| Item Number | Description | Schedule Fee |
|---|---|---|
| 48257 | Preparation and insertion of metallic, cortical or other graft substitute (allograft), where substitute is structural cortico-cancellous bone or structural bone (or both), including internal fixation (if performed) (H) (Anaes.) (Assist.) |
$465.00 |
| Total: | $465.00 | |