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Health Care Services Review
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Fee Schedule
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Fee Schedule 1829-11643
Begin Main Content Area
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2024 Workers' Compensation Part B Fee Schedule
01829-11643
View the PDF
CPT/HCPC Code
Modifier
Medicare Location
Global Surgery Indicator
Multiple Surgery Indicator
Prevailing Charge Amount
Fee Schedule Amount
Site of Service Amount
01829
004
XXX
9
68.46
X
X
01829
002
XXX
9
76.34
X
X
01829
003
XXX
9
73.48
X
X
01829
001
XXX
9
76.85
X
X
0182U
X
340.53
X
01830
002
XXX
9
76.34
X
X
01830
003
XXX
9
73.48
X
X
01830
001
XXX
9
76.85
X
X
01830
004
XXX
9
68.46
X
X
01832
002
XXX
9
76.34
X
X
01832
003
XXX
9
73.48
X
X
01832
001
XXX
9
76.85
X
X
01832
004
XXX
9
68.46
X
X
0183U
X
209.28
X
01840
001
XXX
9
76.85
X
X
01840
004
XXX
9
68.46
X
X
01840
003
XXX
9
73.48
X
X
01840
002
XXX
9
76.34
X
X
01842
001
XXX
9
76.85
X
X
01842
004
XXX
9
68.46
X
X
01842
003
XXX
9
73.48
X
X
01842
002
XXX
9
76.34
X
X
01844
002
XXX
9
76.34
X
X
01844
003
XXX
9
73.48
X
X
01844
004
XXX
9
68.46
X
X
01844
001
XXX
9
76.85
X
X
0184U
X
209.28
X
01850
002
XXX
9
76.34
X
X
01850
003
XXX
9
73.48
X
X
01850
001
XXX
9
76.85
X
X
01850
004
XXX
9
68.46
X
X
01852
001
XXX
9
76.85
X
X
01852
004
XXX
9
68.46
X
X
01852
003
XXX
9
73.48
X
X
01852
002
XXX
9
76.34
X
X
0185U
X
209.28
X
01860
004
XXX
9
68.46
X
X
01860
001
XXX
9
76.85
X
X
01860
003
XXX
9
73.48
X
X
01860
002
XXX
9
76.34
X
X
0186U
X
209.28
X
0187U
X
310.56
X
0188U
X
310.56
X
0189U
X
310.56
X
0190U
X
310.56
X
01916
002
XXX
9
76.34
X
X
01916
003
XXX
9
73.48
X
X
01916
004
XXX
9
68.46
X
X
01916
001
XXX
9
76.85
X
X
0191U
X
310.56
X
01920
001
XXX
9
76.85
X
X
01920
004
XXX
9
68.46
X
X
01920
002
XXX
9
76.34
X
X
01920
003
XXX
9
73.48
X
X
01922
001
XXX
9
76.85
X
X
01922
004
XXX
9
68.46
X
X
01922
002
XXX
9
76.34
X
X
01922
003
XXX
9
73.48
X
X
01924
002
XXX
9
76.34
X
X
01924
003
XXX
9
73.48
X
X
01924
004
XXX
9
68.46
X
X
01924
001
XXX
9
76.85
X
X
01925
002
XXX
9
76.34
X
X
01925
003
XXX
9
73.48
X
X
01925
004
XXX
9
68.46
X
X
01925
001
XXX
9
76.85
X
X
01926
003
XXX
9
73.48
X
X
01926
002
XXX
9
76.34
X
X
01926
004
XXX
9
68.46
X
X
01926
001
XXX
9
76.85
X
X
0192U
X
310.56
X
01930
003
XXX
9
73.48
X
X
01930
002
XXX
9
76.34
X
X
01930
004
XXX
9
68.46
X
X
01930
001
XXX
9
76.85
X
X
01931
004
XXX
9
68.46
X
X
01931
001
XXX
9
76.85
X
X
01931
002
XXX
9
76.34
X
X
01931
003
XXX
9
73.48
X
X
01932
001
XXX
9
76.85
X
X
01932
003
XXX
9
73.48
X
X
01932
002
XXX
9
76.34
X
X
01932
004
XXX
9
68.46
X
X
01933
001
XXX
9
