| Item Number | Description | Schedule Fee |
|---|---|---|
| 51171 | Syringomyelia or hydromyelia, treatment by direct cerebrospinal fluid shunt (for example, syringosubarachnoid shunt, syringopleural shunt or syringoperitoneal shunt) (Anaes.) (Assist.) |
$1,070.20 |
| Total: | $1,070.20 | |