| Item Number | Description | Schedule Fee |
|---|---|---|
| 49839 | Total replacement of first metatarsophalangeal joint, with replacement of both joint surfaces, including any of the following (if performed): (a) capsulotomy; (b) synovectomy; (c) joint debridement (H) (Anaes.) (Assist.) |
$604.05 |
| Total: | $604.05 | |