| Service Description | CPT Code | Charge Type | Surgical Practice Price |
|---|---|---|---|
| INTERACTIVE INDIV PSYCHOTHERAPY W/EM,60 MIN SBWC PP | 90838 | Prof | $263.34 |
| INTERDENTAL WIRING,CONDITION OTHER THAN FRACTURE PP | 21497 | Prof | $1505.94 |
| INTERDENTAL WIRING,FRACTURE PP | 21299 | Prof | $1607.40 |
| interim caries arresting medicament application - per tooth PP | D1354 | Prof | $78.79 |
| interim complete denture (mandibular) PP | D5811 | Prof | $1081.89 |
| interim complete denture (maxillary) PP | D5810 | Prof | $1074.13 |
| interim partial denture (mandibular) PP | D5821 | Prof | $812.72 |
| interim partial denture (maxillary) PP | D5820 | Prof | $822.20 |
| INTERNAL ANASTOMOSIS,PANCREATIC CYST TO GI TRACT,DIRECT PP | 48520 | Prof | $2656.20 |
| internal bleaching - per tooth PP | D9974 | Prof | $114.00 |
| INTERROGATION DEVICE EVAL,AICD,SUBSTERNAL ELECT,W ANALYSIS PP | 0576T | Prof | $110.30 |
| INTERROGATION DEVICE EVAL,IMPL NEUROSTIMULATOR SYS,CEN SLEEP APNEA PPG | 0434T | Prof | $59.28 |
| INTERROGATION DEVICE EVAL,IMPL NEUROSTIMULATOR SYS,CEN SLEEP APNEA TP | 0434T | Tech | $125.40 |
| INTERROGATION DEVICE EVAL,IN PERSON W ANALY/REPORT,PER PT ENC,WIRELESS STIM LV PACING PP | 0521T | Prof | $243.96 |
| INTERROGATION DEVICE EVAL,IN PERSON W ANALY/REPORT,PER PT ENC,WIRELESS STIM LV PACING PPG | 0521T | Prof | $110.58 |
| INTERROGATION DEVICE EVAL,IN PERSON W ANALY/REPORT,PER PT ENC,WIRELESS STIM LV PACING TP | 0521T | Tech | $133.38 |
| INTERROGATION DEVICE EVAL,IN PERSON,ANALYSIS/REPORT PER PT ENC,CCM SYS PPG | 0418T | Prof | $218.88 |
| INTERROGATION DEVICE EVAL,IN PERSON,ANALYSIS/REPORT PER PT ENC,CCM SYS TP | 0418T | Tech | $39.90 |
| INTERROGATION DEVICE EVAL,UP TO 90 DAYS,SUBSTERNAL AICD ELEC,ANALY PP | 0578T | Prof | $110.30 |
| INTERROGATION DEVICE EVAL,UP TO 90 DAYS,SUBSTERNAL AICD ELEC,REMOTE PP | 0579T | Prof | $110.30 |
Surgical 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