76.85
X
X
01933
004
XXX
9
68.46
X
X
01933
002
XXX
9
76.34
X
X
01933
003
XXX
9
73.48
X
X
01937
001
XXX
9
76.85
X
X
01937
004
XXX
9
68.46
X
X
01937
003
XXX
9
73.48
X
X
01937
002
XXX
9
76.34
X
X
01938
003
XXX
9
73.48
X
X
01938
002
XXX
9
76.34
X
X
01938
004
XXX
9
68.46
X
X
01938
001
XXX
9
76.85
X
X
01939
002
XXX
9
76.34
X
X
01939
003
XXX
9
73.48
X
X
01939
001
XXX
9
76.85
X
X
01939
004
XXX
9
68.46
X
X
0193U
X
319.65
X
01940
003
XXX
9
73.48
X
X
01940
002
XXX
9
76.34
X
X
01940
001
XXX
9
76.85
X
X
01940
004
XXX
9
68.46
X
X
01941
003
XXX
9
73.48
X
X
01941
002
XXX
9
76.34
X
X
01941
001
XXX
9
76.85
X
X
01941
004
XXX
9
68.46
X
X
01942
001
XXX
9
76.85
X
X
01942
003
XXX
9
73.48
X
X
01942
002
XXX
9
76.34
X
X
01942
004
XXX
9
68.46
X
X
0194U
X
209.28
X
01951
003
XXX
9
73.48
X
X
01951
002
XXX
9
76.34
X
X
01951
004
XXX
9
68.46
X
X
01951
001
XXX
9
76.85
X
X
01952
004
XXX
9
68.46
X
X
01952
001
XXX
9
76.85
X
X
01952
003
XXX
9
73.48
X
X
01952
002
XXX
9
76.34
X
X
01953
001
XXX
9
76.85
X
X
01953
004
XXX
9
68.46
X
X
01953
002
XXX
9
76.34
X
X
01953
003
XXX
9
73.48
X
X
01958
004
XXX
9
68.46
X
X
01958
003
XXX
9
73.48
X
X
01958
002
XXX
9
76.34
X
X
01958
001
XXX
9
76.85
X
X
0195U
X
424.03
X
01960
001
XXX
9
76.85
X
X
01960
004
XXX
9
68.46
X
X
01960
003
XXX
9
73.48
X
X
01960
002
XXX
9
76.34
X
X
01961
001
XXX
9
76.85
X
X
01961
002
XXX
9
76.34
X
X
01961
003
XXX
9
73.48
X
X
01961
004
XXX
9
68.46
X
X
01962
004
XXX
9
68.46
X
X
01962
001
XXX
9
76.85
X
X
01962
003
XXX
9
73.48
X
X
01962
002
XXX
9
76.34
X
X
01963
004
XXX
9
68.46
X
X
01963
001
XXX
9
76.85
X
X
01963
002
XXX
9
76.34
X
X
01963
003
XXX
9
73.48
X
X
01965
001
XXX
9
76.85
X
X
01965
004
XXX
9
68.46
X
X
01965
002
XXX
9
76.34
X
X
01965
003
XXX
9
73.49
X
X
01966
001
XXX
9
76.85
X
X
01966
003
XXX
9
73.49
X
X
01966
002
XXX
9
76.34
X
X
01966
004
XXX
9
68.46
X
X
01967
003
XXX
9
73.48
X
X
01967
002
XXX
9
76.34
X
X
01967
004
XXX
9
68.46
X
X
01967
001
XXX
9
76.85
X
X
01968
002
XXX
9
76.34
X
X
01968
003
XXX
9
73.48
X
X
01968
004
XXX
9
68.46
X
X
01968
001
XXX
9
76.85
X
X
01969
001
XXX
9
76.85
X
X
01969
004
XXX
9
68.46
X
X
01969
002
XXX
9
76.34
X
X
01969
003
XXX
9
73.48
X
X
0196U
X
209.28
X
0197U
X
209.28
X
0198U
X
319.65
X
01990
001
XXX
9
76.85
X
X
01990
003
XXX
9
73.48
X
X
01990
002
XXX
9
76.34
X
X
01990
004
XXX
9
68.46
X
X
01991
004
XXX
9
68.46
X
X
01991
003
XXX
9
73.48
X
X
01991
002
XXX
9
76.34
X
X
01991
001
XXX
9
76.85
X
X
01992
001
XXX
9
76.85
X
X
01992
004
XXX
9
68.46
X
X
01992
003
XXX
9
73.48
X
X
01992
002
XXX
9
76.34
X
X
01996
001
XXX
9
76.85
X
X
01996
003
XXX
9
73.48
X
X
01996
002
XXX
9
76.34
X
X
01996
004
XXX
9
68.46
X
X
01999
001
XXX
9
76.85
X
X
01999
