Specialty Surgeon Complete Packaged Procedure. Carpal Tunnel surgery During carpal tunnel release surgery, the transverse carpal ligament is cut. This releases pressure on the median nerve, relieving carpal tunnel syndrome symptoms. The surgery can be performed endoscopically or through an open/invasive incision Endoscopic surgery uses a thin, flexible tube with a camera attached (endoscope). The endoscope is guided through a small incision in the wrist or in the wrist and palm If performed through an open incision, the incision is at the base of the palm of the hand. In both procedures the transverse carpal ligament is cut, releasing pressure on the median nerve. Treatment cost includes the facility fee, physician’s fee, cost of drugs and any related medical procedures 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.