| Item Number | Description | Schedule Fee |
|---|---|---|
| 45538 | Perforator flap, such as a deep inferior epigastric perforator (DIEP) flap or similar, raising in preparation for microsurgical transfer of a free flap for post mastectomy breast reconstruction, other than a service associated with a service to which item 45006 or 45012 applies (H) (Anaes.) (Assist.) |
$1,049.90 |
| Total: | $1,049.90 | |