| Item Number | Description | Schedule Fee |
|---|---|---|
| 37606 | Open surgical sperm retrieval, unilateral, including the exploration of scrotal contents, with or without biopsy, for the purposes of intracytoplasmic sperm injection, for male factor infertility, performed in a hospital, other than a service to which item 13218 or 37604 applies (H) (Anaes.) |
$646.90 |
| Total: | $646.90 | |