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2018 Workers' Compensation Part B Fee Schedule

31636-33211

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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
31636   1 0 3 0 413.70 0
31636   2 0 3 0 377.76 0
31636   3 0 3 0 377.76 0
31636   4 0 3 0 377.76 0
31637   1 ZZZ 0 0 147.53 0
31637   2 ZZZ 0 0 134.74 0
31637   3 ZZZ 0 0 134.74 0
31637   4 ZZZ 0 0 134.74 0
31638   1 0 3 0 456.45 0
31638   2 0 3 0 420.69 0
31638   3 0 3 0 420.69 0
31638   4 0 3 0 420.69 0
31640   1 0 3 0 929.64 0
31640   2 0 3 0 915.45 0
31640   3 0 3 0 856.63 0
31640   4 0 3 0 846.24 0
31641   1 0 3 0 1,026.13 0
31641   2 0 3 0 1,016.51 0
31641   3 0 3 0 983.74 0
31641   4 0 3 0 870.66 0
31643   1 0 2 0 428.77 391.47
31643   2 0 2 0 375.90 344.07
31643   3 0 2 0 375.90 344.07
31643   4 0 2 0 375.90 344.07
31645   1 0 3 0 623.84 0
31645   2 0 3 0 608.15 0
31645   3 0 3 0 596.12 0
31645   4 0 3 0 582.90 0
31646   1 0 2 0 584.72 0
31646   2 0 2 0 579.46 0
31646   3 0 2 0 557.45 0
31646   4 0 2 0 510.28 0
31647   1 0 3 0 307.31 0
31647   2 0 3 0 281.94 0
31647   3 0 3 0 281.94 0
31647   4 0 3 0 281.94 0
31648   1 0 3 0 321.10 0
31648   2 0 3 0 292.85 0
31648   3 0 3 0 292.85 0
31648   4 0 3 0 292.85 0
31649   1 ZZZ 0 0 98.78 0
31649   2 ZZZ 0 0 91.75 0
31649   3 ZZZ 0 0 91.75 0
31649   4 ZZZ 0 0 91.75 0
31651   1 ZZZ 0 0 104.68 0
31651   2 ZZZ 0 0 97.47 0
31651   3 ZZZ 0 0 97.47 0
31651   4 ZZZ 0 0 97.47 0
31652   1 0 2 0 1,174.47 301.02
31652   2 0 2 0 1,027.50 280.99
31652   3 0 2 0 1,027.50 280.99
31652   4 0 2 0 1,027.50 280.99
31653   1 0 2 0 1,248.06 332.24
31653   2 0 2 0 1,092.90 310.17
31653   3 0 2 0 1,092.90 310.17
31653   4 0 2 0 1,092.90 310.17
31654   1 ZZZ 0 0 185.94 86.89
31654   2 ZZZ 0 0 165.95 81.31
31654   3 ZZZ 0 0 165.95 81.31
31654   4 ZZZ 0 0 165.95 81.31
31660   1 0 3 0 308.02 0
31660   2 0 3 0 281.98 0
31660   3 0 3 0 281.98 0
31660   4 0 3 0 281.98 0
31661   1 0 3 0 325.57 0
31661   2 0 3 0 297.87 0
31661   3 0 3 0 297.87 0
31661   4 0 3 0 297.87 0
31717   1 0 2 0 232.74 0
31717   2 0 2 0 230.47 0
31717   3 0 2 0 221.21 0
31717   4 0 2 0 218.80 0
31720   1 0 2 0 137.78 0
31720   2 0 2 0 133.21 0
31720   3 0 2 0 131.89 0
31720   4 0 2 0 130.92 0
31725   1 0 2 0 285.02 0
31725   2 0 2 0 281.37 0
31725   3 0 2 0 266.23 0
