| Item Number | Description | Schedule Fee |
|---|---|---|
| 42545 | ORBIT, decompression of, for dysthyroid eye disease, by fenestration of 2 or more walls, or by the removal of intraorbital peribulbar and retrobulbar fat from each quadrant of the orbit, 1 eye (Anaes.) (Assist.) |
$1,491.30 |
| Total: | $1,491.30 | |