| Item Number | Description | Schedule Fee |
|---|---|---|
| 51036 | Spine, posterior and/or posterolateral bone graft to, 12 or more motion segments, not being a service associated with a service to which item 51031, 51032, 51033, 51034 or 51035 applies (Anaes.) (Assist.) |
$1,867.05 |
| Total: | $1,867.05 | |