| Item Number | Description | Schedule Fee |
|---|---|---|
| 30384 | Open or minimally invasive excision of a retroperitoneal mass, 4 cm or greater in largest dimension, lasting more than 3 hours, other than a service to which another item in this Group applies (H) (Anaes.) (Assist.) |
$1,592.20 |
| Total: | $1,592.20 | |