|
CONTRACT ITEMS/SERVICES BY VENDOR
|
Vendor:
PROFESSIONAL HEALTH CARE SVC
OF LAWRENCEVILLE PA
|
Contract Number:
67594
|
UNLESS SPECIFIED OTHERWISE BELOW:
SHIP TO: 424800 / S009
OFFICE OF OCCUP,HEALTH & SAFETY
428 E.STATE ST 4TH FL
PO BOX 416
TRENTON NJ 08625-0416
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00001
|
COMM CODE:
948-47-060286
[HEALTH RELATED SERVICES (FOR HUMAN...]
ITEM DESCRIPTION:
MEDICAL SURVEILLANCE EXAMINATION
(EXCLUDING CHEST X-RAY AND EKG)
(YEAR 1)
THIS IS A SIX-MONTH (6) EXTENSION OF
THE CONTRACT FROM 1/1/2011 THROUGH
6/30/2011. THIS IS IN ACCORDANCE
WITH THE TERMS AND CONDITIONS OF THE
CONTRACT AND RATES IN EFFECT
IN THE LAST YEAR OF THE CONTRACT.
|
1.000
|
EACH
|
N/A
|
$105.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00002
|
COMM CODE:
948-47-060286
[HEALTH RELATED SERVICES (FOR HUMAN...]
ITEM DESCRIPTION:
PULMONARY FUNCTION TESTING
(YEAR 1)
|
1.000
|
EACH
|
N/A
|
$10.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00003
|
COMM CODE:
948-47-060286
[HEALTH RELATED SERVICES (FOR HUMAN...]
ITEM DESCRIPTION:
CHEST X-RAY
(YEAR 1)
|
1.000
TO
1.000
|
EACH
|
N/A
|
$25.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00004
|
COMM CODE:
948-47-060286
[HEALTH RELATED SERVICES (FOR HUMAN...]
ITEM DESCRIPTION:
ELECTROCARDIOGRAM (EKG)
(YEAR 1)
|
1.000
|
EACH
|
N/A
|
$15.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00005
|
COMM CODE:
948-47-060286
[HEALTH RELATED SERVICES (FOR HUMAN...]
ITEM DESCRIPTION:
TETANUS VACCINATION W/DIPTHERIA
(YEAR 1)
|
1.000
|
EACH
|
N/A
|
$15.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00006
|
COMM CODE:
948-47-060286
[HEALTH RELATED SERVICES (FOR HUMAN...]
ITEM DESCRIPTION:
DOT/CDL EXAMINATION
(YEAR 1)
|
1.000
|
EACH
|
N/A
|
$25.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00007
|
COMM CODE:
948-47-060286
[HEALTH RELATED SERVICES (FOR HUMAN...]
ITEM DESCRIPTION:
RESPIRATORY CLEARANCE EXAMINATION
(YEAR 1)
|
1.000
|
EACH
|
N/A
|
$25.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00008
|
COMM CODE:
948-47-060286
[HEALTH RELATED SERVICES (FOR HUMAN...]
ITEM DESCRIPTION:
POLICY ACADEMY EXAMINATION
(YEAR 1)
|
1.000
|
EACH
|
N/A
|
$105.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00009
|
COMM CODE:
948-47-060286
[HEALTH RELATED SERVICES (FOR HUMAN...]
ITEM DESCRIPTION:
RETURN TO WORK EXAMINATION
(YEAR 1)
|
1.000
|
EACH
|
N/A
|
$25.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00010
|
COMM CODE:
948-47-060286
[HEALTH RELATED SERVICES (FOR HUMAN...]
ITEM DESCRIPTION:
FITNESS FOR DUTY EXAMINATION
(YEAR 1)
|
1.000
|
EACH
|
N/A
|
$25.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00011
|
COMM CODE:
948-47-060286
[HEALTH RELATED SERVICES (FOR HUMAN...]
