| Item Number | Description | Schedule Fee |
|---|---|---|
| 50428 | Percutaneous drilling of osteochondritis dessicans or other osteochondral lesion, for a patient: (a) with open growth plates; or (b) less than 18 years of age (H) (Anaes.) (Assist.) |
$904.80 |
| Total: | $904.80 | |