| Item Number | Description | Schedule Fee |
|---|---|---|
| 18350 | Botulinum Toxin Type A Purified Neurotoxin Complex (Botox), injection of, for the treatment of hemifacial spasm in a patient who is at least 12 years of age, including all such injections on any one day |
$145.65 |
| Total: | $145.65 | |