| Service Description | CPT Code | Charge Type | PrimaryCare Practice Price |
|---|---|---|---|
| TREATMENT,OPEN,MANDIBULAR FRACTURE,W INTERDENTAL FIXATION PP | 21462 | Prof | $2448.00 |
| TREATMENT,OPEN,MANDIBULAR FRACTURE,WO INTERDENTAL FIXATION PP | 21461 | Prof | $2036.00 |
| TREATMENT,OPEN,MANDIBULAR/MAXILLARY ALVEOLAR RIDGE FRACTURE PP | 21445 | Prof | $1349.00 |
| TREATMENT,OPEN,METACARPOPHALANGEAL DISLOCATION,SING,INCL INT FIX PP | 26715 | Prof | $1227.00 |
| TREATMENT,OPEN,NASAL FRACTURE,COMPLICATED PP | 21330 | Prof | $1205.00 |
| TREATMENT,OPEN,NASAL FRACTURE,UNCOMPLICATED PP | 21325 | Prof | $1009.00 |
| TREATMENT,OPEN,NASOETHMOID FRACTURE,W EXT FIX PP | 21339 | Prof | $1664.00 |
| TREATMENT,OPEN,NASOETHMOID FRACTURE,WO EXT FIX PP | 21338 | Prof | $1678.00 |
| TREATMENT,OPEN,ORBIT FRACTURE(EXCEPT BLOWOUT),W IMPLANT PP | 21407 | Prof | $1530.00 |
| TREATMENT,OPEN,ORBIT FRACTURE(EXCEPT BLOWOUT),WO IMPLANT PP | 21406 | Prof | $1106.00 |
| TREATMENT,OPEN,ORBITAL FLOOR BLOWOUT FRACTURE,PERIORBITAL APPROACH,W IMPLANT PP | 21390 | Prof | $1883.00 |
| TREATMENT,OPEN,ORBITAL FLOOR BLOWOUT FRACTURE,TRANSANTRAL APPROACH PP | 21385 | Prof | $1472.00 |
| TREATMENT,OPEN,PALATAL/MAXILLARY FRACTURE PP | 21422 | Prof | $1561.00 |
| TREATMENT,OPEN,PALATAL/MAXILLARY FRACTURE,COMPLICATED PP | 21423 | Prof | $1787.00 |
| TREATMENT,OPEN,PROXIMAL HUMERAL FRACTURE,INCL INTERNAL FIXATION,W PROXIMAL HUMERAL PROSTHETIC REPLACEMENT PP | 23616 | Prof | $2663.00 |
| TREATMENT,OPEN,PROXIMAL HUMERAL FX,INCL INT FIX PP | 23615 | Prof | $1907.00 |
| TREATMENT,OPEN,RIB FRACTURE,INT FIXATION,1-3 RIBS PP | 21811 | Prof | $1436.00 |
| TREATMENT,OPEN,RIB FRACTURE,INT FIXATION,4-6 RIBS PP | 21812 | Prof | $1721.00 |
| TREATMENT,OPEN,RIB FRACTURE,INT FIXATION,7 OR MORE RIBS PP | 21813 | Prof | $2340.00 |
| TREATMENT,OPEN,STERNOCLAVICULAR DISLOCATION,ACUTE/CHRONIC PP | 23530 | Prof | $1220.00 |
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
