line Item Sub Total | 0.00 | 0.00 | ||
| Line Item Total | $ - 0 |
| LINE ITEM 3008 | ||||
| PERIOD OF PERFORMANCE - OPTION YEAR 3 | ||||
| VA San Antonio Dental Clinic, 8410 Data Point, San Antonio, TX 78229 | ||||
| ITEM | EE# | CERT Price | RECERT PRICE | |
| 1 | Aseptico Portable Dental Aseptico Aribex Nomad, ARU-06CE-110 | 78531 | ||
| 2 | OMS Handheld dental Aseptico Aribex Nomad, ARU-06CE-1110 | 78532 | ||
| 3 | Planmeca Panoramic Planmeca ProMax | 80426 | ||
| 4 | Carestream 2200 EAYP033 Carestream , CS 2200 | 137041 | ||
| 5 | Carestream 2200 EAYP034 Carestream , CS 2200 | 137042 | ||
| 6 | Carestream 2200 EAYP035 Carestream , CS 2200 | 137043 | ||
| 7 | Carestream 2200 EAYP071 Carestream , CS 2200 | 137044 | ||
| 8 | Carestream 2200 EAYP073 Carestream , CS 2200 | 137045 | ||
| 9 | Carestream 2200 EAYP074 Carestream , CS 2200 | 137046 | ||
| 10 | Nomad Pro 2 S/N 21353 Aribex Nomad Pro 2 | 137453 | ||
| 11 | Nomad Pro 2 S/N 21355 Aribex Nomad Pro 2 | 137454 | ||
| 12 | Nomad Pro 2 S/N 21352 Aribex Nomad Pro 2 | 137455 | ||
| 13 | Nomad Pro 2 S/N 21247 Aribex Nomad Pro 2 | 137456 | ||
| 14 | Nomad Pro2 Dental (sn:24844) Aribex Nomad Pro 2 | 143951 | ||
| 15 | Nomad Pro2 Dental (sn:24845) Aribex Nomad Pro 2 | 143952 | ||
| 16 | Nomad Pro2 Dental (sn:24848) Aribex Nomad Pro 2 | 143953 | ||
| 17 | Nomad Pro2 Dental (sn:24854) Aribex Nomad Pro 2 | 143956 | ||
| Line Item Sub Total | 0.00 | 0.00 | ||
| Line Item Total | $ - 0 |
| LINE ITEM 3009 | ||||
| PERIOD OF PERFORMANCE - OPTION YEAR 3 | ||||
| Frank Tejeda Clinic, 5788 Eckhert Rd, San Antonio, TX 78240 | ||||
| ITEM | EE# | CERT Price | RECERT PRICE | |
| 1 | Rad Room (Tejeda OP room 128) General Electric Discovery, 628844 | 113080 | ||
| 2 | Rad Room (Tejeda OP room 134) General Electric Discovery, 628844 | 115012 | ||
| Line Item Sub Total | 0.00 | 0.00 | ||
| Line Item Total | $ - 0 |
| LINE ITEM 3010 | ||||
| PERIOD OF PERFORMANCE - OPTION YEAR 3 | ||||
| Randolph Dental Clinic, 1 Harmon Drive,Bldg 1032, JBSA Randolph, TX 78150-0000 | ||||
| ITEM | EE# | CERT Price | RECERT PRICE | |
| 1 | Dental Panoramic - Randolph Carestream CS 8100 3D | 129667 | ||
| 2 | Nomad Pro2 Dental (sn:24850) Aribex Nomad Pro 2 | 143954 | ||
| Line Item Sub Total | 0.00 | 0.00 | ||
| Line Item Total | $ - 0 |
| LINE ITEM 3011 | ||||
| PERIOD OF PERFORMANCE - OPTION YEAR 3 | ||||
| VA North Central Federal Clinic, 17440 Henderson Pass, San Antonio, TX 78232 | ||||
| ITEM | EE# | CERT Price | RECERT PRICE | |
| 1 | Bone densitometer - NCC General Electric Prodigy Advance, DXA 8743 | 80775 | ||
| 2 | 3D Mammo Hologic Dimensions 3D, ASY-03694 | 135018 | ||
| 3 | Radiographic Room Fuji Siemens, Fuji D-EVO | 142295 | ||
| 4 | NCC Mammo Workstation Barco Coronis Color Next, MDMC-12122 | 145446 1 | ||
| 5 | Mammo Unit: Hologic Affirm,Model: ASY-08832 | 148290 | ||
