| Item Number | Description | Schedule Fee |
|---|---|---|
| 38653 | Open heart surgery, other than a service: (a) to which another item in this Group applies; or (b) associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38816, 38828 or 45503 applies (H) (Anaes.) (Assist.) |
$2,343.75 |
| Total: | $2,343.75 | |