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Unemployment Tax Services
Workers' Compensation
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Vocational Rehabilitation
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Health Care Services Review
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Fee Schedule
>
Fee Schedule 78606-80436
Begin Main Content Area
Page Content
Content Editor
2024 Workers' Compensation Part B Fee Schedule
78606-80436
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
78606
001
XXX
0
X
514.60
X
78606
26
001
XXX
0
X
152.15
X
78606
TC
001
XXX
0
X
413.29
X
78606
003
XXX
0
X
469.73
X
78606
26
003
XXX
0
X
156.94
X
78606
TC
003
XXX
0
X
374.60
X
78606
002
XXX
0
X
514.79
X
78606
26
002
XXX
0
X
155.86
X
78606
TC
002
XXX
0
X
405.88
X
78606
004
XXX
0
X
462.66
X
78606
26
004
XXX
0
X
155.78
X
78606
TC
004
XXX
0
X
368.59
X
78608
XXX
0
X
*
X
78609
XXX
9
X
*
X
78610
002
XXX
0
X
309.57
X
78610
26
002
XXX
0
X
61.67
X
78610
TC
002
XXX
0
X
166.29
X
78610
003
XXX
0
X
306.86
X
78610
26
003
XXX
0
X
63.68
X
78610
TC
003
XXX
0
X
153.24
X
78610
001
XXX
0
X
322.40
X
78610
26
001
XXX
0
X
59.56
X
78610
TC
001
XXX
0
X
169.42
X
78610
004
XXX
0
X
317.34
X
78610
26
004
XXX
0
X
62.25
X
78610
TC
004
XXX
0
X
150.82
X
78630
001
XXX
0
X
648.00
X
78630
26
001
XXX
0
X
181.33
X
78630
TC
001
XXX
0
X
538.98
X
78630
003
XXX
0
X
599.61
X
78630
26
003
XXX
0
X
187.98
X
78630
TC
003
XXX
0
X
488.14
X
78630
002
XXX
0
X
636.90
X
78630
26
002
XXX
0
X
186.05
X
78630
TC
002
XXX
0
X
529.32
X
78630
004
XXX
0
X
607.82
X
78630
26
004
XXX
0
X
189.74
X
78630
TC
004
XXX
0
X
480.36
X
78635
004
XXX
0
X
428.42
X
78635
26
004
XXX
0
X
168.79
X
78635
TC
004
XXX
0
X
243.03
X
78635
003
XXX
0
X
432.96
X
78635
26
003
XXX
0
X
169.97
X
78635
TC
003
XXX
0
X
246.92
X
78635
002
XXX
0
X
447.01
X
78635
26
002
XXX
0
X
172.97
X
78635
TC
002
XXX
0
X
267.80
X
78635
001
XXX
0
X
449.58
X
78635
26
001
XXX
0
X
173.39
X
78635
TC
001
XXX
0
X
272.82
X
78645
003
XXX
0
X
482.98
X
78645
26
003
XXX
0
X
166.21
X
78645
TC
003
XXX
0
X
333.03
X
78645
002
XXX
0
X
500.73
X
78645
26
002
XXX
0
X
169.01
X
78645
TC
002
XXX
0
X
361.02
X
78645
001
XXX
0
X
503.93
X
78645
