| Item Number | Description | Schedule Fee |
|---|---|---|
| 41698 | Maxillary antrum, proof puncture and lavage of, other than a service associated with a service to which item 41702, 41703, 41705, 41710, 41734 or 41737 applies on the same side (Anaes.) |
$38.00 |
| Total: | $38.00 | |