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2019 Workers' Compensation Part B Fee Schedule

29365-30620

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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
29365   1 0 2 0.00 246.14 198.64
29365   2 0 2 0.00 254.44 205.23
29365   3 0 2 0.00 193.38 155.79
29365   4 0 2 0.00 185.54 149.75
29405   1 0 2 0.00 181.16 142.19
29405   2 0 2 0.00 183.63 143.69
29405   3 0 2 0.00 146.07 114.16
29405   4 0 2 0.00 162.74 127.51
29425   1 0 2 0.00 251.36 195.60
29425   2 0 2 0.00 265.63 206.59
29425   3 0 2 0.00 222.33 172.75
29425   4 0 2 0.00 215.51 167.48
29435   1 0 2 0.00 351.42 272.52
29435   2 0 2 0.00 352.92 273.33
29435   3 0 2 0.00 350.19 270.77
29435   4 0 2 0.00 227.23 175.69
29440   1 0 2 0.00 73.27 63.43
29440   2 0 2 0.00 74.40 64.28
29440   3 0 2 0.00 69.07 59.87
29440   4 0 2 0.00 72.57 62.93
29445   1 0 2 0.00 362.34 0.00
29445   2 0 2 0.00 351.35 0.00
29445   3 0 2 0.00 328.09 0.00
29445   4 0 2 0.00 323.59 0.00
29450   1 0 2 0.00 155.35 0.00
29450   2 0 2 0.00 142.47 0.00
29450   3 0 2 0.00 120.00 0.00
29450   4 0 2 0.00 118.71 0.00
29505   1 0 2 0.00 128.13 0.00
29505   2 0 2 0.00 119.99 0.00
29505   3 0 2 0.00 115.80 0.00
29505   4 0 2 0.00 120.70 0.00
29515   1 0 2 0.00 112.30 91.73
29515   2 0 2 0.00 109.01 89.14
29515   3 0 2 0.00 104.73 85.58
29515   4 0 2 0.00 103.54 84.76
29520   1 0 2 0.00 81.83 66.40
29520   2 0 2 0.00 80.87 65.70
29520   3 0 2 0.00 76.89 62.53
29520   4 0 2 0.00 75.98 61.88
29530   1 0 2 0.00 80.97 66.92
29530   2 0 2 0.00 82.56 68.17
29530   3 0 2 0.00 80.24 66.30
29530   4 0 2 0.00 79.29 65.78
29540   1 0 2 0.00 71.19 59.07
29540   2 0 2 0.00 73.27 60.57
29540   3 0 2 0.00 69.65 57.65
29540   4 0 2 0.00 68.00 56.53
29550   1 0 2 0.00 63.41 52.33
29550   2 0 2 0.00 62.33 51.35
29550   3 0 2 0.00 64.69 53.53
29550   4 0 2 0.00 55.63 46.24
29580   1 0 2 0.00 95.15 67.97
29580   2 0 2 0.00 89.95 63.96
29580   3 0 2 0.00 81.88 57.82
29580   4 0 2 0.00 79.60 56.23
29581   1 0 2 0.00 132.26 48.50
29581   2 0 2 0.00 114.80 44.17
29581   3 0 2 0.00 114.80 44.17
29581   4 0 2 0.00 114.80 44.17
29584   1 0 2 0.00 98.10 21.19
29584   2 0 2 0.00 86.45 20.12
29584   3 0 2 0.00 86.45 20.12
29584   4 0 2 0.00 86.45 20.12
29700     0 2 0.00 * 0.00
29705     0 2 0.00 * 0.00
29710     0 2 0.00 * 0.00
29720   1 0 2 0.00 77.23 0.00
29720   2 0 2 0.00 76.52 0.00
29720   3 0 2 0.00 78.99 0.00
29720   4 0 2 0.00 78.16 0.00
29730   1 0 2 0.00 92.53 0.00
29730   2 0 2 0.00 91.54 0.00
