2018 Workers' Compensation Part B Fee Schedule

95807-95933

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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
95807   1 XXX 0 0 853.64 0
95807 26 1 XXX 0 0 287.49 0
95807 TC 1 XXX 0 0 566.16 0
95807   2 XXX 0 0 720.72 0
95807 26 2 XXX 0 0 252.75 0
95807 TC 2 XXX 0 0 467.95 0
95807   3 XXX 0 0 720.72 0
95807 26 3 XXX 0 0 252.75 0
95807 TC 3 XXX 0 0 467.95 0
95807   4 XXX 0 0 720.72 0
95807 26 4 XXX 0 0 252.75 0
95807 TC 4 XXX 0 0 467.95 0
95808   1 XXX 0 0 885.67 0
95808 26 1 XXX 0 0 424.57 0
95808 TC 1 XXX 0 0 437.07 0
95808   2 XXX 0 0 945.49 0
95808 26 2 XXX 0 0 414.50 0
95808 TC 2 XXX 0 0 796.08 0
95808   3 XXX 0 0 856.13 0
95808 26 3 XXX 0 0 407.14 0
95808 TC 3 XXX 0 0 393.79 0
95808   4 XXX 0 0 737.39 0
95808 26 4 XXX 0 0 357.88 0
95808 TC 4 XXX 0 0 387.64 0
95810   1 XXX 0 0 885.67 0
95810 26 1 XXX 0 0 424.57 0
95810 TC 1 XXX 0 0 437.07 0
95810   2 XXX 0 0 945.49 0
95810 26 2 XXX 0 0 414.50 0
95810 TC 2 XXX 0 0 796.08 0
95810   3 XXX 0 0 856.13 0
95810 26 3 XXX 0 0 407.14 0
95810 TC 3 XXX 0 0 393.79 0
95810   4 XXX 0 0 737.39 0
95810 26 4 XXX 0 0 357.88 0
95810 TC 4 XXX 0 0 387.64 0
95811   1 XXX 0 0 1,096.47 0
95811 26 1 XXX 0 0 501.98 0
95811 TC 1 XXX 0 0 594.50 0
95811   2 XXX 0 0 943.98 0
95811 26 2 XXX 0 0 452.47 0
95811 TC 2 XXX 0 0 491.49 0
95811   3 XXX 0 0 943.98 0
95811 26 3 XXX 0 0 452.47 0
95811 TC 3 XXX 0 0 491.49 0
95811   4 XXX 0 0 943.98 0
95811 26 4 XXX 0 0 452.47 0
95811 TC 4 XXX 0 0 491.49 0
95812   1 XXX 0 0 259.26 0
95812 26 1 XXX 0 0 139.61 0
95812 TC 1 XXX 0 0 121.11 0
95812   2 XXX 0 0 240.31 0
95812 26 2 XXX 0 0 135.40 0
95812 TC 2 XXX 0 0 116.78 0
95812   3 XXX 0 0 222.28 0
95812 26 3 XXX 0 0 133.31 0
95812 TC 3 XXX 0 0 93.22 0
95812   4 XXX 0 0 225.98 0
95812 26 4 XXX 0 0 123.03 0
95812 TC 4 XXX 0 0 104.51 0
95813   1 XXX 0 0 304.81 0
95813 26 1 XXX 0 0 183.67 0
95813 TC 1 XXX 0 0 121.11 0
95813   2 XXX 0 0 297.09 0
95813 26 2 XXX 0 0 180.35 0
95813 TC 2 XXX 0 0 116.78 0
95813   3 XXX 0 0 279.77 0
95813 26 3 XXX 0 0 173.36 0
95813 TC 3 XXX 0 0 106.39 0