31725   4 0 2 0 263.11 0
31730   1 0 2 0 448.92 0
31730   2 0 2 0 873.17 0
31730   3 0 2 0 418.83 0
31730   4 0 2 0 850.57 0
31750   1 90 2 0 1,365.14 0
31750   2 90 2 0 1,327.73 0
31750   3 90 2 0 1,532.68 0
31750   4 90 2 0 1,303.43 0
31755   1 90 2 0 1,657.83 0
31755   2 90 2 0 1,633.49 0
31755   3 90 2 0 1,532.68 0
31755   4 90 2 0 1,514.02 0
31760   1 90 2 0 3,021.28 0
31760   2 90 2 0 2,975.17 0
31760   3 90 2 0 2,785.64 0
31760   4 90 2 0 2,755.40 0
31766   1 90 2 0 4,139.19 0
31766   2 90 2 0 4,094.35 0
31766   3 90 2 0 3,908.39 0
31766   4 90 2 0 3,862.13 0
31770   1 90 2 0 3,333.77 0
31770   2 90 2 0 3,287.47 0
31770   3 90 2 0 3,096.02 0
31770   4 90 2 0 3,060.01 0
31775   1 90 2 0 3,507.47 0
31775   2 90 2 0 3,460.65 0
31775   3 90 2 0 3,267.19 0
31775   4 90 2 0 3,228.69 0
31780   1 90 2 0 3,100.37 0
31780   2 90 2 0 2,120.05 0
31780   3 90 2 0 2,862.13 0
31780   4 90 2 0 2,826.91 0
31781   1 90 2 0 3,560.30 0
31781   2 90 2 0 3,512.56 0
31781   3 90 2 0 3,315.04 0
31781   4 90 2 0 3,275.89 0
31785   1 90 2 0 2,271.35 0
31785   2 90 2 0 2,242.68 0
31785   3 90 2 0 1,622.00 0
31785   4 90 2 0 2,100.48 0
31786   1 90 2 0 3,321.71 0
31786   2 90 2 0 3,275.12 0
31786   3 90 2 0 3,083.10 0
31786   4 90 2 0 3,048.44 0
31800   1 90 2 0 1,311.23 0
31800   2 90 2 0 1,209.64 0
31800   3 90 2 0 1,004.84 0
31800   4 90 2 0 993.20 0
31805   1 90 2 0 2,079.13 0
31805   2 90 2 0 2,048.96 0
31805   3 90 2 0 1,924.32 0
31805   4 90 2 0 1,901.72 0
31820   1 90 2 0 710.30 0
31820   2 90 2 0 700.05 0
31820   3 90 2 0 657.48 0
31820   4 90 2 0 649.62 0
31825   1 90 2 0 1,094.05 0
31825   2 90 2 0 1,063.69 0
31825   3 90 2 0 1,053.13 0
31825   4 90 2 0 1,034.52 0
31830   1 90 2 0 724.00 0
31830   2 90 2 0 714.01 0
31830   3 90 2 0 672.68 0
31830   4 90 2 0 664.55 0
31899     YYY 2 0 * 0
32035   1 90 2 0 1,445.65 0
32035   2 90 2 0 1,709.76 0
32035   3 90 2 0 1,728.11 0
32035   4 90 2 0 1,750.63 0
32036   1 90 2 0 1,412.87 0
32036   2 90 2 0 1,389.03 0
32036   3 90 2 0 1,290.82 0
32036   4 90 2 0 1,295.87 0
32096   1 90 2 0 1,193.04 0
32096   2 90 2 0 1,065.72 0
32096   3 90 2 0 1,065.72 0
32096   4 90 2 0 1,065.72 0
32097   1 90 2 0 1,193.04 0
32097   2 90 2 0 1,065.72 0
32097   3 90 2 0 1,065.72 0
32097   4 90 2 0 1,065.72 0
32098   1 90 2 0 1,120.84 0
32098   2 90 2 0 1,001.37 0
