The file's text, extracted by GovTribe without its formatting.
36C26223Q1675
| SUBJECT* |
| Fortec Surgical Laser Rentals (or equal) Blanket Purchase Agreement (BPA) |
GENERAL INFORMATION
| CONTRACTING OFFICE’S ZIP CODE* |
| 90815 |
| SOLICITATION NUMBER* |
| 36C26223Q1675 |
| RESPONSE DATE/TIME/ZONE |
| 08-29-2023 11:00 AM PACIFIC TIME, LOS ANGELES, USA |
| ARCHIVE |
| 30 DAYS AFTER THE RESPONSE DATE |
SET-ASIDE
| PRODUCT SERVICE CODE* |
| W065 |
| CONTRACTING OFFICE ADDRESS |
| Department of Veterans Affairs |
Network Contracting Office 22 4811 Airport Plaza Drive, Suite 600 Long Beach CA 90815
POINT OF CONTACT*
Contract Specialist Espinoza, Jose A.
Jose.Espinoza3@va.gov
PLACE OF PERFORMANCE
| ADDRESS |
| Department of Veterans Affairs |
San Diego VA Healthcare System (SDVAHCS)
Jennifer Moreno VA Medical Center
3350 La Jolla Village Drive
San Diego CA
Combined Synopsis/Solicitation Notice Combined Synopsis/Solicitation Notice
DESCRIPTION
| *= Required Field |
| Combined Synopsis/Solicitation Notice |
Combined Synopsis/Solicitation Notice
PAGE 1 OF
1. REQUISITION NO.
2. CONTRACT NO.
3. AWARD/EFFECTIVE DATE
4. ORDER NO.
5. SOLICITATION NUMBER
6. SOLICITATION ISSUE DATE
a. NAME
b. TELEPHONE NO. (No Collect Calls)
8. OFFER DUE DATE/LOCAL
TIME
9. ISSUED BY
CODE
10. THIS ACQUISITION IS
UNRESTRICTED OR
SET ASIDE:
% FOR:
SMALL BUSINESS
HUBZONE SMALL
BUSINESS
SERVICE-DISABLED
VETERAN-OWNED
SMALL BUSINESS
WOMEN-OWNED SMALL BUSINESS
(WOSB) ELIGIBLE UNDER THE WOMEN-OWNED
SMALL BUSINESS PROGRAM
EDWOSB
8(A)
NAICS:
SIZE STANDARD:
11. DELIVERY FOR FOB DESTINA-
TION UNLESS BLOCK IS
MARKED
SEE SCHEDULE
12. DISCOUNT TERMS
13a. THIS CONTRACT IS A
RATED ORDER UNDER
DPAS (15 CFR 700)
13b. RATING
14. METHOD OF SOLICITATION
RFQ
IFB
RFP
15. DELIVER TO
CODE
16. ADMINISTERED BY
CODE
17a. CONTRACTOR/OFFEROR
CODE
FACILITY CODE
18a. PAYMENT WILL BE MADE BY
CODE
TELEPHONE NO.
UEI:
EFT:
PHONE:
FAX:
17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN OFFER 18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK BELOW IS CHECKED
SEE ADDENDUM
19.
20.
21.
22.
23.
24.
ITEM NO.
SCHEDULE OF SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT
(Use Reverse and/or Attach Additional Sheets as Necessary)
25. ACCOUNTING AND APPROPRIATION DATA
26. TOTAL AWARD AMOUNT (For Govt. Use Only) 27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA
ARE
ARE NOT ATTACHED.
27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA
ARE
ARE NOT ATTACHED
28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN _______________
29. AWARD OF CONTRACT: REF. ___________________________________ OFFER
COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND
DATED ________________________________. YOUR OFFER ON SOLICITATION
DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY
(BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE
ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED
SET FORTH HEREIN IS ACCEPTED AS TO ITEMS:
30a. SIGNATURE OF OFFEROR/CONTRACTOR 31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER) 30b. NAME AND TITLE OF SIGNER (TYPE OR PRINT) 30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER (TYPE OR PRINT) 31c. DATE SIGNED
AUTHORIZED FOR LOCAL REPRODUCTION
(REV. NOV 2021)
PREVIOUS EDITION IS NOT USABLE
Prescribed by GSA - FAR (48 CFR) 53.212
7. FOR SOLICITATION
INFORMATION CALL:
STANDARD FORM 1449
SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES
OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30
PR 664-23-4-151-0039
36C26223Q1675 08-22-2023 Espinoza, Jose A.
562-826-8000 x17360 08-29-2023
11:00 AM
PDT
36C262 Department of Veterans Affairs Network Contracting Office 22 4811 Airport Plaza Drive Suite 600
X
339113 800 Employees
N/A
36C664 Department of Veterans Affairs San Diego VA Healthcare System (SDVAHCS) – San Diego Jennifer Moreno VA Medical Center 3350 La Jolla Village Drive San Diego CA 92161 36C262 Department of Veterans Affairs Network Contracting Office 22 4811 Airport Plaza Drive Suite 600
Financial Services Center
SEE VAAR 852.232-72 FOR PAYMENT DETAILS
See CONTINUATION Page
THIS IS A SOLICITATION FOR LASER & SURGICAL EQUIPMENT RENTAL.
VENDORS SHALL SHOW CLEAR, COMPELLING AND CONVINCING EVIDENCE
THAT ALL “EQUAL TO ITEMS” MEET ALL REQUIRED SALIENT
CHARACTERISTICS IAW FAR 52.211-6 – BRAND NAME OR EQUAL.
PERFORMANCE PERIODS:
Base Year: 09-01-2023 - 08-31-2024 Option Year 1: 09-01-2024 - 08-31-2025 Option Year 2: 09-01-2025 - 08-31-2026 Option Year 3: 09-01-2026 - 08-31-2027 Option Year 4: 09-01-2027 - 08-31-2028
QUOTE MUST BE SUBMITTED TO JOSE.ESPINOZA3@VA.GOV
See CONTINUATION Page
CECIL S. NICHOLS VA-VHA-2021-84859FDA
Contracting Officer
Page 1 of Table of Contents
| SECTION B - CONTINUATION OF SF 1449 BLOCKS | 7 |
| B.1 CONTRACT ADMINISTRATION DATA | 7 |
| B.2 PERFORMANCE WORK STATEMENT | 9 |
| 1. Introduction | 9 |
| 2. Background | 9 |
| 3. Salient Characteristics | 9 |
| 4. Badges and Parking | 11 |
| 5. Performance Period | 12 |
| 6. Table A – ITEM LIST | 12 |
| B.3 PRICE/COST SCHEDULE | 16 |
| B.4 TERMS AND CONDITIONS | 59 |
| B.5 ADMINISTRATIVE DATA | 59 |
| B.6 PRICING DATA | 59 |
| B.7 OPTION TO EXTEND THE TERM OF THE BPA | 59 |
| B.8 GENERAL SERVICES ORDERS | 60 |
| B.9 NONPERSONAL SERVICES | 60 |
| B.10 AUTHORIZED LIMITS | 60 |
| B.11 OBLIGATION OF FUNDS | 61 |
| B.12 PERIOD OF PERFORMANCE | 61 |
| B.13 AUTHORIZED INDIVIDUALS | 61 |
| B.14 ORDER FORMAT | 61 |
| B.15 AUTHORIZED REPRESENTATIVES | 61 |
| B.16 FEDERAL HOLIDAYS | 62 |
| B.17 PROHIBITED ACTIVITIES | 62 |
| B.18 INVOICES | 63 |
| B.19 PRECEDENCE | 63 |
| SECTION C - CONTRACT CLAUSES | 64 |
| C.1 52.204-23 PROHIBITION ON CONTRACTING FOR HARDWARE, SOFTWARE, AND SERVICES DEVELOPED OR PROVIDED BY KASPERSKY LAB AND OTHER COVERED ENTITIES (NOV 2021) | 64 |
| C.2 52.204-27 PROHIBITION ON A BYTEDANCE COVERED APPLICATION (JUN 2023) | 65 |
| C.3 52.212-4 CONTRACT TERMS AND CONDITIONS—COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES (DEC 2022) | 66 |
| C.4 52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT STATUTES OR EXECUTIVE ORDERS—COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES (JUN 2023) | 72 |
| C.5 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998) | 80 |
| SECTION D - CONTRACT DOCUMENTS, EXHIBITS, OR ATTACHMENTS | 82 |
| D.1 WAGE DETERMINATION RATE SCA 2015-5635 REV #21 | 82 |
| D.2 EXPERIENCE NARRATIVE SHEET | 91 |
| D.3 PAST PERFORMANCE SHEET | 92 |
| SECTION E - SOLICITATION PROVISIONS | 93 |
| E.1 52.204-24 REPRESENTATION REGARDING CERTAIN TELECOMMUNICATIONS AND VIDEO SURVEILLANCE SERVICES OR EQUIPMENT (NOV 2021) | 93 |
| E.2 52.209-7 INFORMATION REGARDING RESPONSIBILITY MATTERS (OCT 2018) | 95 |
| E.3 52.211-6 BRAND NAME OR EQUAL (AUG 1999) | 97 |
| E.4 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES (MAR 2023) | 97 |
| ADDENDUM to FAR 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES | 102 |
| E.5 52.212-2 EVALUATION—COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES (NOV 2021) | 104 |
| E.6 52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS—COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES (DEC 2022) | 105 |
| E.7 52.216-1 TYPE OF CONTRACT (APR 1984) | 123 |
| E.8 52.233-2 SERVICE OF PROTEST (SEP 2006) | 123 |
| E.9 52.252-1 SOLICITATION PROVISIONS INCORPORATED BY REFERENCE (FEB 1998) | 124 |
SECTION B - CONTINUATION OF SF 1449 BLOCKS
B.1 CONTRACT ADMINISTRATION DATA
1. Contract Administration: All contract administration matters will be handled by the following individuals:
a. CONTRACTOR:
b. GOVERNMENT: Contracting Officer 36C262
Network Contracting Office 22 4811 Airport Plaza Drive, Suite 600 Long Beach CA 90815
2. CONTRACTOR REMITTANCE ADDRESS: All payments by the Government to the contractor will be made in accordance with:
| [X] |
| 52.232-33, Payment by Electronic Funds Transfer—System for Award Management, or |
| [] |
| 52.232-36, Payment by Third Party |
3. INVOICES: Invoices shall be submitted in arrears:
| a. Quarterly | [] |
| b. Semi-Annually | [] |
| c. Other | [X] Monthly |
4. GOVERNMENT INVOICE ADDRESS: All Invoices from the contractor shall be submitted electronically in accordance with VAAR Clause 852.232-72 Electronic Submission of Payment Requests.
5. INVOICES: Invoices shall be submitted in arrears in accordance with 852.232-72 ELECTRONIC SUBMISSION OF PAYMENT REQUESTS (NOV 2012) upon acceptance of items.
| a. In order to comply with the Improper Payment Elimination and Recovery Act of 2010 (IPERA), the VA has mandated electronic invoice submission to the Veterans Affairs Financial Services Center (VAFSC). VAFSC has partnered with OB10 e-Invoicing network, for submissions of all electronic invoices to VA. OB10 electronic invoicing is free to all VA vendors. In order to submit electronic invoices, all VA vendors must register with OB10 by submitting an email to VA.Registration@ob10.com or calling 1-877-752-0900 option 2 for Enrollment. |
| b. For assistance setting up e-Invoice, the below information is provided: |
OB10 e-Invoice Setup Information: 1-877-489-6135 OB10 e-Invoice email: VA.Registration@ob10.com <http://VA.Registration@ob10.com/> FSC e-Invoice Contact Information: 1-877-353-9791 FSC e-invoice email: vafsccshd@va.gov <http://va.gov/
c. FACSIMILE, E-MAIL, AND SCANNED DOCUMENTS ARE NOT ACCEPTABLE FORMS OF SUBMISSION FOR PAYMENT REQUESTS.
d. All invoices shall reference the Contractor’s name and address, customer name, contract number, appropriate obligation/funding order number, description of services provided, quantity, unit price, and total invoice amount (any additional info). Invoices shall also include any payment discount terms.
f. For questions regarding invoice receipt or payment, please call VAFSC directly at 1-877-353-9791 or email vafsccshd@va.gov.
6. ACKNOWLEDGMENT OF AMENDMENTS: The offeror acknowledges receipt of amendments to the Solicitation numbered and dated as follows:
B.2 PERFORMANCE WORK STATEMENT
FOR SAN DIEGO VA HEALTHCARE SYSTEM (SDVAHCS)
1. Introduction The purpose of this performance work statement (PWS) is to outline the tasks and responsibilities of a rental service agreement of all products listed below in Table A.