ITEM DESCRIPTION:
HEPATITIS B VACCINATION
(YEAR 1)
|
1.000
|
EACH
|
N/A
|
$40.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00012
|
COMM CODE:
948-47-060286
[HEALTH RELATED SERVICES (FOR HUMAN...]
ITEM DESCRIPTION:
HEPATITIS B ANTIBODY TITER
(YEAR 1)
|
1.000
|
EACH
|
N/A
|
$25.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00013
|
COMM CODE:
948-47-060286
[HEALTH RELATED SERVICES (FOR HUMAN...]
ITEM DESCRIPTION:
RABIES VACCINATION
(YEAR 1)
|
1.000
|
EACH
|
N/A
|
$165.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00014
|
COMM CODE:
948-47-060286
[HEALTH RELATED SERVICES (FOR HUMAN...]
ITEM DESCRIPTION:
RABIES ANTIBODY TITER
(YEAR 1)
|
1.000
|
EACH
|
N/A
|
$65.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00015
|
COMM CODE:
948-47-060286
[HEALTH RELATED SERVICES (FOR HUMAN...]
ITEM DESCRIPTION:
AUDIOGRAM REVIEW
(YEAR 1)
|
1.000
|
EACH
|
N/A
|
NO CHARGE
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00016
|
COMM CODE:
948-47-060286
[HEALTH RELATED SERVICES (FOR HUMAN...]
ITEM DESCRIPTION:
AUDIOMETRIC TESTING
(YEAR 1)
|
1.000
|
EACH
|
N/A
|
$10.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00018
|
COMM CODE:
948-47-060286
[HEALTH RELATED SERVICES (FOR HUMAN...]
ITEM DESCRIPTION:
BASELINE EXAM
(EXCLUDING CHEST X-RAY AND EKG)
-UTILIZING DEP-DESIGNATED SITE
(YEAR 1)
|
1.000
|
EACH
|
N/A
|
$105.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00019
|
COMM CODE:
948-47-060286
[HEALTH RELATED SERVICES (FOR HUMAN...]
ITEM DESCRIPTION:
CONSULTATION SERVICES
(YEAR 1)
|
1.000
|
EACH
|
N/A
|
NO CHARGE
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00020
|
COMM CODE:
948-47-060286
[HEALTH RELATED SERVICES (FOR HUMAN...]
ITEM DESCRIPTION:
CONSULTATION SERVICES AT REMOTE LOCATION
(YEAR 1)
|
1.000
|
EACH
|
N/A
|
NO CHARGE
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00021
|
COMM CODE:
948-47-060286
[HEALTH RELATED SERVICES (FOR HUMAN...]
ITEM DESCRIPTION:
HEALTH PROMOTION ACTIVITIES
AT REMOTE LOCATIONS
(YEAR 1)
|
1.000
|
EACH
|
N/A
|
NO CHARGE
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00022
|
COMM CODE:
948-47-060286
[HEALTH RELATED SERVICES (FOR HUMAN...]
ITEM DESCRIPTION:
MEDICAL SURVEILLANCE EXAMINATIONS
(EXCLUDING CHEST X-RAY AND EKG)
(YEAR 2)
|
1.000
|
EACH
|
N/A
|
$105.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00023
|
COMM CODE:
948-47-060286
[HEALTH RELATED SERVICES (FOR HUMAN...]
ITEM DESCRIPTION:
PULMONARY FUNCTION TESTING
(YEAR 2)
|
1.000
|
EACH
|
N/A
|
$10.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00024
|
COMM CODE:
948-47-060286
[HEALTH RELATED SERVICES (FOR HUMAN...]
ITEM DESCRIPTION:
CHEST X-RAY
(YEAR 2)
|
1.000
|
EACH
|
N/A
|
$25.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00025
|
COMM CODE:
948-47-060286
[HEALTH RELATED SERVICES (FOR HUMAN...]