26
001
XXX
0
X
169.49
X
78645
TC
001
XXX
0
X
367.58
X
78645
004
XXX
0
X
477.43
X
78645
26
004
XXX
0
X
165.11
X
78645
TC
004
XXX
0
X
327.70
X
78650
002
XXX
0
X
705.60
X
78650
26
002
XXX
0
X
143.17
X
78650
TC
002
XXX
0
X
486.96
X
78650
003
XXX
0
X
693.36
X
78650
26
003
XXX
0
X
148.74
X
78650
TC
003
XXX
0
X
449.25
X
78650
004
XXX
0
X
711.25
X
78650
26
004
XXX
0
X
145.72
X
78650
TC
004
XXX
0
X
442.15
X
78650
001
XXX
0
X
731.28
X
78650
26
001
XXX
0
X
137.06
X
78650
TC
001
XXX
0
X
495.88
X
78660
001
XXX
0
X
283.08
X
78660
26
001
XXX
0
X
86.14
X
78660
TC
001
XXX
0
X
226.61
X
78660
002
XXX
0
X
280.28
X
78660
26
002
XXX
0
X
85.07
X
78660
TC
002
XXX
0
X
222.55
X
78660
003
XXX
0
X
265.73
X
78660
26
003
XXX
0
X
80.57
X
78660
TC
003
XXX
0
X
205.25
X
78660
004
XXX
0
X
261.40
X
78660
26
004
XXX
0
X
79.66
X
78660
TC
004
XXX
0
X
202.01
X
78699
XXX
0
X
#
X
78700
001
XXX
0
X
394.95
X
78700
26
001
XXX
0
X
104.80
X
78700
TC
001
XXX
0
X
324.51
X
78700
004
XXX
0
X
370.84
X
78700
26
004
XXX
0
X
101.46
X
78700
TC
004
XXX
0
X
289.45
X
78700
003
XXX
0
X
365.71
X
78700
26
003
XXX
0
X
102.27
X
78700
TC
003
XXX
0
X
294.20
X
78700
002
XXX
0
X
388.29
X
78700
26
002
XXX
0
X
104.51
X
78700
TC
002
XXX
0
X
318.72
X
78701
001
XXX
0
X
438.10
X
78701
26
001
XXX
0
X
96.83
X
78701
TC
001
XXX
0
X
379.82
X
78701
004
XXX
0
X
408.83
X
78701
003
XXX
0
X
408.14
X
78701
002
XXX
0
X
434.71
X
78701
26
002
XXX
0
X
100.45
X
78701
TC
002
XXX
0
X
373.02
X
78701
26
003
XXX
0
X
103.41
X
78701
TC
003
XXX
0
X
344.25
X
78701
26
004
XXX
0
X
101.33
X
78701
TC
004
XXX
0
X
338.77
X
78707
002
XXX
0
X
532.95
X
78707
26
002
XXX
0
X
127.56
X
78707
TC
002
XXX
0
X
405.36
X
78707
003
XXX
0
X
532.95
X
78707
26
003
XXX
0
X
127.56
X
78707
TC
003
XXX
0
X
405.36
X
78707
004
XXX
0
X
532.95
X
78707
26
004
XXX
0
X
127.56
X
78707
TC
004
XXX
0
X
405.36
X
78707
001
XXX
0
X
628.84
X
78707
26
001
XXX
0
X
140.68
X
78707
TC
001
XXX
0
X
488.23
X
78708
004
XXX
0
X
555.19
X
78708
26
004
XXX
0
X
149.82
X
78708
TC
004
XXX
0
X
405.36
X
78708
003
XXX
0
X
555.19
X
78708
26
003
XXX
0
X
149.82
X
78708
TC
003
XXX
0
X
405.36
X
78708
002
XXX
0
X
555.19
X
78708
26
002
XXX
0
X
149.82
X
78708
TC
002
XXX
0
