| Service Description | CPT Code | Charge Type | PrimaryCare Practice Price |
|---|---|---|---|
| INJ,PHENERGAN, UP TO 50MG MAU PP | J2550 | Prof | $17.00 |
| INJ,SOLU-MEDROL,125MG MAU PP | J2930 | Prof | $23.00 |
| INJ,TORADOL (KETOROLAC),15MG MAU PP | J1885 | Prof | $20.00 |
| INJECT,ANESTHETIC,TRANSFORAMINAL EPIDURAL,W/IMAGING GUIDE;LUMBAR/SACRAL,EA ADD LVL PP | 64484 | Prof | $129.00 |
| INJECTION AA&/STRD AXILLARY NERVE PP | 64417 | Prof | $133.50 |
| INJECTION AA&/STRD AXILLARY NERVE PPG | 64417 | Prof | $133.50 |
| INJECTION AA&/STRD AXILLARY NERVE TP | 64417 | Tech | $1333.43 |
| INJECTION AA&/STRD FEMORAL NERVE PPG | 64447 | Prof | $160.00 |
| INJECTION AA&/STRD FEMORAL NERVE TP | 64447 | Tech | $1028.58 |
| INJECTION ANES AGENT SPHENOPALATINE GANGLION PP | 64505 | Prof | $209.00 |
| INJECTION ANESTHETIC AGENT FEMORAL NERVE SINGLE PP | 64447 | Prof | $160.00 |
| INJECTION ANESTHETIC AGENT SCIATIC NRV SINGLE PP | 64445 | Prof | $174.00 |
| INJECTION INTO THE PSEUDO ARTICULATION TRANSVERSE PROCESS PP | 22899 | Prof | $193.50 |
| INJECTION PEYRONIE DISEASE PPG | 54200 | Prof | $208.00 |
| INJECTION PEYRONIE DISEASE TP | 54200 | Tech | $421.36 |
| INJECTION PROC/PLACE CHAIN AND/OR URETHROCYSTOGRAPHY PP | 51605 | Prof | $81.00 |
| INJECTION PROCEDURE SIALOGRAPHY PP | 42550 | Prof | $138.00 |
| INJECTION PROCEDURE,PERCUTANEOUS TRANSHEPATIC CHOLANGIOGRAPHY PP | 47500 | Prof | $211.00 |
| INJECTION PROCEDURE,RETROGRADE URETHROCYSTOGRAPHY PP | 51610 | Prof | $162.00 |
| INJECTION PROCEDURE,SACROILIAC JOINT,ANESTHETIC/STEROID PP | 27096 | Prof | $182.00 |
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.
To view the pricing by insurance provider and self-pay of all our services, please visit https://billing.christianacare.org/transparency/chargemaster.
ChristianaCare, PO Box 1668, Wilmington, DE 19899 800-693-CARE
