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Notice of Award
Term Contract(s)
 
T-2609
MEDICAL EXAMINATIONS, TESTING &
SERVICES

Vendor Information
By Vendor
RFP Documents
Email to JONATHAN WALLACE

Downloadable NOA Documents
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NOAs By Number NOAs By Title Search NOAs
 
Index #:		 T-2609
Contract #: 82697
Contract Period: FROM:   10/01/12   TO:   09/30/16
Applicable To: ALL STATE AGENCIES
Cooperative Purchasing: NOT APPLICABLE
Vendor Name & Address: ROBERT WOOD JOHNSON UNIVERSITY
HOSPITAL AT HAMILTON
1 HAMILTON HEALTH PLACE
HAMILTON, NJ 08690-3542
For Procurement Bureau Use:  
Solicitation #: 22624
Bid Open Date: 07/11/12
CID #: 1040439
Commodity Code: 948-74
Set-Aside: SMALL BUSINESS SUBCONTRACTING

CONDITIONS AND METHODS OF OPERATION

Multi-Source Contracts: State Agencies and Cooperative Purchasing partners should review each vendor's product/service and prices carefully and place orders in accordance with the terms and conditions of the contract. Note that

A. Delivery: All prices F.O.B. Destination
B. Method of Operation - State Agencies Only:
Issue an agency purchase order to the appropriate contract vendor(s).

In the event of an emergency, contact the following in the order listed:

JONATHAN WALLACE PROCUREMENT SPECIALIST 609-341-2976
     
     
  PUB DATE: 09/28/12

VENDOR INFORMATION
Vendor Name & Address:		 ROBERT WOOD JOHNSON UNIVERSITY
HOSPITAL AT HAMILTON
1 HAMILTON HEALTH PLACE
HAMILTON, NJ 08690-3542
Contact Person: ANTHONY J CIMINO
Contact Phone: 609-584-2739
Order Fax: 609-689-7149
Contract#: 82697
Expiration Date: 09/30/16
Terms: NONE
Delivery: SPECIFIED ELSEWHERE
Small Business Enterprise: NO
Minority Business Enterprise: NO
Women Business Enterprise: NO
Cooperative Purchasing *: NO
* WILL VENDOR EXTEND CONTRACT PRICES TO COOPERATIVE PURCHASING PARTICIPANTS?
 

