| Item Number | Description | Schedule Fee |
|---|---|---|
| 46170 | Decompression of thoracic outlet, primary, for thoracic outlet syndrome, using any approach, including (if performed) division of scalene muscles, cervical rib and/or first rib resection (H) (Anaes.) (Assist.) |
$1,166.65 |
| Total: | $1,166.65 | |