| Service Description | CPT Code | Charge Type | PrimaryCare Practice Price |
|---|---|---|---|
| AMPUTATION PENIS PARTIAL | 54120 | Prof | $1532.00 |
| AMPUTATION, FOOT PP | 27888 | Prof | $1453.50 |
| AMPUTATION, TOE PP | 28825 | Prof | $875.00 |
| AMPUTATION,ARM-HUMERUS,OPEN,CIRCULAR PP | 24920 | Prof | $1563.00 |
| AMPUTATION,ARM-HUMERUS,SECONDARY CLOSURE/SCAR REVISION PP | 24925 | Prof | $1205.00 |
| AMPUTATION,ARM-HUMERUS,W PRIMARY CLOSURE PP | 24900 | Prof | $1695.00 |
| AMPUTATION,FINGER/THUMB,PRIMARY/SECONDARY,ANY JT/PHALANX,SINGLE,W DIR CLOSURE PP | 26951 | Prof | $1367.00 |
| AMPUTATION,FOOT,MIDTARSAL PP | 28800 | Prof | $1177.00 |
| AMPUTATION,FOOT,TRANSMETATARSAL PP | 28805 | Prof | $1731.00 |
| AMPUTATION,FOREARM,THROUGH RADIUS/ULNA PP | 25900 | Prof | $1510.00 |
| AMPUTATION,FOREARM,THROUGH RADIUS/ULNA,OPEN,CIRCULAR PP | 25905 | Prof | $1487.00 |
| AMPUTATION,FOREARM,THROUGH RADIUS/ULNA,SECONDARY CLOSEURE/SCAR REVISION PP | 25907 | Prof | $1305.00 |
| AMPUTATION,INTERPELVIABDOMINAL PP | 27290 | Prof | $3747.00 |
| AMPUTATION,INTERTHORACOSCAPULAR(FOREQUARTER) PP | 23900 | Prof | $2975.00 |
| AMPUTATION,LEG,THROUGH TIBIA/FIBULA PP | 27880 | Prof | $2138.00 |
| AMPUTATION,LEG,THROUGH TIBIA/FIBULA,OPEN,CIRCULAR PP | 27882 | Prof | $1409.00 |
| AMPUTATION,LEG,THROUGH TIBIA/FIBULA,SECONDARY CLOSURE/SCAR REVISION PP | 27884 | Prof | $1247.00 |
| AMPUTATION,METACARPAL,W FINGER/THUMB,SINGLE,W/WO INTEROSSEOUS TRANSF PP | 26910 | Prof | $1505.00 |
| AMPUTATION,METATARSAL,W TOE,SINGLE PP | 28810 | Prof | $1017.00 |
| AMPUTATION,THIGH,THROUGH FEMUR,ANY LEVEL PP | 27590 | Prof | $1875.00 |
Primary Care Practices
ChristianaCare is a private not-for-profit regional health care system (tax exempt under
Section 501 (c)(3) of the Internal Revenue Code - ID Number 51-0103684) and relies in part on the generosity of individuals, foundations and corporations to fulfill its mission. To learn more about how you can support our mission, please visit christianacare.org/donors.
ChristianaCare, PO Box 1668, Wilmington, DE 19899 800-693-CARE