2. Background Description of Service: The purpose of this Statement of Work (SOW) is to obtain Contractor support for per-case access to medical lasers and surgical equipment and trained experienced technicians to act as a clinical resource for surgeons and Operating Room (OR) staff and to operate the equipment for patient care needs at San Diego VA Healthcare System (SDVAHCS), San Diego, California.
The period of performance for this contract will be from Date of Award plus four (4) option years. Contractor is to provide on-call 24 hour 7 days a week service for rental of lasers, disposable and personnel to assist with equipment. Contractor shall furnish all labor and equipment necessary as listed on Section B.4 Price/Cost Schedule of this RFQ to accomplish the tasks needed. Contractor’s laser operator will also perform installation and setup, and preventive maintenance verification.
Hours of Work: 24-hour service/ 7 days a week with a maximum of three (3) hour delivery time; delivery of specialty lasers, disposable items and support personnel upon SDVAHCS request.
The Contractor shall perform all services in accordance with the terms, conditions, provisions, and specifications contained herein.
3. Salient Characteristics The Vendor SHALL provide:
3.1. Rentals of medical laser equipment, disposables, certified and credentialed technicians to operate the equipment on specific scheduled days designated by San Diego VA Healthcare System (SDVAHCSD)
3.2. Equipment as shown in the list/price schedule that is compliant with the Joint Commission Guidelines, which may change based on the recommendation of the Contractor and confirmed by the SDVAHCS, to include the necessary attachments, supplies, fibers, and accessories needed to operate each laser equipment.
3.3. Support for per-case rental access to medical lasers, surgical equipment and trained, certified, credentialed, and experienced technicians that act as a clinical resource for surgeons and Operating Room (OR) staff and operate the equipment for patient care needs.
3.4. Live on-call support staff available 24 hours per day, 7 days a week, 365 days per year for rental of lasers, equipment, disposables, and personnel within a maximum of three (3) hour delivery time upon SDVAHCS request
3.5. All labor and equipment as outlined in the list/price Schedule to accomplish the tasks needed.
3.6. Equipment installation, setup, and preventive maintenance verification with costs included in the monthly equipment rental fee.
3.7. Vehicles for transporting the rental equipment and personnel that meet the Department of Transportation Regulations
3.8. Contractor owned equipment delivered, serviced, and operated by trained and certified technicians that is kept in good operating condition, appearance, and in accordance with applicable regulations, standards, and normal good practices.
3.9. Assurances that all persons acting for or on behalf of the contractor:
3.9.1. Are properly licensed at all times under applicable state and federal laws and/or regulations.
3.9.2. Provide evidence of current license renewal, as appropriate along with copies of their Joint Commission and any other licensing and accrediting organizations credentials
3.9.3. Wear appropriate/approved operating room attire while in the perioperative suite.
3.9.4. Are available for all scheduled cases in a timely manner including emergency or non-scheduled cases.
3.9.5. Are present prior to the induction of the anesthesia and throughout the surgical procedure.
3.10. Document the services and complete documentation related to medical records using its own form of clinical record of which the original shall become part of SDVAHCS’ permanent medical record.
3.11. All necessary fibers and accessories for each laser case
3.12. Written Laser Safety Policy, Procedures, Quality Control, Quality Assurance, and maintenance documentation for the equipment and laser technicians in accordance with The Joint Commission, American National Standards Institute (ANSI) and by manufacturer recommendations.
3.13. Material Safety Data Sheets upon request at no additional cost
Vendor SHALL:
3.14. Reserve the right to make all decisions regarding its Staff, including, but not limited to, hiring, retention, and scheduling as mutually agreed.
3.15. Not provide services or care to patients of the SDVAHCS, or in any way interact with patients, except as necessary to provide the Services pursuant to this Agreement.
3.16. Remove from the Government Facility any Staff individual to whom SDVAHCS reasonably objects and promptly replace. SDVAHCS agrees to have in place a process by which Contractor can have such replacement individual granted access privileges as soon as practicable. Any delay in granting privileges so that Contractor is unable to perform the Services shall not be deemed a breach of this Agreement by Contractor
3.17. Be responsible for all ordering and maintenance of equipment and supplies necessary for laser.
3.18. Submit complete rental fee invoices to include transportation for lasers, disposables, and personnel included in the list/price schedule and exclude invoicing for delivery, hazardous materials, fuel surcharges, and other charges not identified in the list/price schedule.
3.19. Not consider Contractor Personnel to be VA employees for any purpose and be responsible for providing Contractor Personnel, in accordance with applicable Federal, State, and Local Laws: 3.19.1 Workers Compensation
3.19.2 Professional liability insurance 3.19.3 Health examinations 3.19.4 Income tax withholding 3.19.5 Social Security payments
3.20. Maintain a minimum employer's liability coverage of at least $1,000,000 and general bodily injury liability insurance coverage written on the comprehensive form of policy of at least $500,000 per occurrence.
3.21. Be responsible for all damage to property, which may be caused by him, or any employee engaged in the performance of this contract.
3.22. Maintain automobile liability insurance.
3.23. Written on the comprehensive form of policy that provides for bodily injury and property damage liability covering the operation of all automobiles used in connection with performing the contract 3.24. That provides coverage of at least $200,000 per person and $500,000 per occurrence for bodily injury and $20,000 per occurrence for property damage with any additional coverages commensurate with any legal requirements of the locality and sufficient to meet normal and customary claims.
3.25. Provide, before commencing work under this contract, if requested by SDVAHCS, insurance company certification indicating that the needed coverages outlined have been obtained and that it may not be changed or canceled without a guaranteed thirty (30) days notice to the VASDHS 3.26. Check the Health and Human Services (HHS) / Office of Inspector General (OIG) List of Excluded Individuals/Entities on the OIG Website (www.hhs.gov/oig) for each person providing services under this contract and certify that all persons providing services currently or during the performance under this contract are NOT listed.
3.27. Adhere to the provisions of Public Law 104-191, Health Insurance Portability and Accountability Act (HIPAA) of 1996 and the National Standards to Protect the Privacy and Security of Protected Health Information (PHI) and may be required to enter into a Business Associate Agreement (BAA) with VA governing the security, use, and disclosure of protected health information 3.28. Require all personnel to 3.28.1. Wear identification (I.D.) Badges with an identification picture, name of the individual and the represented company depicted on it during the entire time they are on the VA Healthcare Medical grounds.
3.28.2. Park in the appropriate designated parking area as designated by the VA Police Department who will not invalidate or make reimbursement for parking violations of the contractor's personnel under any circumstance.
3.28.3. San Diego VA is a smoke free facility – smoke ONLY in designated areas 3.29. Contact SDVAHCS prior to disposing of non-repairable Government-owned equipment, pumps, parts, fittings, and appurtenances and make disposition in accordance with SDVAHCS instructions.
3.30. Be paid for all services performed and authorized by this agreement, up to the determination that a laser is non-repairable, at the prices listed herein the agreement.
