| Item Number | Description | Schedule Fee |
|---|---|---|
| 41734 | Endoscopic Lothrop procedure or radical external frontal sinusotomy with osteoplastic flap, unilateral, other than a service associated with a service to which item 41698, 41703, 41705 or 41764 applies on the same side (H) (Anaes.) (Assist.) |
$1,182.90 |
| Total: | $1,182.90 | |