2018 Workers' Compensation Part B Fee Schedule

30630-31635

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CPT/HCPC Code
Modifier
Medicare Location
Global Surgery Indicator
Multiple Surgery Indicator
Prevailing Charge Amount
Fee Schedule Amount
Site of Service Amount
30630   1 90 2 0 1,198.34 0
30630   2 90 2 0 1,292.72 0
30630   3 90 2 0 1,111.70 0
30630   4 90 2 0 1,252.80 0
30801   1 10 2 0 117.07 0
30801   2 10 2 0 119.62 0
30801   3 10 2 0 110.80 0
30801   4 10 2 0 122.07 0
30802   1 10 2 0 245.54 0
30802   2 10 2 0 242.28 0
30802   3 10 2 0 236.69 0
30802   4 10 2 0 234.98 0
30901   1 0 2 0 132.45 113.18
30901   2 0 2 0 134.27 115.05
30901   3 0 2 0 144.67 124.02
30901   4 0 2 0 127.60 109.64
30903   1 0 2 0 212.72 0
30903   2 0 2 0 210.31 0
30903   3 0 2 0 200.27 0
30903   4 0 2 0 204.65 0
30905   1 0 2 0 339.74 0
30905   2 0 2 0 349.39 0
30905   3 0 2 0 353.97 0
30905   4 0 2 0 312.70 0
30906   1 0 2 0 312.82 0
30906   2 0 2 0 373.51 0
30906   3 0 2 0 327.81 0
30906   4 0 2 0 376.22 0
30915   1 90 2 0 1,073.81 0
30915   2 90 2 0 1,040.73 0
30915   3 90 2 0 984.34 0
30915   4 90 2 0 1,009.92 0
30920   1 90 2 0 1,736.64 0
30920   2 90 2 0 1,708.58 0
30920   3 90 2 0 1,592.24 0
30920   4 90 2 0 1,695.61 0
30930   1 10 2 0 172.57 0
30930   2 10 2 0 170.48 0
30930   3 10 2 0 166.11 0
30930   4 10 2 0 172.31 0
30999     YYY 2 0 * 0
31000   1 10 2 0 124.90 108.12
31000   2 10 2 0 126.33 109.32
31000   3 10 2 0 122.69 106.31
31000   4 10 2 0 122.38 106.35
31002   1 10 2 0 203.04 0
31002   2 10 2 0 166.83 0
31002   3 10 2 0 193.36 0
31002   4 10 2 0 191.38 0
31020   1 90 2 0 525.76 0
31020   2 90 2 0 492.84 0
31020   3 90 2 0 495.14 0
31020   4 90 2 0 477.29 0
31030   1 90 2 0 1,317.14 0
31030   2 90 2 0 1,282.82 0
31030   3 90 2 0 1,208.95 0
31030   4 90 2 0 1,211.24 0
31032   1 90 2 0 1,506.92 0
31032   2 90 2 0 1,422.53 0
31032   3 90 2 0 1,378.91 0
31032   4 90 2 0 1,369.01 0
31040   1 90 2 0 1,802.46 0
31040   2 90 2 0 1,728.01 0
31040   3 90 2 0 1,425.18 0
31040   4 90 2 0 1,407.86 0
31050   1 90 2 0 1,314.05 0
31050   2 90 2 0 1,307.80 0
31050   3 90 2 0 1,281.62 0
31050   4 90 2 0 1,276.65 0
31051   1 90 2 0 1,465.06 0
31051   2 90 2 0 1,456.60 0
31051   3 90 2 0 1,272.85 0
31051   4 90 2 0 1,256.89 0
31070   1 90 2 0 772.42 0
31070   2 90 2 0 718.30 0
31070   3 90 2 0 690.66 0
31070   4 90 2 0 733.07 0
31075   1 90 2 0 1,757.02 0
31075   2 90 2 0 1,731.07 0
31075   3 90 2 0 1,623.18 0
31075   4 90 2 0 1,602.67 0
31080   1 90 2 0 1,831.52 0
31080   2 90 2 0 1,805.69 0
31080   3 90 2 0 1,698.86 0
31080   4 90 2 0 1,678.51 0
31081   1 90 2 0 2,049.50 0