3.31. Not charge any additional fees, other than those specified in this agreement, for the return of lasers to SDVAHCS nor for non-repairable lasers returned to the ordering facility, other than those specified in this agreement.
3.32. Not provide any services (including palletizing, when needed) not covered by this agreement without the approval of the Contacting Officer (CO)
3.33. SERVICE CALLS: Contractor shall provide in the space below, the name, location, and telephone number of the office where service calls are to be placed:
Name: _______________________________________ Address: _____________________________________ Telephone: ___________________________________ Point of Contact: _______________________________
3.34. Contractor to provide weekly invoicing for all cases accomplished in the week. Information on the invoice to include patient information, attending surgeon information, date of service provided, type of service provided, including any disposables.
4. Badges and Parking
4.1. I.D. Badges: All Contractor personnel are required to wear identification (I.D.) Badges during the entire time they are on the VA Healthcare Medical grounds. I. D. Badges must have an identification picture, name of the individual and the represented company depicted on it.
4.2. Parking: It is the responsibility of the contractor personnel to park in the appropriate designated parking area. Parking information is available at the VA Police Department. The VA Police Department will not invalidate or make reimbursement for parking violations of the contractor's personnel under any circumstance.
5. Performance Period
5.1 Period of Performance for the Blanket Purchase Agreement (BPA) is as follows for the base and option years:
| 5.1.1 Base Year: | 09/01/2023 – 08/31/2024 |
| 5.1.2 Option Year 1: | 09/01/2024 – 08/31/2025 |
| 5.1.3 Option Year 2: | 09/01/2025 – 08/31/2026 |
| 5.1.4 Option Year 3: | 09/01/2026 – 08/31/2027 |
| 5.1.5 Option Year 4: | 09/01/2027 – 08/31/2028 |
6. Table A – ITEM LIST The following items should be available upon request by facility in any combination as required by the facility:
| Description |
| Unit |
| Unit Price |
| Annual Estimated Quantity |
| ESWL Services Bilateral |
| EA |
| ESWL Services Unilateral |
| EA |
| Holmium Laser High Wattage |
| EA |
| Holmium Laser Low Wattage |
| EA |
| ESWL Services Multisite |
| EA |
| UroNav MRI Fusion System |
| EA |
| Holmium MasterPULSE HF |
| EA |
| Cystoscope- Continuous Flow |
| EA |
| OmniGuide General Gas and Regulator |
| EA |
| OmniGuide Hand Piece GYN-LAP Curved |
| EA |
| OmniGuide FlexGuide GYN Robotic |
| EA |
| Evolve End Fire High Power Fiber |
| EA |
| Evolve Side Fire Fiber |
| EA |
| Evolve Twister-L/XL Fiber |
| EA |
| Holmium 200 ForTec Fiber |
| EA |
| Holmium 365 ForTec Fiber |
| EA |
| Holmium 550 ForTec Fiber |
| EA |
| Holmium 1000 ForTec Fiber |
| EA |
| OmniGuide Sterile Filter |
| EA |
| Smoke Evacuator Tubing |
| EA |
| Smoke Evacuation Filter |
| EA |
| Iridex 14310 Long Angle Otoprobe |
| EA |
| Iridex 14320 Short Angle Otoprobe |
| EA |
| KTP/YAG .3 mm Endostat Fiber |
| EA |
| KTP/YAG .4 mm Endostat Fiber |
| EA |
| KTP/YAG .6 mm Endostat Fiber |
| EA |
| KTP/YAG .6 mm LP Ball Tip Fiber |
| EA |
| KTP/YAG .6 mm LP Conical Tip Fiber |
| EA |
| KTP/YAG 1000 Micron LP Conical Tip Fiber |
| EA |
| KTP/YAG .6mm LP Reduced Buffer Fiber |
| EA |
| OmniGuide NEURO-L Fiber |
| EA |
| Lumenis Acculite Otoprobe 20 Degree |
| EA |
| Iridex 10562 20 Gauge Endoprobe |
| EA |
| Iridex 13920 25 Gauge Straight Endoprobe |
| EA |
| Iridex 14390 23 Gauge Endoprobe |
| EA |
| Angiodynamics Vein Closure Kit |
| EA |
| Holmium Lumenis GI Slimline Fiber |
| EA |
| ESWL Services Multisite |
| EA |
| Trimedyne 35 cm Laser Tip With Irrigation |
| EA |
| Holmium Ortho Omni Multi-use SMA Hand Piece |
| EA |
| Laser Safety Endotracheal Tubes Size 7 |
| EA |
| Holmium Ortho OmniTip 90 Degree Side Fire |
| EA |
| Biolitec Straight Endoprobe 20 GA |
| EA |
| Biolitec Curved Endoprobe 20 GA |
| EA |
| Biolitec Short Angle G Otoprobe |
| EA |
| Biolitec Long Angle H Otoprobe |
| EA |
| Urethral Warming System |
| EA |
| Evolve End Fire 400 Micron Low Power Fiber |
| EA |
| KTP/YAG .4mm LP Bare Fiber |
| EA |
| Ultrasound Robotic Pro Art Probe 8826 |
| EA |
| Ultrasound Trans Rectal Probe (TRUS) 8848 |
| EA |
| Ultrasound Fingertip Probe 8824 |
| EA |
| Ultrasound T Probe 8816 |
| EA |
| Ultrasound Laparoscopic Probe 8666 |
| EA |
| Laser Safety Endotracheal Tubes Size 5.5 |
| EA |
| OmniGuide Hand Piece GYN-LAP Straight |
| EA |
| OmniGuide Hand Piece ENT |
| EA |
| OmniGuide Hand Piece OTO |
| EA |
| OmniGuide Hand Piece Neuro |
| EA |
| OmniGuide Hand Piece GYN-LGT |
| EA |
| OmniGuide Hand Piece Laparoscopic Reducer |
| EA |
| KTP/YAG .2 mm Endostat Fiber |
| EA |
| OmniGuide Robotic Fiber |
| EA |
| Iridex 14572T 20g Thumb Adj & Intiutive Endoprobe |
| EA |
| Iridex 14000 20g Aspirating Straight Endoprobe |
| EA |
| Iridex 14410 20g Illuminating Bayonet Endoprobe |
| EA |
| Fractional CO2 Hand Piece |
| EA |
| Ultrasound Simultaneous Biplane TRUS Probe 8808e |
| EA |
| Ultrasound Triplane Transrectal Probe 8818 |
| EA |
| Holmium 270 Olympus Fiber |
| EA |
| Holmium 400 Olympus Fiber |
| EA |
| Holmium 600 Olympus Fiber |
| EA |
| Lumenis Acculite Otoprobe 10 Degree |
| EA |
| Laser Safety Endotracheal Tubes Size 6.5 |
| EA |
| Iridex 15488T Adjustable/Intuitive 25 GA Probe |
| EA |
| Iridex 11473 20 GA Fluted Aspirating Probe |
| EA |
| Iridex 15703 300 Micron Fiber |
| EA |
| KTP/YAG 1000 Micron LP Bare Fiber |
| EA |
| Holmium 273 SureFlex Fiber |
| EA |
| Iridex 23-27 Stepped Illuminating Endoprobe |
| EA |
| OmniGuide Elevate Elite Fiber |
| EA |
| OmniGuide Hand Piece ENT-Elevate |
| EA |
| Laparoscopic Lens Cell |
| EA |
| Ultrasound Biopsy Single Needle Guide UA1322-S |
| EA |
| Ultrasound ProArt Transducer Cover 610-212 |
| EA |
| Ultrasound Endocavity Balloon 610-898 |
| EA |
| Single Point Thermal Sensor |
| EA |
| Ultrasound Biplane 8848 Transducer Cover EA4015 |
| EA |
| Ultrasound Abdominal Transducer 8823 |
| EA |
| Galil Urethral Warming Kit FPRPR4003 |
| EA |
| Laser Safety Endotracheal Tubes Size 6.0 |
| EA |
| Galil Barqawi Bundle One |
| EA |
| Ultrasound Latex Free Probe Cover |
| EA |
| IcePearl 6 Needle 2.1 CX Prostate Kit/VL FPRPR3606 |
| EA |
| Bill to Galil IceFORCE 2.1 CX Prostate Kit/VL |
| EA |
| Bill to Galil IcePearl 2.1 CX Prostate Kit/VL |
| EA |
| Smoke Evacuation PlumeSafe Filtration Tubing |
| EA |
| US Cryo TRUS Probe 8848 |
| EA |
| UroNav BK 8808e/8818 Probe Holder |
| EA |
| Ultrasound Biopsy Dual Needle Guide UA1293-S |
| EA |
| US UroNav Triplane Probe 8818 |
| EA |
| Acublade Digital Micromanipulator |
| EA |
| Holmium 272 Excalibur Fiber |
| EA |
| Holmium MP 200 ForTec Fiber |
| EA |
| Holmium MP 365 ForTec Fiber |
| EA |
| Holmium MP 550 ForTec Fiber |
| EA |
| Holmium MP 1000 ForTec Fiber |
| EA |
| Holmium MP Excalibur 272 ForTec Fiber |
| EA |
| US BK5000 Curved Array Transducer 9085 |
| EA |
| Precision Point Transperineal Access System |
| EA |
| Piranha Enucleation System |
| EA |
| Piranha Enucleation System Standby |
| EA |
| Piranha Enucleation System Daily Minimum |
| EA |
| Piranha Enucleation System tech only |
| EA |
| Piranha Overflow Protector/Bacteria Filter |
| EA |
| Piranha Tissue Container |
| EA |
| Piranha Yellow Membrane |
| EA |
| Morcellator Resectoscope |
| EA |
| TruBlu Wolf 10w Laser Standby |
| EA |
| TruBlu Wolf 10w Laser Daily Minimum |
| EA |
| TruBlu Wolf 10w Laser Tech only |
| EA |
| HiFlex 300 Single Use Fiber |
| EA |
| HiFlex 400 Single Use Fiber |
| EA |
| HiFlex 600 Single Use Fiber |
| EA |
| Fiber Dust Thulium Fiber Laser |
| EA |
| Extended Case Fee (Hourly) |
| EA |
| Early Equipment Drop Off Fee |
| EA |
B.3 PRICE/COST SCHEDULE
Quantities can be adjusted to meet the needs of the Medical Center Base Year: 09/01/2023 – 08/31/2024
| Line Item # |
| Product # |
| Minimum Quantity |
| Minimum Quantity |
| Description of Supplies/Services |
| Unit |
| Unit Price |
| Annual Estimated Quantity |
| Annual Estimated Amount |
| 0001 |
| 10130 |
| 1 |
| 20 |
| Argon Beam Coagulator |
| EA |
| 0002 |
| 10138 |
| 0 |
| 0 |
| Iridex SLX Laser |
| EA |
| 0003 |
| 10140 |
| 1 |
