| Item Number | Description | Schedule Fee |
|---|---|---|
| 41564 | Mastoidectomy (radical or modified radical), obliteration of the mastoid cavity, blind sac closure of external auditory canal and obliteration of eustachian tube, other than a service associated with a service to which another item in this Subgroup applies (H) (Anaes.) (Assist.) |
$2,230.25 |
| Total: | $2,230.25 | |