X
405.36
X
78708
001
XXX
0
X
651.84
X
78708
26
001
XXX
0
X
163.65
X
78708
TC
001
XXX
0
X
488.19
X
78709
003
XXX
0
X
572.98
X
78709
26
003
XXX
0
X
167.61
X
78709
TC
003
XXX
0
X
405.36
X
78709
004
XXX
0
X
572.98
X
78709
26
004
XXX
0
X
167.61
X
78709
TC
004
XXX
0
X
405.36
X
78709
002
XXX
0
X
572.98
X
78709
26
002
XXX
0
X
167.61
X
78709
TC
002
XXX
0
X
405.36
X
78709
001
XXX
0
X
670.24
X
78709
26
001
XXX
0
X
182.05
X
78709
TC
001
XXX
0
X
488.23
X
78725
001
XXX
0
X
333.82
X
78725
26
001
XXX
0
X
96.57
X
78725
TC
001
XXX
0
X
191.16
X
78725
002
XXX
0
X
321.46
X
78725
26
002
XXX
0
X
96.36
X
78725
TC
002
XXX
0
X
187.69
X
78725
004
XXX
0
X
326.42
X
78725
26
004
XXX
0
X
93.65
X
78725
TC
004
XXX
0
X
170.40
X
78725
003
XXX
0
X
317.09
X
78725
26
003
XXX
0
X
94.39
X
78725
TC
003
XXX
0
X
173.12
X
78730
001
ZZZ
0
X
300.80
X
78730
26
001
ZZZ
0
X
120.55
X
78730
TC
001
ZZZ
0
X
156.72
X
78730
004
ZZZ
0
X
288.72
X
78730
26
004
ZZZ
0
X
118.13
X
78730
TC
004
ZZZ
0
X
139.66
X
78730
003
ZZZ
0
X
291.28
X
78730
26
003
ZZZ
0
X
118.77
X
78730
TC
003
ZZZ
0
X
141.91
X
78730
002
ZZZ
0
X
299.35
X
78730
26
002
ZZZ
0
X
120.31
X
78730
TC
002
ZZZ
0
X
153.83
X
78740
001
XXX
0
X
426.91
X
78740
26
001
XXX
0
X
103.56
X
78740
TC
001
XXX
0
X
226.61
X
78740
002
XXX
0
X
411.34
X
78740
26
002
XXX
0
X
107.07
X
78740
TC
002
XXX
0
X
222.55
X
78740
003
XXX
0
X
406.01
X
78740
26
003
XXX
0
X
109.08
X
78740
TC
003
XXX
0
X
205.25
X
78740
004
XXX
0
X
417.75
X
78740
26
004
XXX
0
X
106.96
X
78740
TC
004
XXX
0
X
202.01
X
78761
001
XXX
0
X
544.29
X
78761
26
001
XXX
0
X
189.39
X
78761
TC
001
XXX
0
X
341.22
X
78761
002
XXX
0
X
541.04
X
78761
003
XXX
0
X
523.82
X
78761
004
XXX
0
X
518.32
X
78761
26
002
XXX
0
X
188.85
X
78761
TC
002
XXX
0
X
335.17
X
78761
26
003
XXX
0
X
185.30
X
78761
TC
003
XXX
0
X
309.33
X
78761
26
004
XXX
0
X
183.92
X
78761
TC
004
XXX
0
X
304.35
X
78799
XXX
0
X
#
X
78800
001
XXX
0
X
494.37
X
78800
26
001
XXX
0
X
117.19
X
78800
TC
001
XXX
0
X
363.08
X
78800
002
XXX
0
X
500.87
X
78800
26
002
XXX
0
X
119.11
X
78800
TC
002
XXX
0
X
356.56
X
78800
003
XXX
0
X
488.34
X
78800
26
003
XXX
0
X
118.37
X
78800
TC
003
XXX
0
X
329.17
X
78800
004
XXX
0
X
482.73
X
78800