31081   2 90 2 0 2,020.24 0
31081   3 90 2 0 1,899.13 0
31081   4 90 2 0 1,876.36 0
31084   1 90 2 0 2,534.38 0
31084   2 90 2 0 2,496.87 0
31084   3 90 2 0 2,377.33 0
31084   4 90 2 0 2,311.72 0
31085   1 90 2 0 3,174.76 0
31085   2 90 2 0 3,118.77 0
31085   3 90 2 0 3,118.21 0
31085   4 90 2 0 2,446.11 0
31086   1 90 2 0 2,304.38 0
31086   2 90 2 0 2,052.91 0
31086   3 90 2 0 1,934.66 0
31086   4 90 2 0 1,911.15 0
31087   1 90 2 0 2,077.65 0
31087   2 90 2 0 2,047.92 0
31087   3 90 2 0 1,924.86 0
31087   4 90 2 0 1,901.80 0
31090   1 90 2 0 2,414.38 0
31090   2 90 2 0 2,372.18 0
31090   3 90 2 0 2,407.93 0
31090   4 90 2 0 2,431.80 0
31200   1 90 2 0 916.06 0
31200   2 90 2 0 917.24 0
31200   3 90 2 0 880.33 0
31200   4 90 2 0 874.57 0
31201   1 90 2 0 1,359.93 0
31201   2 90 2 0 1,341.37 0
31201   3 90 2 0 1,272.85 0
31201   4 90 2 0 1,264.05 0
31205   1 90 2 0 1,723.94 0
31205   2 90 2 0 1,715.09 0
31205   3 90 2 0 1,678.39 0
31205   4 90 2 0 1,670.76 0
31225   1 90 2 0 3,542.83 0
31225   2 90 2 0 3,403.73 0
31225   3 90 2 0 3,296.49 0
31225   4 90 2 0 3,337.44 0
31230   1 90 2 0 3,941.88 0
31230   2 90 2 0 3,884.57 0
31230   3 90 2 0 3,646.86 0
31230   4 90 2 0 3,601.99 0
31231   1 0 2 0 157.58 0
31231   2 0 2 0 155.21 0
31231   3 0 2 0 145.43 0
31231   4 0 2 0 143.57 0
31233   1 0 2 0 458.98 0
31233   2 0 2 0 454.23 0
31233   3 0 2 0 434.35 0
31233   4 0 2 0 430.06 0
31235   1 0 2 0 577.51 0
31235   2 0 2 0 568.79 0
31235   3 0 2 0 532.66 0
31235   4 0 2 0 525.90 0
31237   1 0 2 0 400.14 0
31237   2 0 2 0 415.91 0
31237   3 0 2 0 396.42 0
31237   4 0 2 0 355.96 0
31238   1 0 2 0 688.12 0
31238   2 0 2 0 437.67 0
31238   3 0 2 0 426.52 0
31238   4 0 2 0 400.69 0
31239   1 10 2 0 2,166.49 0
31239   2 10 2 0 1,999.68 0
31239   3 10 2 0 1,840.98 0
31239   4 10 2 0 1,727.67 0
31240   1 0 2 0 646.42 0
31240   2 0 2 0 641.45 0
31240   3 0 2 0 633.90 0
31240   4 0 2 0 623.17 0
31241   1 0 2 0 558.75 0
31241   2 0 2 0 514.16 0
31241   3 0 2 0 514.16 0
31241   4 0 2 0 514.16 0
31253   1 0 2 0 625.35 0
31253   2 0 2 0 576.10 0
31253   3 0 2 0 576.10 0
31253   4 0 2 0 576.10 0
31254   1 0 2 0 983.87 0
31254   2 0 2 0 983.12 0
31254   3 0 2 0 908.80 0
31254   4 0 2 0 897.31 0
31255   1 0 2 0 2,053.56 0
31255   2 0 2 0 2,039.86 0
31255   3 0 2 0 1,980.23 0
31255   4 0 2 0 1,992.08 0
31256   1 0 2 0 649.93 0
31256   2 0 2 0 640.42 0
31256   3 0 2 0 600.82 0
31256   4 0 2 0 593.30 0
31257   1 0 2 0 556.45 0
31257   2 0 2 0 512.70 0
31257   3 0 2 0 512.70 0
31257   4 0 2 0 512.70 0
31259   1 0 2 0 590.07 0
31259   2 0 2 0 543.59 0
31259   3 0 2 0 543.59 0
