| Item Number | Description | Schedule Fee |
|---|---|---|
| 51043 | Spinal fusion, anterior column (anterior, direct lateral or posterior interbody), 3 motion segments, not being a service associated with a service to which item 51041, 51042, 51044 or 51045 applies (Anaes.) (Assist.) |
$2,210.40 |
| Total: | $2,210.40 | |