| Item Number | Description | Schedule Fee |
|---|---|---|
| 31572 | Gastric bypass by Roux-en-Y including associated anastomoses, with or without crural repair taking 45 minutes or less, for a patient with clinically severe obesity not being associated with a service to which item 30515 applies (Anaes.) (Assist.) |
$1,219.55 |
| Total: | $1,219.55 | |