| Item Number | Description | Schedule Fee |
|---|---|---|
| 48424 | Osteotomy of pelvis, in a patient aged less than 18 years, with application of hip spica, including internal fixation (if performed), other than a service to which item 48245, 48248, 48251, 48254 or 48257 applies (H) (Anaes.) (Assist.) |
$878.70 |
| Total: | $878.70 | |