RFP Home Oxygen Schedule 10-13-2022.xlsx

XLSX spreadsheet 520 KB Posted

Attached to
VISN 15 Home Oxygen Services Federal contract opportunity
Solicitation number
36C25522R0100
Issued by
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 15

About this file

This spreadsheet contains pricing and item details for home oxygen services required by the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 15. The solicitation seeks monthly fees for oxygen concentrators, portable oxygen systems, cylinder refills, liquid oxygen, and accessories across eight locations in Missouri, Kansas, Illinois from January 2023 through December 2026. Pricing is included for concentrators providing 5 and 10 liters per minute, portable concentrators with batteries, stand-alone cylinder systems, ventilators, emergency set-up fees and thermal fuse installation. Delivery and demurrage charges are covered for cylinder refills in sizes B, D, E, H and M. Liquid oxygen is priced per pound with delivery. The agency is the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 15 and the opportunity type is a solicitation.

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Other files for this federal contract opportunity

Other files attached to VISN 15 Home Oxygen Services, newest first.
File Type Posted
36C25522R0100 0005.pdf PDF
RFP Home Oxygen Schedule 1-11-2023.xlsx XLSX spreadsheet
36C25522R0100 0004 Signed.pdf PDF
36C25522R0100 0003 Signed.pdf PDF
RFP Home Oxygen Schedule 11-09-2022.xlsx XLSX spreadsheet
36C25522R0100 0002 Signed.pdf PDF
RFP Home Oxygen Schedule 11-07-2022.xlsx XLSX spreadsheet
36C25522R0100 0001 Signed.pdf PDF
RFP Home Oxygen Schedule 10-24-2022.xlsx XLSX spreadsheet
PWS Supplement - Counties.pdf PDF
36C25522R0100 10-13-2022.pdf PDF
Show all 11

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Action Line Item Information

Action Type NamePrimary IDSecondary IDMod NumberTitleOrder Discount Type NameOrder Discount TypeOrder Discount
VHA-SUPPLIES-FSS-ORDER-MODV797P-7323A36C24921N0003P00001Percent0

KB Version: FY21.08A

Items Item Number SLIN Description Ref CLIN Comment Include Comments in Document Contract Period Pop Begin Pop End Quantity Unit of Measure Packaging Multiple Receipt Type Line Item Is Unit Price Item Discount Type Name Item Discount Date Updated Address1 Address2 Address3 City State Zip Zip4 Country Mark For Contact Name Contact Phone Contact Email Delivery Date FOB Special Instructions Include Instructions/Comments in Document PRINCIPAL NAICS CODE PRODUCT/SERVICE CODE UNSPSC SIC CODE MANUFACTURER PART NUMBER (MPN) NATIONAL STOCK NUMBER LOCAL STOCK NUMBER DM DOC ID DELIVERY REF. COUNTER UNIT TEXT/DESCRIPTION DELIVERY REFERENCE ITEM MASTER FILE NUMBER EXPENDABLE/NON-EXPENDABLE QUANTITY REQUESTED UNIT OF PURCHASE CODE UNIT OF PURCHASE TEXT/DESC. NDC FOOD GROUP CODE NIF ITEM NUMBER MINIMUM ORDER QUANTITY MAXIMUM ORDER QUANTITY REQUIRED ORDER MULTIPLE UNIT CONVERSION FACTOR SPECIAL REMARKS CLINICAL DISCIPLINE ITEM PRICE ON BPA BASE OR OPTION PERIOD ITEM CONTROLLED SUBSTANCE BASE LINE ITEM NUMBER ENVIRONMENTAL ATTRIBUTE CODE ESTIMATED QUANTITY ITEM PRICE ON FSS/BOA ITEM PRICE ON FSS ITEM PRICE ON FSS (1-500 UNITS) ITEM PRICE ON FSS (501-1000 UNITS) ITEM PRICE ON FSS (1001-1500 UNITS) ITEM PRICE ON FSS (1500+ UNITS) EVALUATED ITEM PRICE ON FSS GPC ACCEPTED GREEN PRODUCT HAZARDOUS MATERIAL ITEM PART NAME ITEM PART NUMBER tc={C7D4309F-80DF-4295-96C6-A068BB3BC06B}: [Threaded comment]

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item part number = distributor. Insert OEM part number of there isn't a distributor.ITEM TYPEITEMS PER UNIT OF SALE (UOS)LATEX FREEITEM MODEL NUMBEROEM CAGE CODEOEM COUNTRY OF ORIGINOEM DUNS NUMBEROEM NAMESALE START DATESALE END DATEITEM SALE PRICESALIENT CHARACTERISTICREFERENCED CONTRACT NUMBERREFERENCED CONTRACT LINE NUMBERREFERENCED CONTRACT SUB LINE NUMBERDRAWING NUMBERSPECIFICATION NUMBERSERIAL NUMBERMANUFACTURER NAMEYEAR OF MANUFACTUREPROGRAM CODEVENDOR PART NUMBERTSP AUTHENTICATION CODETRANSPORTATION PRIORITY NUMBER
00015 LPM CONCENTRATOR WITH BACKUP SYSTEM AND PORTABLE SYSTEM MONTHLY FEE.This shall include the initial set up and all visits related to the oxygen system by a Trained Certified Technican, a Certified Respiratory Therapist (CRT) or a Registered Respiratory Therapist (RRT), back-up system complete with cylinder, regulator, stand, tubing, cannulas, filter(s) and humidifier as needed, portable cylinders with wheeled cart and/or bag, regulator and/or demand pulse conserving device and all supplies including cannulas, masks, tubing, filters, and humidifiers. Includes all cylinder demurrage charges. E1390BaseNSP621610Q20101E01-21