95813   4 XXX 0 0 275.82 0
95813 26 4 XXX 0 0 171.33 0
95813 TC 4 XXX 0 0 104.51 0
95816   1 XXX 0 0 250.03 0
95816 26 1 XXX 0 0 136.26 0
95816 TC 1 XXX 0 0 111.46 0
95816   2 XXX 0 0 218.26 0
95816 26 2 XXX 0 0 130.92 0
95816 TC 2 XXX 0 0 109.24 0
95816   3 XXX 0 0 199.36 0
95816 26 3 XXX 0 0 133.11 0
95816 TC 3 XXX 0 0 67.35 0
95816   4 XXX 0 0 184.24 0
95816 26 4 XXX 0 0 115.69 0
95816 TC 4 XXX 0 0 98.72 0
95819   1 XXX 0 0 258.18 0
95819 26 1 XXX 0 0 144.36 0
95819 TC 1 XXX 0 0 111.46 0
95819   2 XXX 0 0 226.29 0
95819 26 2 XXX 0 0 138.94 0
95819 TC 2 XXX 0 0 109.24 0
95819   3 XXX 0 0 206.79 0
95819 26 3 XXX 0 0 140.55 0
95819 TC 3 XXX 0 0 67.35 0
95819   4 XXX 0 0 220.45 0
95819 26 4 XXX 0 0 123.01 0
95819 TC 4 XXX 0 0 98.72 0
95822   1 XXX 0 0 287.81 0
95822 26 1 XXX 0 0 158.69 0
95822 TC 1 XXX 0 0 153.05 0
95822   2 XXX 0 0 256.24 0
95822 26 2 XXX 0 0 121.55 0
95822 TC 2 XXX 0 0 144.21 0
95822   3 XXX 0 0 265.10 0
95822 26 3 XXX 0 0 156.81 0
95822 TC 3 XXX 0 0 137.62 0
95822   4 XXX 0 0 261.56 0
95822 26 4 XXX 0 0 125.98 0
95822 TC 4 XXX 0 0 135.49 0
95824     XXX 0 0 * 0
95827   1 XXX 0 0 356.12 0
95827 26 1 XXX 0 0 169.69 0
95827 TC 1 XXX 0 0 192.65 0
95827   2 XXX 0 0 350.43 0
95827 26 2 XXX 0 0 159.92 0
95827 TC 2 XXX 0 0 188.98 0
95827   3 XXX 0 0 326.59 0
95827 26 3 XXX 0 0 157.39 0
95827 TC 3 XXX 0 0 173.53 0
95827   4 XXX 0 0 322.06 0
95827 26 4 XXX 0 0 157.45 0
95827 TC 4 XXX 0 0 170.79 0
95829   1 XXX 0 0 371.47 0
95829 26 1 XXX 0 0 365.80 0
95829 TC 1 XXX 0 0 13.36 0
95829   2 XXX 0 0 369.59 0
95829 26 2 XXX 0 0 364.09 0
95829 TC 2 XXX 0 0 13.05 0
95829   3 XXX 0 0 362.19 0
95829 26 3 XXX 0 0 512.34 0
95829 TC 3 XXX 0 0 11.74 0
95829   4 XXX 0 0 518.99 0
95829 26 4 XXX 0 0 507.46 0
95829 TC 4 XXX 0 0 11.59 0
95830   1 XXX 0 0 212.25 0
95830   2 XXX 0 0 230.29 0
95830   3 XXX 0 0 193.69 0
95830   4 XXX 0 0 191.50 0
95831   1 XXX 0 0 48.21 36.87
95831   2 XXX 0 0 47.56 36.32
95831   3 XXX 0 0 44.75 34.13
95831   4 XXX 0 0 44.20 33.81
95832   1 XXX 0 0 44.69 34.92
95832   2 XXX 0 0 44.15 34.49
