| Item Number | Description | Schedule Fee |
|---|---|---|
| 49572 | Partial meniscectomy of knee, by arthroscopic means, for atraumatic meniscus tear, other than a service to which another item of this Schedule applies if the service described in the other item is for the purpose of treating osteoarthritis (H) (Anaes.) (Assist.) |
$774.90 |
| Total: | $774.90 | |