| Item Number | Description | Schedule Fee |
|---|---|---|
| 46128 | Non-excisional debridement of superficial or mid-dermal partial thickness burns, if the area of burn involves 10% or more but less than 30% of total body surface, and application of skin substitute (skin allograft or biosynthetic epidermal replacements), excluding aftercare (H) (Anaes.) (Assist.) |
$1,587.30 |
| Total: | $1,587.30 | |