| Item Number | Description | Schedule Fee |
|---|---|---|
| 46129 | Non-excisional debridement of superficial or mid-dermal partial thickness burns, if the area of burn involves 30% or more of total body surface, and application of skin substitute (skin allograft or biosynthetic epidermal replacements), excluding aftercare (H) (Anaes.) (Assist.) |
$2,904.80 |
| Total: | $2,904.80 | |