| Item Number | Description | Schedule Fee |
|---|---|---|
| 49212 | Arthrotomy of wrist or distal radioulnar joint, including any of the following (if performed): (a) joint debridement; (b) removal of loose bodies; (c) synovectomy (H) (Anaes.) (Assist.) |
$274.70 |
| Total: | $274.70 | |