| Item Number | Description | Schedule Fee |
|---|---|---|
| 30601 | Diaphragmatic hernia, congenital, or delayed presentation of traumatic rupture, repair of, by thoracic or abdominal approach, on a patient 10 years of age or over, other than a service to which any of items 31569 to 31581 apply (Anaes.) (Assist.) |
$1,116.85 |
| Total: | $1,116.85 | |