for uninsured services - Saskatchewan Medical Association

SECTION M:ORTHOPAEDIC SURGERYmusculotendinous shoulder cuff -- withor without acromioplastyFeeAnaeTenotomy722M -- percutaneous $500.00 * 10 L723M -- open $500.00 * 10 L724M -- each additional (of either 722M or 723M) $300.00 * 10 LExtremitiesIncision731M Drainage of single infected space of hand $700.00 42 L(lumbrical, hypothenar, thenar, middlepalmar, etc.) with or without tendonsheath involvement732M Drainage of multiple infected spaces of $1,100.00 42 Lhand with or without tendon sheathinvolvementAmputationUpper Extremity740M Interthoracoscapular $1,500.00 42 M741M Disarticulation of shoulder $1,500.00 42 M742M Arm through humerus $1,500.00 42 M743M Forearm, through radius and ulna $1,500.00 42 M745M -- with subsequent revision or $1,500.00 42 Mreamputation746M Cineplasty -- complete procedure $1,253.00 42 M747M Disarticulation of wrist $1,500.00 42 M748M Hand, through metacarpal bones $1,500.00 42 M749M Metacarpal, with finger or thumb, one with $1,500.00 42 Lsplit or Wolff graft, or skin-plasty and/ortenodesis with definitive resection palmardigital nerves750M Finger, any joint, or phalanx, one -- with $800.00 * 10 Lsplit or Wolff graft, or skin-plasty and/ortenodesis, with definitive resection volardigital nervesLower Extremity760M Interpelviabdominal $1,365.30 42 H761M Disarticulation of hip $1,900.00 42 M762M Disarticulation of knee $1,156.00 42 M763M Thigh through femur, including supracondylar $1,176.00 42 M765M -- Revision or reamputation $256.00 42 M766M Leg, through tibia and fibula $1,500.00 42 M768M -- Revision or reamputation $260.00 42 M769M Ankle (Syme, Pirogoff) -- with skin-plasty $1,500.00 42 Mand resection nerves770M Foot -- transmetatarsal $1,500.00 42 M771M Midtarsal $1,500.00 42 M772M Metatarsal, with toe, split or Wolff graft $800.00 42 Lor skin-plasty and/or tenodesis, withdefinitive resection digital nerves774M Toe, any joint or phalanx, one -- with split $600.00 * 10 Lor Wolff graft, or skin-plasty and/ortenodesis, with definitive resectiondigital nervesSMA FEE GUIDE -M16 - April 1. 2012