| Item Number | Description | Schedule Fee |
|---|---|---|
| 49398 | Revision arthroplasty of hip, including: (a) revision of femoral component for periprosthetic fracture; and (b) internal fixation; and (c) bone grafting (if performed) (H) (Anaes.) (Assist.) |
$2,306.00 |
| Total: | $2,306.00 | |