0001AColumbia, MOBase01/01/2312/31/23725MOPriced01E01-21
0001BKansas City, MOBase01/01/2312/31/23732MOPriced01E01-21
0001CLeavenworth, KSBase01/01/2312/31/23271MOPriced01E01-21
0001DMarion, ILBase01/01/2312/31/23826MOPriced01E06-21
0001EPoplar Bluff, MOBase01/01/2312/31/23587MOPriced01E06-21
0001FSt. Louis, MOBase01/01/2312/31/23731MOPriced01E06-21
0001GTopeka, KSBase01/01/2312/31/23307MOPriced01E06-21
0001HWichita, KSBase01/01/2312/31/23499MOPriced01E01-21
000210 LPM CONCENTRATOR WITH BACKUP SYSTEM AND PORTABLE SYSTEM MONTHLY FEE.
This shall include the initial set up and all visits related to the oxygen system by a Trained Certified Technican, a Certified Respiratory Therapist (CRT) or a Registered Respiratory Therapist (RRT), back-up system complete with cylinder, regulator, stand, tubing, cannulas, filter(s) and humidifier as needed, portable cylinders with wheeled cart and/or bag, regulator and/or demand pulse conserving device and all supplies including cannulas, masks, tubing, filters, and humidifiers. Includes all cylinder demurrage charges. E1390BaseNSP01E01-21
0002AColumbia, MOBase01/01/2312/31/2387MOPriced01E01-21
0002BKansas City, MOBase01/01/2312/31/2354MOPriced01E01-21
0002CLeavenworth, KSBase01/01/2312/31/2312MOPriced01E06-21
0002DMarion, ILBase01/01/2312/31/2327MOPriced01E06-21
0002EPoplar Bluff, MO01/01/2312/31/2318MOPriced01E06-21
0002FSt. Louis, MO01/01/2312/31/2360MOPriced01E06-21
0002GTopeka, KS01/01/2312/31/2310MOPriced
0002HWichita, KSBase01/01/2312/31/2320MOPriced
0003PORTABLE CONCENTRATOR SYSTEM WITH 2 BACKUP BATTERIES, DESK TOP CHARGER AND BACK UP SYSTEM MONTHLY FEE.
This shall include the initial set up and all visits related to the oxygen system by a Trained Certified Technican, a Certified Respiratory Therapist (CRT) or a Registered Respiratory Therapist (RRT), back-up system complete with cylinder, regulator, stand, tubing, cannulas, masks, filter(s) and humidifier as needed. Includes all cylinder demurrage charges. E1392BaseNSP
0003AColumbia, MOBase01/01/2312/31/23335MOPriced
0003BKansas City, MOBase01/01/2312/31/23284MOPriced
0003CLeavenworth, KSBase01/01/2312/31/23125MOPriced
0003DMarion, ILBase01/01/2312/31/23174MOPriced
0003EPoplar Bluff, MOBase01/01/2312/31/23142MOPriced
0003FSt. Louis, MOBase01/01/2312/31/23721MOPriced
0003GTopeka, KSBase01/01/2312/31/23146MOPriced
0003HWichita, KSBase01/01/2312/31/23171MOPriced
0004PORTABLE CONCENTRATOR BATTERIES IN EXCESS OF THE 2 PROVIDED WITH THE PORTABLE CONCENTRATOR MONTHLY FEE. (E1357)BaseNSP
0004AColumbia, MOBase01/01/2312/31/23382MOPriced
0004BKansas City, MOBase01/01/2312/31/2384MOPriced
0004CLeavenworth, KSBase01/01/2312/31/23135MOPriced
0004DMarion, ILBase01/01/2312/31/2334MOPriced
0004EPoplar Bluff, MOBase01/01/2312/31/2335MOPriced
0004FSt. Louis, MOBase01/01/2312/31/23134MOPriced
0004GTopeka, KSBase01/01/2312/31/23157MOPriced
0004HWichita, KSBase01/01/2312/31/2321MOPriced
0005CYLINDER SIZE M or H MONTHLY CHARGE FOR STAND ALONE SYSTEM. This shall include initial set up and all visits related to the oxygen system by a Trained Certified Technican, a Certified Respiratory Therapist (CRT) or a Registered Respiratory Therapist (RRT), the cylinder (s), regulator, flow meter, safety stand, humidifier and all disposable supplies. Includes all cylinder demurrage charges. E0424BaseNSP
0005AColumbia, MOBase01/01/2312/31/2337MOPriced
0005BKansas City, MOBase01/01/2312/31/2385MOPriced
0005CLeavenworth, KSBase01/01/2312/31/2317MOPriced
0005DMarion, ILBase01/01/2312/31/237MOPriced
0005EPoplar Bluff, MOBase01/01/2312/31/235MOPriced
0005FSt. Louis, MOBase01/01/2312/31/2325MOPriced
0005GTopeka, KSBase01/01/2312/31/2316MOPriced
0005HWichita, KSBase01/01/2312/31/2350MOPriced
0006DEMAND PULSE CONSERVER CANNULA - Includes delivery. A4615BaseNSP
0006AColumbia, MOBase01/01/2312/31/238EAPriced
0006BKansas City, MOBase01/01/2312/31/237EAPriced
0006CLeavenworth, KSBase01/01/2312/31/235EAPriced
0006DMarion, ILBase01/01/2312/31/235EAPriced
0006EPoplar Bluff, MOBase01/01/2312/31/235EAPriced
0006FSt. Louis, MOBase01/01/2312/31/235EAPriced
0006GTopeka, KSBase01/01/2312/31/235EAPriced
0006HWichita, KSBase01/01/2312/31/235EAPriced
0007CYLINDER SIZE H OR M REFILL. Includes all delivery and demurrage charges. E0443BaseNSP
0007AColumbia, MOBase01/01/2312/31/237EAPriced
0007BKansas City, MOBase01/01/2312/31/2315EAPriced
0007CLeavenworth, KSBase01/01/2312/31/235EAPriced
