| Item Number | Description | Schedule Fee |
|---|---|---|
| 38840 | Pericardium, transthoracic (thoracotomy or thoracoscopy) open surgical drainage of, other than a service associated with a service to which item 18258, 18260, 38815, 38816, 38828 or 38839 applies (H) (Anaes.) (Assist.) |
$999.30 |
| Total: | $999.30 | |