95832   3 XXX 0 0 41.84 32.65
95832   4 XXX 0 0 41.28 32.32
95833   1 XXX 0 0 73.37 58.48
95833   2 XXX 0 0 72.35 57.61
95833   3 XXX 0 0 68.02 54.13
95833   4 XXX 0 0 67.21 53.58
95834   1 XXX 0 0 103.47 79.25
95834   2 XXX 0 0 102.11 78.14
95834   3 XXX 0 0 96.18 73.54
95834   4 XXX 0 0 95.00 72.73
95851   1 XXX 0 0 43.10 33.73
95851   2 XXX 0 0 42.62 33.29
95851   3 XXX 0 0 40.28 31.54
95851   4 XXX 0 0 39.83 31.21
95852   1 XXX 0 0 29.06 23.14
95852   2 XXX 0 0 28.59 22.77
95852   3 XXX 0 0 26.92 21.47
95852   4 XXX 0 0 26.58 21.22
95857   1 XXX 0 0 84.69 65.33
95857   2 XXX 0 0 83.85 64.82
95857   3 XXX 0 0 81.42 62.73
95857   4 XXX 0 0 80.86 62.34
95860   1 XXX 0 0 177.59 0
95860 26 1 XXX 0 0 143.07 0
95860 TC 1 XXX 0 0 31.80 0
95860   2 XXX 0 0 176.07 0
95860 26 2 XXX 0 0 142.30 0
95860 TC 2 XXX 0 0 34.06 0
95860   3 XXX 0 0 173.10 0
95860 26 3 XXX 0 0 139.86 0
95860 TC 3 XXX 0 0 28.56 0
95860   4 XXX 0 0 173.16 0
95860 26 4 XXX 0 0 135.59 0
95860 TC 4 XXX 0 0 28.13 0
95861   1 XXX 0 0 297.22 0
95861 26 1 XXX 0 0 234.41 0
95861 TC 1 XXX 0 0 62.80 0
95861   2 XXX 0 0 293.11 0
95861 26 2 XXX 0 0 231.51 0
95861 TC 2 XXX 0 0 61.55 0
95861   3 XXX 0 0 276.00 0
95861 26 3 XXX 0 0 219.62 0
95861 TC 3 XXX 0 0 55.84 0
95861   4 XXX 0 0 272.46 0
95861 26 4 XXX 0 0 217.44 0
95861 TC 4 XXX 0 0 55.52 0
95863   1 XXX 0 0 352.06 0
95863 26 1 XXX 0 0 273.19 0
95863 TC 1 XXX 0 0 78.89 0
95863   2 XXX 0 0 347.27 0
95863 26 2 XXX 0 0 269.91 0
95863 TC 2 XXX 0 0 77.37 0
95863   3 XXX 0 0 327.39 0
95863 26 3 XXX 0 0 256.36 0
95863 TC 3 XXX 0 0 71.02 0
95863   4 XXX 0 0 323.21 0
95863 26 4 XXX 0 0 253.29 0
95863 TC 4 XXX 0 0 69.89 0
95864   1 XXX 0 0 463.08 0
95864 26 1 XXX 0 0 277.49 0
95864 TC 1 XXX 0 0 150.27 0
95864   2 XXX 0 0 456.33 0
95864 26 2 XXX 0 0 308.87 0
95864 TC 2 XXX 0 0 147.41 0
95864   3 XXX 0 0 428.04 0
95864 26 3 XXX 0 0 292.60 0
95864 TC 3 XXX 0 0 135.43 0
95864   4 XXX 0 0 422.32 0
95864 26 4 XXX 0 0 289.02 0
95864 TC 4 XXX 0 0 133.32 0
95865   1 XXX 0 0 188.35 0
95865 26 1 XXX 0 0 143.77 0
95865 TC 1 XXX 0 0 44.56 0
