| Item Number | Description | Schedule Fee |
|---|---|---|
| 47956 | Repair of proximal hamstring tendon, performed as an independent procedure, other than a service associated with a service to which another item in this Schedule applies if the service described in the other item is for the purpose of performing a procedure on the hip (H) (Anaes.) (Assist.) |
$1,140.20 |
| Total: | $1,140.20 | |