| Item Number | Description | Schedule Fee |
|---|---|---|
| 49230 | Total, hemi or interpositional prosthetic replacement of carpal bone of wrist, including any of the following (if performed): (a) ligament and tendon rebalancing procedures; (b) limited wrist fusions; (c) limited bone grafting (H) (Anaes.) (Assist.) |
$1,074.70 |
| Total: | $1,074.70 | |