95865   2 XXX 0 0 166.86 0
95865 26 2 XXX 0 0 131.01 0
95865 TC 2 XXX 0 0 35.84 0
95865   3 XXX 0 0 166.86 0
95865 26 3 XXX 0 0 131.01 0
95865 TC 3 XXX 0 0 35.84 0
95865   4 XXX 0 0 166.86 0
95865 26 4 XXX 0 0 131.01 0
95865 TC 4 XXX 0 0 35.84 0
95866   1 XXX 0 0 126.39 0
95866 26 1 XXX 0 0 111.65 0
95866 TC 1 XXX 0 0 14.74 0
95866   2 XXX 0 0 113.38 0
95866 26 2 XXX 0 0 101.89 0
95866 TC 2 XXX 0 0 11.49 0
95866   3 XXX 0 0 113.38 0
95866 26 3 XXX 0 0 101.89 0
95866 TC 3 XXX 0 0 11.49 0
95866   4 XXX 0 0 113.38 0
95866 26 4 XXX 0 0 101.89 0
95866 TC 4 XXX 0 0 11.49 0
95867   1 XXX 0 0 122.42 0
95867 26 1 XXX 0 0 104.31 0
95867 TC 1 XXX 0 0 48.69 0
95867   2 XXX 0 0 147.97 0
95867 26 2 XXX 0 0 103.73 0
95867 TC 2 XXX 0 0 47.73 0
95867   3 XXX 0 0 138.68 0
95867 26 3 XXX 0 0 101.47 0
95867 TC 3 XXX 0 0 43.90 0
95867   4 XXX 0 0 136.80 0
95867 26 4 XXX 0 0 93.60 0
95867 TC 4 XXX 0 0 43.26 0
95868   1 XXX 0 0 276.85 0
95868 26 1 XXX 0 0 230.47 0
95868 TC 1 XXX 0 0 58.48 0
95868   2 XXX 0 0 274.27 0
95868 26 2 XXX 0 0 227.63 0
95868 TC 2 XXX 0 0 57.37 0
95868   3 XXX 0 0 265.13 0
95868 26 3 XXX 0 0 215.80 0
95868 TC 3 XXX 0 0 52.71 0
95868   4 XXX 0 0 263.14 0
95868 26 4 XXX 0 0 213.18 0
95868 TC 4 XXX 0 0 51.86 0
95869   1 XXX 0 0 161.17 0
95869 26 1 XXX 0 0 132.19 0
95869 TC 1 XXX 0 0 18.04 0
95869   2 XXX 0 0 145.88 0
95869 26 2 XXX 0 0 128.64 0
95869 TC 2 XXX 0 0 17.70 0
95869   3 XXX 0 0 155.60 0
95869 26 3 XXX 0 0 125.68 0
95869 TC 3 XXX 0 0 16.11 0
95869   4 XXX 0 0 148.85 0
95869 26 4 XXX 0 0 142.00 0
95869 TC 4 XXX 0 0 15.88 0
95870   1 XXX 0 0 74.91 0
95870 26 1 XXX 0 0 56.51 0
95870 TC 1 XXX 0 0 18.44 0
95870   2 XXX 0 0 65.33 0
95870 26 2 XXX 0 0 50.20 0
95870 TC 2 XXX 0 0 15.13 0
95870   3 XXX 0 0 65.33 0
95870 26 3 XXX 0 0 50.20 0
95870 TC 3 XXX 0 0 15.13 0
95870   4 XXX 0 0 65.33 0
95870 26 4 XXX 0 0 50.20 0
95870 TC 4 XXX 0 0 15.13 0
95872   1 XXX 0 0 231.67 0
95872 26 1 XXX 0 0 180.25 0
95872 TC 1 XXX 0 0 51.40 0
95872   2 XXX 0 0 345.63 0
95872 26 2 XXX 0 0 178.34 0
95872 TC 2 XXX 0 0 50.42 0
95872   3 XXX 0 0 216.63 0