31259   4 0 2 0 543.59 0
31267   1 0 2 0 899.06 0
31267   2 0 2 0 883.09 0
31267   3 0 2 0 816.69 0
31267   4 0 2 0 806.01 0
31276   1 0 2 0 1,388.65 0
31276   2 0 2 0 1,352.20 0
31276   3 0 2 0 1,272.69 0
31276   4 0 2 0 1,255.17 0
31287   1 0 2 0 1,086.65 0
31287   2 0 2 0 1,081.22 0
31287   3 0 2 0 1,053.27 0
31287   4 0 2 0 840.10 0
31288   1 0 2 0 1,032.25 0
31288   2 0 2 0 1,016.99 0
31288   3 0 2 0 966.38 0
31288   4 0 2 0 967.95 0
31290   1 10 2 0 3,923.31 0
31290   2 10 2 0 3,763.58 0
31290   3 10 2 0 3,676.90 0
31290   4 10 2 0 2,471.09 0
31291   1 10 2 0 3,968.41 0
31291   2 10 2 0 3,807.97 0
31291   3 10 2 0 3,718.66 0
31291   4 10 2 0 2,595.88 0
31292   1 10 2 0 3,067.77 0
31292   2 10 2 0 2,943.79 0
31292   3 10 2 0 2,874.69 0
31292   4 10 2 0 2,007.16 0
31293   1 10 2 0 3,354.08 0
31293   2 10 2 0 3,218.49 0
31293   3 10 2 0 3,142.94 0
31293   4 10 2 0 2,195.55 0
31294   1 10 2 0 3,834.36 0
31294   2 10 2 0 3,679.32 0
31294   3 10 2 0 3,592.84 0
31294   4 10 2 0 2,509.60 0
31295   1 0 2 0 2,973.86 256.52
31295   2 0 2 0 2,635.63 234.16
31295   3 0 2 0 2,635.63 234.16
31295   4 0 2 0 2,635.63 234.16
31296   1 0 2 0 5,567.76 306.06
31296   2 0 2 0 4,929.76 279.69
31296   3 0 2 0 4,929.76 279.69
31296   4 0 2 0 4,929.76 279.69
31297   1 0 2 0 5,515.66 251.00
31297   2 0 2 0 4,881.89 229.13
31297   3 0 2 0 4,881.89 229.13
31297   4 0 2 0 4,881.89 229.13
31298   1 0 2 0 4,797.31 318.67
31298   2 0 2 0 4,196.51 293.34
31298   3 0 2 0 4,196.51 293.34
31298   4 0 2 0 4,196.51 293.34
31299     YYY 2 0 * 0
31300   1 90 2 0 2,418.18 0
31300   2 90 2 0 2,352.76 0
31300   3 90 2 0 2,257.50 0
31300   4 90 2 0 2,291.81 0
31360   1 90 2 0 3,402.67 0
31360   2 90 2 0 3,362.10 0
31360   3 90 2 0 3,197.71 0
31360   4 90 2 0 3,164.85 0
31365   1 90 2 0 4,794.39 0
31365   2 90 2 0 4,749.25 0
31365   3 90 2 0 4,470.91 0
31365   4 90 2 0 4,536.89 0
31367   1 90 2 0 3,305.69 0
31367   2 90 2 0 3,259.94 0
31367   3 90 2 0 3,070.32 0
31367   4 90 2 0 3,033.06 0
31368   1 90 2 0 4,819.89 0
31368   2 90 2 0 4,671.32 0
31368   3 90 2 0 4,308.58 0
31368   4 90 2 0 4,255.05 0
31370   1 90 2 0 3,262.19 0
31370   2 90 2 0 3,591.38 0
31370   3 90 2 0 3,028.22 0
31370   4 90 2 0 2,991.41 0
31375   1 90 2 0 3,022.91 0
31375   2 90 2 0 2,982.92 0
31375   3 90 2 0 2,817.42 0
31375   4 90 2 0 2,783.73 0
31380   1 90 2 0 3,269.72 0
31380   2 90 2 0 3,224.17 0
31380   3 90 2 0 3,035.25 0
31380   4 90 2 0 3,009.07 0
31382   1 90 2 0 3,154.83 0
31382   2 90 2 0 3,111.53 0
31382   3 90 2 0 2,931.96 0
31382   4 90 2 0 2,896.65 0
31390   1 90 2 0 5,101.33 0
31390   2 90 2 0 5,130.56 0