29730   3 0 2 0.00 88.58 0.00
29730   4 0 2 0.00 86.26 0.00
29740   1 0 2 0.00 136.86 0.00
29740   2 0 2 0.00 133.22 0.00
29740   3 0 2 0.00 129.19 0.00
29740   4 0 2 0.00 110.02 0.00
29750   1 0 2 0.00 161.55 0.00
29750   2 0 2 0.00 159.67 0.00
29750   3 0 2 0.00 152.00 0.00
29750   4 0 2 0.00 150.36 0.00
29799     YYY 2 0.00 * 0.00
29800   1 90 2 0.00 865.33 0.00
29800   2 90 2 0.00 853.71 0.00
29800   3 90 2 0.00 805.77 0.00
29800   4 90 2 0.00 796.23 0.00
29804   1 90 2 0.00 2,065.90 0.00
29804   2 90 2 0.00 2,032.62 0.00
29804   3 90 2 0.00 1,894.35 0.00
29804   4 90 2 0.00 1,869.67 0.00
29805   1 90 2 0.00 695.22 0.00
29805   2 90 2 0.00 613.73 0.00
29805   3 90 2 0.00 613.73 0.00
29805   4 90 2 0.00 613.73 0.00
29806   1 90 2 0.00 1,939.02 0.00
29806   2 90 2 0.00 1,704.35 0.00
29806   3 90 2 0.00 1,704.35 0.00
29806   4 90 2 0.00 1,704.35 0.00
29807   1 90 2 0.00 1,888.75 0.00
29807   2 90 2 0.00 1,658.01 0.00
29807   3 90 2 0.00 1,658.01 0.00
29807   4 90 2 0.00 1,658.01 0.00
29819   1 90 3 0.00 2,145.33 0.00
29819   2 90 3 0.00 2,120.48 0.00
29819   3 90 3 0.00 1,994.32 0.00
29819   4 90 3 0.00 1,525.60 0.00
29820   1 90 3 0.00 1,646.72 0.00
29820   2 90 3 0.00 1,616.09 0.00
29820   3 90 3 0.00 1,489.40 0.00
29820   4 90 3 0.00 1,471.06 0.00
29821   1 90 3 0.00 1,949.06 0.00
29821   2 90 3 0.00 2,473.37 0.00
29821   3 90 3 0.00 1,757.62 0.00
29821   4 90 3 0.00 1,735.75 0.00
29822   1 90 3 0.00 1,702.83 0.00
29822   2 90 3 0.00 1,671.57 0.00
29822   3 90 3 0.00 1,542.35 0.00
29822   4 90 3 0.00 1,523.38 0.00
29823   1 90 3 0.00 2,089.11 0.00
29823   2 90 3 0.00 2,048.79 0.00
29823   3 90 3 0.00 2,078.47 0.00
29823   4 90 3 0.00 2,068.40 0.00
29824   1 90 2 0.00 1,182.81 0.00
29824   2 90 2 0.00 1,037.53 0.00
29824   3 90 2 0.00 1,037.53 0.00
29824   4 90 2 0.00 1,037.53 0.00
29825   1 90 3 0.00 1,886.39 0.00
29825   2 90 3 0.00 1,850.50 0.00
29825   3 90 3 0.00 1,701.93 0.00
29825   4 90 3 0.00 1,680.85 0.00
29826   1 ZZZ 0 0.00 2,247.25 0.00
29826   2 ZZZ 0 0.00 2,227.62 0.00
29826   3 ZZZ 0 0.00 2,152.27 0.00
29826   4 ZZZ 0 0.00 1,935.39 0.00
29827   1 90 3 0.00 1,999.01 0.00
29827   2 90 3 0.00 1,766.95 0.00
29827   3 90 3 0.00 1,766.95 0.00
29827   4 90 3 0.00 1,766.95 0.00
29828   1 90 3 0.00 1,335.18 0.00
29828   2 90 3 0.00 1,171.80 0.00
29828   3 90 3 0.00 1,171.80 0.00
29828   4 90 3 0.00 1,171.80 0.00
29830   1 90 2 0.00 1,057.61 0.00
29830   2 90 2 0.00 1,040.88 0.00
29830   3 90 2 0.00 971.73 0.00
29830   4 90 2 0.00 960.14 0.00