26
004
XXX
0
X
118.49
X
78800
TC
004
XXX
0
X
323.98
X
78801
004
XXX
0
X
693.04
X
78801
26
004
XXX
0
X
134.38
X
78801
TC
004
XXX
0
X
403.08
X
78801
003
XXX
0
X
675.66
X
78801
26
003
XXX
0
X
137.06
X
78801
TC
003
XXX
0
X
409.56
X
78801
002
XXX
0
X
687.28
X
78801
26
002
XXX
0
X
135.13
X
78801
TC
002
XXX
0
X
444.17
X
78801
001
XXX
0
X
712.28
X
78801
26
001
XXX
0
X
131.45
X
78801
TC
001
XXX
0
X
452.37
X
78802
002
XXX
2
X
790.21
X
78802
26
002
XXX
2
X
179.31
X
78802
TC
002
XXX
2
X
581.59
X
78802
003
XXX
2
X
772.71
X
78802
26
003
XXX
2
X
179.29
X
78802
TC
003
XXX
2
X
536.33
X
78802
004
XXX
2
X
789.08
X
78802
26
004
XXX
2
X
180.04
X
78802
TC
004
XXX
2
X
527.80
X
78802
001
XXX
2
X
816.94
X
78802
26
001
XXX
2
X
175.81
X
78802
TC
001
XXX
2
X
592.32
X
78803
001
XXX
2
X
872.05
X
78803
26
001
XXX
2
X
171.85
X
78803
TC
001
XXX
2
X
700.24
X
78803
003
XXX
2
X
795.89
X
78803
26
003
XXX
2
X
161.22
X
78803
TC
003
XXX
2
X
634.68
X
78803
004
XXX
2
X
784.01
X
78803
26
004
XXX
2
X
159.44
X
78803
TC
004
XXX
2
X
624.59
X
78803
002
XXX
2
X
857.40
X
78803
26
002
XXX
2
X
169.71
X
78803
TC
002
XXX
2
X
687.67
X
78804
004
XXX
0
X
459.39
X
78804
26
004
XXX
0
X
117.14
X
78804
TC
004
XXX
0
X
342.26
X
78804
003
XXX
0
X
459.39
X
78804
26
003
XXX
0
X
117.14
X
78804
TC
003
XXX
0
X
342.26
X
78804
002
XXX
0
X
459.39
X
78804
26
002
XXX
0
X
117.14
X
78804
TC
002
XXX
0
X
342.26
X
78804
001
XXX
0
X
539.78
X
78804
26
001
XXX
0
X
126.02
X
78804
TC
001
XXX
0
X
413.72
X
78808
001
XXX
0
X
87.55
X
78808
002
XXX
0
X
74.76
X
78808
004
XXX
0
X
74.76
X
78808
003
XXX
0
X
74.76
X
78811
XXX
0
X
*
X
78812
XXX
0
X
*
X
78813
XXX
0
X
*
X
78814
XXX
0
X
*
X
78815
XXX
0
X
*
X
78816
XXX
0
X
*
X
78830
003
XXX
0
X
663.30
X
78830
26
003
XXX
0
X
99.81
X
78830
TC
003
XXX
0
X
563.52
X
78830
004
XXX
0
X
663.30
X
78830
26
004
XXX
0
X
99.81
X
78830
TC
004
XXX
0
X
563.52
X
78830
002
XXX
0
X
663.30
X
78830
26
002
XXX
0
X
99.81
X
78830
TC
002
XXX
0
X
563.52
X
78830
001
XXX
0
X
755.79
X
78830
26
001
XXX
0
X
106.41
X
78830
TC
001
XXX
0
X
649.38
X
78831
004
XXX
0
X
958.44
X
78831
26
004
XXX
0
X
121.82
X
78831
TC
004
XXX
0
X
836.63
X
78831
001
XXX
0
X
1,094.20
X
78831
26
001
XXX
0
X
129.96
X
