Bilateral Screening Mammogram (77067 TC) and 5 more items

Ended Virginia Awarded

Contract number
PO04989109
Awardee
Wellmont Health Systems
Contracting organization
Virginia Department of Health
Cumulative value
$282.35

Award facts

Completion date

Award details come from logi.cgieva.com. Updated .

About this award

The Virginia Department of Health has awarded a Memorandum of Agreement (PO04989109) to Wellmont Health Systems, effective from January 1, 2025, through December 31, 2025. The contract focuses on providing specific medical imaging services, with all deliverables directed to Linda Stanley. The line items include various diagnostic and screening breast-related procedures, such as bilateral screening mammograms, digital breast tomosynthesis (both screening and diagnostic), bilateral diagnostic mammograms, and breast ultrasound examinations.

The contract's total cumulative value is $282, with individual line item unit prices ranging from $14.96 to $106.48 for procedures including CPT/HCPCS codes 77067 TC (bilateral screening mammogram), 77063 TC (screening digital breast tomosynthesis), G0279 TC (diagnostic digital breast tomosynthesis), 77066 TC (bilateral diagnostic mammogram), and 76642 TC (breast ultrasound). These medical imaging services appear to be part of a targeted healthcare screening and diagnostic program administered by the Virginia Department of Health, with Wellmont Health Systems serving as the prime contractor for these specialized radiological services.

Line items

Item Total
2025 EWL Allowable Procedures 1 Each —
Bilateral Screening Mammogram (77067 TC) 1 Each × $88.09 $88.09
Screening digital breast tomosynthesis, bilateral (77063 TC) 1 Each × $22.92 $22.92
Diagnostic digital breast tomosynthesis, bilateral (G0279 TC) 1 Each × $14.96 $14.96
Bilateral Diagnostic Mammogram (77066 TC) 1 Each × $106.48 $106.48
Breast Ultrasound (76642 TC) 1 Each × $49.90 $49.90

Quick answers

Who was awarded contract PO04989109?

Contract PO04989109 was awarded to Wellmont Health Systems by Virginia Department of Health on January 1, 2025.

How much is contract PO04989109 worth?

Its cumulative value is $282.35.

Is contract PO04989109 an order under another contract?

Yes. It was placed under contract CTR035530, a memorandum of agreement.

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