| Item Number | Description | Schedule Fee |
|---|---|---|
| 47954 | Repair of traumatic tear or rupture of tendon, other than a service associated with: (a) a service to which item 39330 applies; or (b) a service to which another item in this Schedule applies if the service described in the other item is for the purpose of repairing peripheral nerve items in the same region (Anaes.) (Assist.) |
$439.25 |
| Total: | $439.25 | |