78831
TC
001
XXX
0
X
964.25
X
78831
002
XXX
0
X
958.44
X
78831
26
002
XXX
0
X
121.82
X
78831
TC
002
XXX
0
X
836.63
X
78831
003
XXX
0
X
958.44
X
78831
26
003
XXX
0
X
121.82
X
78831
TC
003
XXX
0
X
836.63
X
78832
001
XXX
0
X
1,424.07
X
78832
26
001
XXX
0
X
151.32
X
78832
TC
001
XXX
0
X
1,272.74
X
78832
002
XXX
0
X
1,246.41
X
78832
26
002
XXX
0
X
141.88
X
78832
TC
002
XXX
0
X
1,104.53
X
78832
003
XXX
0
X
1,246.41
X
78832
26
003
XXX
0
X
141.88
X
78832
TC
003
XXX
0
X
1,104.53
X
78832
004
XXX
0
X
1,246.41
X
78832
26
004
XXX
0
X
141.88
X
78832
TC
004
XXX
0
X
1,104.53
X
78835
002
ZZZ
0
X
139.52
X
78835
26
002
ZZZ
0
X
31.31
X
78835
TC
002
ZZZ
0
X
108.20
X
78835
004
ZZZ
0
X
139.52
X
78835
26
004
ZZZ
0
X
31.31
X
78835
TC
004
ZZZ
0
X
108.20
X
78835
003
ZZZ
0
X
139.52
X
78835
26
003
ZZZ
0
X
31.31
X
78835
TC
003
ZZZ
0
X
108.20
X
78835
001
ZZZ
0
X
158.09
X
78835
26
001
ZZZ
0
X
33.38
X
78835
TC
001
ZZZ
0
X
124.70
X
78999
XXX
0
X
#
X
79005
003
XXX
0
X
390.48
X
79005
26
003
XXX
0
X
191.33
X
79005
TC
003
XXX
0
X
199.17
X
79005
002
XXX
0
X
390.48
X
79005
26
002
XXX
0
X
191.33
X
79005
TC
002
XXX
0
X
199.17
X
79005
004
XXX
0
X
390.48
X
79005
26
004
XXX
0
X
191.33
X
79005
TC
004
XXX
0
X
199.17
X
79005
001
XXX
0
X
449.90
X
79005
26
001
XXX
0
X
206.52
X
79005
TC
001
XXX
0
X
243.39
X
79101
004
XXX
0
X
408.22
X
79101
26
004
XXX
0
X
209.12
X
79101
TC
004
XXX
0
X
199.17
X
79101
003
XXX
0
X
408.22
X
79101
26
003
XXX
0
X
209.12
X
79101
TC
003
XXX
0
X
199.17
X
79101
002
XXX
0
X
408.22
X
79101
26
002
XXX
0
X
209.12
X
79101
TC
002
XXX
0
X
199.17
X
79101
001
XXX
0
X
468.95
X
79101
26
001
XXX
0
X
225.53
X
79101
TC
001
XXX
0
X
243.39
X
79200
001
XXX
0
X
865.79
X
79200
26
001
XXX
0
X
301.15
X
79200
TC
001
XXX
0
X
282.51
X
79200
002
XXX
0
X
833.25
X
79200
26
002
XXX
0
X
299.15
X
79200
TC
002
XXX
0
X
277.28
X
79200
004
XXX
0
X
852.64
X
79200
26
004
XXX
0
X
283.07
X
79200
TC
004
XXX
0
X
251.42
X
79200
003
XXX
0
X
826.24
X
79200
26
003
XXX
0
X
287.27
X
79200
TC
003
XXX
0
X
255.47
X
79300
001
XXX
0
X
536.41
X
79300
26
001
XXX
0
X
253.97
X
79300
TC
001
XXX
0
X
282.51
X
79300
002
XXX
0
X
528.09
X
79300
26
002
XXX
0
X
250.82
X
79300
TC
002
XXX
0
X
277.28
