| Item Number | Description | Schedule Fee |
|---|---|---|
| 46126 | Non-excisional debridement of superficial or mid-dermal partial thickness burns, if the area of burn involves 1% or more but less than 3% of total body surface, and application of skin substitute (skin allograft or biosynthetic epidermal replacements) (Anaes.) (Assist.) |
$625.05 |
| Total: | $625.05 | |