| Item Number | Description | Schedule Fee |
|---|---|---|
| 47066 | Treatment of dislocation of ankle or tarsus, by open reduction, including any of the following (if performed): (a) arthrotomy; (b) capsule repair; (c) removal of loose fragments or intervening soft tissue; (d) washout of joint (H) (Anaes.) (Assist.) |
$395.25 |
| Total: | $395.25 | |