| Service Description | CPT Code | Charge Type | PrimaryCare Practice Price |
|---|---|---|---|
| INTERACTIVE INDIV PSYCHOTHERAPY W/EM,60 MIN SBWC PP | 90838 | Prof | $231.00 |
| INTERDENTAL WIRING,CONDITION OTHER THAN FRACTURE PP | 21497 | Prof | $1321.00 |
| INTERDENTAL WIRING,FRACTURE PP | 21299 | Prof | $1410.00 |
| interim caries arresting medicament application - per tooth PP | D1354 | Prof | $69.11 |
| interim complete denture (mandibular) PP | D5811 | Prof | $949.03 |
| interim complete denture (maxillary) PP | D5810 | Prof | $942.22 |
| interim partial denture (mandibular) PP | D5821 | Prof | $712.91 |
| interim partial denture (maxillary) PP | D5820 | Prof | $721.23 |
| INTERNAL ANASTOMOSIS,PANCREATIC CYST TO GI TRACT,DIRECT PP | 48520 | Prof | $2330.00 |
| internal bleaching - per tooth PP | D9974 | Prof | $100.00 |
| INTERROGATION DEVICE EVAL,AICD,SUBSTERNAL ELECT,W ANALYSIS PP | 0576T | Prof | $96.75 |
| INTERROGATION DEVICE EVAL,IMPL NEUROSTIMULATOR SYS,CEN SLEEP APNEA PPG | 0434T | Prof | $52.00 |
| INTERROGATION DEVICE EVAL,IMPL NEUROSTIMULATOR SYS,CEN SLEEP APNEA TP | 0434T | Tech | $110.00 |
| INTERROGATION DEVICE EVAL,IN PERSON W ANALY/REPORT,PER PT ENC,WIRELESS STIM LV PACING PP | 0521T | Prof | $214.00 |
| INTERROGATION DEVICE EVAL,IN PERSON W ANALY/REPORT,PER PT ENC,WIRELESS STIM LV PACING PPG | 0521T | Prof | $97.00 |
| INTERROGATION DEVICE EVAL,IN PERSON W ANALY/REPORT,PER PT ENC,WIRELESS STIM LV PACING TP | 0521T | Tech | $117.00 |
| INTERROGATION DEVICE EVAL,IN PERSON,ANALYSIS/REPORT PER PT ENC,CCM SYS PPG | 0418T | Prof | $192.00 |
| INTERROGATION DEVICE EVAL,IN PERSON,ANALYSIS/REPORT PER PT ENC,CCM SYS TP | 0418T | Tech | $35.00 |
| INTERROGATION DEVICE EVAL,UP TO 90 DAYS,SUBSTERNAL AICD ELEC,ANALY PP | 0578T | Prof | $96.75 |
| INTERROGATION DEVICE EVAL,UP TO 90 DAYS,SUBSTERNAL AICD ELEC,REMOTE PP | 0579T | Prof | $96.75 |
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
