| Item Number | Description | Schedule Fee |
|---|---|---|
| 52042 | TUMOUR, CYST, ULCER OR SCAR, (other than a scar removed during the surgical approach at an operation), more than 3 cm in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane (Anaes.) |
$201.20 |
| Total: | $201.20 | |