| Item Number | Description | Schedule Fee |
|---|---|---|
| 47973 | Open tenotomy of one or more tendons of elbow, with or without tenoplasty, to restore elbow function, other than a service to which another item in this Group applies—applicable once per joint per occasion on which this service is performed (Anaes.) |
$252.55 |
| Total: | $252.55 | |