36C26118Q0427-002.xlsx

XLSX spreadsheet 18 KB Posted May 21, 2018

Attached to: DENTAL laboratory
Solicitation number: 36C26118Q0427
Issued by: Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 21

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36C26118Q0427 Pricing schedule - 5.21.xlsx

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File	Type	Posted
36C26118D0092-000.docx	DOCX document	Jul 23, 2018
36C26118Q0427-00001000.docx	DOCX document	May 29, 2018
36C26118Q0427-001.docx	DOCX document	May 21, 2018
36C26118Q0427-000.docx	DOCX document	May 15, 2018

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Pricing Schedule

		PRICE LIST
		Base Year
	Item #	Description/Product	Estimated Qty	Price	Extended Price
	0001	Denture upper	150		$ - 0
	0002	Denture lower	90		$ - 0
	0003	Upper cast (Vitallium) framework	100		$ - 0
	0004	Lower cast (Vitallium) framework	150		$ - 0
	0005	Upper acrylic partial denture	110		$ - 0
	0006	Lower acrylic partial denture	150		$ - 0
	0007	Valplast flexible partial denture	10		$ - 0
	0008	Denture relines, upper and lower	200		$ - 0
	0009	Bruxism bite splints	100		$ - 0
	0010	Denture repairs	150		$ - 0
	0011	Bite blocks for dentures	250		$ - 0
	0012	Custom trays for dentures	400		$ - 0
	0013	Study models (yellow stone)	10		$ - 0
	0014	Porcelain crowns (wol-ceram or empress)	30		$ - 0
	0015	Porcelain fused to high noble crowns	25		$ - 0
	0016	Gold crowns	10		$ - 0
	0017	Pin dies for fixed crowns and bridges (models to be used by VA main lab to fabricate actual crowns and bridges)	300		$ - 0
	0018	Custom Atlantis Abutments for Implants	45		$ - 0
	0019	Regular Abutments for Implants	10		$ - 0
	0020	PFM for Implants	40		$ - 0
	0021	Die trim	10		$ - 0
	0022	Full Contour Zirconia (Katana by Noritake Kuraray)	10		$ - 0
	0023	Full Contour Zirconia (Lava Esthetic by 3M)	10		$ - 0
	0024	Zirconia Porcelain Layered	10		$ - 0
	0025	IPS e.Max® Monolithic	10		$ - 0
	0026	IPS e.Max® Porcelain Layered	10		$ - 0
	0027	Denture identification
Identification of prosthesis with patient's last 4 SSN and last initial	650		$ - 0
	0028	Titanium Custom Abutment w/ Zirconia Crown	100		$ - 0
	0029	GoldHue Abutment w/ Zirconia Crown	10		$ - 0
	0030	Zirconia Abutment w/ Zirconia Porcelain Layered	10		$ - 0
	0031	Zirconia Abutment w/ IPS e.Max	10		$ - 0
	0032	Fitting to Partial	100		$ - 0
		SUBTOTAL			$ - 0

