| Item Number | Description | Schedule Fee |
|---|---|---|
| 38850 | Sternotomy wound, debridement of, not involving reopening of the mediastinum, other than a service associated with a service to which item 18258, 18260, 38815, 38816, 38828 or 38851 applies (H) (Anaes.) |
$380.85 |
| Total: | $380.85 | |