0007DMarion, ILBase01/01/2312/31/235EAPriced
0007EPoplar Bluff, MOBase01/01/2312/31/235EAPriced
0007FSt. Louis, MOBase01/01/2312/31/235EAPriced
0007GTopeka, KSBase01/01/2312/31/235EAPriced
0007HWichita, KSBase01/01/2312/31/238EAPriced
0008CYLINDER SIZE E REFILL. Includes all delivery and demurrage charges. E0443BaseNSP
0008AColumbia, MOBase01/01/2312/31/23697EAPriced
0008BKansas City, MOBase01/01/2312/31/23332EAPriced
0008CLeavenworth, KSBase01/01/2312/31/23147EAPriced
0008DMarion, ILBase01/01/2312/31/23483EAPriced
0008EPoplar Bluff, MOBase01/01/2312/31/23451EAPriced
0008FSt. Louis, MOBase01/01/2312/31/23294EAPriced
0008GTopeka, KSBase01/01/2312/31/23151EAPriced
0008HWichita, KSBase01/01/2312/31/23872EAPriced
0009CYLINDER SIZE D REFILL. Includes all delivery and demurrage charges. E0443BaseNSP
0009AColumbia, MOBase01/01/2312/31/23392EAPriced
0009BKansas City, MOBase01/01/2312/31/23188EAPriced
0009CLeavenworth, KSBase01/01/2312/31/2389EAPriced
0009DMarion, ILBase01/01/2312/31/23415EAPriced
0009EPoplar Bluff, MOBase01/01/2312/31/23307EAPriced
0009FSt. Louis, MOBase01/01/2312/31/23212EAPriced
0009GTopeka, KSBase01/01/2312/31/23129EAPriced
0009HWichita, KSBase01/01/2312/31/23180EAPriced
0010CYLINDER SIZE B (M6) REFILL. Includes all delivery and demurrage charges. E0443BaseNSP
0010AColumbia, MOBase01/01/2312/31/23367EAPriced
0010BKansas City, MOBase01/01/2312/31/23374EAPriced
0010CLeavenworth, KSBase01/01/2312/31/2351EAPriced
0010DMarion, ILBase01/01/2312/31/23468EAPriced
0010EPoplar Bluff, MOBase01/01/2312/31/23292EAPriced
0010FSt. Louis, MOBase01/01/2312/31/23311EAPriced
0010GTopeka, KSBase01/01/2312/31/2344EAPriced
0010HWichita, KSBase01/01/2312/31/23139EAPriced
0011LIQUID OXYGEN SYSTEM MONTHLY FEE. This shall include the initial set up and all visits related to the system by a Trained Certified Technican, a Trained Certified Technican, a Certified Respiratory Therapist (CRT) or a Registered Respiratory Therapist (RRT), back-up system complete and all related monthly supplies. E0439b.BaseNSP
0011AColumbia, MOBase01/01/2312/31/232MOPriced
0011BKansas City, MOBase01/01/2312/31/232MOPriced
0011CLeavenworth, KSBase01/01/2312/31/232MOPriced
0011DMarion, ILBase01/01/2312/31/232MOPriced
0011EPoplar Bluff, MOBase01/01/2312/31/232MOPriced
0011FSt. Louis, MOBase01/01/2312/31/232MOPriced
0011GTopeka, KSBase01/01/2312/31/232MOPriced
0011HWichita, KSBase01/01/2312/31/232MOPriced
0012LIQUID OXYGEN SYSTEM (PORTABLE) MONTHLY FEE. This shall include initial set up and all visits related to the system by a Trained Certified Technican, a Certified Respiratory Therapist (CRT) or a Registered Respiratory Therapist (RRT), and all related monthly supplies. E0434BaseNSP
0012AColumbia, MOBase01/01/2312/31/232MOPriced
0012BKansas City, MOBase01/01/2312/31/232MOPriced
0012CLeavenworth, KSBase01/01/2312/31/232MOPriced
0012DMarion, ILBase01/01/2312/31/232MOPriced
0012EPoplar Bluff, MOBase01/01/2312/31/232MOPriced
0012FSt. Louis, MOBase01/01/2312/31/232MOPriced
0012GTopeka, KSBase01/01/2312/31/232MOPriced
0012HWichita, KSBase01/01/2312/31/232MOPriced
0013LIQUID OXYGEN PER POUND. Includes all delivery charges. E0442BaseNSP
0013AColumbia, MOBase01/01/2312/31/23300LBPriced
0013BKansas City, MOBase01/01/2312/31/23300LBPriced
0013CLeavenworth, KSBase01/01/2312/31/23300LBPriced
0013DMarion, ILBase01/01/2312/31/23300LBPriced
0013EPoplar Bluff, MOBase01/01/2312/31/23300LBPriced
0013FSt. Louis, MOBase01/01/2312/31/23300LBPriced
0013GTopeka, KSBase01/01/2312/31/23300LBPriced
0013HWichita, KSBase01/01/2312/31/23300LBPriced
0014AEROSOL COMPRESSOR MONTHLY FEE: This shall include initial set up and all visits related to the system by a Trained Certified Technican, a Certified Respiratory Therapist (CRT) or a Registered Respiratory Therapist (RRT), and all related monthly supplies. E0565BaseNSP
0014AColumbia, MOBase01/01/2312/31/235MOPriced
0014BKansas City, MOBase01/01/2312/31/235MOPriced
0014CLeavenworth, KSBase01/01/2312/31/235MOPriced
0014DMarion, ILBase01/01/2312/31/235MOPriced
0014EPoplar Bluff, MOBase01/01/2312/31/235MOPriced
0014FSt. Louis, MOBase01/01/2312/31/2314MOPriced
0014GTopeka, KSBase01/01/2312/31/235MOPriced
0014HWichita, KSBase01/01/2312/31/235MOPriced
0015HEATED INTEGRATED COMPRESSOR MONTHLY FEE: This shall include initial set up and all visits related to the system by a Trained Certified Technican, a Certified Respiratory Therapist (CRT) or a Registered Respiratory Therapist (RRT), and all related monthly supplies. E0585BaseNSP
