| Item Number | Description | Schedule Fee |
|---|---|---|
| 38519 | Valve explant of a previous prosthesis, if performed during open cardiac surgery, not being a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38816, 38828 or 45503 applies (H) (Anaes.) (Assist.) |
$1,233.30 |
| Total: | $1,233.30 | |