29834   1 90 3 0.00 1,163.63 0.00
29834   2 90 3 0.00 1,361.44 0.00
29834   3 90 3 0.00 1,067.16 0.00
29834   4 90 3 0.00 1,421.39 0.00
29835   1 90 3 0.00 1,200.97 0.00
29835   2 90 3 0.00 1,181.61 0.00
29835   3 90 3 0.00 1,101.44 0.00
29835   4 90 3 0.00 1,088.39 0.00
29836   1 90 3 0.00 1,398.26 0.00
29836   2 90 3 0.00 1,375.69 0.00
29836   3 90 3 0.00 1,282.56 0.00
29836   4 90 3 0.00 1,267.33 0.00
29837   1 90 3 0.00 1,275.19 0.00
29837   2 90 3 0.00 1,254.52 0.00
29837   3 90 3 0.00 1,533.22 0.00
29837   4 90 3 0.00 1,155.29 0.00
29838   1 90 3 0.00 1,402.96 0.00
29838   2 90 3 0.00 1,697.08 0.00
29838   3 90 3 0.00 1,582.95 0.00
29838   4 90 3 0.00 1,272.16 0.00
29840   1 90 2 0.00 823.60 0.00
29840   2 90 2 0.00 812.01 0.00
29840   3 90 2 0.00 764.11 0.00
29840   4 90 2 0.00 755.43 0.00
29843   1 90 3 0.00 1,112.58 0.00
29843   2 90 3 0.00 1,094.69 0.00
29843   3 90 3 0.00 1,020.61 0.00
29843   4 90 3 0.00 1,008.46 0.00
29844   1 90 3 0.00 1,147.81 0.00
29844   2 90 3 0.00 1,129.32 0.00
29844   3 90 3 0.00 1,053.09 0.00
29844   4 90 3 0.00 1,040.65 0.00
29845   1 90 3 0.00 1,609.03 0.00
29845   2 90 3 0.00 1,370.61 0.00
29845   3 90 3 0.00 1,277.67 0.00
29845   4 90 3 0.00 1,262.47 0.00
29846   1 90 3 0.00 1,801.62 0.00
29846   2 90 3 0.00 1,765.23 0.00
29846   3 90 3 0.00 1,614.71 0.00
29846   4 90 3 0.00 1,594.81 0.00
29847   1 90 3 0.00 1,576.36 0.00
29847   2 90 3 0.00 1,295.26 0.00
29847   3 90 3 0.00 1,211.10 0.00
29847   4 90 3 0.00 1,196.50 0.00
29848   1 90 2 0.00 764.74 0.00
29848   2 90 2 0.00 752.47 0.00
29848   3 90 2 0.00 701.67 0.00
29848   4 90 2 0.00 693.31 0.00
29850   1 90 2 0.00 2,171.92 0.00
29850   2 90 2 0.00 1,770.09 0.00
29850   3 90 2 0.00 1,637.63 0.00
29850   4 90 2 0.00 2,081.88 0.00
29851   1 90 2 0.00 2,383.42 0.00
29851   2 90 2 0.00 2,214.64 0.00
29851   3 90 2 0.00 2,069.52 0.00
29851   4 90 2 0.00 2,284.28 0.00
29855   1 90 2 0.00 2,081.50 0.00
29855   2 90 2 0.00 1,976.86 0.00
29855   3 90 2 0.00 1,897.64 0.00
29855   4 90 2 0.00 1,880.00 0.00
29856   1 90 2 0.00 2,410.23 0.00
29856   2 90 2 0.00 2,139.27 0.00
29856   3 90 2 0.00 2,216.59 0.00
29856   4 90 2 0.00 2,037.09 0.00
29860   1 90 2 0.00 1,069.68 0.00
29860   2 90 2 0.00 955.03 0.00
29860   3 90 2 0.00 955.03 0.00
29860   4 90 2 0.00 955.03 0.00
29861   1 90 3 0.00 1,628.21 0.00
29861   2 90 3 0.00 1,410.65 0.00
29861   3 90 3 0.00 1,410.65 0.00
29861   4 90 3 0.00 1,410.65 0.00
29862   1 90 3 0.00 1,798.78 0.00
29862   2 90 3 0.00 1,544.48 0.00
