| Item Number | Description | Schedule Fee |
|---|---|---|
| 38612 | Removal of intra-aortic balloon pump, with closure of artery by direct suture, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 338816, 38828 or 45503 applies (H) (Anaes.) (Assist.) |
$626.65 |
| Total: | $626.65 | |