0015AColumbia, MOBase01/01/2312/31/235MOPriced
0015BKansas City, MOBase01/01/2312/31/235MOPriced
0015CLeavenworth, KSBase01/01/2312/31/235MOPriced
0015DMarion, ILBase01/01/2312/31/237MOPriced
0015EPoplar Bluff, MOBase01/01/2312/31/235MOPriced
0015FSt. Louis, MOBase01/01/2312/31/235MOPriced
0015GTopeka, KSBase01/01/2312/31/235MOPriced
0015HWichita, KSBase01/01/2312/31/235MOPriced
0016VENTILATOR MONTHLY FEE. This shall include the initial visit, ventilator, backup ventilator, initial visit, monthly visits, set-up, and service by a Certified Respiratory Therapist (CRT) or a Registered Respiratory Therapist (RRT), all related monthly supplies. E0450BaseNSP
0016AColumbia, MOBase01/01/2312/31/236MOPriced
0016BKansas City, MOBase01/01/2312/31/2318MOPriced
0016CLeavenworth, KSBase01/01/2312/31/235MOPriced
0016DMarion, ILBase01/01/2312/31/238MOPriced
0016EPoplar Bluff, MOBase01/01/2312/31/2314MOPriced
0016FSt. Louis, MOBase01/01/2312/31/2326MOPriced
0016GTopeka, KSBase01/01/2312/31/235MOPriced
0016HWichita, KSBase01/01/2312/31/235MOPriced
0017EMERGENCY SET UP FEE - Set up called in after 3PM and requires same day delivery. VA 120BaseNSP
0017AColumbia, MOBase01/01/2312/31/235FEEPriced
0017BKansas City, MOBase01/01/2312/31/236FEEPriced
0017CLeavenworth, KSBase01/01/2312/31/235FEEPriced
0017DMarion, ILBase01/01/2312/31/2312FEEPriced
0017EPoplar Bluff, MOBase01/01/2312/31/2314FEEPriced
0017FSt. Louis, MOBase01/01/2312/31/235FEEPriced
0017GTopeka, KSBase01/01/2312/31/235FEEPriced
0017HWichita, KSBase01/01/2312/31/235FEEPriced
0018BI-DIRECTIONAL THERMAL FUSES SET UP FEE - Included in the fee of the bi-directional thermal fuse is installation and patient education of the bi-directional thermal fuses on all oxygen systems.BaseNSP
0018AColumbia, MOBase01/01/2312/31/23115FEEPriced
0018BKansas City, MOBase01/01/2312/31/2393FEEPriced
0018CLeavenworth, KSBase01/01/2312/31/2325FEEPriced
0018DMarion, ILBase01/01/2312/31/23119FEEPriced
0018EPoplar Bluff, MOBase01/01/2312/31/23112FEEPriced
0018FSt. Louis, MOBase01/01/2312/31/23113FEEPriced
0018GTopeka, KSBase01/01/2312/31/2331FEEPriced
0018HWichita, KSBase01/01/2312/31/2374FEEPriced
10015 LPM CONCENTRATOR WITH BACKUP SYSTEM AND PORTABLE SYSTEM MONTHLY FEE.This shall include the initial set up and all visits related to the oxygen system by a Trained Certified Technican, a Certified Respiratory Therapist (CRT) or a Registered Respiratory Therapist (RRT), back-up system complete with cylinder, regulator, stand, tubing, cannulas, filter(s) and humidifier as needed, portable cylinders with wheeled cart and/or bag, regulator and/or demand pulse conserving device and all supplies including cannulas, masks, tubing, filters, and humidifiers. Includes all cylinder demurrage charges. E1390Year 2NSP621610Q201
1001AColumbia, MOYear 201/01/2412/31/24725MOPriced
1001BKansas City, MOYear 201/01/2412/31/24732MOPriced
1001CLeavenworth, KSYear 201/01/2412/31/24271MOPriced
1001DMarion, ILYear 201/01/2412/31/24826MOPriced
1001EPoplar Bluff, MOYear 201/01/2412/31/24587MOPriced
1001FSt. Louis, MOYear 201/01/2412/31/24731MOPriced
1001GTopeka, KSYear 201/01/2412/31/24307MOPriced
1001HWichita, KSYear 201/01/2412/31/24499MOPriced
100210 LPM CONCENTRATOR WITH BACKUP SYSTEM AND PORTABLE SYSTEM MONTHLY FEE.
This shall include the initial set up and all visits related to the oxygen system by a Trained Certified Technican, a Certified Respiratory Therapist (CRT) or a Registered Respiratory Therapist (RRT), back-up system complete with cylinder, regulator, stand, tubing, cannulas, filter(s) and humidifier as needed, portable cylinders with wheeled cart and/or bag, regulator and/or demand pulse conserving device and all supplies including cannulas, masks, tubing, filters, and humidifiers. Includes all cylinder demurrage charges. E1390Year 2NSP
1002AColumbia, MOYear 201/01/2412/31/2487MOPriced
1002BKansas City, MOYear 201/01/2412/31/2454MOPriced
1002CLeavenworth, KSYear 201/01/2412/31/2412MOPriced
1002DMarion, ILYear 201/01/2412/31/2427MOPriced
1002EPoplar Bluff, MOYear 201/01/2412/31/2418MOPriced
1002FSt. Louis, MOYear 201/01/2412/31/2460MOPriced
1002GTopeka, KSYear 201/01/2412/31/2410MOPriced
1002HWichita, KSYear 201/01/2412/31/2420MOPriced
1003PORTABLE CONCENTRATOR SYSTEM WITH 2 BACKUP BATTERIES, DESK TOP CHARGER AND BACK UP SYSTEM MONTHLY FEE.
