| Item Number | Description | Schedule Fee |
|---|---|---|
| 46127 | Non-excisional debridement of superficial or mid-dermal partial thickness burns, if the area of burn involves 3% or more but less than 10% of total body surface, and application of skin substitute (skin allograft or biosynthetic epidermal replacements) (H) (Anaes.) (Assist.) |
$865.85 |
| Total: | $865.85 | |