| Item Number | Description | Schedule Fee |
|---|---|---|
| 43838 | Diaphragmatic hernia, congential repair of, by thoracic or abdominal approach, not being a service to which any of items 31569 to 31581 apply, on a patient under 10 years of age (Anaes.) (Assist.) |
$1,451.70 |
| Total: | $1,451.70 | |