| Item Number | Description | Schedule Fee |
|---|---|---|
| 41703 | Functional sinus surgery, complete dissection of all 5 sinuses and creation of single sinus cavity, unilateral, other than a service associated with a service to which item 41662, 41698, 41702, 41705, 41710, 41734, 41737, 41752 or 41764 applies on the same side (H) (Anaes.) (Assist.) |
$1,176.85 |
| Total: | $1,176.85 | |