CONTRACT ITEMS/SERVICES BY VENDOR
Vendor:  ROBERT WOOD JOHNSON UNIVERSITY
HOSPITAL AT HAMILTON
Contract Number:  82697
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00001 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
BASIC MEDICAL EXAMINATION
SECTION 3.2.1
CONTRACT YEAR 1
1.000 EACH N/A $146.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00002 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
BASIC MEDICAL EXAMINATION -SURVEILLANCE
SECTION 3.2.1.1
CONTRACT YEAR 1
1.000 EACH N/A $146.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00003 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
BASIC MEDICAL EXAMINATION -VARIATIONS
SECTION 3.2.1.2
CONTRACT YEAR 1
1.000 EACH N/A $146.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00004 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
EKG
SECTION 3.3.14
CONTRACT YEAR 1
1.000 EACH N/A $28.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00005 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
PULMONARY FUNCTION TEST
SECTION 3.3.14
CONTRACT YEAR 1
1.000 EACH N/A $28.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00006 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
STRESS TEST
SECTION 3.3.14
CONTRACT YEAR 1
1.000 EACH N/A $250.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00007 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
CHEST X-RAY WITH B-READING
SECTIONS 3.2.1, 3.2.10, AND 3.3.14
CONTRACT YEAR 1
1.000 EACH N/A $60.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00008 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
OCCUPATIONAL NOISE SURVEILLANCE
EXAMINATION
SECTION 3.2.3
CONTRACT YEAR 1
1.000 EACH N/A $85.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00009 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
OCCUPATIONAL NOISE SURVEILLANCE
HEARING TEST
SECTION 3.2.3.1
CONTRACT YEAR 1
1.000 EACH N/A $25.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00010 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
OCCUPATIONAL NOISE SURVEILLANCE
AUDIOGRAM REVIEW
SECTION 3.2.3.2
CONTRACT YEAR 1
1.000 EACH N/A $25.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00011 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
POLICE & FIREMAN'S RETIREMENT SYSTEM
PHYSICAL EXAMINATION
SECTION 3.2.4
CONTRACT YEAR 1
1.000 EACH N/A $146.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00012 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
FITNESS FOR DUTY EXAMINATION
SECTION 3.2.5
CONTRACT YEAR 1
1.000 EACH N/A $85.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00013 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
COMMERCIAL DRIVERS LICENSE PHYSICAL
EXAMINATION
SECTION 3.2.6
CONTRACT YEAR 1
1.000 EACH N/A $65.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00014 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
OFFICER APPRENTICE/RECRUIT CANDIDATE
EXAMINATION (DOC AND DEP)
SECTION 3.2.7
CONTRACT YEAR 1
1.000 EACH N/A $146.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00015 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
OFFICER APPRENTICE/RECRUIT CANDIDATE
EXAMINATION (DOC AND DEP)
ITEM (M) STOOL OCCULT BLOOD EXAMINATION
FOR EMPLOYEES OVER 40 YEARS OF AGE
HEMOCCULT AND RECTAL EXAMINATION
SECTION 3.2.7
CONTRACT YEAR 1
1.000 EACH N/A $146.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00016 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
OFFICER APPRENTICE/RECRUIT CANDIDATE
EXAMINATION (DOC AND DEP)
ITEM (N) PROSTATE SPECIFIC ANTIGEN
FOR MALES
SECTION 3.2.7
CONTRACT YEAR 1
1.000 EACH N/A $146.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00017 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
PSYCHOLOGICAL EXAMINIATION -PSYCHOLOGIST
SECTION 3.2.8
CONTRACT YEAR 1
1.000 EACH N/A $200.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00018 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
PSYCHIATRIC EXAMINATION
BOARD-CERTIFIED PSYCHIATRIST
SECTION 3.2.8
CONTRACT YEAR 1
1.000 EACH N/A $300.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00019 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
VISUAL ACUITY TEST
SECTION 3.2.9
CONTRACT YEAR 1
1.000 EACH N/A $12.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00020 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
RESPIRATORY CLEARANCE EXAMINATION
SECTION 3.2.10
CONTRACT YEAR 1
1.000 EACH N/A $65.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00021 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
RESPIRATORY FIT TEST
SECTION 3.2.10.1
CONTRACT YEAR 1
1.000 EACH N/A $30.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00022 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
HAZARDOUS WASTE OPERATION & EMERGENCY
RESPONSE SURVEILLANCE EXAMINATION
SECTION 3.2.11
CONTRACT YEAR 1
1.000 EACH N/A $146.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00023 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
HAZARDOUS SUBSTANCE POST EXPOSURE
EVALUATION EXAMINATION
SECTION 3.2.12
CONTRACT YEAR 1
1.000 EACH N/A $85.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00024 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
LEAD/HEAVY METALS
SURVEILLANCE EXAMINATION
SECTION 3.2.13
CONTRACT YEAR 1
1.000 EACH N/A $146.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00025 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
BLOOD LEAD/HEAVY METALS MONITORING
SECTION 3.2.13.1
CONTRACT YEAR 1
1.000 EACH N/A $25.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00026 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
SILICA SURVEILLANCE EXAMINATION
SECTION 3.2.14
CONTRACT YEAR 1
1.000 EACH N/A $168.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00027 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
ASBESTOS SURVEILLANCE EXAMINATION
SECTION 3.2.15
CONTRACT YEAR 1
1.000 EACH N/A $168.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00028 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
HEPATITIS A VACCINATION
SECTION 3.3.1
CONTRACT YEAR 1
1.000 EACH N/A $74.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00029 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
HEPATITIS B VACCINATION
SECTION 3.3.2
CONTRACT YEAR 1
1.000 EACH N/A $62.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00030 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
HEPATITIS B TITER
SECTION 3.3.2
CONTRACT YEAR 1
1.000 EACH N/A $20.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00031 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
RABIES PROPHALAXIS
SECTION 3.3.3
CONTRACT YEAR 1
1.000 EACH N/A $250.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00032 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
TETANUS VACCINATION/BOOSTER
SECTION 3.3.4
CONTRACT YEAR 1
1.000 EACH N/A $20.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00033 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
VARICELLA VACCINATION/BOOSTER
SECTION 3.3.5
CONTRACT YEAR 1
1.000 EACH N/A $100.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00034 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
TUBERCULOSIS VACCINATION/BOOSTER
SECTION 3.3.6
CONTRACT YEAR 1
1.000 EACH N/A $20.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00035 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
TUBERCULOSIS TESTING (SKIN TEST)
SECTION 3.3.6
CONTRACT YEAR 1
1.000 EACH N/A $10.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00036 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
BOTULINUM VACCINATION/BOOSTER
SECTION 3.3.7
CONTRACT YEAR 1
1.000 EACH N/A $20.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00037 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
MEASLES, MUMPS, RUBELLA
VACCINATION/BOOSTER
SECTION 3.3.8
CONTRACT YEAR 1
1.000 EACH N/A $65.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00038 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
BRUCELLOSIS VACCINATION/BOOSTER
SECTION 3.3.9
CONTRACT YEAR 1
1.000 EACH N/A $20.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00039 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
ANTHRAX VACCINATION/BOOSTER
SECTION 3.3.10
CONTRACT YEAR 1
1.000 EACH N/A $20.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00040 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
BORDETELLA PERTUSSIS
VACCINATION/BOOSTER
SECTION 3.3.11
CONTRACT YEAR 1
1.000 EACH N/A $39.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00041 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
DIPTHERIA VACCINATION/BOOSTER
SECTION 3.3.12
CONTRACT YEAR 1
1.000 EACH N/A $20.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00042 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
STREPTOCOCCUS PNEUMONIAE
VACCINATION/BOOSTER
SECTION 3.3.13
CONTRACT YEAR 1
1.000 EACH N/A $65.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00043 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
ADDITIONAL TESTING
REQUIRING PRE-APPROVAL OF
STATE CONTRACT MANAGER
SECTION 3.3.14
CONTRACT YEAR 1
1.000 EACH NET N/A
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00044 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
CONSULTATION SERVICES
REQUIRING PRE-APPROVAL OF
STATE CONTRACT MANAGER
SECTION 3.4
CONTRACT YEAR 1
1.000 EACH NET N/A
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00045 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
TESTIMONY/LITIGATION SUPPORT
REQUIRING PRE-APPROVAL OF
STATE CONTRACT MANAGER
SECTION 3.6
CONTRACT YEAR 1
1.000 EACH NET N/A
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00046 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
BIOLOGICAL MONITORING SPECIMAN
GATHERING/HANDLING/EVALUATION CHARGE
AS MEDICALLY OR LEGALLY REQUIRED
CONTRACT YEAR 1
1.000 EACH N/A $30.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00047 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
PASS-THRU OF COSTS FOR SPECIFIC
BIOLGICAL MONITORING SPECIMAN
GATHERING/HANDLING/EVALUATION CHARGE
AS APPROVED BY STATE CONTRACT MANAGER
CONTRACT YEAR 1
1.000 EACH NET N/A
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00048 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
BASIC MEDICAL EXAMINATION
SECTION 3.2.1
CNTRACT YEAR 2