32098   3 90 2 0 1,001.37 0
32098   4 90 2 0 1,001.37 0
32100   1 90 2 0 2,217.48 0
32100   2 90 2 0 2,209.15 0
32100   3 90 2 0 2,152.29 0
32100   4 90 2 0 2,117.10 0
32110   1 90 2 0 2,257.21 0
32110   2 90 2 0 2,286.75 0
32110   3 90 2 0 2,073.18 0
32110   4 90 2 0 2,014.07 0
32120   1 90 2 0 1,953.35 0
32120   2 90 2 0 1,913.56 0
32120   3 90 2 0 1,830.32 0
32120   4 90 2 0 1,824.66 0
32124   1 90 2 0 1,874.84 0
32124   2 90 2 0 2,097.63 0
32124   3 90 2 0 1,840.28 0
32124   4 90 2 0 1,852.98 0
32140   1 90 2 0 2,387.98 0
32140   2 90 2 0 2,381.49 0
32140   3 90 2 0 2,294.28 0
32140   4 90 2 0 2,275.88 0
32141   1 90 2 0 2,490.73 0
32141   2 90 2 0 2,446.46 0
32141   3 90 2 0 2,299.71 0
32141   4 90 2 0 2,313.80 0
32150   1 90 2 0 2,362.51 0
32150   2 90 2 0 2,347.30 0
32150   3 90 2 0 2,000.64 0
32150   4 90 2 0 1,977.47 0
32151   1 90 2 0 2,097.70 0
32151   2 90 2 0 1,973.90 0
32151   3 90 2 0 1,854.23 0
32151   4 90 2 0 1,832.68 0
32160   1 90 2 0 2,313.01 0
32160   2 90 2 0 2,115.88 0
32160   3 90 2 0 2,131.89 0
32160   4 90 2 0 1,428.26 0
32200   1 90 2 0 1,812.23 0
32200   2 90 2 0 2,129.94 0
32200   3 90 2 0 1,695.85 0
32200   4 90 2 0 1,676.78 0
32215   1 90 2 0 1,475.85 0
32215   2 90 2 0 1,508.46 0
32215   3 90 2 0 1,350.99 0
32215   4 90 2 0 1,462.12 0
32220   1 90 2 0 3,353.14 0
32220   2 90 2 0 3,330.45 0
32220   3 90 2 0 3,236.82 0
32220   4 90 2 0 3,220.52 0
32225   1 90 2 0 2,320.67 0
32225   2 90 2 0 2,280.41 0
32225   3 90 2 0 2,114.38 0
32225   4 90 2 0 2,089.51 0
32310   1 90 2 0 2,459.80 0
32310   2 90 2 0 3,017.00 0
32310   3 90 2 0 2,943.11 0
32310   4 90 2 0 2,931.80 0
32320   1 90 2 0 3,591.65 0
32320   2 90 2 0 3,530.63 0
32320   3 90 2 0 3,431.50 0
32320   4 90 2 0 3,432.22 0
32400   1 0 2 0 317.40 0
32400   2 0 2 0 270.40 0
32400   3 0 2 0 251.36 0
32400   4 0 2 0 246.53 0
32405   1 0 2 0 365.10 0
32405   2 0 2 0 374.79 0
32405   3 0 2 0 364.38 0
32405   4 0 2 0 314.10 0
32440   1 90 2 0 3,799.11 0
32440   2 90 2 0 3,768.19 0
32440   3 90 2 0 3,549.47 0
32440   4 90 2 0 3,494.43 0
32442   1 90 2 0 4,058.75 0
32442   2 90 2 0 3,994.23 0
32442   3 90 2 0 3,728.37 0
32442   4 90 2 0 3,685.89 0
32445   1 90 2 0 4,210.34 0
32445   2 90 2 0 4,140.26 0
32445   3 90 2 0 3,850.94 0
32445   4 90 2 0 3,806.11 0
32480   1 90 2 0 3,484.64 0
32480   2 90 2 0 3,474.06 0
