| Item Number | Description | Schedule Fee |
|---|---|---|
| 46450 | Tenolysis of extensor tendon of hand or wrist, following tendon injury or graft, other than a service: (a) for acute, traumatic injury; or (b) associated with a service to which item 30023 applies that is performed at the same site; —one ray (H) (Anaes.) |
$263.30 |
| Total: | $263.30 | |