Specialty Surgeon Complete Packaged Procedure. Ingrown Toenails occur when part of the nail penetrates the skin, which can often result in an infection. The ingrown nail can also apply pressure in the nail fold area without penetrating the skin. Treatment consists of treatment of infections and removal of the ingrown toenail, that portion of the nail down the side of the nail that is causing the problem. In the worst case of a total nail which is curved, it may be necessary to remove the entire nail.removal of a portion of the nail down the side of the nail that is causing the problem. 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.