| Item Number | Description | Schedule Fee |
|---|---|---|
| 46125 | Non-excisional debridement of superficial or mid-dermal partial thickness burns, if the area of burn involves less than 1% of total body surface, and application of skin substitute (skin allograft or biosynthetic epidermal replacements) (Anaes.) (Assist.) |
$393.75 |
| Total: | $393.75 | |