| Service Description | CPT Code | Charge Type | PrimaryCare Practice Price |
|---|---|---|---|
| DESTRUCTION,MALIGNANT LESION,SCALP/HANDS/FEET,>4.0CM PP | 17276 | Prof | $540.00 |
| DESTRUCTION,MALIGNANT LESION,TRUNK/ARMS/LEGS,0.6-1.0CM PP | 17261 | Prof | $233.00 |
| DESTRUCTION,MALIGNANT LESION,TRUNK/ARMS/LEGS,1.1-2.0CM PP | 17262 | Prof | $297.00 |
| DESTRUCTION,MALIGNANT LESION,TRUNK/ARMS/LEGS,2.1-3.0CM PP | 17263 | Prof | $330.00 |
| DESTRUCTION,MALIGNANT LESION,TRUNK/ARMS/LEGS,3.1-4.0CM PP | 17264 | Prof | $351.00 |
| DESTRUCTION,MALIGNANT LESION,TRUNK/ARMS/LEGS,<= 0.5CM PP | 17260 | Prof | $188.00 |
| DESTRUCTION,MALIGNANT LESION,TRUNK/ARMS/LEGS,>4.0CM PP | 17266 | Prof | $344.00 |
| DESTRUCTION,NEUROFIBROMA,EXTENSIVE,FACE/HEAD/NECK,>50 NEUROFIBROMAS PP | 0419T | Prof | $860.00 |
| DESTRUCTION,NEUROFIBROMA,EXTENSIVE,TRUNK/EXTREM,>100 NEUROFIBROMAS PP | 0420T | Prof | $860.00 |
| DESTRUCTION,NEUROLYTIC AGENT,CELIAC PLEXUS PP | 64680 | Prof | $402.00 |
| DESTRUCTION,NEUROLYTIC AGENT,PUDENADAL NERVE PP | 64630 | Prof | $406.00 |
| DESTRUCTION,PARAVERTEBRAL FACET JOINT NERVE,NEUROLYTIC AG,SINGLE,W IMG,CERV/THOR PP | 64633 | Prof | $547.00 |
| DESTRUCTION,PARAVERTEBRAL FACET JOINT NERVE,NEUROLYTIC AG,W IMG,CERV/THOR,EA ADTL PP | 64634 | Prof | $168.00 |
| DESTRUCTION,PREMALIGNANT LESIONS,15 OR MORE LESIONS PP | 17004 | Prof | $260.00 |
| DESTRUCTION,PREMALIGNANT LESIONS,1ST LESION PP | 17000 | Prof | $145.00 |
| DESTRUCTION,PREMALIGNANT LESIONS,SECOND THRU FOURTEEN LESIONS,EACH PP | 17003 | Prof | $12.00 |
| detailed and extensive oral evaluation - problem focused, by report PP | D0160 | Prof | $144.63 |
| DETERMINATION,REFRACTIVE STATE PP | 92015 | Prof | $49.00 |
| DEVELOPMENTAL SCREENING,SCOR/DOC,INSTRUM PP | 96110 | Prof | $28.00 |
| DEVELOPMENTAL TST ADMIN PHYS/QHP 1ST HOUR PP | 96112 | Prof | $270.75 |
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