| Line Item Sub Total | 0.00 | 0.00 | ||
| Line Item Total | $ - 0 |
| LINE ITEM 3012 | ||||
| PERIOD OF PERFORMANCE - OPTION YEAR 3 | ||||
| Kerrville VA Medical Center, 3600 Memorial Blvd, Kerrville, TX 78028 | ||||
| ITEM | EE# | CERT Price | RECERT PRICE | |
| 1 | C-arm #4 (9800) OEC 9800 + Vascular, 9800 MOBILE C-ARM | 60537 | ||
| 2 | Handheld dental Aseptico Aribex Nomad, ARU-06CE-1110 | 78528 | ||
| 3 | Panoramic Dental Planmeca ProMax | 80427 | ||
| 4 | Portable Rad AMX #5 General Electric AMX 700, 51514814 | 82436 | ||
| 5 | Carestream 2200 DLYP002 Carestream CS 2200 | 137038 | ||
| 6 | Nomad Pro2 Dental (sn:24840) Aribex Nomad Pro 2 | 143950 | ||
| 7 | Mobile Digital Mammo General Electric Essential, 51 49456-5 | 109803 | ||
| 8 | Bone Densitometer - KD General Electric Lunar | 109805 | ||
| 9 | Mammo RWS (ID#117081) Barco Coronis, MDCG-5121 | 117081 | ||
| 10 | Portable Rad. #7 Philips MobileDiagnost wDR | 126217 | ||
| 11 | RF Room 209 General Electric Precision 500 R/F, 5263908-2 | 137924 | ||
| 12 | Radiographic Room 212 General Electric Discovery, 5270661 | 141091 | ||
| 13 | Aquilion Prime CT Toshiba Aquilion Prime, CKCN-017A\2B | 142446 | ||
| Line Item Sub Total | 0.00 | 0.00 | ||
| Line Item Total | $ - 0 |
OPTION YEAR 3 TOTAL (NTE) $ - 0
OPTION YR 4
| ATTACHMENT 3 - PRICE BOOK DATED 12-20-2018 36C25719Q0110 |
| *Note: The equipment list is subject to change throughout the life of the contract. Reimbursement is based on actual certifications and re-certifications performed. Line Item Totals are Not To Exceed (NTE) values. Line items 0001 through 0006 are separately priced and found within the Price/Cost Schedule in the SF 1449. |
| LINE ITEM 4007 | ||||
| PERIOD OF PERFORMANCE - OPTION YEAR 4 | ||||
| Audie L. Murphy VA Medical Center, 7400 Merton Minter, San Antonio, TX 78229-4404 | ||||
| ITEM | EE# | ANNUAL CERT COST | RECERT COST | |
| 1 | Faxitron Cabinet 2 Faxitron PathVision, PathVision 23x29 | A40239 | ||
| 2 | Faxitron Cabinet Faxitron , 43855A | 59962 | ||
| 3 | Mini C-arm General Electric mini 6800 CP, OEC MiniView 6800 | 72611 | ||
| 4 | C-arm (9800+) General Electric 9800 + Vascular, 9800 Mobile C-arm | 73054 | ||
| 5 | C-arm #5 (9800) General Electric 9800 + Vascular, 9800 Mobile C-arm | 77096 | ||
| 6 | ECTC Handheld dental Aseptico Aribex Nomad, ARU-06CE-1110 | 78529 | ||
| 7 | OMS Planmeca Dental - Panoramic Planmeca ProMax | 80425 | ||
| 8 | C-arm B (9900) General Electric - OEC 9900 Elite Vas MTS, OEC 9900 Elite | 80795 | ||
| 9 | CR Mammography - AD General Electric Diamond, MGX-2000 | 80800 | ||
| 10 | Angio AP Tube Philips Allura Xper FD20, 9919 320 51452 | 80804 | ||
| 11 | Angio Lat Tube Philips Allura Xper FD10, 9919 320 51452 | 80804 | ||
| 12 | AP Cath Lab 1 (GE) - AP General Electric Innova, 5314431-10 | 092947 AP | ||
