| Item Number | Description | Schedule Fee |
|---|---|---|
| 49203 | Limited fusion of wrist, with or without bone graft, including each of the following: (a) ligament or tendon transfers; (b) partial or total excision of one or more carpal bones; (c) rebalancing procedures; (d) synovectomy (H) (Anaes.) (Assist.) |
$904.95 |
| Total: | $904.95 | |