| Item Number | Description | Schedule Fee |
|---|---|---|
| 30648 | Femoral or inguinal hernia or infantile hydrocele, repair of, by open or minimally invasive approach, on a patient 10 years of age or over, other than a service to which item 30615 or 30651 applies (Anaes.) (Assist.) |
$541.95 |
| Total: | $541.95 | |