| Item Number | Description | Schedule Fee |
|---|---|---|
| 30662 | Complex surgical repair following a complication from the circumcision of a penis, including single stage local flap, if indicated, to repair one defect, on genitals (other than a service associated with a service to which item 37819, 37822, 45200, 45201, 45202, 45203 or 45206 applies) (H) (Anaes.) (Assist.) |
$894.80 |
| Total: | $894.80 | |