X
79300
003
XXX
0
X
493.39
X
79300
26
003
XXX
0
X
237.95
X
79300
TC
003
XXX
0
X
255.47
X
79300
004
XXX
0
X
486.72
X
79300
26
004
XXX
0
X
235.27
X
79300
TC
004
XXX
0
X
251.42
X
79403
004
XXX
0
X
588.55
X
79403
26
004
XXX
0
X
256.54
X
79403
TC
004
XXX
0
X
331.99
X
79403
003
XXX
0
X
588.55
X
79403
26
003
XXX
0
X
256.54
X
79403
TC
003
XXX
0
X
331.99
X
79403
002
XXX
0
X
588.55
X
79403
26
002
XXX
0
X
256.54
X
79403
TC
002
XXX
0
X
331.99
X
79403
001
XXX
0
X
673.15
X
79403
26
001
XXX
0
X
277.58
X
79403
TC
001
XXX
0
X
395.60
X
79440
002
XXX
0
X
589.62
X
79440
26
002
XXX
0
X
312.37
X
79440
TC
002
XXX
0
X
277.28
X
79440
001
XXX
0
X
598.73
X
79440
26
001
XXX
0
X
316.30
X
79440
TC
001
XXX
0
X
282.51
X
79440
003
XXX
0
X
551.60
X
79440
26
003
XXX
0
X
296.17
X
79440
TC
003
XXX
0
X
255.47
X
79440
004
XXX
0
X
544.32
X
79440
26
004
XXX
0
X
292.86
X
79440
TC
004
XXX
0
X
251.42
X
79445
001
XXX
0
X
524.16
X
79445
26
001
XXX
0
X
278.61
X
79445
TC
001
XXX
0
X
245.59
X
79445
004
XXX
0
X
457.84
X
79445
26
004
XXX
0
X
257.42
X
79445
TC
004
XXX
0
X
200.44
X
79445
003
XXX
0
X
457.84
X
79445
26
003
XXX
0
X
257.42
X
79445
TC
003
XXX
0
X
200.44
X
79445
002
XXX
0
X
457.84
X
79445
26
002
XXX
0
X
257.42
X
79445
TC
002
XXX
0
X
200.44
X
79999
XXX
0
X
#
X
80047
XXX
9
X
15.51
X
80048
XXX
9
X
9.56
X
80050
XXX
9
X
*
X
80051
XXX
9
X
7.92
X
80053
XXX
9
X
11.93
X
80055
XXX
9
X
54.03
X
80061
XXX
9
X
15.13
X
80069
XXX
9
X
9.81
X
80074
XXX
9
X
53.82
X
80076
XXX
9
X
9.23
X
80081
XXX
9
X
84.59
X
80143
XXX
9
X
21.06
X
80145
XXX
9
X
43.58
X
80150
XXX
9
X
17.04
X
80151
XXX
9
X
21.06
X
80155
XXX
9
X
43.58
X
80156
XXX
9
X
16.46
X
80157
XXX
9
X
14.97
X
80158
XXX
9
X
20.40
X
80159
XXX
9
X
22.77
X
80161
XXX
9
X
21.06
X
80162
XXX
9
X
15.01
X
80163
XXX
9
X
15.01
X
80164
XXX
9
X
15.30
X
80165
XXX
9
X
15.30
X
80167
XXX
9
X
21.06
X
80168
XXX
9
X
18.46
X
80169
XXX
9
X
15.51
X
80170
XXX
9
X
18.51
X
80171
XXX
9
X
24.49
X
80173
XXX
9
X
17.83
X
80175
XXX
9
X
14.97
X
80176
XXX
9
X
16.60
X
80177
XXX
9
X
14.97
X
80178
XXX
9
X
7.47
X
80179
XXX
9
X
21.06
X
80180
XXX
9
X
20.40
X
80181
XXX
9
X
21.06
X
80183
XXX
9
X
14.97
X
80184
XXX
9
X
17.29
X
80185
XXX
9
X
14.97
X
80186
XXX
9
X