31390   3 90 2 0 4,548.53 0
31390   4 90 2 0 4,490.66 0
31395   1 90 2 0 5,722.42 0
31395   2 90 2 0 5,751.53 0
31395   3 90 2 0 5,248.40 0
31395   4 90 2 0 5,182.45 0
31400   1 90 2 0 2,245.36 0
31400   2 90 2 0 2,236.38 0
31400   3 90 2 0 2,198.95 0
31400   4 90 2 0 2,191.74 0
31420   1 90 2 0 1,754.49 0
31420   2 90 2 0 1,537.72 0
31420   3 90 2 0 1,449.97 0
31420   4 90 2 0 1,432.40 0
31500   1 0 0 0 291.65 0
31500   2 0 0 0 288.18 0
31500   3 0 0 0 273.93 0
31500   4 0 0 0 270.86 0
31502   1 0 2 0 113.54 0
31502   2 0 2 0 111.94 0
31502   3 0 2 0 105.32 0
31502   4 0 2 0 104.02 0
31505   1 0 2 0 88.40 71.43
31505   2 0 2 0 87.14 70.49
31505   3 0 2 0 82.93 67.06
31505   4 0 2 0 79.80 64.52
31510   1 0 3 0 218.14 0
31510   2 0 3 0 215.95 0
31510   3 0 3 0 206.91 0
31510   4 0 3 0 204.70 0
31511   1 0 3 0 306.12 0
31511   2 0 3 0 323.05 0
31511   3 0 3 0 346.45 0
31511   4 0 3 0 257.83 0
31512   1 0 3 0 492.31 0
31512   2 0 3 0 470.76 0
31512   3 0 3 0 473.24 0
31512   4 0 3 0 323.12 0
31513   1 0 3 0 489.59 0
31513   2 0 3 0 529.75 0
31513   3 0 3 0 448.65 0
31513   4 0 3 0 550.26 0
31515   1 0 2 0 265.54 0
31515   2 0 2 0 262.22 0
31515   3 0 2 0 248.02 0
31515   4 0 2 0 245.20 0
31520   1 0 2 0 378.66 0
31520   2 0 2 0 373.92 0
31520   3 0 2 0 354.41 0
31520   4 0 2 0 350.24 0
31525   1 0 2 0 450.83 0
31525   2 0 2 0 431.97 0
31525   3 0 2 0 407.81 0
31525   4 0 2 0 402.91 0
31526   1 0 2 0 544.82 0
31526   2 0 2 0 536.45 0
31526   3 0 2 0 501.70 0
31526   4 0 2 0 469.68 0
31527   1 0 3 0 568.09 0
31527   2 0 3 0 560.40 0
31527   3 0 3 0 528.67 0
31527   4 0 3 0 522.22 0
31528   1 0 3 0 529.24 0
31528   2 0 3 0 457.45 0
31528   3 0 3 0 503.57 0
31528   4 0 3 0 423.73 0
31529   1 0 3 0 467.08 0
31529   2 0 3 0 460.75 0
31529   3 0 3 0 467.20 0
31529   4 0 3 0 429.25 0
31530   1 0 3 0 644.01 0
31530   2 0 3 0 634.77 0
31530   3 0 3 0 596.42 0
31530   4 0 3 0 589.05 0
31531   1 0 3 0 771.25 0
31531   2 0 3 0 763.56 0
31531   3 0 3 0 761.22 0
31531   4 0 3 0 751.59 0
31535   1 0 3 0 675.25 0
31535   2 0 3 0 674.89 0
31535   3 0 3 0 612.26 0
31535   4 0 3 0 640.30 0
31536   1 0 3 0 766.33 0
31536   2 0 3 0 753.76 0
31536   3 0 3 0 701.67 0
31536   4 0 3 0 692.66 0
31540   1 0 3 0 876.82 0
31540   2 0 3 0 863.27 0
31540   3 0 3 0 807.01 0
31540   4 0 3 0 796.85 0
31541   1 0 3 0 952.59 0
31541   2 0 3 0 943.08 0
31541   3 0 3 0 834.50 0
31541   4 0 3 0 823.63 0
31545   1 0 3 0 658.98 0
31545   2 0 3 0 599.39 0
31545   3 0 3 0 599.39 0
31545   4 0 3 0 599.39 0
31546   1 0 3 0 1,009.28 0
31546   2 0 3 0 914.15 0
31546   3 0 3 0 914.15 0