This shall include the initial set up and all visits related to the oxygen system by a Trained Certified Technican, a Certified Respiratory Therapist (CRT) or a Registered Respiratory Therapist (RRT), back-up system complete with cylinder, regulator, stand, tubing, cannulas, masks, filter(s) and humidifier as needed. Includes all cylinder demurrage charges. E1392Year 2NSP
1003AColumbia, MOYear 201/01/2412/31/24335MOPriced
1003BKansas City, MOYear 201/01/2412/31/24284MOPriced
1003CLeavenworth, KSYear 201/01/2412/31/24125MOPriced
1003DMarion, ILYear 201/01/2412/31/24174MOPriced
1003EPoplar Bluff, MOYear 201/01/2412/31/24142MOPriced
1003FSt. Louis, MOYear 201/01/2412/31/24721MOPriced
1003GTopeka, KSYear 201/01/2412/31/24146MOPriced
1003HWichita, KSYear 201/01/2412/31/24171MOPriced
1004PORTABLE CONCENTRATOR BATTERIES IN EXCESS OF THE 2 PROVIDED WITH THE PORTABLE CONCENTRATOR MONTHLY FEE. (E1357)Year 2NSP
1004AColumbia, MOYear 201/01/2412/31/24382MOPriced
1004BKansas City, MOYear 201/01/2412/31/2484MOPriced
1004CLeavenworth, KSYear 201/01/2412/31/24135MOPriced
1004DMarion, ILYear 201/01/2412/31/2434MOPriced
1004EPoplar Bluff, MOYear 201/01/2412/31/2435MOPriced
1004FSt. Louis, MOYear 201/01/2412/31/24134MOPriced
1004GTopeka, KSYear 201/01/2412/31/24157MOPriced
1004HWichita, KSYear 201/01/2412/31/2421MOPriced1004100410041004100410041004100410041004100410041004100410041004100410041004100410041004100410041004100410041004100410041004100410041004100410041004
1005CYLINDER SIZE M or H MONTHLY CHARGE FOR STAND ALONE SYSTEM. This shall include initial set up and all visits related to the oxygen system by a Trained Certified Technican, a Certified Respiratory Therapist (CRT) or a Registered Respiratory Therapist (RRT), the cylinder (s), regulator, flow meter, safety stand, humidifier and all disposable supplies. Includes all cylinder demurrage charges. E0424Year 2NSP
1005AColumbia, MOYear 201/01/2412/31/2437MOPriced
1005BKansas City, MOYear 201/01/2412/31/2485MOPriced
1005CLeavenworth, KSYear 201/01/2412/31/2417MOPriced
1005DMarion, ILYear 201/01/2412/31/247MOPriced
1005EPoplar Bluff, MOYear 201/01/2412/31/245MOPriced
1005FSt. Louis, MOYear 201/01/2412/31/2425MOPriced
1005GTopeka, KSYear 201/01/2412/31/2416MOPriced
1005HWichita, KSYear 201/01/2412/31/2450MOPriced
1006DEMAND PULSE CONSERVER CANNULA - Includes delivery. A4615Year 2NSP
1006AColumbia, MOYear 201/01/2412/31/248EAPriced
1006BKansas City, MOYear 201/01/2412/31/247EAPriced
1006CLeavenworth, KSYear 201/01/2412/31/245EAPriced
1006DMarion, ILYear 201/01/2412/31/245EAPriced
1006EPoplar Bluff, MOYear 201/01/2412/31/245EAPriced
1006FSt. Louis, MOYear 201/01/2412/31/245EAPriced
1006GTopeka, KSYear 201/01/2412/31/245EAPriced
1006HWichita, KSYear 201/01/2412/31/245EAPriced
1007CYLINDER SIZE H OR M REFILL. Includes all delivery and demurrage charges. E0443Year 2NSP
1007AColumbia, MOYear 201/01/2412/31/247EAPriced
1007BKansas City, MOYear 201/01/2412/31/2415EAPriced
1007CLeavenworth, KSYear 201/01/2412/31/245EAPriced
1007DMarion, ILYear 201/01/2412/31/245EAPriced
1007EPoplar Bluff, MOYear 201/01/2412/31/245EAPriced
1007FSt. Louis, MOYear 201/01/2412/31/245EAPriced
1007GTopeka, KSYear 201/01/2412/31/245EAPriced
1007HWichita, KSYear 201/01/2412/31/248EAPriced
1008CYLINDER SIZE E REFILL. Includes all delivery and demurrage charges. E0443Year 2NSP
1008AColumbia, MOYear 201/01/2412/31/24697EAPriced
1008BKansas City, MOYear 201/01/2412/31/24332EAPriced
1008CLeavenworth, KSYear 201/01/2412/31/24147EAPriced
1008DMarion, ILYear 201/01/2412/31/24483EAPriced
1008EPoplar Bluff, MOYear 201/01/2412/31/24451EAPriced
1008FSt. Louis, MOYear 201/01/2412/31/24294EAPriced
1008GTopeka, KSYear 201/01/2412/31/24151EAPriced
1008HWichita, KSYear 201/01/2412/31/24872EAPriced
1009CYLINDER SIZE D REFILL. Includes all delivery and demurrage charges. E0443Year 2NSP
1009AColumbia, MOYear 201/01/2412/31/24392EAPriced
1009BKansas City, MOYear 201/01/2412/31/24188EAPriced
1009CLeavenworth, KSYear 201/01/2412/31/2489EAPriced
1009DMarion, ILYear 201/01/2412/31/24415EAPriced
1009EPoplar Bluff, MOYear 201/01/2412/31/24307EAPriced
1009FSt. Louis, MOYear 201/01/2412/31/24212EAPriced
1009GTopeka, KSYear 201/01/2412/31/24129EAPriced
1009HWichita, KSYear 201/01/2412/31/24180EAPriced
1010CYLINDER SIZE B (M6) REFILL. Includes all delivery and demurrage charges. E0443Year 2NSP
1010AColumbia, MOYear 201/01/2412/31/24367EAPriced
1010BKansas City, MOYear 201/01/2412/31/24374EAPriced
1010CLeavenworth, KSYear 201/01/2412/31/2451EAPriced
1010DMarion, ILYear 201/01/2412/31/24468EAPriced
1010EPoplar Bluff, MOYear 201/01/2412/31/24292EAPriced
1010FSt. Louis, MOYear 201/01/2412/31/24311EAPriced
1010GTopeka, KSYear 201/01/2412/31/2444EAPriced
1010HWichita, KSYear 201/01/2412/31/24139EAPriced
1011LIQUID OXYGEN SYSTEM MONTHLY FEE. This shall include the initial set up and all visits related to the system by a Trained Certified Technican, a Trained Certified Technican, a Certified Respiratory Therapist (CRT) or a Registered Respiratory Therapist (RRT), back-up system complete and all related monthly supplies. E0439b.Year 2NSP
1011AColumbia, MOYear 201/01/2412/31/242MOPriced
1011BKansas City, MOYear 201/01/2412/31/242MOPriced
1011CLeavenworth, KSYear 201/01/2412/31/242MOPriced