004
XXX
9
68.46
X
X
01999
002
XXX
9
76.34
X
X
01999
003
XXX
9
73.48
X
X
0199U
X
310.56
X
0200U
X
310.56
X
0201U
X
209.28
X
0202U
X
470.96
X
0203U
X
858.80
X
0204U
X
3,299.15
X
0205U
X
53.11
X
0206U
X
2,503.40
X
0207U
X
577.66
X
0209U
X
889.48
X
0210U
X
21.05
X
0211U
X
9,554.15
X
0212U
X
6,186.98
X
0213U
X
3,062.24
X
0214U
X
5,903.80
X
0215U
X
2,909.35
X
0216U
X
1,736.83
X
0217U
X
2,484.14
X
0218U
X
2,575.27
X
0219U
X
819.25
X
0220U
X
798.06
X
0221U
X
310.56
X
0222U
X
319.65
X
0223U
X
470.96
X
0224U
X
58.12
X
0225U
X
470.96
X
0226U
X
47.78
X
0227U
X
70.22
X
0228U
X
195.52
X
0229U
X
433.92
X
0230U
X
340.53
X
0231U
X
956.29
X
0232U
X
310.56
X
0233U
X
310.56
X
0234U
X
596.49
X
0235U
X
678.00
X
0236U
X
681.05
X
0237U
X
660.94
X
0238U
X
660.94
X
0239U
X
3,955.00
X
0240U
X
161.17
X
0241U
X
161.17
X
0242U
X
5,650.00
X
0243U
X
72.78
X
0244U
X
3,955.00
X
0245U
X
1,430.66
X
0246U
X
813.60
X
0247U
X
847.50
X
0248U
X
3,428.26
X
0249U
X
2,507.62
X
0250U
X
3,299.15
X
0251U
X
19.52
X
0252U
X
857.73
X
0253U
X
3,570.14
X
0254U
X
857.73
X
0255U
X
35.71
X
0256U
X
180.74
X
0257U
X
805.09
X
0258U
X
4,152.75
X
0259U
X
59.56
X
0260U
X
1,427.79
X
0261U
X
5,593.50
X
0262U
X
3,616.00
X
0263U
X
847.50
X
0264U
X
1,427.79
X
0265U
X
6,187.65
X
0266U
X
3,616.00
X
0267U
X
7,615.44
X
0268U
X
687.23
X
0269U
X
687.23
X
0270U
X
687.23
X
0271U
X
687.23
X
0272U
X
687.23
X
0273U
X
687.23
X
0274U
X
687.23
X
0275U
X
20.76
X
0276U
X
2,766.87
X
0277U
X
687.23
X
0278U
X
687.23
X
0279U
X
13.03
X
0280U
X
19.52
X
0281U
X
19.52
X
0282U
X
813.60
X
0283U
X
20.79
X
0284U
X
19.52
X
0285U
X
500.94
X
0286U
X
151.57
X
0287U
X
4,068.00
X
0288U
X
4,376.49
X
0289U
X
858.80
X
0290U
X
858.80
X
0291U
X
1,983.15
X
0292U
X
1,983.15
X
0293U
X
858.80
X
0294U
X
858.80
X
0295U
X
6,141.55
X
0296U
X
2,203.50
X
0297U
X
3,299.15
X
0298U
X
3,299.15
X
0299U
X
2,105.44
X
0300U
X
4,726.94
X
0301U
X
296.87
X
0302U
X
408.35
X
0303U
X
2,487.83
X
0304U
X
2,345.65
X
0305U
X
748.72
X
0306U
X
4,382.65
X
0307U
X
897.77
X
0308U
X
441.55
X
0309U
X
441.55
X
0310U
X
441.55
X
0311U
X
9.13
X
0312U
X
949.93
X
0313U
X
4,068.00
X
0314U
X
2,203.50
X
0315U
X
9,605.00
X
0316U
X
21.09
X
0317U
X
2,293.90
X
0318U
X
2,000.64
X
0319U
X
2,994.50
X
0320U
X
2,994.50
X
0321U
X
717.37
X
0322U
X
847.50
X
0323U
X
2,402.61
X
0326U
X
5,650.00
X
0327U
X
898.35
X
0328U
X
129.31
X
0329U
X
3,884.92
X
0330U
X
470.96
X
0331U
X
2,105.44
X
0332U
X
1,290.53
X
0333U
X
748.42
X
0334U
X
#
X
0335U
X
5,903.80
X
0336U
X
2,909.35
X
0337U
X
2,751.55
X
0338U
X
2,751.55
X
0339U
X
858.80
X
0340U
X
4,056.70
X
0341U
X
2,147.23
X
0342U
X
1,013.61
X
0343U
X
858.80
X
0344U
X
895.15
X
0345U
X
