| Item Number | Description | Schedule Fee |
|---|---|---|
| 46414 | Insertion of artificial tendon prosthesis in preparation for grafting of tendon of hand or wrist, including tenolysis (if performed), other than a service associated with a service to which item 30023 applies that is performed at the same site (H) (Anaes.) (Assist.) |
$614.10 |
| Total: | $614.10 | |