| Item Number | Description | Schedule Fee |
|---|---|---|
| 14218 | Implanted infusion pump, refilling of reservoir with a therapeutic agent or agents for infusion to the subarachnoid space or accessing the side port to assess catheter patency, with or without pump reprogramming, for the management of chronic pain, including cancer pain |
$114.30 |
| Total: | $114.30 | |