1.000 EACH N/A $146.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00049 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
BASIC MEDICAL EXAMINATION -SURVEILLANCE
SECTION 3.2.1.1
CONTRACT YEAR 2

1.000 EACH N/A $146.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00050 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
BASIC MEDICAL EXAMINATION -VARIATIONS
SECTION 3.2.1.2
CONTRACT YEAR 2
1.000 EACH N/A $146.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00051 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
EKG
SECTION 3.3.14
CONTRACT YEAR 2
1.000 EACH N/A $28.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00052 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
PULMONARY FUNCTION TEST
SECTION 3.3.14
CONTRACT YEAR 2
1.000 EACH N/A $28.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00053 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
STRESS TEST
SECTION 3.3.14
CONTRACT YEAR 2
1.000 EACH N/A $250.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00054 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
CHEST X-RAY WITH B-READING
SECTIONS 3.2.1, 3.2.10, AND 3.3.14
CONTRACT YEAR 2
1.000 EACH N/A $61.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00055 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
OCCUPATIONAL NOISE SURVEILLANCE
EXAMINATION
SECTION 3.2.3
CONTRACT YEAR 2
1.000 EACH N/A $85.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00056 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
OCCUPATIONAL NOISE SURVEILLANCE AUDIO
GRAM REVIEW
SECTION 3.2.3.1
CONTRACT YEAR 2
1.000 EACH N/A $26.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00057 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
OCCUPATIONAL NOISE SURVEILLANCE
AUDIOGRAM REVIEW
SECTION 3.2.3.2
CONTRACT YEAR 2
1.000 EACH N/A $26.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00058 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
POLICE AND FIREMANS RETIREMENT SYSTEM
PHYSICAL EXAMINATION
SECTION 3.2.4
CONTRACT YEAR 2
1.000 EACH N/A $146.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00059 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
FITNESS FOR DUTY EXAMINATION
SECTION 3.2.5
CONTRACT YEAR 2

