| Item Number | Description | Schedule Fee |
|---|---|---|
| 50620 | Scoliosis, in a child or adolescent, revision of failed scoliosis surgery, involving more than one of osteotomy, fusion, removal of instrumentation or instrumentation, other than a service to which any of items 51011 to 51171 apply (H) (Anaes.) (Assist.) |
$3,997.75 |
| Total: | $3,997.75 | |