| Item Number | Description | Schedule Fee |
|---|---|---|
| 42614 | NASOLACRIMAL TUBE (unilateral), removal or replacement of, or LACRIMAL PASSAGES, probing to establish patency of the lacrimal passage and/or site of obstruction, unilateral, including lavage, not being a service associated with a service to which item 42610 applies (excluding aftercare) |
$56.30 |
| Total: | $56.30 | |