1.000 EACH N/A $85.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00060 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
COMMERCIAL DRIVERS LICENSE PHYSICAL
EXAMINATION
SECTION 3.2.6
CONTRACT YEAR 2
1.000 EACH N/A $65.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00061 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
OFFICER APPRENTICE/RECRUIT CANDIDATE
EXAMINATION (DOC AND DEP)
SECTION 3.2.7
CONTRACT YEAR 2
1.000 EACH N/A $146.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00062 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
OFFICER APPRENTICE/RECRUIT CANDIDATE
EXAMINATION (DOC AND DEP)
ITEM (M) STOOL OCCULT BLOOD EXAMINATION
FOR EMPLOYEES OVER 40 YEARS OF AGE
HEMOCCULT AND RECTAL EXAMINATION
SECTION 3.2.7
CONTRACT YEAR 2
1.000 EACH N/A $146.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00063 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
OFFICER APPRENTICE/RECRUIT CANDIDATE
EXAMINATION (DOC AND DEP)
ITEM (N) PROSTATE SPECIFIC ANTIGEN
FOR MALES
SECTION 3.2.7
CONTRACT YEAR 2
1.000 EACH N/A $146.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00064 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
PSYCHOLOGICAL EXAMINIATION -PSYCHOLOGIST
SECTION 3.2.8
CONTRACT YEAR 2
1.000 EACH N/A $200.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00065 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
PYSCHIATRIC EXAMINATION
BOARD CERTIFIED PYSCHIATRIST
SECTION 3.2.8
CONTRACT YEAR 2
1.000 EACH N/A $300.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00066 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
VISUAL ACUITY TEST
SECTION 3.2.9
CONTRACT YEAR 2
1.000 EACH N/A $13.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00067 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
RESPIRATORY CLEARANCE EXAMINATION
SECTION 3.2.10
CONTRACT YEAR 2
1.000 EACH N/A $65.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00068 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
RESPIRATORY FIT TEST
SECTION 3.2.10.1
CONTRACT YEAR 2
1.000 EACH N/A $31.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00069 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
HAZARDOUS WASTE OPERATION & EMERGENCY
RESPONSE SURVEILLANCE EXAMINATION
SECTION 3.2.11
CONTRACT YEAR 2
1.000 EACH N/A $146.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00070 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
HAZARDOUS SUBSTANCE POST EXPOSURE
EVALUATION EXAMINATION
SECTION 3.2.12
CONTRACT YEAR 2
1.000 EACH N/A $85.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00071 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
LEAD/HEAVY METALS
SURVEILLANCE EXAMINATION
SECTION 3.2.13
CONTRACT YEAR 2
1.000 EACH N/A $146.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00072 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
BLOOD LEAD/HEAVY METALS MONITORING
SECTION 3.2.13.1
CONTRACT YEAR 2
1.000 EACH N/A $26.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00073 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
SILICA SURVEILLANCE EXAMINATION
SECTION 3.2.14
CONTRACT YEAR 2
1.000 EACH N/A $168.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00074 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
ASBESTOS SURVEILLANCE EXAMINATION
SECTION 3.2.15
CONTRACT YEAR 2
1.000 EACH N/A $168.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00075 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
HEPATITIS A VACCINATION
SECTION 3.3.1
CONTRACT YEAR 2
1.000 EACH N/A $75.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00076 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
HEPATITIS B VACCINATION
SECTION 3.3.2
CONTRACT YEAR 2
1.000 EACH N/A $63.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00077 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
HEPATITIS B TITER
SECTION 3.3.2
CONTRACT YEAR 2
1.000 EACH N/A $21.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00078 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
RABIES PROPHALAXIS
SECTION 3.3.3
CONTRACT YEAR 2
1.000 EACH N/A $255.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00079 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
TETANUS VACCINATION/BOOSTER
SECTION 3.3.4
CONTRACT YEAR 2
1.000 EACH N/A $21.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00080 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
VARICELLA VACCINATION/BOOSTER
SECTION 3.3.5
CONTRACT YEAR 2
1.000 EACH N/A $102.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00081 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
TUBERCULOSIS VACCINATION/BOOSTER
SECTION 3.3.6
CONTRACT YEAR 2
1.000 EACH N/A $21.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00082 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
TUBERCULOSIS TESTING (SKIN TEST)
SECTION 3.3.6
CONTRACT YEAR 2
1.000 EACH N/A $10.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00083 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
BOTULINUM VACCINATION/BOOSTER
SECTION 3.3.7
CONTRACT YEAR 2
1.000 EACH N/A $20.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00084 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
MEASLES, MUMPS, RUBELLA
VACCINATION/BOOSTER
SECTION 3.3.8
CONTRACT YEAR 2
1.000 EACH N/A $66.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00085 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
