| Service Description | CPT Code | Charge Type | PrimaryCare Practice Price |
|---|---|---|---|
| DENTAL PROPHYLAXIS ADULT PP | D1110 | Prof | $85.51 |
| DENTAL PROPHYLAXIS CHILD PP | D1120 | Prof | $63.15 |
| DENTAL SEALANT PER TOOTH PP | D1351 | Prof | $54.93 |
| DENTUR REPR BROKEN COMPL BAS PP | D5510 | Prof | $202.82 |
| DENTURES REPAIR RESIN BASE PP | D5610 | Prof | $192.23 |
| DESTR TRIGEM NRV,SUPRAORB BR PP | 64624 | Prof | $355.00 |
| DESTR TRIGEM NRV,SUPRAORB BR PPG | 64624 | Prof | $355.00 |
| DESTR TRIGEM NRV,SUPRAORB BR TP | 64624 | Tech | $1596.00 |
| Destruction by neurolytic agent, intercostal nerve PP | 64999 | Prof | $377.25 |
| DESTRUCTION LESIONS VULVA, EXTENSIVE PP | 56515 | Prof | $464.00 |
| DESTRUCTION LESIONS VULVA, SIMPLE PP | 56501 | Prof | $269.00 |
| DESTRUCTION LESIONS, PENIS, CHEMICAL PP | 54050 | Prof | $221.00 |
| DESTRUCTION LESIONS, PENIS, CRYO PP | 54056 | Prof | $274.00 |
| DESTRUCTION OF LESIONS(S), ANUS(EG, CONDYLOMA, PAPILLOMA, MOLLUSCUM CONTAGIOSUM, HERPETIC VESICLE), SIMPLE, CHEMICAL PP | 46900 | Prof | $296.00 |
| DESTRUCTION OF LESIONS(S), ANUS(EG, CONDYLOMA, PAPILLOMA, MOLLUSCUM CONTAGIOSUM, HERPETIC VESICLE), SIMPLE, CRYOSURGERY PP | 46916 | Prof | $305.00 |
| DESTRUCTION OF SKIN LESIONS PP | 17106 | Prof | $726.00 |
| DESTRUCTION VAG LESIONS, EXTENSIVE PP | 57065 | Prof | $401.00 |
| DESTRUCTION VAG LESIONS, SIMPLE PP | 57061 | Prof | $231.00 |
| DESTRUCTION, LESION, 2.1-3.0 CM PP | 17283 | Prof | $382.00 |
| DESTRUCTION,BENIGN LESIONS,NOT SKIN TAGS,=>15 LESIONS PP | 17111 | Prof | $219.00 |
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
