| Item Number | Description | Schedule Fee |
|---|---|---|
| 48909 | Shoulder, repair of rotator cuff, including decompression of subacromial space by acromioplasty, excision of coraco‑acromial ligament and distal clavicle, or any combination, other than a service associated with a service to which item 48903 applies (H) (Anaes.) (Assist.) |
$878.70 |
| Total: | $878.70 | |