ITEM DESCRIPTION:
ELECTROCARDIOGRAM (EKG)
(YEAR 2)
|
1.000
|
EACH
|
N/A
|
$15.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00026
|
COMM CODE:
948-47-060286
[HEALTH RELATED SERVICES (FOR HUMAN...]
ITEM DESCRIPTION:
TETANUS VACCINATION W/DIPTHERIA
(YEAR 2)
|
1.000
|
EACH
|
N/A
|
$15.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00027
|
COMM CODE:
948-47-060286
[HEALTH RELATED SERVICES (FOR HUMAN...]
ITEM DESCRIPTION:
DOT/CDL EXAMINATION
(YEAR 2)
|
1.000
|
EACH
|
N/A
|
$25.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00028
|
COMM CODE:
948-47-060286
[HEALTH RELATED SERVICES (FOR HUMAN...]
ITEM DESCRIPTION:
RESPIRATORY CLEARANCE EXAMINATION
(YEAR 2)
|
1.000
|
EACH
|
N/A
|
$25.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00029
|
COMM CODE:
948-47-060286
[HEALTH RELATED SERVICES (FOR HUMAN...]
ITEM DESCRIPTION:
POLICY ACADEMY EXAMINATION
(YEAR 2)
|
1.000
|
EACH
|
N/A
|
$105.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00030
|
COMM CODE:
948-47-060286
[HEALTH RELATED SERVICES (FOR HUMAN...]
ITEM DESCRIPTION:
RETURN TO WORK EXAMINATION
(YEAR 2)
|
1.000
|
EACH
|
N/A
|
$25.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00031
|
COMM CODE:
948-47-060286
[HEALTH RELATED SERVICES (FOR HUMAN...]
ITEM DESCRIPTION:
FITNESS FOR DUTY EXAMINATION
(YEAR 2)
|
1.000
|
EACH
|
N/A
|
$25.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00032
|
COMM CODE:
948-47-060286
[HEALTH RELATED SERVICES (FOR HUMAN...]
ITEM DESCRIPTION:
HEPATITIS B VACCINATION
(YEAR 2)
|
1.000
|
EACH
|
N/A
|
$40.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00033
|
COMM CODE:
948-47-060286
[HEALTH RELATED SERVICES (FOR HUMAN...]
ITEM DESCRIPTION:
HEPATITIS B ANTIBODY TITER
(YEAR 2)
|
1.000
|
EACH
|
N/A
|
$25.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00034
|
COMM CODE:
948-47-060286
[HEALTH RELATED SERVICES (FOR HUMAN...]
ITEM DESCRIPTION:
RABIES VACCINATION
(YEAR 2)
|
1.000
|
EACH
|
N/A
|
$165.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00035
|
COMM CODE:
948-47-060286
[HEALTH RELATED SERVICES (FOR HUMAN...]
ITEM DESCRIPTION:
RABIES ANTIBODY TITER
(YEAR 2)
|
1.000
|
EACH
|
N/A
|
$65.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00036
|
COMM CODE:
948-47-060286
[HEALTH RELATED SERVICES (FOR HUMAN...]
ITEM DESCRIPTION:
AUDIOGRAM REVIEW
(YEAR 2)
|
1.000
|
EACH
|
N/A
|
NO CHARGE
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00037
|
COMM CODE:
948-47-060286
[HEALTH RELATED SERVICES (FOR HUMAN...]
ITEM DESCRIPTION:
AUDIOMETRIC TESTING
(YEAR 2)
|
1.000
|
EACH
|
N/A
|
$10.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00039
|
COMM CODE:
948-47-060286
[HEALTH RELATED SERVICES (FOR HUMAN...]
ITEM DESCRIPTION:
BASELINE EXAM
(EXCLUDING CHEST X-RAY AND EKG)
-UTILIZING DEP-DESIGNATED SITE
(YEAR 2)
|
1.000
|
EACH
|
N/A
|
$105.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00040
|
COMM CODE:
948-47-060286
[HEALTH RELATED SERVICES (FOR HUMAN...]