		Option Year 1
	Item #	Description/Product	Estimated Qty	Price	Extended Price
	1001	Denture upper	150		$ - 0
	1002	Denture lower	90		$ - 0
	1003	Upper cast (Vitallium) framework	100		$ - 0
	1004	Lower cast (Vitallium) framework	150		$ - 0
	1005	Upper acrylic partial denture	110		$ - 0
	1006	Lower acrylic partial denture	150		$ - 0
	1007	Valplast flexible partial denture	10		$ - 0
	1008	Denture relines, upper and lower	200		$ - 0
	1009	Bruxism bite splints	100		$ - 0
	1010	Denture repairs	150		$ - 0
	1011	Bite blocks for dentures	250		$ - 0
	1012	Custom trays for dentures	400		$ - 0
	1013	Study models (yellow stone)	10		$ - 0
	1014	Porcelain crowns (wol-ceram or empress)	30		$ - 0
	1015	Porcelain fused to high noble crowns	25		$ - 0
	1016	Gold crowns	10		$ - 0
	1017	Pin dies for fixed crowns and bridges (models to be used by VA main lab to fabricate actual crowns and bridges)	300		$ - 0
	1018	Custom Atlantis Abutments for Implants	45		$ - 0
	1019	Regular Abutments for Implants	10		$ - 0
	1020	PFM for Implants	40		$ - 0
	1021	Die trim	10		$ - 0
	1022	Full Contour Zirconia (Katana by Noritake Kuraray)	10		$ - 0
	1023	Full Contour Zirconia (Lava Esthetic by 3M)	10		$ - 0
	1024	Zirconia Porcelain Layered	10		$ - 0
	1025	IPS e.Max® Monolithic	10		$ - 0
	1026	IPS e.Max® Porcelain Layered	10		$ - 0
	1027	Denture identification
Identification of prosthesis with patient's last 4 SSN and last initial	650		$ - 0
	1028	Titanium Custom Abutment w/ Zirconia Crown	100		$ - 0
	1029	GoldHue Abutment w/ Zirconia Crown	10		$ - 0
	1030	Zirconia Abutment w/ Zirconia Porcelain Layered	10		$ - 0
	1031	Zirconia Abutment w/ IPS e.Max	10		$ - 0
	1032	Fitting to Partial	100		$ - 0
		SUBTOTAL			$ - 0

		Option Year 2
	Item #	Description/Product	Estimated Qty	Price	Extended Price
	2001	Denture upper	150		$ - 0
	2002	Denture lower	90		$ - 0
	2003	Upper cast (Vitallium) framework	100		$ - 0
	2004	Lower cast (Vitallium) framework	150		$ - 0
	2005	Upper acrylic partial denture	110		$ - 0
	2006	Lower acrylic partial denture	150		$ - 0
	2007	Valplast flexible partial denture	10		$ - 0
	2008	Denture relines, upper and lower	200		$ - 0
	2009	Bruxism bite splints	100		$ - 0
	2010	Denture repairs	150		$ - 0
	2011	Bite blocks for dentures	250		$ - 0
	2012	Custom trays for dentures	400		$ - 0
	2013	Study models (yellow stone)	10		$ - 0
	2014	Porcelain crowns (wol-ceram or empress)	30		$ - 0
	2015	Porcelain fused to high noble crowns	25		$ - 0
	2016	Gold crowns	10		$ - 0
	2017	Pin dies for fixed crowns and bridges (models to be used by VA main lab to fabricate actual crowns and bridges)	300		$ - 0
	2018	Custom Atlantis Abutments for Implants	45		$ - 0
	2019	Regular Abutments for Implants	10		$ - 0
	2020	PFM for Implants	40		$ - 0
	2021	Die trim	10		$ - 0
	2022	Full Contour Zirconia (Katana by Noritake Kuraray)	10		$ - 0
	2023	Full Contour Zirconia (Lava Esthetic by 3M)	10		$ - 0
	2024	Zirconia Porcelain Layered	10		$ - 0
	2025	IPS e.Max® Monolithic	10		$ - 0
	2026	IPS e.Max® Porcelain Layered	10		$ - 0
	2027	Denture identification
Identification of prosthesis with patient's last 4 SSN and last initial	650		$ - 0
	2028	Titanium Custom Abutment w/ Zirconia Crown	100		$ - 0
	2029	GoldHue Abutment w/ Zirconia Crown	10		$ - 0
	2030	Zirconia Abutment w/ Zirconia Porcelain Layered	10		$ - 0
	2031	Zirconia Abutment w/ IPS e.Max	10		$ - 0
	2032	Fitting to Partial	100		$ - 0
		SUBTOTAL			$ - 0