| 13 | Biplane - AP Cath Lab 1 (GE) - AP General Electric Innova, 5314431-10 | 092947 AP | ||
| 14 | Lat Cath Lab 1 (GE) - Lat General Electric Innova, 5314431-10 | 092947 Lat | ||
| 15 | Biplane - Lat Cath Lab 1 (GE) - Lat General Electric Innova, 5314431-10 | 092947 Lat | ||
| 16 | Rad Room 2 General Electric Definium, 5270661 | 96913 | ||
| 17 | C-arm #6 (9900) General Electric - OEC 9900 Elite ESP, OEC 9900 Elite | 97116 | ||
| 18 | C-arm (Pain Clinic 9900 ES0983) General Electric - OEC 9900 Elite | 98671 | ||
| 19 | MRI Siemens Siemens Magnetom Espree Tim 76x18, 10018165 | 98763 | ||
| 20 | PET/CT (CT scanner GE VCT) General Electric VCT, SFDA 2007333 0064 | 100778 | ||
| 21 | PET/CT (PET scanner) General Electric Discovery VCT, SFDA 2007333 0064 | 100778 | ||
| 22 | Bone Densitometer (Radiology) General Electric Lunar, H8610PA | 106554 | ||
| 23 | GEM Clinic pano/cone beam dental Carestream CS9300 | 106705 | ||
| 24 | Nuc Med (Barco 10 MP) Barco New Coronis Grayscale, MDCG-10130 | 117086 | ||
| 25 | Bone Densitometer (Rm A705) Hologic Discovery QDR Series, Discovery A | 118504 | ||
| 26 | Cardiac SPECT camera General Electric Discovery NM 530c | 125265 | ||
| 27 | Philips Portable #10 Philips MobileDiagnost Wdr | 126213 | ||
| 28 | Philips Portable #12 Philips MobileDiagnost wDR | 126214 | ||
| 29 | Philips Portable #8 Philips MobileDiagnost wDR | 126215 | ||
| 30 | Philips Portable #11 Philips MobileDiagnost wDR | 126216 | ||
| 31 | Philips Portable #9 Philips MobileDiagnost wDR | 126218 | ||
| 32 | Pain Clinic C-arm (Ziehm) Ziehm Vision RFC | 128748 | ||
| 33 | G E Discovery NM/CT 670, 5411378-11 | 130203 SPECT | ||
| 34 | G E Discovery NM/CT 670, 5411378-11 | 130203 CT | ||
| 35 | G E Optima NM/CT 640 | 130941 SPECT | ||
| 36 | G E Optima NM/CT 640, 2227720 | 130941 CT | ||
| 37 | O-arm Medtronic O-arm | 131068 | ||
| 38 | SPECT camera General Electric Discovery NM/CT 670, 5411378-11 | 132416 SPECT | ||
| 39 | CT scanner General Electric Discovery NM/CT 670, 5411378-11 | 132416 CT | ||
| 40 | MRI GE 3T General Electric Discovery MR750w GEM | 133033 | ||
| 41 | SPECT camera General Electric Optima NM/CT 640, 5370540-43 | 133556 SPECT | ||
| 42 | CT scanner General Electric Optima NM/CT 640, 5370540-43 | 133556 CT | ||
| 43 | C-Arm #6 (9900 Blue) General Electric - OEC OEC 9900 Elite Vas MTS, OEC 9900 Elite | 133770 | ||
| 44 | C-Arm #8 (9900 Red) General Electric - OEC OEC 9900 Elite Vas MTS, OEC 9900 Elite | 133771 | ||
| 45 | C-Arm #7 (9900 Green) General Electric - OEC OEC 9900 Elite Vas MTS, OEC 9900 Elite | 133772 | ||
| 46 | Rad Room 3 General Electric Proteus, 5270661 | 135020 | ||
| 47 | Radiographic Room H113 General Electric Discovery XR656, 5270661 | 135873 | ||
| 48 | C-arm (Speech Pathology) General Electric - OEC OEC 9900 Elite, OEC 9900 Elite GSP | 136114 | ||
| 49 | Radiographic Rm H103 General Electric Discovery XR656, 5270661 | 136163 | ||