31546   4 0 3 0 914.15 0
31551   1 90 2 0 1,815.69 0
31551   2 90 2 0 1,657.20 0
31551   3 90 2 0 1,657.20 0
31551   4 90 2 0 1,657.20 0
31552   1 90 2 0 1,837.07 0
31552   2 90 2 0 1,671.47 0
31552   3 90 2 0 1,671.47 0
31552   4 90 2 0 1,671.47 0
31553   1 90 2 0 2,003.45 0
31553   2 90 2 0 1,821.33 0
31553   3 90 2 0 1,821.33 0
31553   4 90 2 0 1,821.33 0
31554   1 90 2 0 2,110.93 0
31554   2 90 2 0 1,914.09 0
31554   3 90 2 0 1,914.09 0
31554   4 90 2 0 1,914.09 0
31560   1 0 3 0 1,653.83 0
31560   2 0 3 0 1,648.46 0
31560   3 0 3 0 1,455.38 0
31560   4 0 3 0 1,621.35 0
31561   1 0 3 0 1,295.95 0
31561   2 0 3 0 1,799.09 0
31561   3 0 3 0 1,182.26 0
31561   4 0 3 0 1,753.48 0
31570   1 0 3 0 873.59 0
31570   2 0 3 0 945.47 0
31570   3 0 3 0 805.08 0
31570   4 0 3 0 772.81 0
31571   1 0 3 0 884.47 0
31571   2 0 3 0 972.35 0
31571   3 0 3 0 795.13 0
31571   4 0 3 0 830.46 0
31572   1 0 3 0 635.84 232.16
31572   2 0 3 0 561.27 212.85
31572   3 0 3 0 561.27 212.85
31572   4 0 3 0 561.27 212.85
31573   1 0 3 0 337.54 191.69
31573   2 0 3 0 301.39 175.50
31573   3 0 3 0 301.39 175.50
31573   4 0 3 0 301.39 175.50
31574   1 0 3 0 1,314.23 191.69
31574   2 0 3 0 1,144.36 175.50
31574   3 0 3 0 1,144.36 175.50
31574   4 0 3 0 1,144.36 175.50
31575   1 0 2 0 298.15 218.28
31575   2 0 2 0 284.59 208.32
31575   3 0 2 0 227.16 165.53
31575   4 0 2 0 224.24 163.71
31576   1 0 3 0 597.35 0
31576   2 0 3 0 577.25 0
31576   3 0 3 0 468.06 0
31576   4 0 3 0 579.87 0
31577   1 0 3 0 541.88 0
31577   2 0 3 0 715.95 0
31577   3 0 3 0 742.03 0
31577   4 0 3 0 699.80 0
31578   1 0 3 0 716.55 0
31578   2 0 3 0 645.49 0
31578   3 0 3 0 601.97 0
31578   4 0 3 0 594.27 0
31579   1 0 3 0 422.37 0
31579   2 0 3 0 402.26 0
31579   3 0 3 0 348.30 0
31579   4 0 3 0 386.31 0
31580   1 90 2 0 2,357.47 0
31580   2 90 2 0 2,321.14 0
31580   3 90 2 0 2,170.24 0
31580   4 90 2 0 1,982.19 0
31584   1 90 2 0 2,814.43 0
31584   2 90 2 0 2,778.85 0
31584   3 90 2 0 2,631.83 0
31584   4 90 2 0 2,600.91 0
31587   1 90 2 0 1,387.67 0
31587   2 90 2 0 1,368.40 0
31587   3 90 2 0 1,288.81 0
31587   4 90 2 0 1,273.18 0
31590   1 90 2 0 1,387.67 0
31590   2 90 2 0 1,368.40 0
31590   3 90 2 0 1,288.81 0
31590   4 90 2 0 1,273.18 0
31591   1 90 2 0 1,333.06 0
31591   2 90 2 0 1,207.22 0
31591   3 90 2 0 1,207.22 0
31591   4 90 2 0 1,207.22 0
31592   1 90 2 0 2,153.16 0
31592   2 90 2 0 1,963.13 0
31592   3 90 2 0 1,963.13 0
31592   4 90 2 0 1,963.13 0
31595   1 90 2 0 1,315.95 0
31595   2 90 2 0 1,297.86 0
31595   3 90 2 0 1,222.55 0
31595   4 90 2 0 1,207.80 0
31599     YYY 2 0 * 0
31600   1 0 2 0 732.14 0