		Option Year 3
	Item #	Description/Product	Estimated Qty	Price	Extended Price
	3001	Denture upper	150		$ - 0
	3002	Denture lower	90		$ - 0
	3003	Upper cast (Vitallium) framework	100		$ - 0
	3004	Lower cast (Vitallium) framework	150		$ - 0
	3005	Upper acrylic partial denture	110		$ - 0
	3006	Lower acrylic partial denture	150		$ - 0
	3007	Valplast flexible partial denture	10		$ - 0
	3008	Denture relines, upper and lower	200		$ - 0
	3009	Bruxism bite splints	100		$ - 0
	3010	Denture repairs	150		$ - 0
	3011	Bite blocks for dentures	250		$ - 0
	3012	Custom trays for dentures	400		$ - 0
	3013	Study models (yellow stone)	10		$ - 0
	3014	Porcelain crowns (wol-ceram or empress)	30		$ - 0
	3015	Porcelain fused to high noble crowns	25		$ - 0
	3016	Gold crowns	10		$ - 0
	3017	Pin dies for fixed crowns and bridges (models to be used by VA main lab to fabricate actual crowns and bridges)	300		$ - 0
	3018	Custom Atlantis Abutments for Implants	45		$ - 0
	3019	Regular Abutments for Implants	10		$ - 0
	3020	PFM for Implants	40		$ - 0
	3021	Die trim	10		$ - 0
	3022	Full Contour Zirconia (Katana by Noritake Kuraray)	10		$ - 0
	3023	Full Contour Zirconia (Lava Esthetic by 3M)	10		$ - 0
	3024	Zirconia Porcelain Layered	10		$ - 0
	3025	IPS e.Max® Monolithic	10		$ - 0
	3026	IPS e.Max® Porcelain Layered	10		$ - 0
	3027	Denture identification
Identification of prosthesis with patient's last 4 SSN and last initial	650		$ - 0
	3028	Titanium Custom Abutment w/ Zirconia Crown	100		$ - 0
	3029	GoldHue Abutment w/ Zirconia Crown	10		$ - 0
	3030	Zirconia Abutment w/ Zirconia Porcelain Layered	10		$ - 0
	3031	Zirconia Abutment w/ IPS e.Max	10		$ - 0
	3032	Fitting to Partial	100		$ - 0
		SUBTOTAL			$ - 0

		Option Year 4
	Item #	Description/Product	Estimated Qty	Price	Extended Price
	4001	Denture upper	150		$ - 0
	4002	Denture lower	90		$ - 0
	4003	Upper cast (Vitallium) framework	100		$ - 0
	4004	Lower cast (Vitallium) framework	150		$ - 0
	4005	Upper acrylic partial denture	110		$ - 0
	4006	Lower acrylic partial denture	150		$ - 0
	4007	Valplast flexible partial denture	10		$ - 0
	4008	Denture relines, upper and lower	200		$ - 0
	4009	Bruxism bite splints	100		$ - 0
	4010	Denture repairs	150		$ - 0
	4011	Bite blocks for dentures	250		$ - 0
	4012	Custom trays for dentures	400		$ - 0
	4013	Study models (yellow stone)	10		$ - 0
	4014	Porcelain crowns (wol-ceram or empress)	30		$ - 0
	4015	Porcelain fused to high noble crowns	25		$ - 0
	4016	Gold crowns	10		$ - 0
	4017	Pin dies for fixed crowns and bridges (models to be used by VA main lab to fabricate actual crowns and bridges)	300		$ - 0
	4018	Custom Atlantis Abutments for Implants	45		$ - 0
	4019	Regular Abutments for Implants	10		$ - 0
	4020	PFM for Implants	40		$ - 0
	4021	Die trim	10		$ - 0
	4022	Full Contour Zirconia (Katana by Noritake Kuraray)	10		$ - 0
	4023	Full Contour Zirconia (Lava Esthetic by 3M)	10		$ - 0
	4024	Zirconia Porcelain Layered	10		$ - 0
	4025	IPS e.Max® Monolithic	10		$ - 0
	4026	IPS e.Max® Porcelain Layered	10		$ - 0
	4027	Denture identification
Identification of prosthesis with patient's last 4 SSN and last initial	650		$ - 0
	4028	Titanium Custom Abutment w/ Zirconia Crown	100		$ - 0
	4029	GoldHue Abutment w/ Zirconia Crown	10		$ - 0
	4030	Zirconia Abutment w/ Zirconia Porcelain Layered	10		$ - 0
	4031	Zirconia Abutment w/ IPS e.Max	10		$ - 0
	4032	Fitting to Partial	100		$ - 0
		SUBTOTAL			$ - 0
		TOTAL COST			$ - 0

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