| Item Number | Description | Schedule Fee |
|---|---|---|
| 50396 | Amputation of congenital abnormalities or duplication of digits of the hand or foot, including any of the following (if performed): (a) splitting of phalanx or phalanges; (b) ligament reconstruction; (c) joint reconstruction (H) (Anaes.) (Assist.) |
$542.00 |
| Total: | $542.00 | |