| Item Number | Description | Schedule Fee |
|---|---|---|
| 42615 | NASOLACRIMAL TUBE (bilateral), removal or replacement of, or LACRIMAL PASSAGES, probing to establish patency of the lacrimal passage and/or site of obstruction, bilateral, including lavage, not being a service associated with a service to which item 42611 applies (excluding aftercare) |
$84.30 |
| Total: | $84.30 | |