| 2 |
| ESWL Services Bilateral |
| EA |
| 0004 |
| 10141 |
| 1 |
| 6 |
| ESWL Services Unilateral |
| EA |
| 0005 |
| 10148 |
| 1 |
| 10 |
| Holmium Laser High Wattage |
| EA |
| 0006 |
| 10151 |
| 0 |
| 0 |
| Aura XP Laser |
| EA |
| 0007 |
| 10154 |
| 0 |
| 0 |
| Iridex TX Laser |
| EA |
| 0008 |
| 10159 |
| 1 |
| 6 |
| Holmium Laser Low Wattage |
| EA |
| 0009 |
| 10160 |
| 0 |
| 0 |
| OmniGuide Laser |
| EA |
| 0010 |
| 10169 |
| 1 |
| 10 |
| XPS Laser |
| EA |
| 0011 |
| 10969 |
| 0 |
| 0 |
| ESWL Services Multisite |
| EA |
| 0012 |
| 10712 |
| 1 |
| 20 |
| Ultrasound |
| EA |
| 0013 |
| 10880 |
| 1 |
| 20 |
| UroNav MRI Fusion System |
| EA |
| 0014 |
| 10917 |
| 1 |
| 20 |
| Ultrasound UroNav |
| EA |
| 0015 |
| 11002 |
| 1 |
| 10 |
| Ultrasound BK 5000 |
| EA |
| 0016 |
| 11040 |
| 0 |
| 0 |
| Deka CO2 Laser |
| EA |
| 0017 |
| 11044 |
| 1 |
| 50 |
| Holmium MasterPULSE HF |
| EA |
| 0019 |
| 10179 |
| 0 |
| 0 |
| Cystoscope- Continuous Flow |
| EA |
| 0020 |
| 10181 |
| 0 |
| 0 |
| OmniGuide General Gas and Regulator |
| EA |
| 0021 |
| 10182 |
| 0 |
| 0 |
| Micromanipulator |
| EA |
| 0022 |
| 10183 |
| 0 |
| 0 |
| Laparoscope |
| EA |
| 0023 |
| 10184 |
| 0 |
| 0 |
| LAUP Hand Piece |
| EA |
| 0024 |
| 10185 |
| 0 |
| 0 |
| Nezhat Coupler |
| EA |
| 0025 |
| 10186 |
| 0 |
| 0 |
| Smoke Evacuator |
| EA |
| 0026 |
| 10189 |
| 0 |
| 0 |
| Slit Lamp |
| EA |
| 0027 |
| 10190 |
| 0 |
| 0 |
| KTP Hand Pieces |
| EA |
| 0028 |
| 10191 |
| 0 |
| 0 |
| OmniGuide Hand Piece GYN-LAP Curved |
| EA |
| 0029 |
| 10192 |
| 0 |
| 0 |
| OmniGuide FlexGuide GYN Robotic |
| EA |
| 0030 |
| 10482 |
| 0 |
| 0 |
| Litho Gel |
| EA |
| 0031 |
| 10483 |
| 0 |
| 0 |
| Spark Plug |
| EA |
| 0032 |
| 10484 |
| 0 |
| 0 |
| Urological Drain Bag |
| EA |
| 0033 |
| 10485 |
| 0 |
| 0 |
| HPS Fiber |
| EA |
| 0034 |
| 10486 |
| 1 |
| 10 |
| XPS MoXy Fiber |
| EA |
| 0035 |
| 10487 |
| 0 |
| 0 |
| HPS/XPS EA Fiber |
| EA |
| 0036 |
| 10488 |
| 0 |
| 0 |
| Evolve End Fire High Power Fiber |
| EA |
| 0037 |
| 10489 |
| 0 |
| 0 |
| Evolve Side Fire Fiber |
| EA |
| 0038 |
| 10490 |
| 0 |
| 0 |
| Evolve Twister Fiber |
| EA |
| 0039 |
| 10491 |
| 0 |
| 0 |
| Evolve Twister-L/XL Fiber |
| EA |
| 0040 |
| 10493 |
| 1 |
| 20 |
| Holmium 200 ForTec Fiber |
| EA |
| 0041 |
| 10494 |
| 1 |
| 4 |
| Holmium 365 ForTec Fiber |
| EA |
| 0042 |
| 10495 |
| 1 |
| 1 |
| Holmium 550 ForTec Fiber |
| EA |
| 0043 |
| 10496 |
| 1 |
| 3 |
| Holmium 1000 ForTec Fiber |
| EA |
| 0044 |
| 10520 |
| 0 |
| 0 |
| OmniGuide OTO-S Fiber |
| EA |
| 0045 |
| 10521 |
| 0 |
| 0 |
| OmniGuide OTO-M Fiber |
| EA |
| 0046 |
| 10523 |
| 0 |
| 0 |
| Sterile Drape |
| EA |
| 0047 |
| 10524 |
| 0 |
| 0 |
| OmniGuide Sterile Filter |
| EA |
| 0048 |
| 10525 |
| 0 |
| 0 |
| Smoke Evacuator Tubing |
| EA |
| 0049 |
| 10526 |
| 0 |
| 0 |
| Smoke Evacuation Filter |
| EA |
| 0050 |
| 10527 |
| 0 |
| 0 |
| Aura Accustat Fiber |
| EA |
| 0051 |
| 10528 |
| 0 |
| 0 |
| Iridex 14310 Long Angle Otoprobe |
| EA |
| 0052 |
| 10529 |
| 0 |
| 0 |
| Iridex 14320 Short Angle Otoprobe |
| EA |
| 0053 |
| 10530 |
| 0 |
| 0 |
| KTP/YAG .3 mm Endostat Fiber |
| EA |
| 0054 |
| 10531 |
| 0 |
| 0 |
| KTP/YAG .4 mm Endostat Fiber |
| EA |
| 0055 |
| 10532 |
| 0 |
| 0 |
| KTP/YAG .6 mm Endostat Fiber |
| EA |
| 0056 |
| 10534 |
| 0 |
| 0 |
| KTP/YAG .6 mm LP Ball Tip Fiber |
| EA |
| 0057 |
| 10535 |
| 0 |
| 0 |
| KTP/YAG .6 mm LP Conical Tip Fiber |
| EA |
| 0058 |
| 10537 |
| 0 |
| 0 |
| KTP/YAG 1000 Micron LP Conical Tip Fiber |
| EA |
| 0059 |
| 10538 |
| 0 |
| 0 |
| KTP/YAG .6mm LP Reduced Buffer Fiber |
| EA |
| 0060 |
| 10539 |
| 0 |
| 0 |
| TMR Disposable Kit |
| EA |
| 0061 |
| 10540 |
| 0 |
| 0 |
| OmniGuide NEURO-L Fiber |
| EA |
| 0062 |
| 10543 |
| 0 |
| 0 |
| Katalyst Ciliprobe |
| EA |
| 0063 |
| 10546 |
| 0 |
| 0 |
| Lumenis Acculite Otoprobe 20 Degree |
| EA |
| 0064 |
| 10547 |
| 0 |
| 0 |
| Iridex 10562 20 Gauge Endoprobe |
| EA |
| 0065 |
| 10548 |
| 0 |
| 0 |
| Iridex 13920 25 Gauge Straight Endoprobe |
| EA |
| 0066 |
| 10549 |
| 0 |
| 0 |
| Iridex 14390 23 Gauge Endoprobe |
| EA |
| 0067 |
| 10550 |
| 0 |
| 0 |
| 10 Degree Otoprobe |
| EA |
| 0068 |
| 10552 |
| 0 |
| 0 |
| Angiodynamics Vein Closure Kit |
| EA |
| 0070 |
| 10689 |
| 0 |
| 0 |
| Colposcope |
| EA |
| 0071 |
| 10695 |
| 0 |
| 0 |
| Holmium Lumenis GI Slimline Fiber |
| EA |
| 0072 |
| 10696 |
| 0 |
| 0 |
| ESWL Services Multisite |
| EA |
| 0073 |
| 10697 |
| 0 |
| 0 |
| Trimedyne 35 cm Laser Tip With Irrigation |
| EA |
| 0074 |
| 10698 |
| 0 |
| 0 |
| Holmium Ortho Omni Multi-use SMA Hand Piece |
| EA |
| 0075 |
| 10699 |
| 0 |
| 0 |
| Laser Safety Endotracheal Tubes Size 7 |
| EA |
| 0076 |
| 10702 |
| 0 |
| 0 |
| Holmium Ortho OmniTip 90 Degree Side Fire |
| EA |
| 0077 |
| 10703 |
| 0 |
| 0 |
| Biolitec Straight Endoprobe 20 GA |
| EA |
| 0078 |
| 10704 |
| 0 |
| 0 |
| Biolitec Curved Endoprobe 20 GA |
| EA |
| 0079 |
| 10705 |
| 0 |
| 0 |
| Biolitec Short Angle G Otoprobe |
| EA |
| 0080 |
| 10706 |
| 0 |
| 0 |
| Biolitec Long Angle H Otoprobe |
| EA |
| 0081 |
| 10713 |
| 0 |
| 0 |
| Urethral Warming System |
| EA |
| 0082 |
| 10720 |
| 0 |
| 0 |
| Evolve End Fire 400 Micron Low Power Fiber |
| EA |
| 0083 |
| 10726 |
| 0 |
| 0 |
| KTP/YAG .4mm LP Bare Fiber |
| EA |
| 0084 |
| 10728 |
| 0 |
| 0 |
| Ultrasound Cryo |
| EA |
| 0085 |
| 10730 |
| 1 |
| 10 |
| Ultrasound Robotic Pro Art Probe 8826 |
| EA |
| 0086 |
| 10731 |
| 0 |
| 0 |
| Ultrasound Trans Rectal Probe (TRUS) 8848 |
| EA |
| 0087 |
| 10732 |
| 0 |
| 0 |
| Ultrasound Fingertip Probe 8824 |
| EA |
| 0088 |
| 10733 |
| 1 |
| 6 |
| Ultrasound T Probe 8816 |
| EA |
| 0089 |
| 10734 |
| 1 |
| 4 |
| Ultrasound Laparoscopic Probe 8666 |
| EA |
| 0090 |
| 10736 |
| 0 |
| 0 |
| Laser Safety Endotracheal Tubes Size 5.5 |
| EA |
| 0091 |
| 10739 |
| 0 |
| 0 |
| OmniGuide Hand Piece GYN-LAP Straight |
| EA |
| 0092 |
| 10740 |
| 0 |
| 0 |
| OmniGuide Hand Piece ENT |
| EA |
| 0093 |
| 10741 |
| 0 |
| 0 |
| OmniGuide Hand Piece OTO |
| EA |
| 0094 |
| 10742 |
| 0 |
| 0 |
| OmniGuide Hand Piece Neuro |
| EA |
| 0095 |
| 10743 |
| 0 |
| 0 |
| OmniGuide Hand Piece GYN-LGT |
| EA |
| 0096 |
| 10744 |
| 0 |
| 0 |
| OmniGuide Hand Piece Laparoscopic Reducer |
| EA |
| 0097 |
| 10745 |
| 0 |
| 0 |
| Evolve DUAL Laser |
| EA |
| 0098 |
| 10750 |
| 0 |
| 0 |
| KTP/YAG .2 mm Endostat Fiber |
| EA |
| 0099 |
| 10751 |
| 0 |
| 0 |
| OmniGuide Robotic Fiber |
| EA |
| 0100 |
| 10758 |
| 0 |
| 0 |
| Iridex 14572T 20g Thumb Adj & Intiutive Endoprobe |
| EA |
| 0101 |
| 10759 |
| 0 |
| 0 |
| Iridex 14000 20g Aspirating Straight Endoprobe |
| EA |
| 0102 |
| 10760 |
| 0 |
| 0 |
| Iridex 14410 20g Illuminating Bayonet Endoprobe |
| EA |
| 0103 |
| 10761 |
| 0 |
| 0 |
| Fractional CO2 Hand Piece |
| EA |
| 0104 |
| 10767 |
| 0 |
| 0 |
| Ultrasound Simultaneous Biplane TRUS Probe 8808e |
| EA |
| 0105 |
| 10768 |
| 0 |
| 0 |
| Ultrasound Triplane Transrectal Probe 8818 |
| EA |
| 0106 |
| 10772 |
| 0 |
| 0 |
| Holmium 270 Olympus Fiber |
| EA |
| 0107 |
| 10773 |
| 0 |
| 0 |
| Holmium 400 Olympus Fiber |
| EA |
| 0108 |
| 10774 |
| 0 |
| 0 |
| Holmium 600 Olympus Fiber |
| EA |
| 0109 |
| 10775 |
| 0 |
| 0 |
| Lumenis Acculite Otoprobe 10 Degree |
| EA |
| 0110 |
| 10782 |
| 0 |
| 0 |
| Laser Safety Endotracheal Tubes Size 6.5 |
| EA |
| 0111 |
| 10784 |
| 0 |
| 0 |
| Iridex 15488T Adjustable/Intuitive 25 GA Probe |
| EA |
| 0112 |
| 10785 |
| 0 |
| 0 |
| Iridex 11473 20 GA Fluted Aspirating Probe |
| EA |
| 0113 |
| 107866 |
| 0 |
| 0 |
| Iridex 15703 300 Micron Fiber |
| EA |
| 0114 |
| 10806 |
| 0 |
| 0 |
| KTP/YAG 1000 Micron LP Bare Fiber |
| EA |
| 0115 |
| 10812 |
| 0 |
| 0 |
| Holmium 273 SureFlex Fiber |
| EA |
| 0116 |
| 10818 |
| 0 |
| 0 |
| Iridex 23-27 Stepped Illuminating Endoprobe |
| EA |
| 0117 |
| 10823 |
| 0 |
| 0 |
| OmniGuide Elevate Elite Fiber |
| EA |
| 0118 |
| 10825 |
| 0 |
| 0 |
| OmniGuide Hand Piece ENT-Elevate |
| EA |
| 0119 |
| 10828 |
| 0 |
| 0 |
| Laparoscopic Lens Cell |
| EA |
| 0120 |
| 10831 |
| 1 |
| 20 |
| Ultrasound Biopsy Single Needle Guide UA1322-S |
| EA |
| 0121 |
| 10832 |
| 0 |
| 0 |
| Ultrasound ProArt Transducer Cover 610-212 |
| EA |
| 0122 |
| 10833 |
| 0 |
| 0 |
| Ultrasound Endocavity Balloon 610-898 |
| EA |
| 0123 |
| 10836 |
| 0 |
| 0 |
| Single Point Thermal Sensor |
| EA |
| 0124 |
