| Item Number | Description | Schedule Fee |
|---|---|---|
| 38842 | Pericardiectomy via sternotomy or anterolateral thoracotomy with cardiopulmonary bypass, other than a service associated with a service to which item 18258, 18260, 38815, 38816 or 38828 applies (H) (Anaes.) (Assist.) |
$2,500.20 |
| Total: | $2,500.20 | |