| Item Number | Description | Schedule Fee |
|---|---|---|
| 45594 | Orbital cavity, exploration of wall or floor without bone graft, cartilage graft or foreign implant, other than a service associated with a service to which item 42530, 45590 or 45592 applies on the same side (H) (Anaes.) (Assist.) |
$465.35 |
| Total: | $465.35 | |