1,509.78
X
0346U
X
105.38
X
0347U
X
1,509.78
X
0348U
X
838.77
X
0349U
X
838.77
X
0350U
X
1,509.78
X
0351U
X
294.36
X
0352U
X
161.17
X
0353U
X
79.30
X
0354U
X
39.65
X
0355U
X
154.81
X
0356U
X
#
X
0358U
X
294.36
X
0359U
X
858.80
X
0360U
X
949.93
X
0361U
X
#
X
0363U
X
858.80
X
0364U
X
#
X
0365U
X
1,013.61
X
0366U
X
1,013.61
X
0367U
X
1,019.46
X
0368U
X
#
X
0369U
X
470.96
X
0370U
X
470.96
X
0371U
X
470.96
X
0372U
X
470.96
X
0373U
X
470.96
X
0374U
X
470.96
X
0375U
X
1,013.61
X
0376U
X
798.06
X
0377U
X
53.77
X
0378U
X
154.81
X
0379U
X
#
X
0380U
X
470.96
X
0381U
X
#
X
0382U
X
#
X
0383U
X
#
X
0384U
X
847.50
X
0385U
X
441.55
X
0387U
X
1,071.80
X
0388U
X
#
X
0389U
X
#
X
0390U
X
72.78
X
0391U
X
4,068.00
X
0392U
X
1,509.78
X
0393U
X
611.32
X
0394U
X
224.58
X
0395U
X
#
X
0396U
X
#
X
0398U
X
#
X
0399U
X
#
X
0400U
X
#
X
0401U
X
#
X
0402U
X
161.17
X
0403U
X
858.80
X
0404U
X
364.94
X
0405U
X
2,000.64
X
0406U
X
858.80
X
0407U
X
858.80
X
0408U
X
#
X
0409U
X
3,299.15
X
0410U
X
1,310.80
X
0411U
X
1,509.78
X
0412U
X
#
X
0413U
X
1,427.79
X
0414U
X
798.06
X
0415U
X
441.55
X
0416U
X
470.96
X
0417U
X
#
X
0418U
X
798.06
X
0419U
X
1,509.78
X
10004
002
ZZZ
0
X
72.70
61.50
10004
003
ZZZ
0
X
72.70
61.50
10004
004
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0
X
72.70
61.50
10004
001
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0
X
79.48
66.60
10005
004
XXX
2
X
173.13
103.50
10005
001
XXX
2
X
190.96
111.09
10005
003
XXX
2
X
173.13
103.50
10005
002
XXX
2
X
173.13
103.50
10006
001
ZZZ
0
X
90.59
75.59
10006
004
ZZZ
0
X
83.57
70.50
10006
003
ZZZ
0
X
83.57
70.50
10006
002
ZZZ
0
X
83.57
70.50
10007
001
XXX
2
X
431.92
142.94
10007
004
XXX
2
X
384.71
132.86
10007
003
XXX
2
X
384.71
132.86
10007
002
XXX
2
X
384.71
132.86
10008
004
ZZZ
0
X
217.39
86.59
10008
001
ZZZ
0
X
243.24
93.11
10008
003
ZZZ
0
X
217.39
86.59
10008
002
ZZZ
0
X
217.39
86.59
10009
001
XXX
2
X
707.28
172.79
10009
004
XXX
2
X
626.90
161.06
10009
003
XXX
2
X
626.90
161.06
10009
002
XXX
2
X
626.90
161.06
10010
003
ZZZ
0
X
378.89
117.72
10010
002
ZZZ
0
X
378.89
117.72
10010
004
ZZZ
0
X
378.89
117.72
10010
001
ZZZ
0
X
425.97
126.28
10011
XXX
2
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*
X
10012
ZZZ
0
X
*
X
10021
001
XXX
2
X
209.22
X
10021
26
001
XXX
2
X
163.73
X
10021
TC
001
XXX
2
X
45.52
X
10021
004
XXX
2
X
186.86
X
10021
26
004
XXX
2
X
149.16
X
10021
TC
004
XXX
2
X
37.65
X
10021
003
XXX
2
X
186.86
X
10021
26
003
XXX
2
X
149.16
X
10021
TC
003
XXX
2
X
37.65
X
10021
002
XXX
2
X
186.86
X
10021
26
002
XXX
2
X
149.16
X
10021
TC
002
XXX
2
X
37.65
X
10030
003
0
2
X
1,185.25
251.52
10030
002
0
2
X
1,185.25
251.52
10030
004
0