BRUCELLOSIS VACCINATION/BOOSTER
SECTION 3.3.9
CONTRACT YEAR 2
1.000 EACH N/A $20.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00086 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
ANTHRAX VACCINATION/BOOSTER
SECTION 3.3.10
CONTRACT YEAR 2
1.000 EACH N/A $20.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00087 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
BORDETELLA PERTUSSIS
VACCINATION/BOOSTER
SECTION 3.3.11
CONTRACT YEAR 2
1.000 EACH N/A $40.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00088 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
DIPTHERIA VACCINATION/BOOSTER
SECTION 3.3.12
CONTRACT YEAR 2
1.000 EACH N/A $20.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00089 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
STREPTOCOCCUS PNEUMONIAE
VACCINATION/BOOSTER
SECTION 3.3.13
CONTRACT YEAR 2
1.000 EACH N/A $66.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00090 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
ADDITIONAL TESTING
REQUIRING PRE-APPROVAL OF
STATE CONTRACT MANAGER
SECTION 3.3.14
CONTRACT YEAR 2
1.000 EACH NET N/A
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00091 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
CONSULTATION SERVICES
REQUIRING PRE-APPROVAL OF
STATE CONTRACT MANAGER
SECTION 3.4
CONTRACT YEAR 2
1.000 EACH NET N/A
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00092 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
TESTIMONY/LITIGATION SUPPORT
REQUIRING PRE-APPROVAL OF
STATE CONTRACT MANAGER
SECTION 3.6
CONTRACT YEAR 2
1.000 EACH NET N/A
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00093 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
BIOLOGICAL MONITORING SPECIMAN
GATHERING/HANDLING/EVALUATION CHARGE
AS MEDICALLY OR LEGALLY REQUIRED
CONTRACT YEAR 2
1.000 EACH N/A $30.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00094 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
PASS-THRU OF COSTS FOR SPECIFIC
BIOLGICAL MONITORING SPECIMAN
GATHERING/HANDLING/EVALUATION CHARGE
AS APPROVED BY STATE CONTRACT MANAGER
CONTRACT YEAR 2
1.000 EACH NET N/A
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00095 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
BASIC MEDICAL EXAMINATION
SECTION 3.2.1
CONTRACT YEAR 3
1.000 EACH N/A $149.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00096 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
BASIC MEDICAL EXAMINATION -SURVEILLANCE
SECTION 3.2.1.1
CONTRACT YEAR 3
1.000 EACH N/A $149.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00097 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
BASIC MEDICAL EXAMINATION -VARIATIONS
SECTION 3.2.1.2
CONTRACT YEAR 3
1.000 EACH N/A $149.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00098 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
EKG
SECTION 3.3.14
CONTRACT YEAR 3
1.000 EACH N/A $30.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00099 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
PULMONARY FUNCTION TEST
SECTION 3.3.14
CONTRACT YEAR 3
1.000 EACH N/A $30.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00100 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
STRESS TEST
SECTION 3.3.14
CONTRACT YEAR 3
1.000 EACH N/A $255.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00101 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
CHEST X-RAY WITH B-READING
SECTIONS 3.2.1, 3.2.10, AND 3.3.14
CONTRACT YEAR 3
1.000 EACH N/A $62.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00102 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
OCCUPATIONAL NOISE SURVEILLANCE
EXAMINATION
SECTION 3.2.3
CONTRACT YEAR 3
1.000 EACH N/A $87.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00103 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
OCCUPATIONAL NOISE SURVEILLANCE
HEARING TEST
SECTION 3.2.3.1
CONTRACT YEAR 3
1.000 EACH N/A $27.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00104 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
OCCUPATIONAL NOISE SURVEILLANCE
AUDIOGRAM REVIEW
SECTION 3.2.3.2
CONTRACT YEAR 3
1.000 EACH N/A $27.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00105 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
POLICE & FIREMAN'S RETIREMENT SYSTEM
PHYSICAL EXAMINATION
SECTION 3.2.4
CONTRACT YEAR 3
1.000 EACH N/A $149.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00106 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
FITNESS FOR DUTY EXAMINATION
SECTION 3.2.5
CONTRACT YEAR 3
1.000 EACH N/A $87.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00107 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
COMMERCIAL DRIVERS LICENSE PHYSICAL
EXAMINATION
SECTION 3.2.6
CONTRACT YEAR 3
1.000 EACH N/A $67.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00108 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
OFFICER APPRENTICE/RECRUIT CANDIDATE
EXAMINATION (DOC AND DEP)
SECTION 3.2.7
CONTRACT YEAR 3
1.000 EACH N/A $149.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00109 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
OFFICER APPRENTICE/RECRUIT CANDIDATE
EXAMINATION (DOC AND DEP)
ITEM (M) STOOL OCCULT BLOOD EXAMINATION
FOR EMPLOYEES OVER 40 YEARS OF AGE
HEMOCCULT AND RECTAL EXAMINATION
SECTION 3.2.7
CONTRACT YEAR 3
