| Item Number | Description | Schedule Fee |
|---|---|---|
| 49115 | Total or hemi humeral arthroplasty of elbow, excluding isolated radial head replacement and ligament stabilisation procedures, other than a service associated with a service to which item 49112 applies (H) (Anaes.) (Assist.) |
$1,317.80 |
| Total: | $1,317.80 | |