2
X
1,185.25
251.52
10030
001
0
2
X
1,358.79
270.99
10035
004
0
2
X
779.82
134.41
10035
001
0
2
X
899.57
144.39
10035
003
0
2
X
779.82
134.41
10035
002
0
2
X
779.82
134.41
10036
004
ZZZ
0
X
675.47
67.71
10036
001
ZZZ
0
X
783.95
72.84
10036
003
ZZZ
0
X
675.47
67.71
10036
002
ZZZ
0
X
675.47
67.71
10040
10
2
X
*
X
10060
001
10
2
X
168.74
146.13
10060
004
10
2
X
158.97
138.20
10060
002
10
2
X
165.43
143.15
10060
003
10
2
X
161.92
140.30
10061
003
10
2
X
295.81
266.99
10061
002
10
2
X
346.40
312.37
10061
004
10
2
X
252.05
227.38
10061
001
10
2
X
351.75
316.59
10080
001
10
2
X
201.41
178.54
10080
004
10
2
X
179.58
159.60
10080
002
10
2
X
210.08
185.97
10080
003
10
2
X
199.21
176.86
10081
004
10
2
X
396.46
X
10081
003
10
2
X
398.29
X
10081
002
10
2
X
405.38
X
10081
001
10
2
X
410.51
X
10120
004
10
2
X
176.66
153.38
10120
002
10
2
X
186.95
161.84
10120
003
10
2
X
174.32
150.84
10120
001
10
2
X
188.90
163.52
10121
001
10
2
X
417.97
363.34
10121
004
10
2
X
390.45
340.36
10121
003
10
2
X
394.70
343.80
10121
002
10
2
X
413.37
359.48
10140
002
10
2
X
196.93
172.98
10140
003
10
2
X
183.96
161.62
10140
004
10
2
X
175.78
154.60
10140
001
10
2
X
198.64
174.71
10160
004
10
2
X
157.92
139.67
10160
003
10
2
X
165.35
146.16
10160
002
10
2
X
173.64
153.57
10160
001
10
2
X
161.65
142.53
10180
003
10
2
X
448.50
X
10180
002
10
2
X
463.86
X
10180
004
10
2
X
449.07
X
10180
001
10
2
X
464.07
X
11000
004
0
2
X
139.52
119.72
11000
002
0
2
X
147.82
126.46
11000
003
0
2
X
141.12
120.98
11000
001
0
2
X
149.40
127.80
11001
002
ZZZ
0
X
80.29
66.40
11001
003
ZZZ
0
X
76.62
63.48
11001
004
ZZZ
0
X
75.72
62.90
11001
001
ZZZ
0
X
81.18
67.10
11004
001
0
2
X
1,246.48
X
11004
004
0
2
X
1,143.06
X
11004
003
0
2
X
1,143.06
X
11004
002
0
2
X
1,143.06
X
11005
004
0
0
X
1,554.76
X
11005
002
0
0
X
1,554.76
X
11005
003
0
0
X
1,554.76
X
11005
001
0
0
X
1,700.92
X
11006
001
0
2
X
1,582.05
X
11006
002
0
2
X
1,433.33
X
11006
003
0
2
X
1,433.33
X
11006
004
0
2
X
1,433.33
X
11008
004
ZZZ
0
X
581.88
X
11008
001
ZZZ
0
X
646.99
X
11008
003
ZZZ
0
X
581.88
X
11008
002
ZZZ
0
X
581.88
X
11010
004
10
2
X
880.15
X
11010
002
10
2
X
904.46
X
11010
003
10
2
X
880.15
X
11010
001
10
2
X
1,011.14
X
11011
001
0
2
X
1,204.89
X
11011
003
0
2
X
1,049.02
X
11011
002
0
2
X
1,078.03
X
11011
004
0
2
X
1,049.02
X
11012
002
0
2
X
1,498.29
X
11012
003
0
2
X
1,458.04
X
11012
004
0
2
X
1,458.04
X
11012
001
0
2
X
1,674.55
X
11042
004
0
2
X
209.10
X
11042
001
0
2
X
279.60
X
11042
002
0
2
X
246.86
X
11042
003
0
2
X
221.02
X
11043
004
0
2
X
447.83
X
11043
003
0
2
X
512.58
X
11043
002
0
2
X
498.35
X
11043
001
0
2
X
496.18
X
11044
004
0
2
X
575.32
X