ITEM DESCRIPTION:
CONSULTATION SERVICES
(YEAR 2)
|
1.000
|
EACH
|
N/A
|
NO CHARGE
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00041
|
COMM CODE:
948-47-060286
[HEALTH RELATED SERVICES (FOR HUMAN...]
ITEM DESCRIPTION:
CONSULTATION SERVICES AT REMOTE LOCATION
(YEAR 2)
|
1.000
|
EACH
|
N/A
|
NO CHARGE
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00042
|
COMM CODE:
948-47-060286
[HEALTH RELATED SERVICES (FOR HUMAN...]
ITEM DESCRIPTION:
HEALTH PROMOTION ACTIVITIES
AT REMOTE LOCATIONS
(YEAR 2)
|
1.000
|
EACH
|
N/A
|
NO CHARGE
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00043
|
COMM CODE:
948-47-060286
[HEALTH RELATED SERVICES (FOR HUMAN...]
ITEM DESCRIPTION:
MEDICAL SURVEILLANCE EXAMINATION
(EXCLUDING CHEST X-RAY AND EKG)
(YEAR 3)
|
1.000
|
EACH
|
N/A
|
$105.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00044
|
COMM CODE:
948-47-060286
[HEALTH RELATED SERVICES (FOR HUMAN...]
ITEM DESCRIPTION:
PULMONARY FUNCTION TESTING
(YEAR 3)
|
1.000
|
EACH
|
N/A
|
$10.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00045
|
COMM CODE:
948-47-060286
[HEALTH RELATED SERVICES (FOR HUMAN...]
ITEM DESCRIPTION:
CHEST X-RAY
(YEAR 3)
|
1.000
|
EACH
|
N/A
|
$25.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00046
|
COMM CODE:
948-47-060286
[HEALTH RELATED SERVICES (FOR HUMAN...]
ITEM DESCRIPTION:
ELECTROCARDIOGRAM (EKG)
(YEAR 3)
|
1.000
|
EACH
|
N/A
|
$15.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00047
|
COMM CODE:
948-47-060286
[HEALTH RELATED SERVICES (FOR HUMAN...]
ITEM DESCRIPTION:
TETANUS VACCINATION W/DIPTHERIA
(YEAR 3)
|
1.000
|
EACH
|
N/A
|
$15.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00048
|
COMM CODE:
948-47-060286
[HEALTH RELATED SERVICES (FOR HUMAN...]
ITEM DESCRIPTION:
DOT/CDL EXAMINATION
(YEAR 3)
|
1.000
|
EACH
|
N/A
|
$25.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00049
|
COMM CODE:
948-47-060286
[HEALTH RELATED SERVICES (FOR HUMAN...]
ITEM DESCRIPTION:
RESPIRATORY CLEARANCE EXAMINATION
(YEAR 3)
|
1.000
|
EACH
|
N/A
|
$25.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00050
|
COMM CODE:
948-47-060286
[HEALTH RELATED SERVICES (FOR HUMAN...]
ITEM DESCRIPTION:
POLICY ACADEMY EXAMINATION
(YEAR 3)
|
1.000
|
EACH
|
N/A
|
$105.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00051
|
COMM CODE:
948-47-060286
[HEALTH RELATED SERVICES (FOR HUMAN...]
ITEM DESCRIPTION:
RETURN TO WORK EXAMINATION
(YEAR 3)
|
1.000
|
EACH
|
N/A
|
$25.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00052
|
COMM CODE:
948-47-060286
[HEALTH RELATED SERVICES (FOR HUMAN...]
ITEM DESCRIPTION:
FITNESS FOR DUTY EXAMINATION
(YEAR 3)
|
1.000
|
EACH
|
N/A
|
$25.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00053
|
COMM CODE:
948-47-060286
[HEALTH RELATED SERVICES (FOR HUMAN...]