| 50 | Cath Lab 2 (Philips Allura Xper) Philips Allura Xper FD20 (Clarity), 722 028 | 136244 | ||
| 51 | Toshiba Lrge Bore CT Toshiba Aquilion LB, TSX-201A/3L | 136589 | ||
| 52 | SCIC C-Arm (GE-OEC 9900) General Electric - OEC 9900 Elite ESP, OEC 9900 Elite | 136615 | ||
| 53 | RF Room (H122) General Electric Precision 500 R/F, 5263908-2 | 136728 | ||
| 54 | Carestream 2200 EAYP031 Dental Carestream , CS 2200 | 137039 | ||
| 55 | Carestream 2200 EAYP032 Dental Carestream , CS 2200 | 137040 | ||
| 56 | OR Mini C-Arm Orthoscan Orthoscan FD, OrthoScan FD 1000-0004 | 137220 | ||
| 57 | OR Hybrid Room Philips Allura Xper FD20 (Clarity), 968600200544 | 137434 | ||
| 58 | RF Room 5 (H124) General Electric Precision 500 R/F, 5270661 | 137694 | ||
| 59 | GE Revolution CT General Electric Revolution CT, 5212920-150 | 138719 | ||
| 60 | Toshiba Aquillon Prime CT Toshiba Aquilion Prime, TSX-303A/FL | 142125 | ||
| 61 | Angio IR-H133 Philips Allura Xper FD20 (Clarity), 989600200544 | 143467 | ||
| 62 | Nomad Pro2 Dental (sn:24852) Aribex Nomad Pro 2 | 143955 | ||
| 63 | C-arm General Electric OEC Elite CFD, 5451963 | 146214 | ||
| 64 | Radiographic Room Fuji FDR AcSelerate, control: 9777.65.R2 | 146484 | ||
| 65 | Cath Lab #3 Philips Allura Xper FD20 (Clarity), 9896-002-00544 | 147945 | ||
| 66 | General Electric - OEC 9900 Elite, Model: 5451963 | 150021 | ||
| 67 | Orthoscan Orthoscan Mobile D1, Model: 1000-0004-FD | 150254 | ||
| 68 | Siemens Uroskop Omnia Max, Model: 5756270 | 150533 | ||
| Line Item Sub Total | 0.00 | 0.00 | ||
| Line Item Total | $ - 0 |
| LINE ITEM 4008 | ||||
| PERIOD OF PERFORMANCE - OPTION YEAR 4 | ||||
| VA San Antonio Dental Clinic, 8410 Data Point, San Antonio, TX 78229 | ||||
| ITEM | EE# | CERT Price | RECERT PRICE | |
| 1 | Aseptico Portable Dental Aseptico Aribex Nomad, ARU-06CE-110 | 78531 | ||
| 2 | OMS Handheld dental Aseptico Aribex Nomad, ARU-06CE-1110 | 78532 | ||
| 3 | Planmeca Panoramic Planmeca ProMax | 80426 | ||
| 4 | Carestream 2200 EAYP033 Carestream , CS 2200 | 137041 | ||
| 5 | Carestream 2200 EAYP034 Carestream , CS 2200 | 137042 | ||
| 6 | Carestream 2200 EAYP035 Carestream , CS 2200 | 137043 | ||
| 7 | Carestream 2200 EAYP071 Carestream , CS 2200 | 137044 | ||
| 8 | Carestream 2200 EAYP073 Carestream , CS 2200 | 137045 | ||
| 9 | Carestream 2200 EAYP074 Carestream , CS 2200 | 137046 | ||
| 10 | Nomad Pro 2 S/N 21353 Aribex Nomad Pro 2 | 137453 | ||
| 11 | Nomad Pro 2 S/N 21355 Aribex Nomad Pro 2 | 137454 | ||
| 12 | Nomad Pro 2 S/N 21352 Aribex Nomad Pro 2 | 137455 | ||
| 13 | Nomad Pro 2 S/N 21247 Aribex Nomad Pro 2 | 137456 | ||
| 14 | Nomad Pro2 Dental (sn:24844) Aribex Nomad Pro 2 | 143951 | ||
| 15 | Nomad Pro2 Dental (sn:24845) Aribex Nomad Pro 2 | 143952 | ||
| 16 | Nomad Pro2 Dental (sn:24848) Aribex Nomad Pro 2 | 143953 | ||