11044
002
0
2
X
629.54
X
11044
003
0
2
X
582.37
X
11044
001
0
2
X
640.94
X
11045
003
ZZZ
0
X
53.08
31.50
11045
002
ZZZ
0
X
53.08
31.50
11045
004
ZZZ
0
X
53.08
31.50
11045
001
ZZZ
0
X
59.37
34.93
11046
002
ZZZ
0
X
92.49
66.37
11046
003
ZZZ
0
X
92.49
66.37
11046
001
ZZZ
0
X
102.46
72.92
11046
004
ZZZ
0
X
92.49
66.37
11047
004
ZZZ
0
X
152.50
115.60
11047
001
ZZZ
0
X
169.12
127.37
11047
003
ZZZ
0
X
152.50
115.60
11047
002
ZZZ
0
X
152.50
115.60
11055
001
0
2
X
53.85
39.96
11055
004
0
2
X
48.35
36.47
11055
002
0
2
X
48.35
36.47
11055
003
0
2
X
48.35
36.47
11056
004
0
2
X
67.83
51.94
11056
001
0
2
X
75.78
57.08
11056
003
0
2
X
67.83
51.94
11056
002
0
2
X
67.83
51.94
11057
002
0
2
X
71.22
58.54
11057
003
0
2
X
71.22
58.54
11057
001
0
2
X
78.37
63.45
11057
004
0
2
X
71.22
58.54
11102
001
0
2
X
149.78
60.77
11102
004
0
2
X
133.38
55.80
11102
003
0
2
X
133.38
55.80
11102
002
0
2
X
133.38
55.80
11103
002
ZZZ
0
X
72.01
32.28
11103
003
ZZZ
0
X
72.01
32.28
11103
004
ZZZ
0
X
72.01
32.28
11103
001
ZZZ
0
X
80.74
35.15
11104
004
0
2
X
167.65
70.00
11104
002
0
2
X
167.65
70.00
11104
003
0
2
X
167.65
70.00
11104
001
0
2
X
188.23
76.18
11105
003
ZZZ
0
X
82.57
38.17
11105
002
ZZZ
0
X
82.57
38.17
11105
004
ZZZ
0
X
82.57
38.17
11105
001
ZZZ
0
X
92.50
41.57
11106
001
0
2
X
227.90
92.79
11106
004
0
2
X
202.95
85.21
11106
003
0
2
X
202.95
85.21
11106
002
0
2
X
202.95
85.21
11107
004
ZZZ
0
X
97.36
45.51
11107
003
ZZZ
0
X
97.36
45.51
11107
002
ZZZ
0
X
97.36
45.51
11107
001
ZZZ
0
X
109.02
49.52
11200
004
10
2
X
141.97
116.76
11200
002
10
2
X
141.21
115.85
11200
003
10
2
X
134.07
109.76
11200
001
10
2
X
151.63
124.24
11201
001
ZZZ
0
X
49.81
40.63
11201
002
ZZZ
0
X
49.17
40.09
11201
003
ZZZ
0
X
46.58
37.93
11201
004
ZZZ
0
X
46.03
37.59
11300
001
0
2
X
156.61
124.88
11300
004
0
2
X
138.77
110.69
11300
003
0
2
X
154.35
123.43
11300
002
0
2
X
154.63
123.28
11301
002
0
2
X
174.32
138.02
11301
003
0
2
X
190.42
155.38
11301
001
0
2
X
176.54
139.79
11301
004
0
2
X
163.14
129.41
11302
002
0
2
X
223.88
175.87
11302
003
0
2
X
243.55
197.33
11302
004
0
2
X
208.90
164.29
11302
001
0
2
X
226.94
178.25
11303
001
0
2
X
399.19
X
11303
004
0
2
X
379.36
X
11303
002
0
2
X
392.72
X
11303
003
0
2
X
403.08
X
11305
001
0
2
X
139.18
110.49
11305
003
0
2
X
158.63
130.14
11305
002
0
2
X
137.42
109.12
11305
004
0
2
X
153.64
125.94
11306
001
0
2
X
197.65
158.66
11306
003
0
2
X
184.91
148.64
11306
002
0
2
X
195.15
156.74
11306
004
0
2
X
182.77
147.04
11307
002
0
2
X
240.44
189.74
11307
003
0
2
X
283.77
232.13
11307
001
0
2
X
261.33
212.15
11307
004
0
2
X
224.31
177.18
11308
001
0
2
X
336.47
X
11308
004
0
2
X
420.51
X
11308
002