1.000 EACH N/A $149.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00110 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
OFFICER APPRENTICE/RECRUIT CANDIDATE
EXAMINATION (DOC AND DEP)
ITEM (N) PROSTATE SPECIFIC ANTIGEN
FOR MALES
SECTION 3.2.7
CONTRACT YEAR 3
1.000 EACH N/A $149.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00111 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
PSYCHOLOGICAL EXAMINIATION -PSYCHOLOGIST
SECTION 3.2.8
CONTRACT YEAR 3
1.000 EACH N/A $204.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00112 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
PSYCHIATRIC EXAMINATION
BOARD-CERTIFIED PSYCHIATRIST
SECTION 3.2.8
CONTRACT YEAR 3
1.000 EACH N/A $306.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00113 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
VISUAL ACUITY TEST
SECTION 3.2.9
CONTRACT YEAR 3
1.000 EACH N/A $14.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00114 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
RESPIRATORY CLEARANCE EXAMINATION
SECTION 3.2.10
CONTRACT YEAR 3
1.000 EACH N/A $67.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00115 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
RESPIRATORY FIT TEST
SECTION 3.2.10.1
CONTRACT YEAR 3
1.000 EACH N/A $32.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00116 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
HAZARDOUS WASTE OPERATION & EMERGENCY
RESPONSE SURVEILLANCE EXAMINATION
SECTION 3.2.11
CONTRACT YEAR 3
1.000 EACH N/A $149.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00117 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
HAZARDOUS SUBSTANCE POST EXPOSURE
EVALUATION EXAMINATION
SECTION 3.2.12
CONTRACT YEAR 3
1.000 EACH N/A $87.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00118 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
LEAD/HEAVY METALS
SURVEILLANCE EXAMINATION
SECTION 3.2.13
CONTRACT YEAR 3
1.000 EACH N/A $149.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00119 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
BLOOD LEAD/HEAVY METALS MONITORING
SECTION 3.2.13.1
CONTRACT YEAR 3
1.000 EACH N/A $27.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00120 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
SILICA SURVEILLANCE EXAMINATION
SECTION 3.2.14
CONTRACT YEAR 3
1.000 EACH N/A $171.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00121 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
ASBESTOS SURVEILLANCE EXAMINATION
SECTION 3.2.15
CONTRACT YEAR 3
1.000 EACH N/A $171.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00122 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
HEPATITIS A VACCINATION
SECTION 3.3.1
CONTRACT YEAR 3
1.000 EACH N/A $76.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00123 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
HEPATITIS B VACCINATION
SECTION 3.3.2
CONTRACT YEAR 3
1.000 EACH N/A $64.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00124 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
HEPATITIS B TITER
SECTION 3.3.2
CONTRACT YEAR 3
1.000 EACH N/A $22.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00125 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
RABIES PROPHALAXIS
SECTION 3.3.3
CONTRACT YEAR 3
1.000 EACH N/A $260.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00126 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
TETANUS VACCINATION/BOOSTER
SECTION 3.3.4
CONTRACT YEAR 3
1.000 EACH N/A $22.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00127 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
VARICELLA VACCINATION/BOOSTER
SECTION 3.3.5
CONTRACT YEAR 3
1.000 EACH N/A $104.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00128 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
TUBERCULOSIS VACCINATION/BOOSTER
SECTION 3.3.6
CONTRACT YEAR 3
1.000 EACH N/A $22.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00129 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
TUBERCULOSIS TESTING (SKIN TEST)
SECTION 3.3.6
CONTRACT YEAR 3
1.000 EACH N/A $11.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00130 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
BOTULINUM VACCINATION/BOOSTER
SECTION 3.3.7
CONTRACT YEAR 3
1.000 EACH N/A $21.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00131 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
MEASLES, MUMPS, RUBELLA
VACCINATION/BOOSTER
SECTION 3.3.8
CONTRACT YEAR 3
1.000 EACH N/A $67.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00132 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
BRUCELLOSIS VACCINATION/BOOSTER
SECTION 3.3.9
CONTRACT YEAR 3
1.000 EACH N/A $21.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00133 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
ANTHRAX VACCINATION/BOOSTER
SECTION 3.3.10
CONTRACT YEAR 3
1.000 EACH N/A $21.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00134 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
BORDETELLA PERTUSSIS
VACCINATION/BOOSTER
SECTION 3.3.11
CONTRACT YEAR 3
1.000 EACH N/A $41.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00135 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
DIPTHERIA VACCINATION/BOOSTER
SECTION 3.3.12
CONTRACT YEAR 3
1.000 EACH N/A $21.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00136 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
STREPTOCOCCUS PNEUMONIAE