| 10839 |
| 0 |
| 0 |
| Ultrasound Biplane 8848 Transducer Cover EA4015 |
| EA |
| 0125 |
| 10863 |
| 0 |
| 0 |
| Ultrasound Abdominal Transducer 8823 |
| EA |
| 0126 |
| 10876 |
| 0 |
| 0 |
| Galil Urethral Warming Kit FPRPR4003 |
| EA |
| 0127 |
| 10877 |
| 0 |
| 0 |
| Laser Safety Endotracheal Tubes Size 6.0 |
| EA |
| 0128 |
| 10878 |
| 0 |
| 0 |
| Galil Barqawi Bundle One |
| EA |
| 0129 |
| 10887 |
| 1 |
| 20 |
| Ultrasound Latex Free Probe Cover |
| EA |
| 0130 |
| 10891 |
| 0 |
| 0 |
| IcePearl 6 Needle 2.1 CX Prostate Kit/VL FPRPR3606 |
| EA |
| 0131 |
| 10892 |
| 0 |
| 0 |
| Bill to Galil IceFORCE 2.1 CX Prostate Kit/VL |
| EA |
| 0132 |
| 10893 |
| 0 |
| 0 |
| Bill to Galil IcePearl 2.1 CX Prostate Kit/VL |
| EA |
| 0133 |
| 10894 |
| 0 |
| 0 |
| Smoke Evacuation PlumeSafe Filtration Tubing |
| EA |
| 0134 |
| 10898 |
| 0 |
| 0 |
| US Cryo TRUS Probe 8848 |
| EA |
| 0135 |
| 10907 |
| 1 |
| 20 |
| UroNav BK 8808e/8818 Probe Holder |
| EA |
| 0136 |
| 10916 |
| 1 |
| 20 |
| Ultrasound Biopsy Dual Needle Guide UA1293-S |
| EA |
| 0137 |
| 10919 |
| 0 |
| 0 |
| US UroNav Triplane Probe 8818 |
| EA |
| 0138 |
| 10929 |
| 0 |
| 0 |
| CO2 FiberLase Fiber |
| EA |
| 0139 |
| 10953 |
| 0 |
| 0 |
| Acublade Digital Micromanipulator |
| EA |
| 0140 |
| 10986 |
| 1 |
| 10 |
| Holmium 272 Excalibur Fiber |
| EA |
| 0141 |
| 10988 |
| 0 |
| 0 |
| Imperium 500 Fiber |
| EA |
| 0142 |
| 11045 |
| 1 |
| 20 |
| Holmium MP 200 ForTec Fiber |
| EA |
| 0143 |
| 11046 |
| 1 |
| 10 |
| Holmium MP 365 ForTec Fiber |
| EA |
| 0144 |
| 11047 |
| 1 |
| 5 |
| Holmium MP 550 ForTec Fiber |
| EA |
| 0145 |
| 11048 |
| 1 |
| 5 |
| Holmium MP 1000 ForTec Fiber |
| EA |
| 0146 |
| 11049 |
| 1 |
| 20 |
| Holmium MP Excalibur 272 ForTec Fiber |
| EA |
| 0147 |
| 11073 |
| 0 |
| 0 |
| Deka Micromanipulator |
| EA |
| 0148 |
| 11084 |
| 1 |
| 4 |
| US BK5000 Curved Array Transducer 9085 |
| EA |
| 0149 |
| 11085 |
| 1 |
| 2 |
| UroNav TP Stepper |
| EA |
| 0150 |
| 11096 |
| 1 |
| 2 |
| Precision Point Transperineal Access System |
| EA |
| 0151 |
| 11032 |
| 1 |
| 10 |
| Piranha Enucleation System |
| EA |
| 0152 |
| 11032-SB |
| 1 |
| 2 |
| Piranha Enucleation System Standby |
| EA |
| 0153 |
| 11032-SBDM |
| 0 |
| 0 |
| Piranha Enucleation System Daily Minimum |
| EA |
| 0154 |
| 11032-TO |
| 0 |
| 0 |
| Piranha Enucleation System tech only |
| EA |
| 0155 |
| 10959 |
| 1 |
| 10 |
| Piranha Blades RWolf |
| EA |
| 0156 |
| 10960 |
| 0 |
| 0 |
| Piranha Blades Storz |
| EA |
| 0157 |
| 10996 |
| 1 |
| 10 |
| Piranha Blue O-Ring |
| EA |
| 0158 |
| 10994 |
| 1 |
| 10 |
| Piranha Blue Seal |
| EA |
| 0159 |
| 10962 |
| 1 |
| 10 |
| Piranha Overflow Protector/Bacteria Filter |
| EA |
| 0160 |
| 10963 |
| 1 |
| 10 |
| Piranha Tissue Container |
| EA |
| 0161 |
| 10961 |
| 1 |
| 10 |
| Piranha Tubing Set |
| EA |
| 0162 |
| 10995 |
| 1 |
| 10 |
| Piranha Yellow Membrane |
| EA |
| 0163 |
| 10981 |
| 1 |
| 10 |
| Morcellator Resectoscope |
| EA |
| 0164 |
| 10987 |
| 0 |
| 0 |
| Imperium 300 Fiber |
| EA |
| 0165 |
| 11098 |
| 1 |
| 2 |
| TruBlu Wolf 10w Laser |
| EA |
| 0166 |
| 11098-SB |
| 0 |
| 0 |
| TruBlu Wolf 10w Laser Standby |
| EA |
| 0167 |
| 11098-SBDM |
| 0 |
| 0 |
| TruBlu Wolf 10w Laser Daily Minimum |
| EA |
| 0168 |
| 11098-TO |
| 0 |
| 0 |
| TruBlu Wolf 10w Laser Tech only |
| EA |
| 0169 |
| 11100 |
| 0 |
| 0 |
| HiFlex 300 Single Use Fiber |
| EA |
| 0170 |
| 11099 |
| 0 |
| 0 |
| HiFlex 400 Single Use Fiber |
| EA |
| 0 |
| 0 |
| HiFlex 600 Single Use Fiber |
| EA |
| 0172 |
| 11137 |
| 1 |
| 10 |
| Fiber Dust Thulium Fiber Laser |
| EA |
| 0174 |
| 10554-10130 |
| 1 |
| 240 |
| Delivery Fee |
| EA |
| 0175 |
| 10555-10130 |
| 0 |
| 0 |
| Extended Case Fee (Hourly) |
| EA |
| 0176 |
| 10556-10130 |
| 0 |
| 0 |
| Fee-Weekend |
| EA |
| 0177 |
| 10557-10130 |
| 0 |
| 0 |
| Fee-Holiday |
| EA |
| 0178 |
| 10770-10169 |
| 0 |
| 0 |
| After Hours Fee |
| EA |
| 0179 |
| 10888-10169 |
| 0 |
| 0 |
| Delayed Case Fee |
| EA |
| 0180 |
| 10895-10169 |
| 0 |
| 0 |
| Early Equipment Drop Off Fee |
| EA |
Option Year 1: 09/01/2024 – 08/31/2025
| Line Item # |
| Product # |
| Minimum Quantity |
| Minimum Quantity |
| Description of Supplies/Services |
| Unit |
| Unit Price |
| Annual Estimated Quantity |
| Annual Estimated Amount |
| 1001 |
| 10130 |
| 1 |
| 20 |
| Argon Beam Coagulator |
| EA |
| 1002 |
| 10138 |
| 0 |
| 0 |
| Iridex SLX Laser |
| EA |
| 1003 |
| 10140 |
| 1 |
| 2 |
| ESWL Services Bilateral |
| EA |
| 1004 |
| 10141 |
| 1 |
| 6 |
| ESWL Services Unilateral |
| EA |
| 1005 |
| 10148 |
| 1 |
| 10 |
| Holmium Laser High Wattage |
| EA |
| 1006 |
| 10151 |
| 0 |
| 0 |
| Aura XP Laser |
| EA |
| 1007 |
| 10154 |
| 0 |
| 0 |
| Iridex TX Laser |
| EA |
| 1008 |
| 10159 |
| 1 |
| 6 |
| Holmium Laser Low Wattage |
| EA |
| 1009 |
| 10160 |
| 0 |
| 0 |
| OmniGuide Laser |
| EA |
| 1010 |
| 10169 |
| 1 |
| 10 |
| XPS Laser |
| EA |
| 1011 |
| 10969 |
| 0 |
| 0 |
| ESWL Services Multisite |
| EA |
| 1012 |
| 10712 |
| 1 |
| 20 |
| Ultrasound |
| EA |
| 1013 |
| 10880 |
| 1 |
| 20 |
| UroNav MRI Fusion System |
| EA |
| 1014 |
| 10917 |
| 1 |
| 20 |
| Ultrasound UroNav |
| EA |
| 1015 |
| 11002 |
| 1 |
| 10 |
| Ultrasound BK 5000 |
| EA |
| 1016 |
| 11040 |
| 0 |
| 0 |
| Deka CO2 Laser |
| EA |
| 1017 |
| 11044 |
| 1 |
| 50 |
| Holmium MasterPULSE HF |
| EA |
| 1019 |
| 10179 |
| 0 |
| 0 |
| Cystoscope- Continuous Flow |
| EA |
| 1020 |
| 10181 |
| 0 |
| 0 |
| OmniGuide General Gas and Regulator |
| EA |
| 1021 |
| 10182 |
| 0 |
| 0 |
| Micromanipulator |
| EA |
| 1022 |
| 10183 |
| 0 |
| 0 |
| Laparoscope |
| EA |
| 1023 |
| 10184 |
| 0 |
| 0 |
| LAUP Hand Piece |
| EA |
| 1024 |
| 10185 |
| 0 |
| 0 |
| Nezhat Coupler |
| EA |
| 1025 |
| 10186 |
| 0 |
| 0 |
| Smoke Evacuator |
| EA |
| 1026 |
| 10189 |
| 0 |
| 0 |
| Slit Lamp |
| EA |
| 1027 |
| 10190 |
| 0 |
| 0 |
| KTP Hand Pieces |
| EA |
| 1028 |
| 10191 |
| 0 |
| 0 |
| OmniGuide Hand Piece GYN-LAP Curved |
| EA |
| 1029 |
| 10192 |
| 0 |
| 0 |
| OmniGuide FlexGuide GYN Robotic |
| EA |
| 1030 |
| 10482 |
| 0 |
| 0 |
| Litho Gel |
| EA |
| 1031 |
| 10483 |
| 0 |
| 0 |
| Spark Plug |
| EA |
| 1032 |
| 10484 |
| 0 |
| 0 |
| Urological Drain Bag |
| EA |
| 1033 |
| 10485 |
| 0 |
| 0 |
| HPS Fiber |
| EA |
| 1034 |
| 10486 |
| 1 |
| 10 |
| XPS MoXy Fiber |
| EA |
| 1035 |
| 10487 |
| 0 |
| 0 |
| HPS/XPS EA Fiber |
| EA |
| 1036 |
| 10488 |
| 0 |
| 0 |
| Evolve End Fire High Power Fiber |
| EA |
| 1037 |
| 10489 |
| 0 |
| 0 |
| Evolve Side Fire Fiber |
| EA |
| 1038 |
| 10490 |
| 0 |
| 0 |
| Evolve Twister Fiber |
| EA |
| 1039 |
| 10491 |
| 0 |
| 0 |
| Evolve Twister-L/XL Fiber |
| EA |
| 1040 |
| 10493 |
| 1 |
| 20 |
| Holmium 200 ForTec Fiber |
| EA |
| 1041 |
| 10494 |
| 1 |
| 4 |
| Holmium 365 ForTec Fiber |
| EA |
| 1042 |
| 10495 |
| 1 |
| 1 |
| Holmium 550 ForTec Fiber |
| EA |
| 1043 |
| 10496 |
| 1 |
| 3 |
| Holmium 1000 ForTec Fiber |
| EA |
| 1044 |
| 10520 |
| 0 |
| 0 |
| OmniGuide OTO-S Fiber |
| EA |
| 1045 |
| 10521 |
| 0 |
| 0 |
| OmniGuide OTO-M Fiber |
| EA |
| 1046 |
| 10523 |
| 0 |
| 0 |
| Sterile Drape |
| EA |
| 1047 |
| 10524 |
| 0 |
| 0 |
| OmniGuide Sterile Filter |
| EA |
| 1048 |
| 10525 |
| 0 |
| 0 |
| Smoke Evacuator Tubing |
| EA |
| 1049 |
| 10526 |
| 0 |
| 0 |
| Smoke Evacuation Filter |
| EA |
| 1050 |
| 10527 |
| 0 |
| 0 |
| Aura Accustat Fiber |
| EA |
| 1051 |
| 10528 |
| 0 |
| 0 |
| Iridex 14310 Long Angle Otoprobe |
| EA |
| 1052 |
| 10529 |
| 0 |
| 0 |
| Iridex 14320 Short Angle Otoprobe |
| EA |
| 1053 |
| 10530 |
| 0 |
| 0 |
| KTP/YAG .3 mm Endostat Fiber |
| EA |
| 1054 |
| 10531 |
| 0 |
| 0 |
| KTP/YAG .4 mm Endostat Fiber |
| EA |
| 1055 |
| 10532 |
| 0 |
| 0 |
| KTP/YAG .6 mm Endostat Fiber |
| EA |
| 1056 |
| 10534 |
| 0 |
| 0 |
| KTP/YAG .6 mm LP Ball Tip Fiber |
| EA |
| 1057 |
| 10535 |
| 0 |
| 0 |
| KTP/YAG .6 mm LP Conical Tip Fiber |
| EA |
| 1058 |
| 10537 |
| 0 |
| 0 |
| KTP/YAG 1000 Micron LP Conical Tip Fiber |
| EA |
| 1059 |
| 10538 |
| 0 |
| 0 |
| KTP/YAG .6mm LP Reduced Buffer Fiber |
| EA |
| 1060 |
| 10539 |
| 0 |
| 0 |
| TMR Disposable Kit |
| EA |
| 1061 |
| 10540 |
| 0 |
| 0 |
| OmniGuide NEURO-L Fiber |
| EA |
| 1062 |
| 10543 |
| 0 |
| 0 |
| Katalyst Ciliprobe |
| EA |
| 1063 |
| 10546 |
| 0 |
| 0 |
| Lumenis Acculite Otoprobe 20 Degree |
| EA |
| 1064 |
| 10547 |
| 0 |
| 0 |