0
2
X
411.14
X
11308
003
0
2
X
420.41
X
11310
001
0
2
X
209.80
167.54
11310
004
0
2
X
189.52
151.63
11310
003
0
2
X
208.46
167.01
11310
002
0
2
X
204.92
163.78
11311
003
0
2
X
276.61
225.72
11311
002
0
2
X
268.29
218.34
11311
001
0
2
X
274.33
223.30
11311
004
0
2
X
240.83
196.68
11312
001
0
2
X
327.04
262.55
11312
002
0
2
X
331.06
264.95
11312
003
0
2
X
327.65
263.39
11312
004
0
2
X
249.43
193.38
11313
002
0
2
X
427.34
X
11313
003
0
2
X
476.41
X
11313
001
0
2
X
441.91
X
11313
004
0
2
X
443.85
X
11400
001
10
2
X
175.32
143.60
11400
003
10
2
X
172.49
141.61
11400
002
10
2
X
173.35
141.94
11400
004
10
2
X
156.72
128.65
11401
001
10
2
X
221.99
185.17
11401
003
10
2
X
212.42
177.41
11401
002
10
2
X
219.42
183.16
11401
004
10
2
X
206.85
173.14
11402
003
10
2
X
270.71
224.53
11402
002
10
2
X
279.78
231.76
11402
004
10
2
X
263.02
218.43
11402
001
10
2
X
283.10
234.45
11403
004
10
2
X
354.08
290.48
11403
002
10
2
X
371.85
304.84
11403
003
10
2
X
380.87
313.00
11403
001
10
2
X
367.65
301.23
11404
004
10
2
X
435.83
X
11404
003
10
2
X
456.99
X
11404
002
10
2
X
408.93
X
11404
001
10
2
X
428.48
X
11406
004
10
2
X
598.17
X
11406
002
10
2
X
643.43
X
11406
001
10
2
X
669.61
X
11406
003
10
2
X
618.35
X
11420
004
10
2
X
171.19
143.45
11420
001
10
2
X
175.96
147.26
11420
002
10
2
X
173.98
145.61
11420
003
10
2
X
176.29
147.82
11421
004
10
2
X
234.73
199.07
11421
002
10
2
X
248.97
210.45
11421
003
10
2
X
237.38
201.17
11421
001
10
2
X
251.71
212.83
11422
004
10
2
X
284.58
237.53
11422
002
10
2
X
302.79
252.10
11422
003
10
2
X
313.93
262.27
11422
001
10
2
X
292.36
243.20
11423
004
10
2
X
428.48
352.59
11423
002
10
2
X
433.72
355.49
11423
003
10
2
X
449.80
368.95
11423
001
10
2
X
399.11
327.72
11424
004
10
2
X
511.65
X
11424
001
10
2
X
460.27
X
11424
003
10
2
X
443.41
X
11424
002
10
2
X
437.08
X
11426
004
10
2
X
605.95
X
11426
001
10
2
X
655.95
X
11426
002
10
2
X
647.54
X
11426
003
10
2
X
631.58
X
11440
001
10
2
X
229.58
187.37
11440
004
10
2
X
208.66
170.61
11440
003
10
2
X
227.69
186.23
11440
002
10
2
X
224.59
183.54
11441
001
10
2
X
302.34
251.27
11441
004
10
2
X
267.70
223.60
11441
002
10
2
X
296.15
246.21
11441
003
10
2
X
303.79
252.88
11442
001
10
2
X
360.80
296.30
11442
003
10
2
X
360.34
296.14
11442
002
10
2
X
364.58
298.48
11442
004
10
2
X
314.94
258.94
11443
002
10
2
X
475.65
391.61
11443
003
10
2
X
490.32
404.76
11443
004
10
2
X
463.37
382.84
11443
001
10
2
X
468.15
384.76
11444
004
10
2
X
499.08
X
11444
001
10
2
X
470.62
X
11444
003
10
2
X
576.92
X
11444
002
10
2
X
422.29
X
11446
004
10
2
X
810.36
X
11446
002
10
2
X
742.10
X
11446
003
10
2
X
798.96
X
11446
001
10
2
X
840.40