29862   3 90 3 0.00 1,544.48 0.00
29862   4 90 3 0.00 1,544.48 0.00
29863   1 90 3 0.00 1,627.02 0.00
29863   2 90 3 0.00 1,415.96 0.00
29863   3 90 3 0.00 1,415.96 0.00
29863   4 90 3 0.00 1,415.96 0.00
29866   1 90 2 0.00 1,876.40 0.00
29866   2 90 2 0.00 1,642.83 0.00
29866   3 90 2 0.00 1,642.83 0.00
29866   4 90 2 0.00 1,642.83 0.00
29867   1 90 2 0.00 2,237.77 0.00
29867   2 90 2 0.00 1,965.15 0.00
29867   3 90 2 0.00 1,965.15 0.00
29867   4 90 2 0.00 1,965.15 0.00
29868   1 90 2 0.00 3,041.71 0.00
29868   2 90 2 0.00 2,662.90 0.00
29868   3 90 2 0.00 2,662.90 0.00
29868   4 90 2 0.00 2,662.90 0.00
29870   1 90 2 0.00 810.13 0.00
29870   2 90 2 0.00 855.83 0.00
29870   3 90 2 0.00 786.82 0.00
29870   4 90 2 0.00 783.16 0.00
29871   1 90 3 0.00 1,349.02 0.00
29871   2 90 3 0.00 1,237.89 0.00
29871   3 90 3 0.00 1,169.90 0.00
29871   4 90 3 0.00 1,197.60 0.00
29873   1 90 3 0.00 925.63 0.00
29873   2 90 3 0.00 813.30 0.00
29873   3 90 3 0.00 813.30 0.00
29873   4 90 3 0.00 813.30 0.00
29874   1 90 3 0.00 1,639.93 0.00
29874   2 90 3 0.00 1,607.33 0.00
29874   3 90 3 0.00 1,540.16 0.00
29874   4 90 3 0.00 1,514.35 0.00
29875   1 90 3 0.00 1,789.68 0.00
29875   2 90 3 0.00 1,757.17 0.00
29875   3 90 3 0.00 1,630.59 0.00
29875   4 90 3 0.00 1,571.45 0.00
29876   1 90 3 0.00 2,005.97 0.00
29876   2 90 3 0.00 1,974.71 0.00
29876   3 90 3 0.00 1,840.28 0.00
29876   4 90 3 0.00 1,825.19 0.00
29877   1 90 3 0.00 1,884.57 0.00
29877   2 90 3 0.00 1,848.11 0.00
29877   3 90 3 0.00 1,704.54 0.00
29877   4 90 3 0.00 1,700.90 0.00
29879   1 90 3 0.00 2,157.74 0.00
29879   2 90 3 0.00 2,122.50 0.00
29879   3 90 3 0.00 1,983.14 0.00
29879   4 90 3 0.00 1,974.71 0.00
29880   1 90 3 0.00 2,064.40 0.00
29880   2 90 3 0.00 2,025.40 0.00
29880   3 90 3 0.00 1,863.81 0.00
29880   4 90 3 0.00 1,840.71 0.00
29881   1 90 3 0.00 1,879.32 0.00
29881   2 90 3 0.00 1,847.49 0.00
29881   3 90 3 0.00 1,715.97 0.00
29881   4 90 3 0.00 1,684.82 0.00
29882   1 90 3 0.00 1,990.12 0.00
29882   2 90 3 0.00 1,958.79 0.00
29882   3 90 3 0.00 1,823.38 0.00
29882   4 90 3 0.00 1,708.04 0.00
29883   1 90 3 0.00 2,457.56 0.00
29883   2 90 3 0.00 2,409.42 0.00
29883   3 90 3 0.00 2,210.32 0.00
29883   4 90 3 0.00 2,182.79 0.00
29884   1 90 3 0.00 1,980.04 0.00
29884   2 90 3 0.00 1,988.80 0.00
29884   3 90 3 0.00 1,841.42 0.00
29884   4 90 3 0.00 1,418.16 0.00
29885   1 90 3 0.00 1,701.38 0.00
29885   2 90 3 0.00 1,611.21 0.00
29885   3 90 3 0.00 1,502.06 0.00
29885   4 90 3 0.00 1,484.17 0.00