1011DMarion, ILYear 201/01/2412/31/242MOPriced
1011EPoplar Bluff, MOYear 201/01/2412/31/242MOPriced
1011FSt. Louis, MOYear 201/01/2412/31/242MOPriced
1011GTopeka, KSYear 201/01/2412/31/242MOPriced
1011HWichita, KSYear 201/01/2412/31/242MOPriced
1012LIQUID OXYGEN SYSTEM (PORTABLE) MONTHLY FEE. This shall include initial set up and all visits related to the system by a Trained Certified Technican, a Certified Respiratory Therapist (CRT) or a Registered Respiratory Therapist (RRT), and all related monthly supplies. E0434Year 2NSP
1012AColumbia, MOYear 201/01/2412/31/242MOPriced
1012BKansas City, MOYear 201/01/2412/31/242MOPriced
1012CLeavenworth, KSYear 201/01/2412/31/242MOPriced
1012DMarion, ILYear 201/01/2412/31/242MOPriced
1012EPoplar Bluff, MOYear 201/01/2412/31/242MOPriced
1012FSt. Louis, MOYear 201/01/2412/31/242MOPriced
1012GTopeka, KSYear 201/01/2412/31/242MOPriced
1012HWichita, KSYear 201/01/2412/31/242MOPriced
1013LIQUID OXYGEN PER POUND. Includes all delivery charges. E0442Year 2NSP
1013AColumbia, MOYear 201/01/2412/31/24300LBPriced
1013BKansas City, MOYear 201/01/2412/31/24300LBPriced
1013CLeavenworth, KSYear 201/01/2412/31/24300LBPriced
1013DMarion, ILYear 201/01/2412/31/24300LBPriced
1013EPoplar Bluff, MOYear 201/01/2412/31/24300LBPriced
1013FSt. Louis, MOYear 201/01/2412/31/24300LBPriced
1013GTopeka, KSYear 201/01/2412/31/24300LBPriced
1013HWichita, KSYear 201/01/2412/31/24300LBPriced
1014AEROSOL COMPRESSOR MONTHLY FEE: This shall include initial set up and all visits related to the system by a Trained Certified Technican, a Certified Respiratory Therapist (CRT) or a Registered Respiratory Therapist (RRT), and all related monthly supplies. E0565Year 2NSP
1014AColumbia, MOYear 201/01/2412/31/245MOPriced
1014BKansas City, MOYear 201/01/2412/31/245MOPriced
1014CLeavenworth, KSYear 201/01/2412/31/245MOPriced
1014DMarion, ILYear 201/01/2412/31/245MOPriced
1014EPoplar Bluff, MOYear 201/01/2412/31/245MOPriced
1014FSt. Louis, MOYear 201/01/2412/31/2414MOPriced
1014GTopeka, KSYear 201/01/2412/31/245MOPriced
1014HWichita, KSYear 201/01/2412/31/245MOPriced
1015HEATED INTEGRATED COMPRESSOR MONTHLY FEE: This shall include initial set up and all visits related to the system by a Trained Certified Technican, a Certified Respiratory Therapist (CRT) or a Registered Respiratory Therapist (RRT), and all related monthly supplies. E0585Year 2NSP
1015AColumbia, MOYear 201/01/2412/31/245MOPriced
1015BKansas City, MOYear 201/01/2412/31/245MOPriced
1015CLeavenworth, KSYear 201/01/2412/31/245MOPriced
1015DMarion, ILYear 201/01/2412/31/247MOPriced
1015EPoplar Bluff, MOYear 201/01/2412/31/245MOPriced
1015FSt. Louis, MOYear 201/01/2412/31/245MOPriced
1015GTopeka, KSYear 201/01/2412/31/245MOPriced
1015HWichita, KSYear 201/01/2412/31/245MOPriced
1016VENTILATOR MONTHLY FEE. This shall include the initial visit, ventilator, backup ventilator, initial visit, monthly visits, set-up, and service by a Certified Respiratory Therapist (CRT) or a Registered Respiratory Therapist (RRT), all related monthly supplies. E0450Year 2NSP
1016AColumbia, MOYear 201/01/2412/31/246MOPriced
1016BKansas City, MOYear 201/01/2412/31/2418MOPriced
1016CLeavenworth, KSYear 201/01/2412/31/245MOPriced
1016DMarion, ILYear 201/01/2412/31/248MOPriced
1016EPoplar Bluff, MOYear 201/01/2412/31/2414MOPriced
1016FSt. Louis, MOYear 201/01/2412/31/2426MOPriced
1016GTopeka, KSYear 201/01/2412/31/245MOPriced
1016HWichita, KSYear 201/01/2412/31/245MOPriced
1017EMERGENCY SET UP FEE - Set up called in after 3PM and requires same day delivery. VA 120Year 2NSP
1017AColumbia, MOYear 201/01/2412/31/245FEEPriced
1017BKansas City, MOYear 201/01/2412/31/246FEEPriced
1017CLeavenworth, KSYear 201/01/2412/31/245FEEPriced
1017DMarion, ILYear 201/01/2412/31/2412FEEPriced
1017EPoplar Bluff, MOYear 201/01/2412/31/2414FEEPriced
1017FSt. Louis, MOYear 201/01/2412/31/245FEEPriced
1017GTopeka, KSYear 201/01/2412/31/245FEEPriced
1017HWichita, KSYear 201/01/2412/31/245FEEPriced
1018BI-DIRECTIONAL THERMAL FUSES SET UP FEE - Included in the fee of the bi-directional thermal fuse is installation and patient education of the bi-directional thermal fuses on all oxygen systems.Year 2NSP
1018AColumbia, MOYear 201/01/2412/31/24115FEEPriced
1018BKansas City, MOYear 201/01/2412/31/2493FEEPriced
1018CLeavenworth, KSYear 201/01/2412/31/2425FEEPriced
1018DMarion, ILYear 201/01/2412/31/24119FEEPriced
1018EPoplar Bluff, MOYear 201/01/2412/31/24112FEEPriced
1018FSt. Louis, MOYear 201/01/2412/31/24113FEEPriced
1018GTopeka, KSYear 201/01/2412/31/2431FEEPriced
1018HWichita, KSYear 201/01/2412/31/2474FEEPriced
20015 LPM CONCENTRATOR WITH BACKUP SYSTEM AND PORTABLE SYSTEM MONTHLY FEE.This shall include the initial set up and all visits related to the oxygen system by a Trained Certified Technican, a Certified Respiratory Therapist (CRT) or a Registered Respiratory Therapist (RRT), back-up system complete with cylinder, regulator, stand, tubing, cannulas, filter(s) and humidifier as needed, portable cylinders with wheeled cart and/or bag, regulator and/or demand pulse conserving device and all supplies including cannulas, masks, tubing, filters, and humidifiers. Includes all cylinder demurrage charges. E1390Year 3NSP621610Q201