95872 26 3 XXX 0 0 170.43 0
95872 TC 3 XXX 0 0 46.13 0
95872   4 XXX 0 0 213.95 0
95872 26 4 XXX 0 0 170.62 0
95872 TC 4 XXX 0 0 45.43 0
95873   1 ZZZ 0 0 46.63 0
95873 26 1 ZZZ 0 0 32.63 0
95873 TC 1 ZZZ 0 0 13.99 0
95873   2 ZZZ 0 0 40.90 0
95873 26 2 ZZZ 0 0 29.83 0
95873 TC 2 ZZZ 0 0 11.05 0
95873   3 ZZZ 0 0 40.90 0
95873 26 3 ZZZ 0 0 29.83 0
95873 TC 3 ZZZ 0 0 11.05 0
95873   4 ZZZ 0 0 40.90 0
95873 26 4 ZZZ 0 0 29.83 0
95873 TC 4 ZZZ 0 0 11.05 0
95874   1 ZZZ 0 0 47.23 0
95874 26 1 ZZZ 0 0 33.24 0
95874 TC 1 ZZZ 0 0 13.99 0
95874   2 ZZZ 0 0 41.36 0
95874 26 2 ZZZ 0 0 30.34 0
95874 TC 2 ZZZ 0 0 11.05 0
95874   3 ZZZ 0 0 41.36 0
95874 26 3 ZZZ 0 0 30.34 0
95874 TC 3 ZZZ 0 0 11.05 0
95874   4 ZZZ 0 0 41.36 0
95874 26 4 ZZZ 0 0 30.34 0
95874 TC 4 ZZZ 0 0 11.05 0
95875   1 XXX 0 0 164.73 0
95875 26 1 XXX 0 0 127.75 0
95875 TC 1 XXX 0 0 36.97 0
95875   2 XXX 0 0 162.64 0
95875 26 2 XXX 0 0 126.53 0
95875 TC 2 XXX 0 0 36.09 0
95875   3 XXX 0 0 154.00 0
95875 26 3 XXX 0 0 121.67 0
95875 TC 3 XXX 0 0 32.31 0
95875   4 XXX 0 0 152.34 0
95875 26 4 XXX 0 0 120.50 0
95875 TC 4 XXX 0 0 31.83 0
95885   1 ZZZ 0 0 76.88 0
95885 26 1 ZZZ 0 0 24.00 0
95885 TC 1 ZZZ 0 0 52.88 0
95885   2 ZZZ 0 0 67.98 0
95885 26 2 ZZZ 0 0 22.53 0
95885 TC 2 ZZZ 0 0 45.47 0
95885   3 ZZZ 0 0 67.98 0
95885 26 3 ZZZ 0 0 22.53 0
95885 TC 3 ZZZ 0 0 45.47 0
95885   4 ZZZ 0 0 67.98 0
95885 26 4 ZZZ 0 0 22.53 0
95885 TC 4 ZZZ 0 0 45.47 0
95886   1 ZZZ 0 0 119.96 0
95886 26 1 ZZZ 0 0 64.25 0
95886 TC 1 ZZZ 0 0 55.70 0
95886   2 ZZZ 0 0 108.07 0
95886 26 2 ZZZ 0 0 60.15 0
95886 TC 2 ZZZ 0 0 47.92 0
95886   3 ZZZ 0 0 108.07 0
95886 26 3 ZZZ 0 0 60.15 0
95886 TC 3 ZZZ 0 0 47.92 0
95886   4 ZZZ 0 0 108.07 0
95886 26 4 ZZZ 0 0 60.15 0
95886 TC 4 ZZZ 0 0 47.92 0
95887   1 ZZZ 0 0 106.93 0
95887 26 1 ZZZ 0 0 50.27 0
95887 TC 1 ZZZ 0 0 56.65 0
95887   2 ZZZ 0 0 95.88 0
95887 26 2 ZZZ 0 0 47.18 0
95887 TC 2 ZZZ 0 0 48.72 0
95887   3 ZZZ 0 0 95.88 0
95887 26 3 ZZZ 0 0 47.18 0
95887 TC 3 ZZZ 0 0 48.72 0
95887   4 ZZZ 0 0 95.88 0
95887 26 4 ZZZ 0 0 47.18 0
95887 TC 4 ZZZ 0 0 48.72 0
