| Item Number | Description | Schedule Fee |
|---|---|---|
| 38848 | Pectus excavatum, repair of, with insertion of a concave bar, by any method, other than a service associated with a service to which item 18258, 18260, 38815, 38816, 38828, 38846 or 38847 applies (H) (Anaes.) (Assist.) |
$1,334.80 |
| Total: | $1,334.80 | |