| Item Number | Description | Schedule Fee |
|---|---|---|
| 49715 | Total replacement of ankle, with prosthetic replacement of ankle joint, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) removal of osteophytes at joint (H) (Anaes.) (Assist.) |
$1,317.80 |
| Total: | $1,317.80 | |