ATTACHMENT 01 36C261-22-Q-0224 Southern Nevada Health Care System Unit Prices .xlsx

XLSX spreadsheet 14 KB Posted

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593 Intent to Sole Source Home Oxygen Las Vegas Bridge
Solicitation number
36C26122Q0224
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SNHCS-Reno

ITEM#ITEM NAMEHCPCSITEM DESCRIPTIONCONTRACT PERIODUNITUNIT
CODEPRICE(Where just number,
unit is "Month.")
1Rental of ContractorE1390Concentrator, Colored Tubing, AdapterFebruary 01, 2022-March 31, 2022Each
Owned Portable ConcentratorHumidifier (when required), Cannulas or
System (Freestyle)Masks and other required supplies and
equipment, including back up systems.
Priced Per MonthPerform 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.
2Rental of ContractorE1390Concentrator, Colored Tubing, AdapterFebruary 01, 2022-March 31, 2022
Concentrator DeliveryHumidifier (when required), Cannulas or
Masks and other required supplies and
3Rental of ContractorE0439Resevoir, Regulator, Flowmeter,February 01, 2022-March 31, 2022Each
Owned StationaryHumidifier, Cannulas or Masks, and
Liquid O2 SystemColored Tubing.
4Rental of ContractorE0434Portable Container, Refill AdapterFebruary 01, 2022-March 31, 2022Each
Owned PortableFlowmeter, Cannulas or Masks, and
Liquid O2 SystemColored Tubing. Resevoir will be provided
if another Stationary System (e.g.
Priced Per MonthConcentrator) is rented.

5 RT VISIT VA120 Service of POC with patient training February 01, 2022-March 31, 2022 Each

6Delivery ChargeVA160Deliveries not made under all otherFebruary 01, 2022-March 31, 2022Job
line items
7Fire SafeVA186Delivery, Set-upFebruary 01, 2022-March 31, 2022Each
Cannula Valveof FSCV.
REFILLS - ALL QUANTITIES ARE MONTHLYUNIT
ITEM#ITEM NAMEHCPCSITEM DESCRIPTIONCONTRACT PERIODCYLINDERUNIT
CODEPRICE
R1E CylinderE0431E Cylinder RefillFebruary 01, 2022-March 31, 2022Cylinder

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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