| Item Number | Description | Schedule Fee |
|---|---|---|
| 35596 | Fistula between genital and urinary or alimentary tracts, repair of, other than a service to which item 35591, 35592, 37029, 37333 or 37336 applies (H) (Anaes.) (Assist.) |
$1,078.75 |
| Total: | $1,078.75 | |