| Item Number | Description | Schedule Fee |
|---|---|---|
| 38841 | Pericardiectomy via sternotomy or thoracoscopy or anterolateral thoracotomy without cardiopulmonary bypass, other than a service associated with a service to which item 18258, 18260, 38815, 38816 or 38828 applies (H) (Anaes.) (Assist.) |
$1,787.15 |
| Total: | $1,787.15 | |