| Iridex 10562 20 Gauge Endoprobe |
| EA |
| 1065 |
| 10548 |
| 0 |
| 0 |
| Iridex 13920 25 Gauge Straight Endoprobe |
| EA |
| 1066 |
| 10549 |
| 0 |
| 0 |
| Iridex 14390 23 Gauge Endoprobe |
| EA |
| 1067 |
| 10550 |
| 0 |
| 0 |
| 10 Degree Otoprobe |
| EA |
| 1068 |
| 10552 |
| 0 |
| 0 |
| Angiodynamics Vein Closure Kit |
| EA |
| 1070 |
| 10689 |
| 0 |
| 0 |
| Colposcope |
| EA |
| 1071 |
| 10695 |
| 0 |
| 0 |
| Holmium Lumenis GI Slimline Fiber |
| EA |
| 1072 |
| 10696 |
| 0 |
| 0 |
| ESWL Services Multisite |
| EA |
| 1073 |
| 10697 |
| 0 |
| 0 |
| Trimedyne 35 cm Laser Tip With Irrigation |
| EA |
| 1074 |
| 10698 |
| 0 |
| 0 |
| Holmium Ortho Omni Multi-use SMA Hand Piece |
| EA |
| 1075 |
| 10699 |
| 0 |
| 0 |
| Laser Safety Endotracheal Tubes Size 7 |
| EA |
| 1076 |
| 10702 |
| 0 |
| 0 |
| Holmium Ortho OmniTip 90 Degree Side Fire |
| EA |
| 1077 |
| 10703 |
| 0 |
| 0 |
| Biolitec Straight Endoprobe 20 GA |
| EA |
| 1078 |
| 10704 |
| 0 |
| 0 |
| Biolitec Curved Endoprobe 20 GA |
| EA |
| 1079 |
| 10705 |
| 0 |
| 0 |
| Biolitec Short Angle G Otoprobe |
| EA |
| 1080 |
| 10706 |
| 0 |
| 0 |
| Biolitec Long Angle H Otoprobe |
| EA |
| 1081 |
| 10713 |
| 0 |
| 0 |
| Urethral Warming System |
| EA |
| 1082 |
| 10720 |
| 0 |
| 0 |
| Evolve End Fire 400 Micron Low Power Fiber |
| EA |
| 1083 |
| 10726 |
| 0 |
| 0 |
| KTP/YAG .4mm LP Bare Fiber |
| EA |
| 1084 |
| 10728 |
| 0 |
| 0 |
| Ultrasound Cryo |
| EA |
| 1085 |
| 10730 |
| 1 |
| 10 |
| Ultrasound Robotic Pro Art Probe 8826 |
| EA |
| 1086 |
| 10731 |
| 0 |
| 0 |
| Ultrasound Trans Rectal Probe (TRUS) 8848 |
| EA |
| 1087 |
| 10732 |
| 0 |
| 0 |
| Ultrasound Fingertip Probe 8824 |
| EA |
| 1088 |
| 10733 |
| 1 |
| 6 |
| Ultrasound T Probe 8816 |
| EA |
| 1089 |
| 10734 |
| 1 |
| 4 |
| Ultrasound Laparoscopic Probe 8666 |
| EA |
| 1090 |
| 10736 |
| 0 |
| 0 |
| Laser Safety Endotracheal Tubes Size 5.5 |
| EA |
| 1091 |
| 10739 |
| 0 |
| 0 |
| OmniGuide Hand Piece GYN-LAP Straight |
| EA |
| 1092 |
| 10740 |
| 0 |
| 0 |
| OmniGuide Hand Piece ENT |
| EA |
| 1093 |
| 10741 |
| 0 |
| 0 |
| OmniGuide Hand Piece OTO |
| EA |
| 1094 |
| 10742 |
| 0 |
| 0 |
| OmniGuide Hand Piece Neuro |
| EA |
| 1095 |
| 10743 |
| 0 |
| 0 |
| OmniGuide Hand Piece GYN-LGT |
| EA |
| 1096 |
| 10744 |
| 0 |
| 0 |
| OmniGuide Hand Piece Laparoscopic Reducer |
| EA |
| 1097 |
| 10745 |
| 0 |
| 0 |
| Evolve DUAL Laser |
| EA |
| 1098 |
| 10750 |
| 0 |
| 0 |
| KTP/YAG .2 mm Endostat Fiber |
| EA |
| 1099 |
| 10751 |
| 0 |
| 0 |
| OmniGuide Robotic Fiber |
| EA |
| 1100 |
| 10758 |
| 0 |
| 0 |
| Iridex 14572T 20g Thumb Adj & Intiutive Endoprobe |
| EA |
| 1101 |
| 10759 |
| 0 |
| 0 |
| Iridex 14000 20g Aspirating Straight Endoprobe |
| EA |
| 1102 |
| 10760 |
| 0 |
| 0 |
| Iridex 14410 20g Illuminating Bayonet Endoprobe |
| EA |
| 1103 |
| 10761 |
| 0 |
| 0 |
| Fractional CO2 Hand Piece |
| EA |
| 1104 |
| 10767 |
| 0 |
| 0 |
| Ultrasound Simultaneous Biplane TRUS Probe 8808e |
| EA |
| 1105 |
| 10768 |
| 0 |
| 0 |
| Ultrasound Triplane Transrectal Probe 8818 |
| EA |
| 1106 |
| 10772 |
| 0 |
| 0 |
| Holmium 270 Olympus Fiber |
| EA |
| 1107 |
| 10773 |
| 0 |
| 0 |
| Holmium 400 Olympus Fiber |
| EA |
| 1108 |
| 10774 |
| 0 |
| 0 |
| Holmium 600 Olympus Fiber |
| EA |
| 1109 |
| 10775 |
| 0 |
| 0 |
| Lumenis Acculite Otoprobe 10 Degree |
| EA |
| 1110 |
| 10782 |
| 0 |
| 0 |
| Laser Safety Endotracheal Tubes Size 6.5 |
| EA |
| 1111 |
| 10784 |
| 0 |
| 0 |
| Iridex 15488T Adjustable/Intuitive 25 GA Probe |
| EA |
| 1112 |
| 10785 |
| 0 |
| 0 |
| Iridex 11473 20 GA Fluted Aspirating Probe |
| EA |
| 1113 |
| 107866 |
| 0 |
| 0 |
| Iridex 15703 300 Micron Fiber |
| EA |
| 1114 |
| 10806 |
| 0 |
| 0 |
| KTP/YAG 1000 Micron LP Bare Fiber |
| EA |
| 1115 |
| 10812 |
| 0 |
| 0 |
| Holmium 273 SureFlex Fiber |
| EA |
| 1116 |
| 10818 |
| 0 |
| 0 |
| Iridex 23-27 Stepped Illuminating Endoprobe |
| EA |
| 1117 |
| 10823 |
| 0 |
| 0 |
| OmniGuide Elevate Elite Fiber |
| EA |
| 1118 |
| 10825 |
| 0 |
| 0 |
| OmniGuide Hand Piece ENT-Elevate |
| EA |
| 1119 |
| 10828 |
| 0 |
| 0 |
| Laparoscopic Lens Cell |
| EA |
| 1120 |
| 10831 |
| 1 |
| 20 |
| Ultrasound Biopsy Single Needle Guide UA1322-S |
| EA |
| 1121 |
| 10832 |
| 0 |
| 0 |
| Ultrasound ProArt Transducer Cover 610-212 |
| EA |
| 1122 |
| 10833 |
| 0 |
| 0 |
| Ultrasound Endocavity Balloon 610-898 |
| EA |
| 1123 |
| 10836 |
| 0 |
| 0 |
| Single Point Thermal Sensor |
| EA |
| 1124 |
| 10839 |
| 0 |
| 0 |
| Ultrasound Biplane 8848 Transducer Cover EA4015 |
| EA |
| 1125 |
| 10863 |
| 0 |
| 0 |
| Ultrasound Abdominal Transducer 8823 |
| EA |
| 1126 |
| 10876 |
| 0 |
| 0 |
| Galil Urethral Warming Kit FPRPR4003 |
| EA |
| 1127 |
| 10877 |
| 0 |
| 0 |
| Laser Safety Endotracheal Tubes Size 6.0 |
| EA |
| 1128 |
| 10878 |
| 0 |
| 0 |
| Galil Barqawi Bundle One |
| EA |
| 1129 |
| 10887 |
| 1 |
| 20 |
| Ultrasound Latex Free Probe Cover |
| EA |
| 1130 |
| 10891 |
| 0 |
| 0 |
| IcePearl 6 Needle 2.1 CX Prostate Kit/VL FPRPR3606 |
| EA |
| 1131 |
| 10892 |
| 0 |
| 0 |
| Bill to Galil IceFORCE 2.1 CX Prostate Kit/VL |
| EA |
| 1132 |
| 10893 |
| 0 |
| 0 |
| Bill to Galil IcePearl 2.1 CX Prostate Kit/VL |
| EA |
| 1133 |
| 10894 |
| 0 |
| 0 |
| Smoke Evacuation PlumeSafe Filtration Tubing |
| EA |
| 1134 |
| 10898 |
| 0 |
| 0 |
| US Cryo TRUS Probe 8848 |
| EA |
| 1135 |
| 10907 |
| 1 |
| 20 |
| UroNav BK 8808e/8818 Probe Holder |
| EA |
| 1136 |
| 10916 |
| 1 |
| 20 |
| Ultrasound Biopsy Dual Needle Guide UA1293-S |
| EA |
| 1137 |
| 10919 |
| 0 |
| 0 |
| US UroNav Triplane Probe 8818 |
| EA |
| 1138 |
| 10929 |
| 0 |
| 0 |
| CO2 FiberLase Fiber |
| EA |
| 1139 |
| 10953 |
| 0 |
| 0 |
| Acublade Digital Micromanipulator |
| EA |
| 1140 |
| 10986 |
| 1 |
| 10 |
| Holmium 272 Excalibur Fiber |
| EA |
| 1141 |
| 10988 |
| 0 |
| 0 |
| Imperium 500 Fiber |
| EA |
| 1142 |
| 11045 |
| 1 |
| 20 |
| Holmium MP 200 ForTec Fiber |
| EA |
| 1143 |
| 11046 |
| 1 |
| 10 |
| Holmium MP 365 ForTec Fiber |
| EA |
| 1144 |
| 11047 |
| 1 |
| 5 |
| Holmium MP 550 ForTec Fiber |
| EA |
| 1145 |
| 11048 |
| 1 |
| 5 |
| Holmium MP 1000 ForTec Fiber |
| EA |
| 1146 |
| 11049 |
| 1 |
| 20 |
| Holmium MP Excalibur 272 ForTec Fiber |
| EA |
| 1147 |
| 11073 |
| 0 |
| 0 |
| Deka Micromanipulator |
| EA |
| 1148 |
| 11084 |
| 1 |
| 4 |
| US BK5000 Curved Array Transducer 9085 |
| EA |
| 1149 |
| 11085 |
| 1 |
| 2 |
| UroNav TP Stepper |
| EA |
| 1150 |
| 11096 |
| 1 |
| 2 |
| Precision Point Transperineal Access System |
| EA |
| 1151 |
| 11032 |
| 1 |
| 10 |
| Piranha Enucleation System |
| EA |
| 1152 |
| 11032-SB |
| 1 |
| 2 |
| Piranha Enucleation System Standby |
| EA |
| 1153 |
| 11032-SBDM |
| 0 |
| 0 |
| Piranha Enucleation System Daily Minimum |
| EA |
| 1154 |
| 11032-TO |
| 0 |
| 0 |
| Piranha Enucleation System tech only |
| EA |
| 1155 |
| 10959 |
| 1 |
| 10 |
| Piranha Blades RWolf |
| EA |
| 1156 |
| 10960 |
| 0 |
| 0 |
| Piranha Blades Storz |
| EA |
| 1157 |
| 10996 |
| 1 |
| 10 |
| Piranha Blue O-Ring |
| EA |
| 1158 |
| 10994 |
| 1 |
| 10 |
| Piranha Blue Seal |
| EA |
| 1159 |
| 10962 |
| 1 |
| 10 |
| Piranha Overflow Protector/Bacteria Filter |
| EA |
| 1160 |
| 10963 |
| 1 |
| 10 |
| Piranha Tissue Container |
| EA |
| 1161 |
| 10961 |
| 1 |
| 10 |
| Piranha Tubing Set |
| EA |
| 1162 |
| 10995 |
| 1 |
| 10 |
| Piranha Yellow Membrane |
| EA |
| 1163 |
| 10981 |
| 1 |
| 10 |
| Morcellator Resectoscope |
| EA |
| 1164 |
| 10987 |
| 0 |
| 0 |
| Imperium 300 Fiber |
| EA |
| 1165 |
| 11098 |
| 1 |
| 2 |
| TruBlu Wolf 10w Laser |
| EA |
| 1166 |
| 11098-SB |
| 0 |
| 0 |
| TruBlu Wolf 10w Laser Standby |
| EA |
| 1167 |
| 11098-SBDM |
| 0 |
| 0 |
| TruBlu Wolf 10w Laser Daily Minimum |
| EA |
| 1168 |
| 11098-TO |
| 0 |
| 0 |
| TruBlu Wolf 10w Laser Tech only |
| EA |
| 1169 |
| 11100 |
| 0 |
| 0 |
| HiFlex 300 Single Use Fiber |
| EA |
| 1170 |
| 11099 |
| 0 |
| 0 |
| HiFlex 400 Single Use Fiber |
| EA |
| 0 |
| 0 |
| HiFlex 600 Single Use Fiber |
| EA |
| 1172 |
| 11137 |
| 1 |
| 10 |
| Fiber Dust Thulium Fiber Laser |
| EA |
| 1174 |
| 10554-10130 |
| 1 |
| 240 |
| Delivery Fee |
| EA |
| 1175 |
| 10555-10130 |
| 0 |
| 0 |
| Extended Case Fee (Hourly) |
| EA |
| 1176 |
| 10556-10130 |
| 0 |
| 0 |
| Fee-Weekend |
| EA |
| 1177 |
| 10557-10130 |
| 0 |
| 0 |
| Fee-Holiday |
| EA |
| 1178 |
| 10770-10169 |
| 0 |
| 0 |