2001AColumbia, MOYear 301/01/2512/31/25725MOPriced
2001BKansas City, MOYear 301/01/2512/31/25732MOPriced
2001CLeavenworth, KSYear 301/01/2512/31/25271MOPriced
2001DMarion, ILYear 301/01/2512/31/25826MOPriced
2001EPoplar Bluff, MOYear 301/01/2512/31/25587MOPriced
2001FSt. Louis, MOYear 301/01/2512/31/25731MOPriced
2001GTopeka, KSYear 301/01/2512/31/25307MOPriced
2001HWichita, KSYear 301/01/2512/31/25499MOPriced
200210 LPM CONCENTRATOR WITH BACKUP SYSTEM AND PORTABLE SYSTEM MONTHLY FEE.
This shall include the initial set up and all visits related to the oxygen system by a Trained Certified Technican, a Certified Respiratory Therapist (CRT) or a Registered Respiratory Therapist (RRT), back-up system complete with cylinder, regulator, stand, tubing, cannulas, filter(s) and humidifier as needed, portable cylinders with wheeled cart and/or bag, regulator and/or demand pulse conserving device and all supplies including cannulas, masks, tubing, filters, and humidifiers. Includes all cylinder demurrage charges. E1390Year 3NSP
2002AColumbia, MOYear 301/01/2512/31/2587MOPriced
2002BKansas City, MOYear 301/01/2512/31/2554MOPriced
2002CLeavenworth, KSYear 301/01/2512/31/2512MOPriced
2002DMarion, ILYear 301/01/2512/31/2527MOPriced
2002EPoplar Bluff, MOYear 301/01/2512/31/2518MOPriced
2002FSt. Louis, MOYear 301/01/2512/31/2560MOPriced
2002GTopeka, KSYear 301/01/2512/31/2510MOPriced
2002HWichita, KSYear 301/01/2512/31/2520MOPriced
2003PORTABLE CONCENTRATOR SYSTEM WITH 2 BACKUP BATTERIES, DESK TOP CHARGER AND BACK UP SYSTEM MONTHLY FEE.
This shall include the initial set up and all visits related to the oxygen system by a Trained Certified Technican, a Certified Respiratory Therapist (CRT) or a Registered Respiratory Therapist (RRT), back-up system complete with cylinder, regulator, stand, tubing, cannulas, masks, filter(s) and humidifier as needed. Includes all cylinder demurrage charges. E1392Year 3NSP
2003AColumbia, MOYear 301/01/2512/31/25335MOPriced
2003BKansas City, MOYear 301/01/2512/31/25284MOPriced
2003CLeavenworth, KSYear 301/01/2512/31/25125MOPriced
2003DMarion, ILYear 301/01/2512/31/25174MOPriced
2003EPoplar Bluff, MOYear 301/01/2512/31/25142MOPriced
2003FSt. Louis, MOYear 301/01/2512/31/25721MOPriced
2003GTopeka, KSYear 301/01/2512/31/25146MOPriced
2003HWichita, KSYear 301/01/2512/31/25171MOPriced
2004PORTABLE CONCENTRATOR BATTERIES IN EXCESS OF THE 2 PROVIDED WITH THE PORTABLE CONCENTRATOR MONTHLY FEE. (E1357)Year 3NSP
2004AColumbia, MOYear 301/01/2512/31/25382MOPriced
2004BKansas City, MOYear 301/01/2512/31/2584MOPriced
2004CLeavenworth, KSYear 301/01/2512/31/25135MOPriced
2004DMarion, ILYear 301/01/2512/31/2534MOPriced
2004EPoplar Bluff, MOYear 301/01/2512/31/2535MOPriced
2004FSt. Louis, MOYear 301/01/2512/31/25134MOPriced
2004GTopeka, KSYear 301/01/2512/31/25157MOPriced
2004HWichita, KSYear 301/01/2512/31/2521MOPriced
2005CYLINDER SIZE M or H MONTHLY CHARGE FOR STAND ALONE SYSTEM. This shall include initial set up and all visits related to the oxygen system by a Trained Certified Technican, a Certified Respiratory Therapist (CRT) or a Registered Respiratory Therapist (RRT), the cylinder (s), regulator, flow meter, safety stand, humidifier and all disposable supplies. Includes all cylinder demurrage charges. E0424Year 3NSP
2005AColumbia, MOYear 301/01/2512/31/2537MOPriced
2005BKansas City, MOYear 301/01/2512/31/2585MOPriced
2005CLeavenworth, KSYear 301/01/2512/31/2517MOPriced
2005DMarion, ILYear 301/01/2512/31/257MOPriced
2005EPoplar Bluff, MOYear 301/01/2512/31/255MOPriced
2005FSt. Louis, MOYear 301/01/2512/31/2525MOPriced
2005GTopeka, KSYear 301/01/2512/31/2516MOPriced
2005HWichita, KSYear 301/01/2512/31/2550MOPriced
2006DEMAND PULSE CONSERVER CANNULA - Includes delivery. A4615Year 3NSP
2006AColumbia, MOYear 301/01/2512/31/258EAPriced
2006BKansas City, MOYear 301/01/2512/31/257EAPriced
2006CLeavenworth, KSYear 301/01/2512/31/255EAPriced
2006DMarion, ILYear 301/01/2512/31/255EAPriced
2006EPoplar Bluff, MOYear 301/01/2512/31/255EAPriced
2006FSt. Louis, MOYear 301/01/2512/31/255EAPriced
2006GTopeka, KSYear 301/01/2512/31/255EAPriced
2006HWichita, KSYear 301/01/2512/31/255EAPriced
2007CYLINDER SIZE H OR M REFILL. Includes all delivery and demurrage charges. E0443Year 3NSP
2007AColumbia, MOYear 301/01/2512/31/257EAPriced
2007BKansas City, MOYear 301/01/2512/31/2515EAPriced
2007CLeavenworth, KSYear 301/01/2512/31/255EAPriced
2007DMarion, ILYear 301/01/2512/31/255EAPriced
2007EPoplar Bluff, MOYear 301/01/2512/31/255EAPriced
2007FSt. Louis, MOYear 301/01/2512/31/255EAPriced
2007GTopeka, KSYear 301/01/2512/31/255EAPriced
2007HWichita, KSYear 301/01/2512/31/258EAPriced
2008CYLINDER SIZE E REFILL. Includes all delivery and demurrage charges. E0443Year 3NSP
