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for uninsured services - Saskatchewan Medical Association

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SECTION M:ORTHOPAEDIC SURGERYFeeAnae673M Excision of Baker's cyst $600.00 42 L674M Fasciotomy -- single -- palm or sole -- $400.00 42 Lsubcutaneous -- blindFasciectomy -- open -- plantar677M -- unilateral $700.00 42 L678M Compartment syndrome release -- <strong>for</strong> trauma $744.70 42 LRepair680M Tendon sheath reconstruction -- $650.00 42 Linsertion of silastic rod681M -- each additional $357.40 42 L780M Repair boutonniere de<strong>for</strong>mity $393.80 42 LRepair or suture -- extensor tendon690M -- single hand or foot -- distal to wrist $550.00 * 42 Lor ankle-- each additional tendon691M -- foot $300.00 * 42 L692M -- hand $550.00 * 42 L693M -- single -- <strong>for</strong>earm or leg $500.00 * 42 L-- each additional tendon694M -- leg $55.00 * 42 L695M -- <strong>for</strong>earm $500.00 * 42 LRepair or suture -- flexor tendon696M -- single unless otherwise listed $800.00 42 L697M -- each additional $600.00 * 42 LTransfer or transplant of tendon -- single698M -- distal to elbow, distal to knee $850.00 42 L700M -- each additional $700.00 42 L701M -- elbow or shoulder, knee or hip $850.00 42 L702M -- each additional $300.00 42 L781M Free extensor tendon graft -- single $600.00 42 L782M -- each additional $410.00 42 L703M Free flexor tendon graft -- single $1,050.00 42 L704M -- each additional $1,033.60 42 LTenolysis705M -- single -- flexor $700.00 42 L706M -- each additional $450.00 42 L725M -- single -- extensor $500.00 42 L726M -- each additional $400.00 42 L727M Tenodesis $850.00 * 42 L707M Lengthening or shortening tendon $600.00 42 L708M Opponens transfer $800.00 42 L709M Intrinsic transplant active or passive $603.50 42 L710M Intrinsic release (Littler) or incision $500.00 42 L711M -- additional fingers $300.00 42 L712M Free fascial graft <strong>for</strong> reconstruction $600.00 42 Ltendon pulley or repair bowstring tendon-- single714M Abdominal fascial transplants -- bilateral $639.90 42 L716M Ruptured quadriceps tendon - repair $700.00 42 L481M Raptured patellar ligament - repair $700.00 42 L721M Ruptured patellar ligament or Achilles $850.00 42 Ltendon -- repair with fascial or tendon graft717M Ruptured biceps tendon - elbow - repair $700.00 42 L718M Flexor-plasty -- elbow $700.00 42 L719M Repair ruptured supraspinatus tendon or $950.00 42 MSMA FEE GUIDE -M15 - April 1. 2012

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