Specialty Surgeon Complete Packaged Procedure which consists of making a small incision near the spur and smoothing the bone with a rasp or power burr. Quite often, this can be accomplished thru an incision small enough to require a single stitch. When the spur is adjacent to the toenail, a small section of the toenail may also be removed. Treatment cost includes the facility fee, physician’s fee, related medical procedures and drugs required to administer the plan of care. Not included are diagnostic studies, consultations with additional specialists and cost of complication management; travel, food and lodging.