ITEM DESCRIPTION:
HEPATITIS B VACCINATION
(YEAR 3)
|
1.000
|
EACH
|
N/A
|
$40.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00054
|
COMM CODE:
948-47-060286
[HEALTH RELATED SERVICES (FOR HUMAN...]
ITEM DESCRIPTION:
HEPATITIS B ANTIBODY TITER
(YEAR 3)
|
1.000
|
EACH
|
N/A
|
$25.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00055
|
COMM CODE:
948-47-060286
[HEALTH RELATED SERVICES (FOR HUMAN...]
ITEM DESCRIPTION:
RABIES VACCINATION
(YEAR 3)
|
1.000
|
EACH
|
N/A
|
$165.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00056
|
COMM CODE:
948-47-060286
[HEALTH RELATED SERVICES (FOR HUMAN...]
ITEM DESCRIPTION:
RABIES ANTIBODY TITER
(YEAR 3)
|
1.000
|
EACH
|
N/A
|
$65.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00057
|
COMM CODE:
948-47-060286
[HEALTH RELATED SERVICES (FOR HUMAN...]
ITEM DESCRIPTION:
AUDIOGRAM REVIEW
(YEAR 3)
|
1.000
|
EACH
|
N/A
|
NO CHARGE
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00058
|
COMM CODE:
948-47-060286
[HEALTH RELATED SERVICES (FOR HUMAN...]
ITEM DESCRIPTION:
AUDIOMETRIC TESTING
(YEAR 3)
|
1.000
|
EACH
|
N/A
|
$10.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00060
|
COMM CODE:
948-47-060286
[HEALTH RELATED SERVICES (FOR HUMAN...]
ITEM DESCRIPTION:
BASELINE EXAM
(EXCLUDING CHEST X-RAY AND EKG)
-UTILIZING DEP-DESIGNATED SITE
(YEAR 3)
|
1.000
|
EACH
|
N/A
|
$105.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00061
|
COMM CODE:
948-47-060286
[HEALTH RELATED SERVICES (FOR HUMAN...]
ITEM DESCRIPTION:
CONSULTATION SERVICES
(YEAR 3)
|
1.000
|
EACH
|
N/A
|
NO CHARGE
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00062
|
COMM CODE:
948-47-060286
[HEALTH RELATED SERVICES (FOR HUMAN...]
ITEM DESCRIPTION:
CONSULTATION SERVICES AT REMOTE LOCATION
(YEAR 3)
|
1.000
|
EACH
|
N/A
|
NO CHARGE
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00063
|
COMM CODE:
948-47-060286
[HEALTH RELATED SERVICES (FOR HUMAN...]
ITEM DESCRIPTION:
HEALTH PROMOTION ACTIVITIES
AT REMOTE LOCATIONS
(YEAR 3)
SHIP TO: 786100 / S224
MAINTENANCE AND OPERATIONS
MAINTENANCE AND OPERATIONS
1035 PARKWAY AVE MOB 1ST
POB 602
TRENTON NJ 08625
|
1.000
|
EACH
|
N/A
|
NO CHARGE
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00064
|
COMM CODE:
948-47-060286
[HEALTH RELATED SERVICES (FOR HUMAN...]
ITEM DESCRIPTION:
BIOLOGICAL MONITORING SPECIMAN
GATHERING/HANDLING/EVALUATION CHARGE
(YEAR 1)
|
1.000
|
EACH
|
N/A
|
$500.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00065
|
COMM CODE:
948-47-060286
[HEALTH RELATED SERVICES (FOR HUMAN...]
ITEM DESCRIPTION:
PASS THROUGH OF COSTS FOR SPECIFIC BLOOD
URINE AND/OR OTHER ANALYSES PERFORMED
AS NECESSITATED BY AN EXPOSURE INCIDENT
REQUIRING BIOLOGICAL MONITORING
(YEAR 1)
|
1.000
|
EACH
|
NET
|
N/A
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00066
|
COMM CODE:
948-47-060286
[HEALTH RELATED SERVICES (FOR HUMAN...]
