| Item Number | Description | Schedule Fee |
|---|---|---|
| 14201 | POLY-L-LACTIC ACID, one or more injections of, for the initial session only, for the treatment of severe facial lipoatrophy caused by antiretroviral therapy, when prescribed in accordance with the National Health Act 1953 - once per patient |
$276.30 |
| Total: | $276.30 | |