31600   2 0 2 0 719.88 0
31600   3 0 2 0 669.04 0
31600   4 0 2 0 706.67 0
31601   1 0 2 0 888.20 0
31601   2 0 2 0 895.80 0
31601   3 0 2 0 816.80 0
31601   4 0 2 0 806.75 0
31603   1 0 2 0 795.34 0
31603   2 0 2 0 782.49 0
31603   3 0 2 0 729.28 0
31603   4 0 2 0 720.52 0
31605   1 0 2 0 722.98 0
31605   2 0 2 0 731.57 0
31605   3 0 2 0 666.04 0
31605   4 0 2 0 657.77 0
31610   1 90 2 0 1,349.01 0
31610   2 90 2 0 1,329.30 0
31610   3 90 2 0 1,247.55 0
31610   4 90 2 0 1,232.75 0
31611   1 90 2 0 1,265.72 0
31611   2 90 2 0 2,344.76 0
31611   3 90 2 0 1,156.07 0
31611   4 90 2 0 1,141.17 0
31612   1 0 2 0 180.03 0
31612   2 0 2 0 178.42 0
31612   3 0 2 0 171.73 0
31612   4 0 2 0 169.88 0
31613   1 90 2 0 613.99 0
31613   2 90 2 0 604.59 0
31613   3 90 2 0 598.73 0
31613   4 90 2 0 596.14 0
31614   1 90 2 0 1,235.70 0
31614   2 90 2 0 1,228.52 0
31614   3 90 2 0 1,198.49 0
31614   4 90 2 0 1,192.83 0
31615   1 0 2 0 397.40 0
31615   2 0 2 0 412.34 0
31615   3 0 2 0 378.78 0
31615   4 0 2 0 374.55 0
31622   1 0 2 0 545.11 0
31622   2 0 2 0 537.19 0
31622   3 0 2 0 504.39 0
31622   4 0 2 0 497.96 0
31623   1 0 3 0 485.67 330.60
31623   2 0 3 0 431.73 299.22
31623   3 0 3 0 431.73 299.22
31623   4 0 3 0 431.73 299.22
31624   1 0 3 0 489.96 334.19
31624   2 0 3 0 435.74 302.56
31624   3 0 3 0 435.74 302.56
31624   4 0 3 0 435.74 302.56
31625   1 0 3 0 612.01 0
31625   2 0 3 0 603.54 0
31625   3 0 3 0 568.19 0
31625   4 0 3 0 561.10 0
31626   1 0 2 0 623.96 305.65
31626   2 0 2 0 551.07 282.69
31626   3 0 2 0 551.07 282.69
31626   4 0 2 0 551.07 282.69
31627   1 ZZZ 0 0 1,745.66 148.81
31627   2 ZZZ 0 0 1,483.89 137.42
31627   3 ZZZ 0 0 1,483.89 137.42
31627   4 ZZZ 0 0 1,483.89 137.42
31628   1 0 3 0 733.17 0
31628   2 0 3 0 723.06 0
31628   3 0 3 0 681.33 0
31628   4 0 3 0 672.53 0
31629   1 0 3 0 649.23 0
31629   2 0 3 0 640.37 0
31629   3 0 3 0 635.52 0
31629   4 0 3 0 635.00 0
31630   1 0 3 0 760.27 0
31630   2 0 3 0 772.26 0
31630   3 0 3 0 716.85 0
31630   4 0 3 0 640.27 0
31631   1 0 3 0 729.47 0
31631   2 0 3 0 716.98 0
31631   3 0 3 0 663.66 0
31631   4 0 3 0 694.27 0
31632   1 ZZZ 0 0 133.02 102.90
31632   2 ZZZ 0 0 117.24 91.61
31632   3 ZZZ 0 0 117.24 91.61
31632   4 ZZZ 0 0 117.24 91.61
31633   1 ZZZ 0 0 161.86 126.96
31633   2 ZZZ 0 0 144.18 114.48
31633   3 ZZZ 0 0 144.18 114.48
31633   4 ZZZ 0 0 144.18 114.48
31634   1 0 3 0 2,634.24 297.63
31634   2 0 3 0 2,341.95 276.95
31634   3 0 3 0 2,341.95 276.95
31634   4 0 3 0 2,341.95 276.95
31635   1 0 3 0 802.12 0
31635   2 0 3 0 782.71 0
31635   3 0 3 0 776.72 0
31635   4 0 3 0 744.40 0