29886   1 90 3 0.00 1,354.07 0.00
29886   2 90 3 0.00 1,562.86 0.00
29886   3 90 3 0.00 1,241.74 0.00
29886   4 90 3 0.00 1,227.03 0.00
29887   1 90 3 0.00 1,880.40 0.00
29887   2 90 3 0.00 1,847.88 0.00
29887   3 90 3 0.00 1,713.76 0.00
29887   4 90 3 0.00 1,692.80 0.00
29888   1 90 2 0.00 3,157.49 0.00
29888   2 90 2 0.00 3,099.93 0.00
29888   3 90 2 0.00 2,861.75 0.00
29888   4 90 2 0.00 2,826.44 0.00
29889   1 90 2 0.00 2,041.69 0.00
29889   2 90 2 0.00 2,008.66 0.00
29889   3 90 2 0.00 1,872.44 0.00
29889   4 90 2 0.00 1,850.15 0.00
29891   1 90 2 0.00 1,533.50 0.00
29891   2 90 2 0.00 1,322.59 0.00
29891   3 90 2 0.00 1,322.59 0.00
29891   4 90 2 0.00 1,322.59 0.00
29892   1 90 2 0.00 1,577.23 0.00
29892   2 90 2 0.00 1,364.83 0.00
29892   3 90 2 0.00 1,364.83 0.00
29892   4 90 2 0.00 1,364.83 0.00
29893   1 90 2 0.00 864.60 0.00
29893   2 90 2 0.00 765.82 0.00
29893   3 90 2 0.00 765.82 0.00
29893   4 90 2 0.00 765.82 0.00
29894   1 90 2 0.00 1,638.32 0.00
29894   2 90 2 0.00 1,716.93 0.00
29894   3 90 2 0.00 1,463.47 0.00
29894   4 90 2 0.00 1,501.57 0.00
29895   1 90 2 0.00 1,675.28 0.00
29895   2 90 2 0.00 1,533.52 0.00
29895   3 90 2 0.00 1,447.08 0.00
29895   4 90 2 0.00 1,400.59 0.00
29897   1 90 2 0.00 1,689.62 0.00
29897   2 90 2 0.00 1,658.20 0.00
29897   3 90 2 0.00 1,528.13 0.00
29897   4 90 2 0.00 1,608.21 0.00
29898   1 90 2 0.00 1,933.10 0.00
29898   2 90 2 0.00 1,898.12 0.00
29898   3 90 2 0.00 1,832.20 0.00
29898   4 90 2 0.00 1,731.54 0.00
29899   1 90 2 0.00 1,843.03 0.00
29899   2 90 2 0.00 1,620.66 0.00
29899   3 90 2 0.00 1,620.66 0.00
29899   4 90 2 0.00 1,620.66 0.00
29900   1 90 2 0.00 838.86 0.00
29900   2 90 2 0.00 736.15 0.00
29900   3 90 2 0.00 736.15 0.00
29900   4 90 2 0.00 736.15 0.00
29901   1 90 2 0.00 925.22 0.00
29901   2 90 2 0.00 811.83 0.00
29901   3 90 2 0.00 811.83 0.00
29901   4 90 2 0.00 811.83 0.00
29902   1 90 2 0.00 992.99 0.00
29902   2 90 2 0.00 871.63 0.00
29902   3 90 2 0.00 871.63 0.00
29902   4 90 2 0.00 871.63 0.00
29904   1 90 2 0.00 892.50 0.00
29904   2 90 2 0.00 785.18 0.00
29904   3 90 2 0.00 785.18 0.00
29904   4 90 2 0.00 785.18 0.00
29905   1 90 2 0.00 962.12 0.00
29905   2 90 2 0.00 845.65 0.00
29905   3 90 2 0.00 845.65 0.00
29905   4 90 2 0.00 845.65 0.00
29906   1 90 2 0.00 1,013.41 0.00
29906   2 90 2 0.00 890.62 0.00
29906   3 90 2 0.00 890.62 0.00
29906   4 90 2 0.00 890.62 0.00
29914   1 90 3 0.00 1,567.24 0.00
29914   2 90 3 0.00 1,410.92 0.00
29914   3 90 3 0.00 1,410.92 0.00
