| Item Number | Description | Schedule Fee |
|---|---|---|
| 36836 | Cystoscopy with biopsy of bladder, other than a service associated with a service to which item 36812, 36830, 36840, 36845, 36848, 36854, 37203 or 37215 applies (H) (Anaes.) |
$268.20 |
| Total: | $268.20 | |