| Item Number | Description | Schedule Fee |
|---|---|---|
| 51042 | Spinal fusion, anterior column (anterior, direct lateral or posterior interbody), 2 motion segments, not being a service associated with a service to which item 51041, 51043, 51044 or 51045 applies (Anaes.) (Assist.) |
$1,768.30 |
| Total: | $1,768.30 | |