| Item Number | Description | Schedule Fee |
|---|---|---|
| 14237 | Infusion pump or components of an infusion pump, subcutaneous implantation of, and intrathecal or epidural spinal catheter insertion, and connection of pump to catheter, and loading of reservoir with baclofen, with or without programming of the pump, for the management of severe chronic spasticity (Anaes.) |
$769.80 |
| Total: | $769.80 | |