2008AColumbia, MOYear 301/01/2512/31/25697EAPriced
2008BKansas City, MOYear 301/01/2512/31/25332EAPriced
2008CLeavenworth, KSYear 301/01/2512/31/25147EAPriced
2008DMarion, ILYear 301/01/2512/31/25483EAPriced
2008EPoplar Bluff, MOYear 301/01/2512/31/25451EAPriced
2008FSt. Louis, MOYear 301/01/2512/31/25294EAPriced
2008GTopeka, KSYear 301/01/2512/31/25151EAPriced
2008HWichita, KSYear 301/01/2512/31/25872EAPriced
2009CYLINDER SIZE D REFILL. Includes all delivery and demurrage charges. E0443Year 3NSP
2009AColumbia, MOYear 301/01/2512/31/25392EAPriced
2009BKansas City, MOYear 301/01/2512/31/25188EAPriced
2009CLeavenworth, KSYear 301/01/2512/31/2589EAPriced
2009DMarion, ILYear 301/01/2512/31/25415EAPriced
2009EPoplar Bluff, MOYear 301/01/2512/31/25307EAPriced
2009FSt. Louis, MOYear 301/01/2512/31/25212EAPriced
2009GTopeka, KSYear 301/01/2512/31/25129EAPriced
2009HWichita, KSYear 301/01/2512/31/25180EAPriced
2010CYLINDER SIZE B (M6) REFILL. Includes all delivery and demurrage charges. E0443Year 3NSP
2010AColumbia, MOYear 301/01/2512/31/25367EAPriced
2010BKansas City, MOYear 301/01/2512/31/25374EAPriced
2010CLeavenworth, KSYear 301/01/2512/31/2551EAPriced
2010DMarion, ILYear 301/01/2512/31/25468EAPriced
2010EPoplar Bluff, MOYear 301/01/2512/31/25292EAPriced
2010FSt. Louis, MOYear 301/01/2512/31/25311EAPriced
2010GTopeka, KSYear 301/01/2512/31/2544EAPriced
2010HWichita, KSYear 301/01/2512/31/25139EAPriced
2011LIQUID OXYGEN SYSTEM MONTHLY FEE. This shall include the initial set up and all visits related to the system by a Trained Certified Technican, a Trained Certified Technican, a Certified Respiratory Therapist (CRT) or a Registered Respiratory Therapist (RRT), back-up system complete and all related monthly supplies. E0439b.Year 3NSP
2011AColumbia, MOYear 301/01/2512/31/252MOPriced
2011BKansas City, MOYear 301/01/2512/31/252MOPriced
2011CLeavenworth, KSYear 301/01/2512/31/252MOPriced
2011DMarion, ILYear 301/01/2512/31/252MOPriced
2011EPoplar Bluff, MOYear 301/01/2512/31/252MOPriced
2011FSt. Louis, MOYear 301/01/2512/31/252MOPriced
2011GTopeka, KSYear 301/01/2512/31/252MOPriced
2011HWichita, KSYear 301/01/2512/31/252MOPriced
2012LIQUID OXYGEN SYSTEM (PORTABLE) MONTHLY FEE. This shall include initial set up and all visits related to the system by a Trained Certified Technican, a Certified Respiratory Therapist (CRT) or a Registered Respiratory Therapist (RRT), and all related monthly supplies. E0434Year 3NSP
2012AColumbia, MOYear 301/01/2512/31/252MOPriced
2012BKansas City, MOYear 301/01/2512/31/252MOPriced
2012CLeavenworth, KSYear 301/01/2512/31/252MOPriced
2012DMarion, ILYear 301/01/2512/31/252MOPriced
2012EPoplar Bluff, MOYear 301/01/2512/31/252MOPriced
2012FSt. Louis, MOYear 301/01/2512/31/252MOPriced
2012GTopeka, KSYear 301/01/2512/31/252MOPriced
2012HWichita, KSYear 301/01/2512/31/252MOPriced
2013LIQUID OXYGEN PER POUND. Includes all delivery charges. E0442Year 3NSP
2013AColumbia, MOYear 301/01/2512/31/25300LBPriced
2013BKansas City, MOYear 301/01/2512/31/25300LBPriced
2013CLeavenworth, KSYear 301/01/2512/31/25300LBPriced
2013DMarion, ILYear 301/01/2512/31/25300LBPriced
2013EPoplar Bluff, MOYear 301/01/2512/31/25300LBPriced
2013FSt. Louis, MOYear 301/01/2512/31/25300LBPriced
2013GTopeka, KSYear 301/01/2512/31/25300LBPriced
2013HWichita, KSYear 301/01/2512/31/25300LBPriced
2014AEROSOL COMPRESSOR MONTHLY FEE: This shall include initial set up and all visits related to the system by a Trained Certified Technican, a Certified Respiratory Therapist (CRT) or a Registered Respiratory Therapist (RRT), and all related monthly supplies. E0565Year 3NSP
2014AColumbia, MOYear 301/01/2512/31/255MOPriced
2014BKansas City, MOYear 301/01/2512/31/255MOPriced
2014CLeavenworth, KSYear 301/01/2512/31/255MOPriced
2014DMarion, ILYear 301/01/2512/31/255MOPriced
2014EPoplar Bluff, MOYear 301/01/2512/31/255MOPriced
2014FSt. Louis, MOYear 301/01/2512/31/2514MOPriced
2014GTopeka, KSYear 301/01/2512/31/255MOPriced
2014HWichita, KSYear 301/01/2512/31/255MOPriced
2015HEATED INTEGRATED COMPRESSOR MONTHLY FEE: This shall include initial set up and all visits related to the system by a Trained Certified Technican, a Certified Respiratory Therapist (CRT) or a Registered Respiratory Therapist (RRT), and all related monthly supplies. E0585Year 3NSP
2015AColumbia, MOYear 301/01/2512/31/255MOPriced
2015BKansas City, MOYear 301/01/2512/31/255MOPriced
2015CLeavenworth, KSYear 301/01/2512/31/255MOPriced
2015DMarion, ILYear 301/01/2512/31/257MOPriced
2015EPoplar Bluff, MOYear 301/01/2512/31/255MOPriced
2015FSt. Louis, MOYear 301/01/2512/31/255MOPriced
2015GTopeka, KSYear 301/01/2512/31/255MOPriced
2015HWichita, KSYear 301/01/2512/31/255MOPriced

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