| After Hours Fee |
| EA |
| 1179 |
| 10888-10169 |
| 0 |
| 0 |
| Delayed Case Fee |
| EA |
| 1180 |
| 10895-10169 |
| 0 |
| 0 |
| Early Equipment Drop Off Fee |
| EA |
Option Year 2: 09/01/2025 – 08/31/2026
| Line Item # |
| Product # |
| Minimum Quantity |
| Minimum Quantity |
| Description of Supplies/Services |
| Unit |
| Unit Price |
| Annual Estimated Quantity |
| Annual Estimated Amount |
| 2001 |
| 10130 |
| 1 |
| 20 |
| Argon Beam Coagulator |
| EA |
| 2002 |
| 10138 |
| 0 |
| 0 |
| Iridex SLX Laser |
| EA |
| 2003 |
| 10140 |
| 1 |
| 2 |
| ESWL Services Bilateral |
| EA |
| 2004 |
| 10141 |
| 1 |
| 6 |
| ESWL Services Unilateral |
| EA |
| 2005 |
| 10148 |
| 1 |
| 10 |
| Holmium Laser High Wattage |
| EA |
| 2006 |
| 10151 |
| 0 |
| 0 |
| Aura XP Laser |
| EA |
| 2007 |
| 10154 |
| 0 |
| 0 |
| Iridex TX Laser |
| EA |
| 2008 |
| 10159 |
| 1 |
| 6 |
| Holmium Laser Low Wattage |
| EA |
| 2009 |
| 10160 |
| 0 |
| 0 |
| OmniGuide Laser |
| EA |
| 2010 |
| 10169 |
| 1 |
| 10 |
| XPS Laser |
| EA |
| 2011 |
| 10969 |
| 0 |
| 0 |
| ESWL Services Multisite |
| EA |
| 2012 |
| 10712 |
| 1 |
| 20 |
| Ultrasound |
| EA |
| 2013 |
| 10880 |
| 1 |
| 20 |
| UroNav MRI Fusion System |
| EA |
| 2014 |
| 10917 |
| 1 |
| 20 |
| Ultrasound UroNav |
| EA |
| 2015 |
| 11002 |
| 1 |
| 10 |
| Ultrasound BK 5000 |
| EA |
| 2016 |
| 11040 |
| 0 |
| 0 |
| Deka CO2 Laser |
| EA |
| 2017 |
| 11044 |
| 1 |
| 50 |
| Holmium MasterPULSE HF |
| EA |
| 2019 |
| 10179 |
| 0 |
| 0 |
| Cystoscope- Continuous Flow |
| EA |
| 2020 |
| 10181 |
| 0 |
| 0 |
| OmniGuide General Gas and Regulator |
| EA |
| 2021 |
| 10182 |
| 0 |
| 0 |
| Micromanipulator |
| EA |
| 2022 |
| 10183 |
| 0 |
| 0 |
| Laparoscope |
| EA |
| 2023 |
| 10184 |
| 0 |
| 0 |
| LAUP Hand Piece |
| EA |
| 2024 |
| 10185 |
| 0 |
| 0 |
| Nezhat Coupler |
| EA |
| 2025 |
| 10186 |
| 0 |
| 0 |
| Smoke Evacuator |
| EA |
| 2026 |
| 10189 |
| 0 |
| 0 |
| Slit Lamp |
| EA |
| 2027 |
| 10190 |
| 0 |
| 0 |
| KTP Hand Pieces |
| EA |
| 2028 |
| 10191 |
| 0 |
| 0 |
| OmniGuide Hand Piece GYN-LAP Curved |
| EA |
| 2029 |
| 10192 |
| 0 |
| 0 |
| OmniGuide FlexGuide GYN Robotic |
| EA |
| 2030 |
| 10482 |
| 0 |
| 0 |
| Litho Gel |
| EA |
| 2031 |
| 10483 |
| 0 |
| 0 |
| Spark Plug |
| EA |
| 2032 |
| 10484 |
| 0 |
| 0 |
| Urological Drain Bag |
| EA |
| 2033 |
| 10485 |
| 0 |
| 0 |
| HPS Fiber |
| EA |
| 2034 |
| 10486 |
| 1 |
| 10 |
| XPS MoXy Fiber |
| EA |
| 2035 |
| 10487 |
| 0 |
| 0 |
| HPS/XPS EA Fiber |
| EA |
| 2036 |
| 10488 |
| 0 |
| 0 |
| Evolve End Fire High Power Fiber |
| EA |
| 2037 |
| 10489 |
| 0 |
| 0 |
| Evolve Side Fire Fiber |
| EA |
| 2038 |
| 10490 |
| 0 |
| 0 |
| Evolve Twister Fiber |
| EA |
| 2039 |
| 10491 |
| 0 |
| 0 |
| Evolve Twister-L/XL Fiber |
| EA |
| 2040 |
| 10493 |
| 1 |
| 20 |
| Holmium 200 ForTec Fiber |
| EA |
| 2041 |
| 10494 |
| 1 |
| 4 |
| Holmium 365 ForTec Fiber |
| EA |
| 2042 |
| 10495 |
| 1 |
| 1 |
| Holmium 550 ForTec Fiber |
| EA |
| 2043 |
| 10496 |
| 1 |
| 3 |
| Holmium 1000 ForTec Fiber |
| EA |
| 2044 |
| 10520 |
| 0 |
| 0 |
| OmniGuide OTO-S Fiber |
| EA |
| 2045 |
| 10521 |
| 0 |
| 0 |
| OmniGuide OTO-M Fiber |
| EA |
| 2046 |
| 10523 |
| 0 |
| 0 |
| Sterile Drape |
| EA |
| 2047 |
| 10524 |
| 0 |
| 0 |
| OmniGuide Sterile Filter |
| EA |
| 2048 |
| 10525 |
| 0 |
| 0 |
| Smoke Evacuator Tubing |
| EA |
| 2049 |
| 10526 |
| 0 |
| 0 |
| Smoke Evacuation Filter |
| EA |
| 2050 |
| 10527 |
| 0 |
| 0 |
| Aura Accustat Fiber |
| EA |
| 2051 |
| 10528 |
| 0 |
| 0 |
| Iridex 14310 Long Angle Otoprobe |
| EA |
| 2052 |
| 10529 |
| 0 |
| 0 |
| Iridex 14320 Short Angle Otoprobe |
| EA |
| 2053 |
| 10530 |
| 0 |
| 0 |
| KTP/YAG .3 mm Endostat Fiber |
| EA |
| 2054 |
| 10531 |
| 0 |
| 0 |
| KTP/YAG .4 mm Endostat Fiber |
| EA |
| 2055 |
| 10532 |
| 0 |
| 0 |
| KTP/YAG .6 mm Endostat Fiber |
| EA |
| 2056 |
| 10534 |
| 0 |
| 0 |
| KTP/YAG .6 mm LP Ball Tip Fiber |
| EA |
| 2057 |
| 10535 |
| 0 |
| 0 |
| KTP/YAG .6 mm LP Conical Tip Fiber |
| EA |
| 2058 |
| 10537 |
| 0 |
| 0 |
| KTP/YAG 1000 Micron LP Conical Tip Fiber |
| EA |
| 2059 |
| 10538 |
| 0 |
| 0 |
| KTP/YAG .6mm LP Reduced Buffer Fiber |
| EA |
| 2060 |
| 10539 |
| 0 |
| 0 |
| TMR Disposable Kit |
| EA |
| 2061 |
| 10540 |
| 0 |
| 0 |
| OmniGuide NEURO-L Fiber |
| EA |
| 2062 |
| 10543 |
| 0 |
| 0 |
| Katalyst Ciliprobe |
| EA |
| 2063 |
| 10546 |
| 0 |
| 0 |
| Lumenis Acculite Otoprobe 20 Degree |
| EA |
| 2064 |
| 10547 |
| 0 |
| 0 |
| Iridex 10562 20 Gauge Endoprobe |
| EA |
| 2065 |
| 10548 |
| 0 |
| 0 |
| Iridex 13920 25 Gauge Straight Endoprobe |
| EA |
| 2066 |
| 10549 |
| 0 |
| 0 |
| Iridex 14390 23 Gauge Endoprobe |
| EA |
| 2067 |
| 10550 |
| 0 |
| 0 |
| 10 Degree Otoprobe |
| EA |
| 2068 |
| 10552 |
| 0 |
| 0 |
| Angiodynamics Vein Closure Kit |
| EA |
| 2070 |
| 10689 |
| 0 |
| 0 |
| Colposcope |
| EA |
| 2071 |
| 10695 |
| 0 |
| 0 |
| Holmium Lumenis GI Slimline Fiber |
| EA |
| 2072 |
| 10696 |
| 0 |
| 0 |
| ESWL Services Multisite |
| EA |
| 2073 |
| 10697 |
| 0 |
| 0 |
| Trimedyne 35 cm Laser Tip With Irrigation |
| EA |
| 2074 |
| 10698 |
| 0 |
| 0 |
| Holmium Ortho Omni Multi-use SMA Hand Piece |
| EA |
| 2075 |
| 10699 |
| 0 |
| 0 |
| Laser Safety Endotracheal Tubes Size 7 |
| EA |
| 2076 |
| 10702 |
| 0 |
| 0 |
| Holmium Ortho OmniTip 90 Degree Side Fire |
| EA |
| 2077 |
| 10703 |
| 0 |
| 0 |
| Biolitec Straight Endoprobe 20 GA |
| EA |
| 2078 |
| 10704 |
| 0 |
| 0 |
| Biolitec Curved Endoprobe 20 GA |
| EA |
| 2079 |
| 10705 |
| 0 |
| 0 |
| Biolitec Short Angle G Otoprobe |
| EA |
| 2080 |
| 10706 |
| 0 |
| 0 |
| Biolitec Long Angle H Otoprobe |
| EA |
| 2081 |
| 10713 |
| 0 |
| 0 |
| Urethral Warming System |
| EA |
| 2082 |
| 10720 |
| 0 |
| 0 |
| Evolve End Fire 400 Micron Low Power Fiber |
| EA |
| 2083 |
| 10726 |
| 0 |
| 0 |
| KTP/YAG .4mm LP Bare Fiber |
| EA |
| 2084 |
| 10728 |
| 0 |
| 0 |
| Ultrasound Cryo |
| EA |
| 2085 |
| 10730 |
| 1 |
| 10 |
| Ultrasound Robotic Pro Art Probe 8826 |
| EA |
| 2086 |
| 10731 |
| 0 |
| 0 |
| Ultrasound Trans Rectal Probe (TRUS) 8848 |
| EA |
| 2087 |
| 10732 |
| 0 |
| 0 |
| Ultrasound Fingertip Probe 8824 |
| EA |
| 2088 |
| 10733 |
| 1 |
| 6 |
| Ultrasound T Probe 8816 |
| EA |
| 2089 |
| 10734 |
| 1 |
| 4 |
| Ultrasound Laparoscopic Probe 8666 |
| EA |
| 2090 |
| 10736 |
| 0 |
| 0 |
| Laser Safety Endotracheal Tubes Size 5.5 |
| EA |
| 2091 |
| 10739 |
| 0 |
| 0 |
| OmniGuide Hand Piece GYN-LAP Straight |
| EA |
| 2092 |
| 10740 |
| 0 |
| 0 |
| OmniGuide Hand Piece ENT |
| EA |
| 2093 |
| 10741 |
| 0 |
| 0 |
| OmniGuide Hand Piece OTO |
| EA |
| 2094 |
| 10742 |
| 0 |
| 0 |
| OmniGuide Hand Piece Neuro |
| EA |
| 2095 |
| 10743 |
| 0 |
| 0 |
| OmniGuide Hand Piece GYN-LGT |
| EA |
| 2096 |
| 10744 |
| 0 |
| 0 |
| OmniGuide Hand Piece Laparoscopic Reducer |
| EA |
| 2097 |
| 10745 |
| 0 |
| 0 |
| Evolve DUAL Laser |
| EA |
| 2098 |
| 10750 |
| 0 |
| 0 |
| KTP/YAG .2 mm Endostat Fiber |
| EA |
| 2099 |
| 10751 |
| 0 |
| 0 |
| OmniGuide Robotic Fiber |
| EA |
| 2100 |
| 10758 |
| 0 |
| 0 |
| Iridex 14572T 20g Thumb Adj & Intiutive Endoprobe |
| EA |
| 2101 |
| 10759 |
| 0 |
| 0 |
| Iridex 14000 20g Aspirating Straight Endoprobe |
| EA |
| 2102 |
| 10760 |
| 0 |
| 0 |
| Iridex 14410 20g Illuminating Bayonet Endoprobe |
| EA |
| 2103 |
| 10761 |
| 0 |
| 0 |
| Fractional CO2 Hand Piece |
| EA |
| 2104 |
| 10767 |
| 0 |
| 0 |
| Ultrasound Simultaneous Biplane TRUS Probe 8808e |
| EA |
| 2105 |
| 10768 |
| 0 |
| 0 |
| Ultrasound Triplane Transrectal Probe 8818 |
| EA |
| 2106 |
| 10772 |
| 0 |
| 0 |
| Holmium 270 Olympus Fiber |
| EA |
| 2107 |
| 10773 |
| 0 |
| 0 |
| Holmium 400 Olympus Fiber |
| EA |
| 2108 |
| 10774 |
| 0 |
| 0 |
| Holmium 600 Olympus Fiber |
| EA |
| 2109 |
| 10775 |
| 0 |
| 0 |
| Lumenis Acculite Otoprobe 10 Degree |
| EA |
| 2110 |
| 10782 |
| 0 |
| 0 |
| Laser Safety Endotracheal Tubes Size 6.5 |
| EA |
| 2111 |
| 10784 |
| 0 |
| 0 |
| Iridex 15488T Adjustable/Intuitive 25 GA Probe |
| EA |
| 2112 |
| 10785 |
| 0 |
| 0 |
| Iridex 11473 20 GA Fluted Aspirating Probe |
| EA |
| 2113 |
| 107866 |
| 0 |
| 0 |
| Iridex 15703 300 Micron Fiber |
| EA |
| 2114 |
| 10806 |
| 0 |
| 0 |
| KTP/YAG 1000 Micron LP Bare Fiber |
| EA |
| 2115 |
| 10812 |
| 0 |
| 0 |
| Holmium 273 SureFlex Fiber |
| EA |
| 2116 |
| 10818 |
| 0 |
| 0 |
| Iridex 23-27 Stepped Illuminating Endoprobe |
| EA |
