| Item Number | Description | Schedule Fee |
|---|---|---|
| 38849 | Pectus excavatum, removal of a concave bar, by any method, not being a service associated with a service to which item 18258, 18260, 38815, 38816, 38828, 38846 or 38847 applies (H) (Anaes.) (Assist.) |
$667.35 |
| Total: | $667.35 | |