| Item Number | Description | Schedule Fee |
|---|---|---|
| 15964 | Complex insertion and removal of hybrid intracavitary and interstitial brachytherapy applicators, or intracavitary and multi catheter applicators, with image guidance and if a radiation oncologist is in attendance at the initiation of the service (Anaes.) |
$435.80 |
| Total: | $435.80 | |