| 17 | Nomad Pro2 Dental (sn:24854) Aribex Nomad Pro 2 | 143956 | ||
| Line Item Sub Total | 0.00 | 0.00 | ||
| Line Item Total | $ - 0 |
| LINE ITEM 4009 | ||||
| PERIOD OF PERFORMANCE - OPTION YEAR 4 | ||||
| Frank Tejeda Clinic, 5788 Eckhert Rd, San Antonio, TX 78240 | ||||
| ITEM | EE# | CERT Price | RECERT PRICE | |
| 1 | Rad Room (Tejeda OP room 128) General Electric Discovery, 628844 | 113080 | ||
| 2 | Rad Room (Tejeda OP room 134) General Electric Discovery, 628844 | 115012 | ||
| Line Item Sub Total | 0.00 | 0.00 | ||
| Line Item Total | $ - 0 |
| LINE ITEM 4010 | ||||
| PERIOD OF PERFORMANCE - OPTION YEAR 4 | ||||
| Randolph Dental Clinic, 1 Harmon Drive,Bldg 1032, JBSA Randolph, TX 78150-0000 | ||||
| ITEM | EE# | CERT Price | RECERT PRICE | |
| 1 | Dental Panoramic - Randolph Carestream CS 8100 3D | 129667 | ||
| 2 | Nomad Pro2 Dental (sn:24850) Aribex Nomad Pro 2 | 143954 | ||
| Line Item Sub Total | 0.00 | 0.00 | ||
| Line Item Total | $ - 0 |
| LINE ITEM 4011 | ||||
| PERIOD OF PERFORMANCE - OPTION YEAR 4 | ||||
| VA North Central Federal Clinic, 17440 Henderson Pass, San Antonio, TX 78232 | ||||
| ITEM | EE# | CERT Price | RECERT PRICE | |
| 1 | Bone densitometer - NCC General Electric Prodigy Advance, DXA 8743 | 80775 | ||
| 2 | 3D Mammo Hologic Dimensions 3D, ASY-03694 | 135018 | ||
| 3 | Radiographic Room Fuji Siemens, Fuji D-EVO | 142295 | ||
| 4 | NCC Mammo Workstation Barco Coronis Color Next, MDMC-12122 | 145446 1 | ||
| 5 | Mammo Unit: Hologic Affirm,Model: ASY-08832 | 148290 | ||
| Line Item Sub Total | 0.00 | 0.00 | ||
| Line Item Total | $ - 0 |
| LINE ITEM 4012 | ||||
| PERIOD OF PERFORMANCE - OPTION YEAR 4 | ||||
| Kerrville VA Medical Center, 3600 Memorial Blvd, Kerrville, TX 78028 | ||||
| ITEM | EE# | CERT Price | RECERT PRICE | |
| 1 | C-arm #4 (9800) OEC 9800 + Vascular, 9800 MOBILE C-ARM | 60537 | ||
| 2 | Handheld dental Aseptico Aribex Nomad, ARU-06CE-1110 | 78528 | ||
| 3 | Panoramic Dental Planmeca ProMax | 80427 | ||
| 4 | Portable Rad AMX #5 General Electric AMX 700, 51514814 | 82436 | ||
| 5 | Carestream 2200 DLYP002 Carestream CS 2200 | 137038 | ||
| 6 | Nomad Pro2 Dental (sn:24840) Aribex Nomad Pro 2 | 143950 | ||
| 7 | Mobile Digital Mammo General Electric Essential, 51 49456-5 | 109803 | ||
| 8 | Bone Densitometer - KD General Electric Lunar | 109805 | ||
| 9 | Mammo RWS (ID#117081) Barco Coronis, MDCG-5121 | 117081 | ||
| 10 | Portable Rad. #7 Philips MobileDiagnost wDR | 126217 | ||
| 11 | RF Room 209 General Electric Precision 500 R/F, 5263908-2 | 137924 | ||
| 12 | Radiographic Room 212 General Electric Discovery, 5270661 | 141091 | ||
| 13 | Aquilion Prime CT Toshiba Aquilion Prime, CKCN-017A\2B | 142446 | ||
| Line Item Sub Total | 0.00 | 0.00 | ||
| Line Item Total | $ - 0 |
OPTION YEAR 4 TOTAL (NTE) $ - 0
File details come from the government source that posted it.