| Item Number | Description | Schedule Fee |
|---|---|---|
| 50608 | Scoliosis or kyphosis, in a child or adolescent, treatment by segmental instrumentation and fusion of the spine, other than a service to which any of items 51011 to 51171 apply (H) (Anaes.) (Assist.) |
$3,997.75 |
| Total: | $3,997.75 | |