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2024 Workers' Compensation Part B Fee Schedule

01829-11643

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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
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	ZZZ	0	X	72.70	61.50
10004		001	ZZZ	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	X	*	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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