VACCINATION/BOOSTER
SECTION 3.3.13
CONTRACT YEAR 3
1.000 EACH N/A $67.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00137 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
ADDITIONAL TESTING
REQUIRING PRE-APPROVAL OF
STATE CONTRACT MANAGER
SECTION 3.3.14
CONTRACT YEAR 3
1.000 EACH NET N/A
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00138 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
CONSULTATION SERVICES
REQUIRING PRE-APPROVAL OF
STATE CONTRACT MANAGER
SECTION 3.4
CONTRACT YEAR 3
1.000 EACH NET N/A
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00139 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
TESTIMONY/LITIGATION SUPPORT
REQUIRING PRE-APPROVAL OF
STATE CONTRACT MANAGER
SECTION 3.6
CONTRACT YEAR 3
1.000 EACH NET N/A
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00140 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
BIOLOGICAL MONITORING SPECIMAN
GATHERING/HANDLING/EVALUATION CHARGE
AS MEDICALLY OR LEGALLY REQUIRED
CONTRACT YEAR 3
1.000 EACH N/A $31.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00141 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
PASS-THRU OF COSTS FOR SPECIFIC
BIOLGICAL MONITORING SPECIMAN
GATHERING/HANDLING/EVALUATION CHARGE
AS APPROVED BY STATE CONTRACT MANAGER
CONTRACT YEAR 3
1.000 EACH NET N/A
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00142 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
BASIC MEDICAL EXAMINATION
SECTION 3.2.1
CONTRACT YEAR 4
1.000 EACH N/A $152.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00143 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
BASIC MEDICAL EXAMINATION -SURVEILLANCE
SECTION 3.2.1.1
CONTRACT YEAR 4
1.000 EACH N/A $152.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00144 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
BASIC MEDICAL EXAMINATION -VARIATIONS
SECTION 3.2.1.2
CONTRACT YEAR 4
1.000 EACH N/A $152.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00145 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
EKG
SECTION 3.3.14
CONTRACT YEAR 4
1.000 EACH N/A $131.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00146 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
PULMONARY FUNCTION TEST
SECTION 3.3.14
CONTRACT YEAR 4
1.000 EACH N/A $31.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00147 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
STRESS TEST
SECTION 3.3.14
CONTRACT YEAR 4
1.000 EACH N/A $260.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00148 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
CHEST X-RAY WITH B-READING
SECTIONS 3.2.1, 3.2.10, AND 3.3.14
CONTRACT YEAR 4
1.000 EACH N/A $63.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00149 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
OCCUPATIONAL NOISE SURVEILLANCE
EXAMINATION
SECTION 3.2.3
CONTRACT YEAR 4
1.000 EACH N/A $89.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00150 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
OCCUPATIONAL NOISE SURVEILLANCE
HEARING TEST
SECTION 3.2.3.1
CONTRACT YEAR 4
1.000 EACH N/A $28.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00151 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
OCCUPATIONAL NOISE SURVEILLANCE
AUDIOGRAM REVIEW
SECTION 3.2.3.2
CONTRACT YEAR 4
1.000 EACH N/A $28.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00152 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
POLICE & FIREMAN'S RETIREMENT SYSTEM
PHYSICAL EXAMINATION
SECTION 3.2.4
CONTRACT YEAR 4
1.000 EACH N/A $152.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00153 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
FITNESS FOR DUTY EXAMINATION
SECTION 3.2.5
CONTRACT YEAR 4
1.000 EACH N/A $89.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00154 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
COMMERCIAL DRIVERS LICENSE PHYSICAL
EXAMINATION
SECTION 3.2.6
CONTRACT YEAR 4
1.000 EACH N/A $69.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00155 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
OFFICER APPRENTICE/RECRUIT CANDIDATE
EXAMINATION (DOC AND DEP)
SECTION 3.2.7
CONTRACT YEAR 4
1.000 EACH N/A $152.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00156 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
OFFICER APPRENTICE/RECRUIT CANDIDATE
EXAMINATION (DOC AND DEP)
ITEM (M) STOOL OCCULT BLOOD EXAMINATION
FOR EMPLOYEES OVER 40 YEARS OF AGE
HEMOCCULT AND RECTAL EXAMINATION
SECTION 3.2.7
CONTRACT YEAR 4
1.000 EACH N/A $152.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00157 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
OFFICER APPRENTICE/RECRUIT CANDIDATE
EXAMINATION (DOC AND DEP)
ITEM (N) PROSTATE SPECIFIC ANTIGEN
FOR MALES
SECTION 3.2.7
CONTRACT YEAR 4
1.000 EACH N/A $152.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00158 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
PSYCHOLOGICAL EXAMINIATION -PSYCHOLOGIST
SECTION 3.2.8
CONTRACT YEAR 4
1.000 EACH N/A $208.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00159 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
PSYCHIATRIC EXAMINATION
BOARD-CERTIFIED PSYCHIATRIST
SECTION 3.2.8
CONTRACT YEAR 4
1.000 EACH N/A $312.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00160 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
VISUAL ACRUITY TEST
CONTRACT YEAR 4




