DRAFT HCPC QUOTE SPREADSHEET.xlsx

XLSX spreadsheet 16 KB Posted

Attached to
6515--Orthopedic Shoes and Insert Contract Columbia VAMC
Solicitation number
36C25526Q0201
Issued by

About this file

This file is a draft pricing spreadsheet for orthopedic shoes and inserts submitted as part of a Veterans Affairs sources sought notice. The spreadsheet lists HCPCS codes and corresponding product descriptions for orthopedic footwear and related devices, including diabetic shoes with various modifications (density inserts, wedges, offset heels, metatarsal bars), foot inserts and arch supports in multiple materials and configurations (molded, removable, custom), orthopedic shoes for men and women in various styles (oxford, high-top, depth inlay, custom molded), shoe modifications and additions (lifts, wedges, heel reinforcements, soles, toe taps, instep extensions), and transverse shoe components. The pricing structure indicates that quoted prices include both the visit and fitting services for each orthopedic item.

This draft spreadsheet is directly associated with VA solicitation 36C255-26-Q-0201 for the Columbia VAMC, a pre-solicitation sources sought notice issued by VA Network Contracting Office 15 for a potential five-year blanket purchase agreement or contract for orthopedic shoes, inserts, and related services. The contract will be firm-fixed price and is expected to support Veterans Integrated Service Network 15. The acquisition targets large and small businesses, including Service-Disabled Veteran-Owned Small Businesses and Veteran-Owned Small Businesses under NAICS code 339113 (Surgical Appliance and Supplies Manufacturing) with a small business size standard of 800 employees. The spreadsheet appears to be a preliminary pricing template to support vendor responses and market analysis during the sources sought phase.

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Other files

File Type Posted
DRAFT Statement of Work shoes and inserts.docx DOCX document
36C25526Q0201.docx DOCX document

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Text version

QUOTE FOR PRICING

ORTHOTICS QUOTE FOR PRICING, THESE PRICES INCLUDE THE VISIT AND FITTING

HCPCSCEILINGFLOORDescription
A5500Diab shoe for density insert
A5501Diabetic custom molded shoe
A5503Diabetic shoe w/roller/rockr
A5504Diabetic shoe with wedge
A5505Diab shoe w/metatarsal bar
A5506Diabetic shoe w/off set heel
A5507Modification diabetic shoe
A5512Multi den insert direct form
A5513Multi den insert custom mold
A5514Mult den insert dir carv/cam
L3000Ft insert ucb berkeley shell
L3001Foot insert remov molded spe
L3002Foot insert plastazote or eq
L3003Foot insert silicone gel eac
L3010Foot longitudinal arch suppo
L3020Foot longitud/metatarsal sup
L3030Foot arch support remov prem
L3031Foot lamin/prepreg composite
L3040Ft arch suprt premold longit
L3050Foot arch supp premold metat
L3060Foot arch supp longitud/meta
L3070Arch suprt att to sho longit
L3080Arch supp att to shoe metata
L3090Arch supp att to shoe long/m
L3100Hallus-valgus nt dyn pre ots
L3140Abduction rotation bar shoe
L3150Abduct rotation bar w/o shoe
L3170Foot plas heel stabi pre ots
L3216Orthopedic footwear, ladies shoe, depth inlay, each
L3217Orthopedic footwear, ladies shoe, hightop, depth inlay, each
L3221Orthopedic footwear, mens shoe, depth inlay, each
L3222MEN SHOE HIGHTOP
L3224Woman's shoe oxford brace
L3225Man's shoe oxford brace
L3230CUSTOM SHOE DEPTH INLAY
L3250CUSTOM MOLD SHOE REMOVABLE PROST
L3251SHOE MOLDED TO PT SILICONE
L3254ORTHO FOOT NON-STANDARD SIZE WIDE
L3255ORTHO FOOT NON-STANDARD SIZE
L3257Orthopedic footwear, additional charge for split size
L3300Sho lift taper to metatarsal
L3310Shoe lift elev heel/sole neo
L3330Lifts elevation metal extens
L3332Shoe lifts tapered to one-ha
L3334Shoe lifts elevation heel /i
L3340Shoe wedge sach
L3350Shoe heel wedge
L3360Shoe sole wedge outside sole
L3370Shoe sole wedge between sole
L3380Shoe clubfoot wedge
L3390Shoe outflare wedge
L3400Shoe metatarsal bar wedge ro
L3410Shoe metatarsal bar between
L3420Full sole/heel wedge btween
L3430Sho heel count plast reinfor
L3440Heel leather reinforced
L3450Shoe heel sach cushion type
L3455Shoe heel new leather standa
L3460Shoe heel new rubber standar
L3465Shoe heel thomas with wedge
L3470Shoe heel thomas extend to b
L3480Shoe heel pad & depress for
L3500Ortho shoe add leather insol
L3510Orthopedic shoe add rub insl
L3520O shoe add felt w leath insl
L3530Ortho shoe add half sole
L3540Ortho shoe add full sole
L3550O shoe add standard toe tap
L3560O shoe add horseshoe toe tap
L3570O shoe add instep extension
L3580O shoe add instep velcro clo
L3590O shoe convert to sof counte
L3595Ortho shoe add march bar
L3600Trans shoe calip plate exist
L3610Trans shoe caliper plate new
L3620Trans shoe solid stirrup exi
L3630Trans shoe solid stirrup new
L5000Sho insert w arch toe filler

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