| Item Number | Description | Schedule Fee |
|---|---|---|
| 30626 | Laparotomy involving division of adhesions in association with another intra-abdominal procedure if the time taken to divide the adhesions is between 45 minutes and 2 hours, on a patient under 10 years of age (Anaes.) (Assist.) |
$794.25 |
| Total: | $794.25 | |