| Item Number | Description | Schedule Fee |
|---|---|---|
| 46432 | Primary repair of flexor tendon of hand, distal to A1 pulley, other than a service to repair a tendon of a digit if 2 tendons of the same digit have been repaired during the same procedure—one tendon (H) (Anaes.) (Assist.) |
$658.25 |
| Total: | $658.25 | |