| Service Description | CPT Code | Charge Type | Speciality Practice Price |
|---|---|---|---|
| Implant /abutment supported fixed denture for partially edentulous arch - mandibular PP | D6117 | Prof | $5671.00 |
| implant /abutment supported removable denture for edentulous arch - mandibular PP | D6111 | Prof | $3424.00 |
| implant /abutment supported removable denture for edentulous arch - maxillary PP | D6110 | Prof | $2782.00 |
| implant /abutment supported removable denture for partially edentulous arch - maxillary PP | D6112 | Prof | $4066.00 |
| Implant abutment removable denture for completely edentulous arch(incl 2 implants) PP | D6053 | Prof | $3424.00 |
| Implant abutment removable denture for completely edentulous arch(incl 4 implants) PP | D6053 | Prof | $3424.00 |
| implant maintenance procedures when prostheses are removed and reinserted, including cleansing of prostheses and abutments PP | D6080 | Prof | $271.78 |
| implant removal, by report PP | D6100 | Prof | $591.07 |
| implant supported porcelain fused to metal crown (titanium, titanium alloy, high noble metal) PP | D6066 | Prof | $963.00 |
| implant supported porcelain/ceramic crown PP | D6065 | Prof | $2116.46 |
| implant supported retainer for FPD - porcelain fused to high noble alloys PP | D6076 | Prof | $1985.92 |
| IMPLANT,BIOLOG,SOFT TISS REINF BIL PP | 15777 | Prof | $1232.64 |
| IMPLANT,BIOLOGIC IMPLANT,SOFT TISS REINFOR PP | 15777 | Prof | $616.32 |
| IMPLANT,CATH-DELIVERED PROSTHETIC AORTIC HEART VALVE,OPEN THORACIC APPROACH PP | 33366 | Prof | $4469.39 |
| IMPLANT,MESH/OTHER,OPEN INCISION/VENTRAL HERNIA REPAIR PP | 49568 | Prof | $623.81 |
| IMPLANTABLE DEFIBRILLATOR REMOTE TECH SERV TP | 93296 | Tech | $78.11 |
| IMPLANTABLE DEFIBRILLATOR DEVICE EVAL,PRE/POST,SING/DUAL/MULT SYS PPG | 93287 | Prof | $50.29 |
| IMPLANTABLE DEFIBRILLATOR DEVICE EVAL,PRE/POST,SING/DUAL/MULT SYS TP | 93287 | Tech | $31.03 |
| IMPLANTABLE DEFIBRILLATOR DEVICE INTERROGAT REMOTE PP | 93295 | Prof | $177.62 |
| IMPLANTABLE DEFIBRILLATOR DEVICE INTERROGATE SQ SYS PPG | 93261 | Prof | $88.81 |
Specialty Practices (non-surgical)
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
