| Item Number | Description | Schedule Fee |
|---|---|---|
| 45006 | Single stage large myocutaneous flap repair to one defect (pectoralis major, latissimus dorsi, or similar large muscle), other than a service associated with a service to which any of items 45524 to 45542 apply (H) (Anaes.) (Assist.) |
$1,210.55 |
| Total: | $1,210.55 | |