| Item Number | Description | Schedule Fee |
|---|---|---|
| 48925 | Arthroplasty of shoulder, other than: (a) a service to which another item applies; or (b) a service associated with a service to which any of items 48900 to 48909, 48948, 48951, or 48960 applies that is performed on the same joint (H) (Anaes.) (Assist.) |
$819.50 |
| Total: | $819.50 | |