ITEM DESCRIPTION:
BIOLOGICAL MONITORING SPECIMAN
GATHERING/HANDLING/EVALUATION CHARGE
(YEAR 2)
|
1.000
|
EACH
|
N/A
|
$500.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00067
|
COMM CODE:
948-47-060286
[HEALTH RELATED SERVICES (FOR HUMAN...]
ITEM DESCRIPTION:
PASS THROUGH OF COSTS FOR SPECIFIC BLOOD
URINE AND/OR OTHER ANALYSES PERFORMED
AS NECESSITATED BY AN EXPOSURE INCIDENT
REQUIRING BIOLOGICAL MONITORING
(YEAR 2)
|
1.000
|
EACH
|
NET
|
N/A
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00068
|
COMM CODE:
948-47-060286
[HEALTH RELATED SERVICES (FOR HUMAN...]
ITEM DESCRIPTION:
BIOLOGICAL MONITORING SPECIMAN
GATHERING/HANDLING/EVALUATION CHARGE
(YEAR 3)
|
1.000
|
EACH
|
N/A
|
$500.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00069
|
COMM CODE:
948-47-060286
[HEALTH RELATED SERVICES (FOR HUMAN...]
ITEM DESCRIPTION:
PASS THROUGH OF COSTS FOR SPECIFIC BLOOD
URINE AND/OR OTHER ANALYSES PERFORMED
AS NECESSITATED BY AN EXPOSURE INCIDENT
REQUIRING BIOLOGICAL MONITORING
(YEAR 3)
|
1.000
|
EACH
|
NET
|
N/A
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00070
|
COMM CODE:
948-47-060286
[HEALTH RELATED SERVICES (FOR HUMAN...]
ITEM DESCRIPTION:
MEDICAL SURVEILLANCE EXAMINATION
(EXCLUDING CHEST X-RAY AND EKG)
DOT USE ONLY (YEAR 3)
SHIP TO: 786100 / S224
MAINTENANCE AND OPERATIONS
MAINTENANCE AND OPERATIONS
1035 PARKWAY AVE MOB 1ST
POB 602
TRENTON NJ 08625
|
1.000
|
EACH
|
N/A
|
$105.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00071
|
COMM CODE:
948-47-060286
[HEALTH RELATED SERVICES (FOR HUMAN...]
ITEM DESCRIPTION:
PULMONARY FUNCTION TESTING
(YEAR 3) DOT USE ONLY
SHIP TO: 786100 / S224
MAINTENANCE AND OPERATIONS
MAINTENANCE AND OPERATIONS
1035 PARKWAY AVE MOB 1ST
POB 602
TRENTON NJ 08625
|
1.000
|
EACH
|
N/A
|
$10.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00072
|
COMM CODE:
948-47-060286
[HEALTH RELATED SERVICES (FOR HUMAN...]
ITEM DESCRIPTION:
CHEST X-RAY
(YEAR 3) DOT USE ONLY
SHIP TO: 786100 / S224
MAINTENANCE AND OPERATIONS
MAINTENANCE AND OPERATIONS
1035 PARKWAY AVE MOB 1ST
POB 602
TRENTON NJ 08625
|
1.000
|
EACH
|
N/A
|
$25.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00073
|
COMM CODE:
948-47-060286
[HEALTH RELATED SERVICES (FOR HUMAN...]
ITEM DESCRIPTION:
ELECTROCARDIOGRAM (EKG)
(YEAR 3) DOT USE ONLY
|
1.000
|
EACH
|
N/A
|
$15.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00074
|
COMM CODE:
948-47-060286
[HEALTH RELATED SERVICES (FOR HUMAN...]
ITEM DESCRIPTION:
TETANUS VACCINATION W/DIPTHERIA
(YEAR 3) DOT USE ONLY
|
1.000
|
EACH
|
N/A
|
$15.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00075
|
COMM CODE:
948-47-060286
[HEALTH RELATED SERVICES (FOR HUMAN...]