| 2117 |
| 10823 |
| 0 |
| 0 |
| OmniGuide Elevate Elite Fiber |
| EA |
| 2118 |
| 10825 |
| 0 |
| 0 |
| OmniGuide Hand Piece ENT-Elevate |
| EA |
| 2119 |
| 10828 |
| 0 |
| 0 |
| Laparoscopic Lens Cell |
| EA |
| 2120 |
| 10831 |
| 1 |
| 20 |
| Ultrasound Biopsy Single Needle Guide UA1322-S |
| EA |
| 2121 |
| 10832 |
| 0 |
| 0 |
| Ultrasound ProArt Transducer Cover 610-212 |
| EA |
| 2122 |
| 10833 |
| 0 |
| 0 |
| Ultrasound Endocavity Balloon 610-898 |
| EA |
| 2123 |
| 10836 |
| 0 |
| 0 |
| Single Point Thermal Sensor |
| EA |
| 2124 |
| 10839 |
| 0 |
| 0 |
| Ultrasound Biplane 8848 Transducer Cover EA4015 |
| EA |
| 2125 |
| 10863 |
| 0 |
| 0 |
| Ultrasound Abdominal Transducer 8823 |
| EA |
| 2126 |
| 10876 |
| 0 |
| 0 |
| Galil Urethral Warming Kit FPRPR4003 |
| EA |
| 2127 |
| 10877 |
| 0 |
| 0 |
| Laser Safety Endotracheal Tubes Size 6.0 |
| EA |
| 2128 |
| 10878 |
| 0 |
| 0 |
| Galil Barqawi Bundle One |
| EA |
| 2129 |
| 10887 |
| 1 |
| 20 |
| Ultrasound Latex Free Probe Cover |
| EA |
| 2130 |
| 10891 |
| 0 |
| 0 |
| IcePearl 6 Needle 2.1 CX Prostate Kit/VL FPRPR3606 |
| EA |
| 2131 |
| 10892 |
| 0 |
| 0 |
| Bill to Galil IceFORCE 2.1 CX Prostate Kit/VL |
| EA |
| 2132 |
| 10893 |
| 0 |
| 0 |
| Bill to Galil IcePearl 2.1 CX Prostate Kit/VL |
| EA |
| 2133 |
| 10894 |
| 0 |
| 0 |
| Smoke Evacuation PlumeSafe Filtration Tubing |
| EA |
| 2134 |
| 10898 |
| 0 |
| 0 |
| US Cryo TRUS Probe 8848 |
| EA |
| 2135 |
| 10907 |
| 1 |
| 20 |
| UroNav BK 8808e/8818 Probe Holder |
| EA |
| 2136 |
| 10916 |
| 1 |
| 20 |
| Ultrasound Biopsy Dual Needle Guide UA1293-S |
| EA |
| 2137 |
| 10919 |
| 0 |
| 0 |
| US UroNav Triplane Probe 8818 |
| EA |
| 2138 |
| 10929 |
| 0 |
| 0 |
| CO2 FiberLase Fiber |
| EA |
| 2139 |
| 10953 |
| 0 |
| 0 |
| Acublade Digital Micromanipulator |
| EA |
| 2140 |
| 10986 |
| 1 |
| 10 |
| Holmium 272 Excalibur Fiber |
| EA |
| 2141 |
| 10988 |
| 0 |
| 0 |
| Imperium 500 Fiber |
| EA |
| 2142 |
| 11045 |
| 1 |
| 20 |
| Holmium MP 200 ForTec Fiber |
| EA |
| 2143 |
| 11046 |
| 1 |
| 10 |
| Holmium MP 365 ForTec Fiber |
| EA |
| 2144 |
| 11047 |
| 1 |
| 5 |
| Holmium MP 550 ForTec Fiber |
| EA |
| 2145 |
| 11048 |
| 1 |
| 5 |
| Holmium MP 1000 ForTec Fiber |
| EA |
| 2146 |
| 11049 |
| 1 |
| 20 |
| Holmium MP Excalibur 272 ForTec Fiber |
| EA |
| 2147 |
| 11073 |
| 0 |
| 0 |
| Deka Micromanipulator |
| EA |
| 2148 |
| 11084 |
| 1 |
| 4 |
| US BK5000 Curved Array Transducer 9085 |
| EA |
| 2149 |
| 11085 |
| 1 |
| 2 |
| UroNav TP Stepper |
| EA |
| 2150 |
| 11096 |
| 1 |
| 2 |
| Precision Point Transperineal Access System |
| EA |
| 2151 |
| 11032 |
| 1 |
| 10 |
| Piranha Enucleation System |
| EA |
| 2152 |
| 11032-SB |
| 1 |
| 2 |
| Piranha Enucleation System Standby |
| EA |
| 2153 |
| 11032-SBDM |
| 0 |
| 0 |
| Piranha Enucleation System Daily Minimum |
| EA |
| 2154 |
| 11032-TO |
| 0 |
| 0 |
| Piranha Enucleation System tech only |
| EA |
| 2155 |
| 10959 |
| 1 |
| 10 |
| Piranha Blades RWolf |
| EA |
| 2156 |
| 10960 |
| 0 |
| 0 |
| Piranha Blades Storz |
| EA |
| 2157 |
| 10996 |
| 1 |
| 10 |
| Piranha Blue O-Ring |
| EA |
| 2158 |
| 10994 |
| 1 |
| 10 |
| Piranha Blue Seal |
| EA |
| 2159 |
| 10962 |
| 1 |
| 10 |
| Piranha Overflow Protector/Bacteria Filter |
| EA |
| 2160 |
| 10963 |
| 1 |
| 10 |
| Piranha Tissue Container |
| EA |
| 2161 |
| 10961 |
| 1 |
| 10 |
| Piranha Tubing Set |
| EA |
| 2162 |
| 10995 |
| 1 |
| 10 |
| Piranha Yellow Membrane |
| EA |
| 2163 |
| 10981 |
| 1 |
| 10 |
| Morcellator Resectoscope |
| EA |
| 2164 |
| 10987 |
| 0 |
| 0 |
| Imperium 300 Fiber |
| EA |
| 2165 |
| 11098 |
| 1 |
| 2 |
| TruBlu Wolf 10w Laser |
| EA |
| 2166 |
| 11098-SB |
| 0 |
| 0 |
| TruBlu Wolf 10w Laser Standby |
| EA |
| 2167 |
| 11098-SBDM |
| 0 |
| 0 |
| TruBlu Wolf 10w Laser Daily Minimum |
| EA |
| 2168 |
| 11098-TO |
| 0 |
| 0 |
| TruBlu Wolf 10w Laser Tech only |
| EA |
| 2169 |
| 11100 |
| 0 |
| 0 |
| HiFlex 300 Single Use Fiber |
| EA |
| 2170 |
| 11099 |
| 0 |
| 0 |
| HiFlex 400 Single Use Fiber |
| EA |
| 0 |
| 0 |
| HiFlex 600 Single Use Fiber |
| EA |
| 2172 |
| 11137 |
| 1 |
| 10 |
| Fiber Dust Thulium Fiber Laser |
| EA |
| 2174 |
| 10554-10130 |
| 1 |
| 240 |
| Delivery Fee |
| EA |
| 2175 |
| 10555-10130 |
| 0 |
| 0 |
| Extended Case Fee (Hourly) |
| EA |
| 2176 |
| 10556-10130 |
| 0 |
| 0 |
| Fee-Weekend |
| EA |
| 2177 |
| 10557-10130 |
| 0 |
| 0 |
| Fee-Holiday |
| EA |
| 2178 |
| 10770-10169 |
| 0 |
| 0 |
| After Hours Fee |
| EA |
| 2179 |
| 10888-10169 |
| 0 |
| 0 |
| Delayed Case Fee |
| EA |
| 2180 |
| 10895-10169 |
| 0 |
| 0 |
| Early Equipment Drop Off Fee |
| EA |
Option Year 3: 09/01/2026 – 08/31/2027
| Line Item # |
| Product # |
| Minimum Quantity |
| Minimum Quantity |
| Description of Supplies/Services |
| Unit |
| Unit Price |
| Annual Estimated Quantity |
| Annual Estimated Amount |
| 3001 |
| 10130 |
| 1 |
| 20 |
| Argon Beam Coagulator |
| EA |
| 3002 |
| 10138 |
| 0 |
| 0 |
| Iridex SLX Laser |
| EA |
| 3003 |
| 10140 |
| 1 |
| 2 |
| ESWL Services Bilateral |
| EA |
| 3004 |
| 10141 |
| 1 |
| 6 |
| ESWL Services Unilateral |
| EA |
| 3005 |
| 10148 |
| 1 |
| 10 |
| Holmium Laser High Wattage |
| EA |
| 3006 |
| 10151 |
| 0 |
| 0 |
| Aura XP Laser |
| EA |
| 3007 |
| 10154 |
| 0 |
| 0 |
| Iridex TX Laser |
| EA |
| 3008 |
| 10159 |
| 1 |
| 6 |
| Holmium Laser Low Wattage |
| EA |
| 3009 |
| 10160 |
| 0 |
| 0 |
| OmniGuide Laser |
| EA |
| 3010 |
| 10169 |
| 1 |
| 10 |
| XPS Laser |
| EA |
| 3011 |
| 10969 |
| 0 |
| 0 |
| ESWL Services Multisite |
| EA |
| 3012 |
| 10712 |
| 1 |
| 20 |
| Ultrasound |
| EA |
| 3013 |
| 10880 |
| 1 |
| 20 |
| UroNav MRI Fusion System |
| EA |
| 3014 |
| 10917 |
| 1 |
| 20 |
| Ultrasound UroNav |
| EA |
| 3015 |
| 11002 |
| 1 |
| 10 |
| Ultrasound BK 5000 |
| EA |
| 3016 |
| 11040 |
| 0 |
| 0 |
| Deka CO2 Laser |
| EA |
| 3017 |
| 11044 |
| 1 |
| 50 |
| Holmium MasterPULSE HF |
| EA |
| 3019 |
| 10179 |
| 0 |
| 0 |
| Cystoscope- Continuous Flow |
| EA |
| 3020 |
| 10181 |
| 0 |
| 0 |
| OmniGuide General Gas and Regulator |
| EA |
| 3021 |
| 10182 |
| 0 |
| 0 |
| Micromanipulator |
| EA |
| 3022 |
| 10183 |
| 0 |
| 0 |
| Laparoscope |
| EA |
| 3023 |
| 10184 |
| 0 |
| 0 |
| LAUP Hand Piece |
| EA |
| 3024 |
| 10185 |
| 0 |
| 0 |
| Nezhat Coupler |
| EA |
| 3025 |
| 10186 |
| 0 |
| 0 |
| Smoke Evacuator |
| EA |
| 3026 |
| 10189 |
| 0 |
| 0 |
| Slit Lamp |
| EA |
| 3027 |
| 10190 |
| 0 |
| 0 |
| KTP Hand Pieces |
| EA |
| 3028 |
| 10191 |
| 0 |
| 0 |
| OmniGuide Hand Piece GYN-LAP Curved |
| EA |
| 3029 |
| 10192 |
| 0 |
| 0 |
| OmniGuide FlexGuide GYN Robotic |
| EA |
| 3030 |
| 10482 |
| 0 |
| 0 |
| Litho Gel |
| EA |
| 3031 |
| 10483 |
| 0 |
| 0 |
| Spark Plug |
| EA |
| 3032 |
| 10484 |
| 0 |
| 0 |
| Urological Drain Bag |
| EA |
| 3033 |
| 10485 |
| 0 |
| 0 |
| HPS Fiber |
| EA |
| 3034 |
| 10486 |
| 1 |
| 10 |
| XPS MoXy Fiber |
| EA |
| 3035 |
| 10487 |
| 0 |
| 0 |
| HPS/XPS EA Fiber |
| EA |
| 3036 |
| 10488 |
| 0 |
| 0 |
| Evolve End Fire High Power Fiber |
| EA |
| 3037 |
| 10489 |
| 0 |
| 0 |
| Evolve Side Fire Fiber |
| EA |
| 3038 |
| 10490 |
| 0 |
| 0 |
| Evolve Twister Fiber |
| EA |
| 3039 |
| 10491 |
| 0 |
| 0 |
| Evolve Twister-L/XL Fiber |
| EA |
| 3040 |
| 10493 |
| 1 |
| 20 |
| Holmium 200 ForTec Fiber |
| EA |
| 3041 |
| 10494 |
| 1 |
| 4 |
| Holmium 365 ForTec Fiber |
| EA |
| 3042 |
| 10495 |
| 1 |
| 1 |
| Holmium 550 ForTec Fiber |
| EA |
| 3043 |
| 10496 |
| 1 |
| 3 |
| Holmium 1000 ForTec Fiber |
| EA |
| 3044 |
| 10520 |
| 0 |
| 0 |
| OmniGuide OTO-S Fiber |
| EA |
| 3045 |
| 10521 |
| 0 |
| 0 |
| OmniGuide OTO-M Fiber |
| EA |
| 3046 |
| 10523 |
| 0 |
| 0 |
| Sterile Drape |
| EA |
| 3047 |
| 10524 |
| 0 |
| 0 |
| OmniGuide Sterile Filter |
| EA |
| 3048 |
| 10525 |
| 0 |
| 0 |
| Smoke Evacuator Tubing |
| EA |
| 3049 |
| 10526 |
| 0 |
| 0 |
| Smoke Evacuation Filter |
| EA |
| 3050 |
| 10527 |
| 0 |
| 0 |
| Aura Accustat Fiber |
| EA |
| 3051 |
| 10528 |
| 0 |
| 0 |
| Iridex 14310 Long Angle Otoprobe |
| EA |
| 3052 |
| 10529 |
| 0 |
| 0 |
| Iridex 14320 Short Angle Otoprobe |
| EA |
| 3053 |
| 10530 |
| 0 |
| 0 |
| KTP/YAG .3 mm Endostat Fiber |
| EA |
| 3054 |
| 10531 |
| 0 |
| 0 |
| KTP/YAG .4 mm Endostat Fiber |
| EA |
| 3055 |
| 10532 |
| 0 |
| 0 |
| KTP/YAG .6 mm Endostat Fiber |
| EA |
This is the start of the file's text. The full file is on GovTribe.