| Item Number | Description | Schedule Fee |
|---|---|---|
| 45537 | Perforator flap, such as a thoracodorsal artery perforator (TDAP) flap or a lateral intercostal artery perforator (LICAP) flap, or similar, raising on a named source vessel, for reconstruction of a partial mastectomy defect, other than a service associated with a service to which item 45006 or 45012 applies (H) (Anaes.) (Assist.) |
$917.60 |
| Total: | $917.60 | |