| Item Number | Description | Schedule Fee |
|---|---|---|
| 30643 | Exploration of spermatic cord, inguinal approach, with or without testicular biopsy, with or without excision of spermatic cord lesion, for a patient under 10 years of age, other than a service associated with a service to which item 30629, 30630 or 30642 applies (Anaes.) (Assist.) |
$790.60 |
| Total: | $790.60 | |