95905   1 XXX 0 0 114.72 0
95905 26 1 XXX 0 0 4.40 0
95905 TC 1 XXX 0 0 110.33 0
95905   2 XXX 0 0 96.80 0
95905 26 2 XXX 0 0 3.89 0
95905 TC 2 XXX 0 0 92.90 0
95905   3 XXX 0 0 96.80 0
95905 26 3 XXX 0 0 3.89 0
95905 TC 3 XXX 0 0 92.90 0
95905   4 XXX 0 0 96.80 0
95905 26 4 XXX 0 0 3.89 0
95905 TC 4 XXX 0 0 92.90 0
95907   1 XXX 0 0 125.95 0
95907 26 1 XXX 0 0 67.93 0
95907 TC 1 XXX 0 0 58.03 0
95907   2 XXX 0 0 113.28 0
95907 26 2 XXX 0 0 63.60 0
95907 TC 2 XXX 0 0 49.68 0
95907   3 XXX 0 0 113.28 0
95907 26 3 XXX 0 0 63.60 0
95907 TC 3 XXX 0 0 49.68 0
95907   4 XXX 0 0 113.28 0
95907 26 4 XXX 0 0 63.60 0
95907 TC 4 XXX 0 0 49.68 0
95908   1 XXX 0 0 155.27 0
95908 26 1 XXX 0 0 85.42 0
95908 TC 1 XXX 0 0 69.84 0
95908   2 XXX 0 0 139.79 0
95908 26 2 XXX 0 0 79.92 0
95908 TC 2 XXX 0 0 59.87 0
95908   3 XXX 0 0 139.79 0
95908 26 3 XXX 0 0 79.92 0
95908 TC 3 XXX 0 0 59.87 0
95908   4 XXX 0 0 139.79 0
95908 26 4 XXX 0 0 79.92 0
95908 TC 4 XXX 0 0 59.87 0
95909   1 XXX 0 0 186.21 0
95909 26 1 XXX 0 0 101.76 0
95909 TC 1 XXX 0 0 84.45 0
95909   2 XXX 0 0 167.57 0
95909 26 2 XXX 0 0 95.37 0
95909 TC 2 XXX 0 0 72.19 0
95909   3 XXX 0 0 167.57 0
95909 26 3 XXX 0 0 95.37 0
95909 TC 3 XXX 0 0 72.19 0
95909   4 XXX 0 0 167.57 0
95909 26 4 XXX 0 0 95.37 0
95909 TC 4 XXX 0 0 72.19 0
95910   1 XXX 0 0 245.09 0
95910 26 1 XXX 0 0 136.30 0
95910 TC 1 XXX 0 0 108.80 0
95910   2 XXX 0 0 220.68 0
95910 26 2 XXX 0 0 127.60 0
95910 TC 2 XXX 0 0 93.07 0
95910   3 XXX 0 0 220.68 0
95910 26 3 XXX 0 0 127.60 0
95910 TC 3 XXX 0 0 93.07 0
95910   4 XXX 0 0 220.68 0
95910 26 4 XXX 0 0 127.60 0
95910 TC 4 XXX 0 0 93.07 0
95911   1 XXX 0 0 296.70 0
95911 26 1 XXX 0 0 170.15 0
95911 TC 1 XXX 0 0 126.54 0
95911   2 XXX 0 0 267.51 0
95911 26 2 XXX 0 0 159.36 0
95911 TC 2 XXX 0 0 108.16 0
95911   3 XXX 0 0 267.51 0
95911 26 3 XXX 0 0 159.36 0
95911 TC 3 XXX 0 0 108.16 0
95911   4 XXX 0 0 267.51 0
95911 26 4 XXX 0 0 159.36 0
95911 TC 4 XXX 0 0 108.16 0
95912   1 XXX 0 0 347.41 0
95912 26 1 XXX 0 0 204.23 0
95912 TC 1 XXX 0 0 143.15 0
95912   2 XXX 0 0 313.56 0
