| Item Number | Description | Schedule Fee |
|---|---|---|
| 36842 | Cystoscopy, with lavage of blood clots from bladder, including any associated cautery of prostate or bladder, other than a service associated with a service to which any of items 36812, 36827 to 36863 and 37203 apply (H) (Anaes.) |
$379.35 |
| Total: | $379.35 | |