| Item Number | Description | Schedule Fee |
|---|---|---|
| 15958 | Simple placement or insertion of any of the following kinds of brachytherapy device, without image guidance: (a) intracavitary vaginal cylinder, vaginal ovoids, vaginal ring or vaginal mould; (b) surface mould or applicator, with catheters fixed to or embedded into mould or applicator, on external surface of body; including the removal of applicators, catheters or needles |
$108.95 |
| Total: | $108.95 | |