95912 26 2 XXX 0 0 191.20 0
95912 TC 2 XXX 0 0 122.36 0
95912   3 XXX 0 0 313.56 0
95912 26 3 XXX 0 0 191.20 0
95912 TC 3 XXX 0 0 122.36 0
95912   4 XXX 0 0 313.56 0
95912 26 4 XXX 0 0 191.20 0
95912 TC 4 XXX 0 0 122.36 0
95913   1 XXX 0 0 402.53 0
95913 26 1 XXX 0 0 242.05 0
95913 TC 1 XXX 0 0 160.48 0
95913   2 XXX 0 0 363.77 0
95913 26 2 XXX 0 0 226.71 0
95913 TC 2 XXX 0 0 137.03 0
95913   3 XXX 0 0 363.77 0
95913 26 3 XXX 0 0 226.71 0
95913 TC 3 XXX 0 0 137.03 0
95913   4 XXX 0 0 363.77 0
95913 26 4 XXX 0 0 226.71 0
95913 TC 4 XXX 0 0 137.03 0
95921   1 XXX 0 0 87.63 0
95921 26 1 XXX 0 0 56.84 0
95921 TC 1 XXX 0 0 30.79 0
95921   2 XXX 0 0 78.48 0
95921 26 2 XXX 0 0 52.56 0
95921 TC 2 XXX 0 0 25.93 0
95921   3 XXX 0 0 76.43 0
95921 26 3 XXX 0 0 51.16 0
95921 TC 3 XXX 0 0 25.26 0
95921   4 XXX 0 0 76.43 0
95921 26 4 XXX 0 0 51.16 0
95921 TC 4 XXX 0 0 25.26 0
95922   1 XXX 0 0 92.11 0
95922 26 1 XXX 0 0 61.37 0
95922 TC 1 XXX 0 0 30.79 0
95922   2 XXX 0 0 82.38 0
95922 26 2 XXX 0 0 56.43 0
95922 TC 2 XXX 0 0 25.93 0
95922   3 XXX 0 0 80.18 0
95922 26 3 XXX 0 0 54.95 0
95922 TC 3 XXX 0 0 25.26 0
95922   4 XXX 0 0 80.18 0
95922 26 4 XXX 0 0 54.95 0
95922 TC 4 XXX 0 0 25.26 0
95923   1 XXX 0 0 87.63 0
95923 26 1 XXX 0 0 56.84 0
95923 TC 1 XXX 0 0 30.79 0
95923   2 XXX 0 0 78.48 0
95923 26 2 XXX 0 0 52.56 0
95923 TC 2 XXX 0 0 25.93 0
95923   3 XXX 0 0 76.43 0
95923 26 3 XXX 0 0 51.16 0
95923 TC 3 XXX 0 0 25.26 0
95923   4 XXX 0 0 76.43 0
95923 26 4 XXX 0 0 51.16 0
95923 TC 4 XXX 0 0 25.26 0
95924   1 XXX 0 0 196.22 0
95924 26 1 XXX 0 0 114.57 0
95924 TC 1 XXX 0 0 81.67 0
95924   2 XXX 0 0 177.45 0
95924 26 2 XXX 0 0 107.17 0
95924 TC 2 XXX 0 0 70.28 0
95924   3 XXX 0 0 177.45 0
95924 26 3 XXX 0 0 107.17 0
95924 TC 3 XXX 0 0 70.28 0
95924   4 XXX 0 0 177.45 0
95924 26 4 XXX 0 0 107.17 0
95924 TC 4 XXX 0 0 70.28 0
95925   1 XXX 0 0 238.22 0
95925 26 1 XXX 0 0 151.40 0
95925 TC 1 XXX 0 0 117.32 0
95925   2 XXX 0 0 233.27 0
95925 26 2 XXX 0 0 146.46 0
95925 TC 2 XXX 0 0 115.05 0
95925   3 XXX 0 0 229.33 0
95925 26 3 XXX 0 0 136.77 0
