| Item Number | Description | Schedule Fee |
|---|---|---|
| 36803 | Ureteroscopy, of one ureter, with or without any one or more of cystoscopy, ureteric meatotomy, or ureteric dilatation, other than a service associated with a service to which item 36652, 36654, 36656, 36806, 36809, 36812, 36824 or 36848 applies (H) (Anaes.) (Assist.) |
$544.00 |
| Total: | $544.00 | |