| Item Number | Description | Schedule Fee |
|---|---|---|
| 35577 | Manchester (Donald Fothergill) operation for pelvic organ prolapse, involving either or both of the following: (a) cervical amputation; (b) anterior and posterior native tissue vaginal wall repairs without graft (Anaes.) (Assist.) |
$786.90 |
| Total: | $786.90 | |