| Item Number | Description | Schedule Fee |
|---|---|---|
| 30640 | Repair of large and irreducible scrotal hernia, if surgery exceeds 2 hours, in a patient 10 years of age or over, other than a service to which item 30615, 30621, 30648, 30651 or 30655 applies (Anaes.) (Assist.) |
$1,067.35 |
| Total: | $1,067.35 | |