29914   4 90 3 0.00 1,410.92 0.00
29915   1 90 3 0.00 1,596.16 0.00
29915   2 90 3 0.00 1,437.44 0.00
29915   3 90 3 0.00 1,437.44 0.00
29915   4 90 3 0.00 1,437.44 0.00
29916   1 90 3 0.00 1,596.16 0.00
29916   2 90 3 0.00 1,437.44 0.00
29916   3 90 3 0.00 1,437.44 0.00
29916   4 90 3 0.00 1,437.44 0.00
29999     YYY 2 0.00 * 0.00
30000   1 10 2 0.00 176.89 0.00
30000   2 10 2 0.00 209.19 0.00
30000   3 10 2 0.00 200.00 0.00
30000   4 10 2 0.00 165.64 0.00
30020   1 10 2 0.00 220.12 0.00
30020   2 10 2 0.00 209.79 0.00
30020   3 10 2 0.00 207.22 0.00
30020   4 10 2 0.00 211.21 0.00
30100   1 0 2 0.00 161.55 129.87
30100   2 0 2 0.00 160.71 128.79
30100   3 0 2 0.00 157.25 126.35
30100   4 0 2 0.00 156.53 125.63
30110   1 10 2 0.00 266.53 210.95
30110   2 10 2 0.00 263.00 208.12
30110   3 10 2 0.00 256.13 202.82
30110   4 10 2 0.00 245.28 194.31
30115   1 90 2 0.00 583.31 0.00
30115   2 90 2 0.00 639.98 0.00
30115   3 90 2 0.00 608.72 0.00
30115   4 90 2 0.00 495.29 0.00
30117   1 90 2 0.00 471.77 0.00
30117   2 90 2 0.00 462.98 0.00
30117   3 90 2 0.00 448.61 0.00
30117   4 90 2 0.00 434.06 0.00
30118   1 90 2 0.00 1,613.77 0.00
30118   2 90 2 0.00 1,591.37 0.00
30118   3 90 2 0.00 1,498.51 0.00
30118   4 90 2 0.00 1,557.45 0.00
30120   1 90 2 0.00 1,508.49 0.00
30120   2 90 2 0.00 1,500.26 0.00
30120   3 90 2 0.00 1,466.25 0.00
30120   4 90 2 0.00 1,460.77 0.00
30124   1 90 2 0.00 395.87 0.00
30124   2 90 2 0.00 442.37 0.00
30124   3 90 2 0.00 445.70 0.00
30124   4 90 2 0.00 464.34 0.00
30125   1 90 2 0.00 1,165.15 0.00
30125   2 90 2 0.00 1,221.11 0.00
30125   3 90 2 0.00 1,266.11 0.00
30125   4 90 2 0.00 1,066.99 0.00
30130   1 90 2 0.00 441.66 0.00
30130   2 90 2 0.00 436.60 0.00
30130   3 90 2 0.00 415.60 0.00
30130   4 90 2 0.00 410.88 0.00
30140   1 90 2 0.00 670.45 0.00
30140   2 90 2 0.00 665.44 0.00
30140   3 90 2 0.00 658.16 0.00
30140   4 90 2 0.00 647.11 0.00
30150   1 90 2 0.00 2,231.78 0.00
30150   2 90 2 0.00 2,221.99 0.00
30150   3 90 2 0.00 2,181.39 0.00
30150   4 90 2 0.00 1,423.40 0.00
30160   1 90 2 0.00 1,993.58 0.00
30160   2 90 2 0.00 1,943.30 0.00
30160   3 90 2 0.00 1,827.40 0.00
30160   4 90 2 0.00 1,804.74 0.00
30200   1 0 2 0.00 95.74 81.20
30200   2 0 2 0.00 93.78 79.88
30200   3 0 2 0.00 77.76 66.38
30200   4 0 2 0.00 90.27 76.74
30210   1 10 2 0.00 115.20 104.07
30210   2 10 2 0.00 114.13 103.10
30210   3 10 2 0.00 109.59 99.29
30210   4 10 2 0.00 108.45 98.30
30220   1 10 2 0.00 281.17 0.00
30220   2 10 2 0.00 277.23 0.00