1.000 EACH N/A $15.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00161 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
RESPIRATORY CLEARANCE EXAMINATION
SECTION 3.2.10
CONTRACT YEAR 4
1.000 EACH N/A $69.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00162 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
RESPIRATORY FIT TEST
SECTION 3.2.10.1
CONTRACT YEAR 4
1.000 EACH N/A $33.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00163 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
HAZARDOUS WASTE OPERATION & EMERGENCY
RESPONSE SURVEILLANCE EXAMINATION
SECTION 3.2.11
CONTRACT YEAR 4
1.000 EACH N/A $152.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00164 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
HAZARDOUS SUBSTANCE POST EXPOSURE
EVALUATION EXAMINATION
SECTION 3.2.12
CONTRACT YEAR 4
1.000 EACH N/A $89.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00165 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
LEAD/HEAVY METALS
SURVEILLANCE EXAMINATION
SECTION 3.2.13
CONTRACT YEAR 4
1.000 EACH N/A $152.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00166 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
BLOOD LEAD/HEAVY METALS MONITORING
SECTION 3.2.13.1
CONTRACT YEAR 4
1.000 EACH N/A $28.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00167 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
SILICA SURVEILLANCE EXAMINATION
SECTION 3.2.14
CONTRACT YEAR 4
1.000 EACH N/A $173.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00168 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
ASBESTOS SURVEILLANCE EXAMINATION
SECTION 3.2.15
CONTRACT YEAR 4
1.000 EACH N/A $173.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00169 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
HEPATITIS A VACCINATION
SECTION 3.3.1
CONTRACT YEAR 4
1.000 EACH N/A $77.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00170 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
HEPATITIS B VACCINATION
SECTION 3.3.2
CONTRACT YEAR 4
1.000 EACH N/A $65.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00171 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
HEPATITIS B TITER
SECTION 3.3.2
CONTRACT YEAR 4
1.000 EACH N/A $23.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00172 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
RABIES PROPHALAXIS
SECTION 3.3.3
CONTRACT YEAR 4
1.000 EACH N/A $265.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00173 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
TETANUS VACCINATION/BOOSTER
SECTION 3.3.4
CONTRACT YEAR 4
1.000 EACH N/A $23.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00174 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
VARICELLA VACCINATION/BOOSTER
SECTION 3.3.5
CONTRACT YEAR 4
1.000 EACH N/A $106.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00175 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
TUBERCULOSIS VACCINATION/BOOSTER
SECTION 3.3.6
CONTRACT YEAR 4
1.000 EACH N/A $23.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00176 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
TUBERCULOSIS TESTING (SKIN TEST)
SECTION 3.3.6
CONTRACT YEAR 4
1.000 EACH N/A $12.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00177 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
BOTULINUM VACCINATION/BOOSTER
SECTION 3.3.7
CONTRACT YEAR 4
1.000 EACH N/A $22.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00178 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
MEASLES, MUMPS, RUBELLA
VACCINATION/BOOSTER
SECTION 3.3.8
CONTRACT YEAR 4
1.000 EACH N/A $68.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00179 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
BRUCELLOSIS VACCINATION/BOOSTER
SECTION 3.3.9
CONTRACT YEAR 4
1.000 EACH N/A $22.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00180 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
ANTHRAX VACCINATION/BOOSTER
SECTION 3.3.10
CONTRACT YEAR 4
1.000 EACH N/A $22.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00181 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
BORDETELLA PERTUSSIS
VACCINATION/BOOSTER
SECTION 3.3.11
CONTRACT YEAR 4
1.000 EACH N/A $42.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00182 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
DIPTHERIA VACCINATION/BOOSTER
SECTION 3.3.12
CONTRACT YEAR 4
1.000 EACH N/A $22.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00183 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
STREPTOCOCCUS PNEUMONIAE
VACCINATION/BOOSTER
SECTION 3.3.13
CONTRACT YEAR 4
1.000 EACH N/A $68.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00184 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
ADDITIONAL TESTING
REQUIRING PRE-APPROVAL OF
STATE CONTRACT MANAGER
SECTION 3.3.14
CONTRACT YEAR 4
1.000 EACH NET N/A
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00185 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
CONSULTATION SERVICES
REQUIRING PRE-APPROVAL OF
STATE CONTRACT MANAGER
SECTION 3.4
CONTRACT YEAR 4
1.000 EACH NET N/A
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00186 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
TESTIMONY/LITIGATION SUPPORT
REQUIRING PRE-APPROVAL OF
STATE CONTRACT MANAGER
SECTION 3.6
CONTRACT YEAR 4
1.000 EACH NET N/A
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00187 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
BIOLOGICAL MONITORING SPECIMAN
GATHERING/HANDLING/EVALUATION CHARGE
AS MEDICALLY OR LEGALLY REQUIRED
CONTRACT YEAR 4
1.000 EACH N/A $32.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00188 COMM CODE:  948-74-069114
[HEALTH RELATED SERVICES (FOR HUMAN...]
 
ITEM DESCRIPTION:
PASS-THRU OF COSTS FOR SPECIFIC
BIOLGICAL MONITORING SPECIMAN
GATHERING/HANDLING/EVALUATION CHARGE
AS APPROVED BY STATE CONTRACT MANAGER
CONTRACT YEAR 4
1.000 EACH NET N/A


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