| Item Number | Description | Schedule Fee |
|---|---|---|
| 30621 | Repair of symptomatic umbilical, epigastric or linea alba hernia requiring mesh or other repair, by open or minimally invasive approach, in a patient 10 years of age or over, other than a service to which item 30651 or 30655 applies (Anaes.) (Assist.) |
$475.40 |
| Total: | $475.40 | |