Attachment E - Pricing Schedule.pdf

This is a Pricing Schedule Attachment (Attachment F) for the Virginia Department of Labor and Industry's 2026 Medical Examinations contract for VOSH and Boiler employees. The document outlines the service lines for which pricing must be submitted, organized into two primary categories: standard examination packages and à la carte testing services. Standard packages include six line items covering pre-hire examinations with or without chest X-rays and Hepatitis B vaccine series, as well as four annual examination options with varying combinations of chest X-rays and vaccinations. Additional billable services include Lead Testing with Zinc Protoporphyrin (Zpp), Medical Review Officer services for alcohol and drug testing, B-Read interpretation for chest X-rays, and Post Exposure Follow-Up services billed at prevailing Workers' Compensation rates.

The pricing schedule specifies that offerors must submit costs for ten supplementary tests that may be billed separately if medically necessary or performed independently with agency concurrence, including Hepatitis B Vaccine series, Hemoccult II Slides, Medical Evaluation for Respirator Use, X-rays, Audiometric Testing, Pulmonary Function Tests, EKG, PPD, General Health Panel with Urinalysis, and other services as described by the vendor. The document explicitly instructs that pricing must not be included with the proposal submission and should only be submitted in this prescribed format when requested by the Department of Labor and Industry. Vendors are afforded the opportunity to describe additional services under the "Other" category on the pricing schedule.