X
11450
003
90
2
X
998.93
X
11450
001
90
2
X
948.53
X
11450
002
90
2
X
973.45
X
11450
004
90
2
X
901.44
X
11451
002
90
2
X
1,677.51
X
11451
003
90
2
X
747.84
X
11451
001
90
2
X
1,682.54
X
11451
004
90
2
X
739.15
X
11462
001
90
2
X
899.60
X
11462
002
90
2
X
1,124.13
X
11462
003
90
2
X
1,108.13
X
11462
004
90
2
X
528.27
X
11463
001
90
2
X
690.14
X
11463
002
90
2
X
680.84
X
11463
003
90
2
X
642.53
X
11463
004
90
2
X
1,236.05
X
11470
001
90
2
X
1,173.32
X
11470
004
90
2
X
1,145.70
X
11470
003
90
2
X
1,055.04
X
11470
002
90
2
X
1,155.18
X
11471
004
90
2
X
746.66
X
11471
001
90
2
X
1,686.31
X
11471
002
90
2
X
1,681.25
X
11471
003
90
2
X
755.01
X
11600
003
10
2
X
319.68
248.19
11600
002
10
2
X
326.57
252.97
11600
004
10
2
X
319.99
248.41
11600
001
10
2
X
328.54
255.16
11601
002
10
2
X
396.05
316.56
11601
003
10
2
X
383.08
306.66
11601
004
10
2
X
381.59
304.83
11601
001
10
2
X
395.27
315.68
11602
004
10
2
X
421.25
329.17
11602
001
10
2
X
474.56
368.60
11602
003
10
2
X
461.14
359.61
11602
002
10
2
X
466.22
362.17
11603
004
10
2
X
508.18
391.96
11603
001
10
2
X
547.97
421.75
11603
003
10
2
X
560.45
431.78
11603
002
10
2
X
563.25
432.69
11604
004
10
2
X
696.87
X
11604
002
10
2
X
715.92
X
11604
003
10
2
X
682.51
X
11604
001
10
2
X
696.27
X
11606
004
10
2
X
1,008.47
X
11606
001
10
2
X
1,015.92
X
11606
002
10
2
X
1,007.95
X
11606
003
10
2
X
891.91
X
11620
004
10
2
X
354.92
270.66
11620
002
10
2
X
366.94
279.44
11620
003
10
2
X
352.33
268.12
11620
001
10
2
X
374.42
285.66
11621
003
10
2
X
474.94
369.31
11621
002
10
2
X
483.70
375.41
11621
004
10
2
X
413.06
321.14
11621
001
10
2
X
493.92
383.74
11622
002
10
2
X
524.30
404.25
11622
003
10
2
X
516.74
397.53
11622
004
10
2
X
481.31
371.25
11622
001
10
2
X
532.23
409.57
11623
001
10
2
X
638.46
497.32
11623
004
10
2
X
587.64
458.27
11623
003
10
2
X
599.36
464.60
11623
002
10
2
X
630.01
490.71
11624
004
10
2
X
722.76
X
11624
003
10
2
X
746.31
X
11624
002
10
2
X
763.94
X
11624
001
10
2
X
774.49
X
11626
002
10
2
X
905.28
X
11626
003
10
2
X
848.64
X
11626
001
10
2
X
919.02
X
11626
004
10
2
X
888.30
X
11640
002
10
2
X
427.73
322.47
11640
003
10
2
X
396.88
299.69
11640
001
10
2
X
435.14
328.39
11640
004
10
2
X
403.36
304.18
11641
004
10
2
X
482.02
374.71
11641
001
10
2
X
533.18
413.63
11641
003
10
2
X
518.25
403.14
11641
002
10
2
X
534.29
414.21
11642
004
10
2
X
584.57
455.72
11642
002
10
2
X
629.42
487.78
11642
003
10
2
X
632.72
490.32
11642
001
10
2
X
638.62
494.37
11643
001
10
2
X
752.68
588.27
11643
004
10
2
X
693.75
543.10
11643
003
10
2
X
726.14
567.21
11643
002
10
2
X
742.87
580.65
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