| Item Number | Description | Schedule Fee |
|---|---|---|
| 30721 | Laparotomy or laparoscopy, or laparoscopy converted to laparotomy, with or without associated biopsies, including the division of adhesions (if performed, but only if the time taken to divide adhesions is 45 minutes or less), if no other intra-abdominal procedure is performed (Anaes.) (Assist.) |
$563.75 |
| Total: | $563.75 | |