ATTACHMENT 01 36C261-22-Q-0224 Southern Nevada Health Care System Unit Prices .xlsx
XLSX spreadsheet 14 KB Posted
- Solicitation number
- 36C26122Q0224
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SNHCS-Reno
| ITEM# | ITEM NAME | HCPCS | ITEM DESCRIPTION | CONTRACT PERIOD | UNIT | UNIT |
| CODE | PRICE | (Where just number, | ||||
| unit is "Month.") | ||||||
| 1 | Rental of Contractor | E1390 | Concentrator, Colored Tubing, Adapter | February 01, 2022-March 31, 2022 | Each | |
| Owned Portable Concentrator | Humidifier (when required), Cannulas or | |||||
| System (Freestyle) | Masks and other required supplies and | |||||
| equipment, including back up systems. | ||||||
| Priced Per Month | Perform Equipment Maintenance in | |||||
| accordance with manufacturer standards. | ||||||
| At a minimum of once every 90 calendar | ||||||
| days, visit and assess patient to assure | ||||||
| equipment complinace, change filters and | ||||||
| provide disposable supplies. |
| 2 | Rental of Contractor | E1390 | Concentrator, Colored Tubing, Adapter | February 01, 2022-March 31, 2022 |
| Concentrator Delivery | Humidifier (when required), Cannulas or | |||
| Masks and other required supplies and |
| 3 | Rental of Contractor | E0439 | Resevoir, Regulator, Flowmeter, | February 01, 2022-March 31, 2022 | Each |
| Owned Stationary | Humidifier, Cannulas or Masks, and | ||||
| Liquid O2 System | Colored Tubing. |
| 4 | Rental of Contractor | E0434 | Portable Container, Refill Adapter | February 01, 2022-March 31, 2022 | Each |
| Owned Portable | Flowmeter, Cannulas or Masks, and | ||||
| Liquid O2 System | Colored Tubing. Resevoir will be provided | ||||
| if another Stationary System (e.g. | |||||
| Priced Per Month | Concentrator) is rented. |
5 RT VISIT VA120 Service of POC with patient training February 01, 2022-March 31, 2022 Each
| 6 | Delivery Charge | VA160 | Deliveries not made under all other | February 01, 2022-March 31, 2022 | Job |
| line items |
| 7 | Fire Safe | VA186 | Delivery, Set-up | February 01, 2022-March 31, 2022 | Each |
| Cannula Valve | of FSCV. |
| REFILLS - ALL QUANTITIES ARE MONTHLY | UNIT | ||||||
| ITEM# | ITEM NAME | HCPCS | ITEM DESCRIPTION | CONTRACT PERIOD | CYLINDER | UNIT | |
| CODE | PRICE | ||||||
| R1 | E Cylinder | E0431 | E Cylinder Refill | February 01, 2022-March 31, 2022 | Cylinder |
R2 D Cylinder E0431 D Cylinder Refill February 01, 2022-March 31, 2022 Cylinder
R3 C Cylinder E0431 C Cylinder Refill February 01, 2022-March 31, 2022 Cylinder
R4 M-6 Cylinder E0431 M-6 Cylinder Refill February 01, 2022-March 31, 2022 Cylinder
R5 H-Cylinder E0424 H-Cylinder Refill February 01, 2022-March 31, 2022 Cylinder
R6 Liquid -Base E0442 Liquid -Base February 01, 2022-March 31, 2022 Pounds
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