15.55
X
80187
XXX
9
X
30.63
X
80188
XXX
9
X
18.75
X
80189
XXX
9
X
30.63
X
80190
XXX
9
X
67.80
X
80192
XXX
9
X
18.93
X
80193
XXX
9
X
43.58
X
80194
XXX
9
X
16.50
X
80195
XXX
9
X
15.51
X
80197
XXX
9
X
15.51
X
80198
XXX
9
X
15.98
X
80199
XXX
9
X
30.63
X
80200
XXX
9
X
18.23
X
80201
XXX
9
X
13.47
X
80202
XXX
9
X
15.30
X
80203
XXX
9
X
14.97
X
80204
XXX
9
X
43.58
X
80210
XXX
9
X
30.63
X
80220
XXX
9
X
21.06
X
80230
XXX
9
X
43.58
X
80235
XXX
9
X
30.63
X
80280
XXX
9
X
43.58
X
80285
XXX
9
X
30.63
X
80299
XXX
9
X
21.06
X
80305
XXX
9
X
14.24
X
80306
XXX
9
X
19.37
X
80307
XXX
9
X
70.22
X
80320
XXX
9
X
*
X
80321
XXX
9
X
*
X
80322
XXX
9
X
*
X
80323
XXX
9
X
*
X
80324
XXX
9
X
*
X
80325
XXX
9
X
*
X
80326
XXX
9
X
*
X
80327
XXX
9
X
*
X
80328
XXX
9
X
#
X
80329
XXX
9
X
*
X
80330
XXX
9
X
*
X
80331
XXX
9
X
*
X
80332
XXX
9
X
*
X
80333
XXX
9
X
*
X
80334
XXX
9
X
*
X
80335
XXX
9
X
*
X
80336
XXX
9
X
*
X
80337
XXX
9
X
*
X
80338
XXX
9
X
*
X
80339
XXX
9
X
*
X
80340
XXX
9
X
*
X
80341
XXX
9
X
*
X
80342
XXX
9
X
*
X
80343
XXX
9
X
*
X
80344
XXX
9
X
*
X
80345
XXX
9
X
*
X
80346
XXX
9
X
*
X
80347
XXX
9
X
*
X
80348
XXX
9
X
*
X
80349
XXX
9
X
*
X
80350
XXX
9
X
*
X
80351
XXX
9
X
*
X
80352
XXX
9
X
*
X
80353
XXX
9
X
*
X
80354
XXX
9
X
*
X
80355
XXX
9
X
*
X
80356
XXX
9
X
*
X
80357
XXX
9
X
*
X
80358
XXX
9
X
*
X
80359
XXX
9
X
*
X
80360
XXX
9
X
*
X
80361
XXX
9
X
*
X
80362
XXX
9
X
*
X
80363
XXX
9
X
*
X
80364
XXX
9
X
*
X
80365
XXX
9
X
*
X
80366
XXX
9
X
*
X
80367
XXX
9
X
*
X
80368
XXX
9
X
*
X
80369
XXX
9
X
*
X
80370
XXX
9
X
*
X
80371
XXX
9
X
*
X
80372
XXX
9
X
*
X
80373
XXX
9
X
*
X
80374
XXX
9
X
*
X
80375
XXX
9
X
*
X
80376
XXX
9
X
*
X
80377
XXX
9
X
*
X
80400
XXX
9
X
36.86
X
80402
XXX
9
X
98.26
X
80406
XXX
9
X
88.43
X
80408
XXX
9
X
141.82
X
80410
XXX
9
X
90.82
X
80412
XXX
9
X
905.83
X
80414
XXX
9
X
58.35
X
80415
XXX
9
X
63.16
X
80416
XXX
9
X
236.53
X
80417
XXX
9
X
49.71
X
80418
XXX
9
X
654.81
X
80420
XXX
9
X
182.92
X
80422
XXX
9
X
52.06
X
80424
XXX
9
X
57.07
X
80426
XXX
9
X
167.70
X
80428
XXX
9
X
75.37
X
80430
XXX
9
X
146.14
X
80432
XXX
9
X
187.14
X
80434
XXX
9
X
322.08
X
80435
XXX
9
X
116.39
X
80436
XXX
9
X
103.01
X
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