| Item Number | Description | Schedule Fee |
|---|---|---|
| 48906 | Shoulder, repair of rotator cuff, including excision of coraco‑acromial ligament or removal of calcium deposit from cuff, or both—other than a service associated with a service to which item 48900 applies (H) (Anaes.) (Assist.) |
$658.95 |
| Total: | $658.95 | |