| Item Number | Description | Schedule Fee |
|---|---|---|
| 38621 | Left or right ventricular assist device, removal of, as an independent procedure, other than a service to which item 38619 applies, or a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38619, 38627, 38816, 38828 or 45503 applies (H) (Anaes.) (Assist.) |
$889.30 |
| Total: | $889.30 | |