95925 TC 3 XXX 0 0 105.44 0
95925   4 XXX 0 0 223.72 0
95925 26 4 XXX 0 0 135.17 0
95925 TC 4 XXX 0 0 103.79 0
95926   1 XXX 0 0 172.77 0
95926 26 1 XXX 0 0 97.46 0
95926 TC 1 XXX 0 0 75.31 0
95926   2 XXX 0 0 165.02 0
95926 26 2 XXX 0 0 93.69 0
95926 TC 2 XXX 0 0 71.31 0
95926   3 XXX 0 0 152.46 0
95926 26 3 XXX 0 0 87.90 0
95926 TC 3 XXX 0 0 64.63 0
95926   4 XXX 0 0 149.82 0
95926 26 4 XXX 0 0 86.48 0
95926 TC 4 XXX 0 0 63.33 0
95927   1 XXX 0 0 172.77 0
95927 26 1 XXX 0 0 97.46 0
95927 TC 1 XXX 0 0 75.31 0
95927   2 XXX 0 0 165.02 0
95927 26 2 XXX 0 0 93.69 0
95927 TC 2 XXX 0 0 71.31 0
95927   3 XXX 0 0 152.46 0
95927 26 3 XXX 0 0 87.90 0
95927 TC 3 XXX 0 0 64.63 0
95927   4 XXX 0 0 149.82 0
95927 26 4 XXX 0 0 86.48 0
95927 TC 4 XXX 0 0 63.33 0
95928   1 XXX 0 0 304.76 0
95928 26 1 XXX 0 0 142.63 0
95928 TC 1 XXX 0 0 162.09 0
95928   2 XXX 0 0 266.02 0
95928 26 2 XXX 0 0 131.43 0
95928 TC 2 XXX 0 0 134.58 0
95928   3 XXX 0 0 266.02 0
95928 26 3 XXX 0 0 131.43 0
95928 TC 3 XXX 0 0 134.58 0
95928   4 XXX 0 0 266.02 0
95928 26 4 XXX 0 0 131.43 0
95928 TC 4 XXX 0 0 134.58 0
95929   1 XXX 0 0 317.53 0
95929 26 1 XXX 0 0 142.63 0
95929 TC 1 XXX 0 0 174.87 0
95929   2 XXX 0 0 276.65 0
95929 26 2 XXX 0 0 131.43 0
95929 TC 2 XXX 0 0 145.25 0
95929   3 XXX 0 0 276.65 0
95929 26 3 XXX 0 0 131.43 0
95929 TC 3 XXX 0 0 145.25 0
95929   4 XXX 0 0 276.65 0
95929 26 4 XXX 0 0 131.43 0
95929 TC 4 XXX 0 0 145.25 0
95930   1 XXX 0 0 97.64 0
95930 26 1 XXX 0 0 76.92 0
95930 TC 1 XXX 0 0 20.70 0
95930   2 XXX 0 0 93.64 0
95930 26 2 XXX 0 0 73.83 0
95930 TC 2 XXX 0 0 19.78 0
95930   3 XXX 0 0 86.91 0
95930 26 3 XXX 0 0 68.89 0
95930 TC 3 XXX 0 0 17.97 0
95930   4 XXX 0 0 85.42 0
95930 26 4 XXX 0 0 67.78 0
95930 TC 4 XXX 0 0 17.64 0
95933   1 XXX 0 0 157.64 0
95933 26 1 XXX 0 0 103.46 0
95933 TC 1 XXX 0 0 66.72 0
95933   2 XXX 0 0 157.28 0
95933 26 2 XXX 0 0 105.73 0
95933 TC 2 XXX 0 0 65.44 0
95933   3 XXX 0 0 145.91 0
95933 26 3 XXX 0 0 100.72 0
95933 TC 3 XXX 0 0 60.06 0
95933   4 XXX 0 0 143.91 0
95933 26 4 XXX 0 0 98.95 0
95933 TC 4 XXX 0 0 59.11 0