| Service Description | CPT Code | Charge Type | PrimaryCare Practice Price |
|---|---|---|---|
| ORTHOPANTOGRAM PP | 70355 | Prof | $51.94 |
| ORTHOTICS/PROSTH MGMT &/TRAING SBSQ ENCTR 15 MIN PP | 97763 | Prof | $240.00 |
| OSCILLATION,MECHANICAL CHEST WALL,FACILITATE LUNG FUNCTION,PER SESSION PP | 94669 | Prof | $74.00 |
| osseous surgery (including elevation of a full thickness flap and closure) - four or more contiguous teeth or tooth bounded spaces per quadrant PP | D4260 | Prof | $1176.82 |
| osseous surgery (including elevation of a full thickness flap and closure) - one to three contiguous teeth or tooth bounded spaces per quadrant PP | D4261 | Prof | $942.22 |
| osseous, osteoperiosteal, or cartilage graft of the mandible or maxilla - autogenous or nonautogenous, by report PP | D7950 | Prof | $800.00 |
| OSTECTOMY CALCANEUS PP | 28118 | Prof | $888.00 |
| OSTECTOMY COMPLETE 1ST METATARSAL HEAD PP | 28111 | Prof | $709.50 |
| OSTECTOMY,STERNUM,PARTIAL PP | 21620 | Prof | $1093.00 |
| OSTEOCHONDRAL ALLOGRAFT KNEE OPEN PP | 27415 | Prof | $2971.50 |
| OSTEOPATH MANJ 9-10 REGIONS PP | 98929 | Prof | $184.00 |
| OSTEOPATHIC MANIPULATIVE TREATMENT,1-2 BODY REGIONS PP | 98925 | Prof | $61.00 |
| OSTEOPATHIC MANIPULATVIE TREAT,3-4 BODY REG PP | 98926 | Prof | $90.00 |
| OSTEOPATHIC MANIPULATVIE TREAT,5-6 BODY REG PP | 98927 | Prof | $116.00 |
| OSTEOPATHIC MANIPULATVIE TREAT,7-8 BODY REG PP | 98928 | Prof | $144.00 |
| OSTEOPLASTY, RADIUS OR ULNA PP | 25390 | Prof | $1658.00 |
| OSTEOPLASTY,FACIAL BONES,AUGMENTATION PP | 21208 | Prof | $1853.00 |
| OSTEOPLASTY,FACIAL BONES,REDUCTION PP | 21209 | Prof | $1371.00 |
| OSTEOT TARSAL OTH/THN CALCANEUS/TALUS W/AGRFT PP | 28305 | Prof | $1443.00 |
| OSTEOT W/WO LNGTH SHRT/ANGULAR CORRJ METAR MLT PP | 28309 | Prof | $1930.50 |
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
