| Item Number | Description | Schedule Fee |
|---|---|---|
| 51052 | Pedicle subtraction osteotomy, 2 vertebrae, not being a service associated with a service to which item 51051, 51053, 51054, 51055, 51056, 51057, 51058 or 51059 applies (Anaes.) (Assist.) |
$2,624.80 |
| Total: | $2,624.80 | |