ITEM DESCRIPTION:
DOT/CDL EXAMINATION
(YEAR 3) DOT USE ONLY
|
1.000
|
EACH
|
N/A
|
$25.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00076
|
COMM CODE:
948-47-060286
[HEALTH RELATED SERVICES (FOR HUMAN...]
ITEM DESCRIPTION:
RESPIRATORY CLEARANCE EXAMINATION
(YEAR 3) DOT USE ONLY
|
1.000
|
EACH
|
N/A
|
$25.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00077
|
COMM CODE:
948-47-060286
[HEALTH RELATED SERVICES (FOR HUMAN...]
ITEM DESCRIPTION:
POLICY ACADEMY EXAMINATION
(YEAR 3) DOT USE ONLY
|
1.000
|
EACH
|
N/A
|
$105.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00078
|
COMM CODE:
948-47-060286
[HEALTH RELATED SERVICES (FOR HUMAN...]
ITEM DESCRIPTION:
RETURN TO WORK EXAMINATION
(YEAR 3) DOT USE ONLY
|
1.000
|
EACH
|
N/A
|
$25.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00079
|
COMM CODE:
948-47-060286
[HEALTH RELATED SERVICES (FOR HUMAN...]
ITEM DESCRIPTION:
FITNESS FOR DUTY EXAMINATION
(YEAR 3) DOT USE ONLY
SHIP TO: 786100 / S224
MAINTENANCE AND OPERATIONS
MAINTENANCE AND OPERATIONS
1035 PARKWAY AVE MOB 1ST
POB 602
TRENTON NJ 08625
|
1.000
|
EACH
|
N/A
|
$25.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00080
|
COMM CODE:
948-47-060286
[HEALTH RELATED SERVICES (FOR HUMAN...]
ITEM DESCRIPTION:
HEPATITIS B VACCINATION
(YEAR 3) DOT USE ONLY
SHIP TO: 786100 / S224
MAINTENANCE AND OPERATIONS
MAINTENANCE AND OPERATIONS
1035 PARKWAY AVE MOB 1ST
POB 602
TRENTON NJ 08625
|
1.000
|
EACH
|
N/A
|
$40.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00081
|
COMM CODE:
948-47-060286
[HEALTH RELATED SERVICES (FOR HUMAN...]
ITEM DESCRIPTION:
HEPATITIS B ANTIBODY TITER
(YEAR 3) DOT USE ONLY
SHIP TO: 786100 / S224
MAINTENANCE AND OPERATIONS
MAINTENANCE AND OPERATIONS
1035 PARKWAY AVE MOB 1ST
POB 602
TRENTON NJ 08625
|
1.000
|
EACH
|
N/A
|
$25.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00082
|
COMM CODE:
948-47-060286
[HEALTH RELATED SERVICES (FOR HUMAN...]
ITEM DESCRIPTION:
RABIES VACCINATION
(YEAR 3) DOT USE ONLY
SHIP TO: 786100 / S224
MAINTENANCE AND OPERATIONS
MAINTENANCE AND OPERATIONS
1035 PARKWAY AVE MOB 1ST
POB 602
TRENTON NJ 08625
|
1.000
|
EACH
|
N/A
|
$165.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00083
|
COMM CODE:
948-47-060286
[HEALTH RELATED SERVICES (FOR HUMAN...]
ITEM DESCRIPTION:
RABIES ANTIBODY TITER
(YEAR 3) DOT USE ONLY
SHIP TO: 786100 / S224
MAINTENANCE AND OPERATIONS
MAINTENANCE AND OPERATIONS
1035 PARKWAY AVE MOB 1ST
POB 602
TRENTON NJ 08625
|
1.000
|
EACH
|
N/A
|
$65.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00084
|
COMM CODE:
948-47-060286
[HEALTH RELATED SERVICES (FOR HUMAN...]
