| Item Number | Description | Schedule Fee |
|---|---|---|
| 13241 | Open surgical testicular sperm retrieval, unilateral, using operating microscope, including the exploration of scrotal contents, with biopsy, for the purposes of intracytoplasmic sperm injection, for male factor infertility, not being a service associated with a service to which item 13218 or 37604 applies (H) (Anaes.) |
$991.60 |
| Total: | $991.60 | |