| Item Number | Description | Schedule Fee |
|---|---|---|
| 49533 | Revision of total or partial arthroplasty of knee, with exchange of femoral and tibial components, excluding revision of unicompartmental with unicompartmental implants, including patellar resurfacing (if performed), other than a service associated with a service to which item 48245, 48248, 48251, 48254 or 48257 applies (H) (Anaes.) (Assist.) |
$2,966.00 |
| Total: | $2,966.00 | |