| Item Number | Description | Schedule Fee |
|---|---|---|
| 49124 | Excision of olecranon bursa, including bony prominence, other than a service associated with a service to which another item in this Schedule applies if the service described in the other item is for the purpose of an arthroscopic procedure of the elbow (H) (Anaes.) (Assist.) |
$433.40 |
| Total: | $433.40 | |