| Item Number | Description | Schedule Fee |
|---|---|---|
| 49857 | Hemi joint replacement of first or lesser metatarsophalangeal joint, including any of the following (if performed): (a) capsulotomy; (b) synovectomy; (c) joint debridement (H) (Anaes.) (Assist.) |
$406.30 |
| Total: | $406.30 | |