ITEM DESCRIPTION:
AUDIOGRAM REVIEW
(YEAR 3) DOT USE ONLY
SHIP TO: 786100 / S224
MAINTENANCE AND OPERATIONS
MAINTENANCE AND OPERATIONS
1035 PARKWAY AVE MOB 1ST
POB 602
TRENTON NJ 08625
|
1.000
|
EACH
|
N/A
|
NO CHARGE
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00085
|
COMM CODE:
948-47-060286
[HEALTH RELATED SERVICES (FOR HUMAN...]
ITEM DESCRIPTION:
AUDIOMETRIC TESTING
(YEAR 3) DOT USE ONLY
SHIP TO: 786100 / S224
MAINTENANCE AND OPERATIONS
MAINTENANCE AND OPERATIONS
1035 PARKWAY AVE MOB 1ST
POB 602
TRENTON NJ 08625
|
1.000
|
EACH
|
N/A
|
$10.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00086
|
COMM CODE:
948-47-060286
[HEALTH RELATED SERVICES (FOR HUMAN...]
ITEM DESCRIPTION:
BASELINE EXAM
(EXCLUDING CHEST X-RAY AND EKG)
-UTILIZING DEP-DESIGNATED SITE
(YEAR 3) DOT USE ONLY
SHIP TO: 786100 / S224
MAINTENANCE AND OPERATIONS
MAINTENANCE AND OPERATIONS
1035 PARKWAY AVE MOB 1ST
POB 602
TRENTON NJ 08625
|
1.000
|
EACH
|
N/A
|
$105.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00087
|
COMM CODE:
948-47-060286
[HEALTH RELATED SERVICES (FOR HUMAN...]
ITEM DESCRIPTION:
CONSULTATION SERVICES
(YEAR 3) DOT USE ONLY
SHIP TO: 786100 / S224
MAINTENANCE AND OPERATIONS
MAINTENANCE AND OPERATIONS
1035 PARKWAY AVE MOB 1ST
POB 602
TRENTON NJ 08625
|
1.000
|
EACH
|
N/A
|
NO CHARGE
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00088
|
COMM CODE:
948-47-060286
[HEALTH RELATED SERVICES (FOR HUMAN...]
ITEM DESCRIPTION:
CONSULTATION SERVICES AT REMOTE LOCATION
(YEAR 3) DOT USE ONLY
SHIP TO: 786100 / S224
MAINTENANCE AND OPERATIONS
MAINTENANCE AND OPERATIONS
1035 PARKWAY AVE MOB 1ST
POB 602
TRENTON NJ 08625
|
1.000
|
EACH
|
N/A
|
NO CHARGE
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00089
|
COMM CODE:
948-47-060286
[HEALTH RELATED SERVICES (FOR HUMAN...]
ITEM DESCRIPTION:
BIOLOGICAL MONITORING SPECIMAN
GATHERING/HANDLING/EVALUATION CHARGE
(YEAR 3) DOT USE ONLY
SHIP TO: 786100 / S224
MAINTENANCE AND OPERATIONS
MAINTENANCE AND OPERATIONS
1035 PARKWAY AVE MOB 1ST
POB 602
TRENTON NJ 08625
|
1.000
|
EACH
|
N/A
|
$500.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00090
|
COMM CODE:
948-47-060286
[HEALTH RELATED SERVICES (FOR HUMAN...]
ITEM DESCRIPTION:
PASS THROUGH OF COSTS FOR SPECIFIC BLOOD
URINE AND/OR OTHER ANALYSES PERFORMED
AS NECESSITATED BY AN EXPOSURE INCIDENT
REQUIRING BIOLOGICAL MONITORING
(YEAR 3) DOT USE ONLY
SHIP TO: 786100 / S224
MAINTENANCE AND OPERATIONS
MAINTENANCE AND OPERATIONS
1035 PARKWAY AVE MOB 1ST
POB 602
TRENTON NJ 08625
|
1.000
|
EACH
|
NET
|
N/A
|