| Item Number | Description | Schedule Fee |
|---|---|---|
| 35661 | Hysterectomy, abdominal, that concurrently requires extensive retroperitoneal dissection with exposure of one or both ureters and complex side wall dissection, including when performed with one or more of the following procedures:(a) salpingectomy;(b) oophorectomy;(c) excision of ovarian cyst(H) (Anaes.) (Assist.) |
$1,968.05 |
| Total: | $1,968.05 | |