30220   3 10 2 0.00 260.80 0.00
30220   4 10 2 0.00 257.60 0.00
30300   1 10 2 0.00 132.36 0.00
30300   2 10 2 0.00 131.65 0.00
30300   3 10 2 0.00 125.97 0.00
30300   4 10 2 0.00 122.30 0.00
30310   1 10 2 0.00 329.15 0.00
30310   2 10 2 0.00 320.72 0.00
30310   3 10 2 0.00 306.12 0.00
30310   4 10 2 0.00 302.39 0.00
30320   1 90 2 0.00 807.85 0.00
30320   2 90 2 0.00 796.86 0.00
30320   3 90 2 0.00 750.81 0.00
30320   4 90 2 0.00 741.57 0.00
30400   1 90 2 0.00 1,977.17 0.00
30400   2 90 2 0.00 1,919.04 0.00
30400   3 90 2 0.00 1,793.78 0.00
30400   4 90 2 0.00 1,768.59 0.00
30410     90 2 0.00 * 0.00
30420   1 90 2 0.00 3,398.95 0.00
30420   2 90 2 0.00 3,300.28 0.00
30420   3 90 2 0.00 3,085.31 0.00
30420   4 90 2 0.00 3,041.61 0.00
30430   1 90 2 0.00 881.75 0.00
30430   2 90 2 0.00 871.16 0.00
30430   3 90 2 0.00 827.27 0.00
30430   4 90 2 0.00 817.61 0.00
30435   1 90 2 0.00 1,225.90 0.00
30435   2 90 2 0.00 1,208.63 0.00
30435   3 90 2 0.00 1,137.27 0.00
30435   4 90 2 0.00 1,123.48 0.00
30450   1 90 2 0.00 2,001.99 0.00
30450   2 90 2 0.00 1,968.09 0.00
30450   3 90 2 0.00 1,827.40 0.00
30450   4 90 2 0.00 1,804.74 0.00
30460   1 90 2 0.00 1,686.99 0.00
30460   2 90 2 0.00 1,663.69 0.00
30460   3 90 2 0.00 1,567.24 0.00
30460   4 90 2 0.00 1,548.22 0.00
30462   1 90 2 0.00 3,375.28 0.00
30462   2 90 2 0.00 3,328.68 0.00
30462   3 90 2 0.00 3,135.32 0.00
30462   4 90 2 0.00 3,097.38 0.00
30465   1 90 2 0.00 1,614.36 0.00
30465   2 90 2 0.00 1,448.78 0.00
30465   3 90 2 0.00 1,448.78 0.00
30465   4 90 2 0.00 1,448.78 0.00
30520   1 90 2 0.00 1,292.87 0.00
30520   2 90 2 0.00 1,272.10 0.00
30520   3 90 2 0.00 1,185.69 0.00
30520   4 90 2 0.00 1,170.62 0.00
30540   1 90 2 0.00 1,311.91 0.00
30540   2 90 2 0.00 1,293.98 0.00
30540   3 90 2 0.00 1,219.87 0.00
30540   4 90 2 0.00 1,205.07 0.00
30545   1 90 2 0.00 2,002.83 0.00
30545   2 90 2 0.00 1,976.34 0.00
30545   3 90 2 0.00 1,866.27 0.00
30545   4 90 2 0.00 1,843.09 0.00
30560   1 10 2 0.00 160.18 0.00
30560   2 10 2 0.00 136.52 0.00
30560   3 10 2 0.00 132.28 0.00
30560   4 10 2 0.00 131.31 0.00
30580   1 90 2 0.00 1,177.63 0.00
30580   2 90 2 0.00 1,161.83 0.00
30580   3 90 2 0.00 1,096.52 0.00
30580   4 90 2 0.00 1,082.98 0.00
30600   1 90 2 0.00 881.75 0.00
30600   2 90 2 0.00 987.06 0.00
30600   3 90 2 0.00 827.27 0.00
30600   4 90 2 0.00 817.61 0.00
30620   1 90 2 0.00 1,372.90 0.00
30620   2 90 2 0.00 1,349.98 0.00
30620   3 90 2 0.00 1,254.81 0.00
30620   4 90 2 0.00 1,238.72 0.00