32480   3 90 2 0 3,203.64 0
32480   4 90 2 0 3,311.70 0
32482   1 90 2 0 3,532.13 0
32482   2 90 2 0 3,521.29 0
32482   3 90 2 0 3,249.72 0
32482   4 90 2 0 3,357.38 0
32484   1 90 2 0 3,559.50 0
32484   2 90 2 0 3,548.46 0
32484   3 90 2 0 3,276.30 0
32484   4 90 2 0 3,383.66 0
32486   1 90 2 0 3,742.22 0
32486   2 90 2 0 3,682.64 0
32486   3 90 2 0 3,437.34 0
32486   4 90 2 0 3,398.19 0
32488   1 90 2 0 4,014.28 0
32488   2 90 2 0 3,950.44 0
32488   3 90 2 0 3,687.58 0
32488   4 90 2 0 3,645.59 0
32501   1 ZZZ 0 0 909.77 0
32501   2 ZZZ 0 0 868.90 0
32501   3 ZZZ 0 0 813.78 0
32501   4 ZZZ 0 0 801.57 0
32503   1 90 2 0 2,993.28 0
32503   2 90 2 0 2,652.05 0
32503   3 90 2 0 2,652.05 0
32503   4 90 2 0 2,652.05 0
32504   1 90 2 0 3,422.13 0
32504   2 90 2 0 3,035.47 0
32504   3 90 2 0 3,035.47 0
32504   4 90 2 0 3,035.47 0
32505   1 90 2 0 1,373.68 0
32505   2 90 2 0 1,227.82 0
32505   3 90 2 0 1,227.82 0
32505   4 90 2 0 1,227.82 0
32506   1 ZZZ 0 0 233.67 0
32506   2 ZZZ 0 0 209.46 0
32506   3 ZZZ 0 0 209.46 0
32506   4 ZZZ 0 0 209.46 0
32507   1 ZZZ 0 0 233.67 0
32507   2 ZZZ 0 0 209.46 0
32507   3 ZZZ 0 0 209.46 0
32507   4 ZZZ 0 0 209.46 0
32540   1 90 2 0 2,378.63 0
32540   2 90 2 0 2,340.17 0
32540   3 90 2 0 2,181.44 0
32540   4 90 2 0 2,155.86 0
32550   1 0 0 0 1,290.00 333.14
32550   2 0 0 0 1,094.58 300.98
32550   3 0 0 0 1,094.58 300.98
32550   4 0 0 0 1,094.58 300.98
32551   1 0 2 0 265.90 0
32551   2 0 2 0 238.47 0
32551   3 0 2 0 238.47 0
32551   4 0 2 0 238.47 0
32552   1 10 2 0 272.33 241.40
32552   2 10 2 0 240.81 214.76
32552   3 10 2 0 240.81 214.76
32552   4 10 2 0 240.81 214.76
32553   1 0 2 0 874.76 311.91
32553   2 0 2 0 754.25 279.69
32553   3 0 2 0 754.25 279.69
32553   4 0 2 0 754.25 279.69
32554   1 0 2 0 757.85 120.69
32554   2 0 2 0 661.17 111.85
32554   3 0 2 0 661.17 111.85
32554   4 0 2 0 661.17 111.85
32555   1 0 2 0 874.40 151.29
32555   2 0 2 0 763.37 139.95
32555   3 0 2 0 763.37 139.95
32555   4 0 2 0 763.37 139.95
32556   1 0 2 0 799.39 165.87
32556   2 0 2 0 699.72 153.52
32556   3 0 2 0 699.72 153.52
32556   4 0 2 0 699.72 153.52
32557   1 0 2 0 1,306.42 232.66
32557   2 0 2 0 1,134.97 209.23
32557   3 0 2 0 1,134.97 209.23
32557   4 0 2 0 1,134.97 209.23
32560   1 0 2 0 472.74 164.44
32560   2 0 2 0 404.92 149.21
32560   3 0 2 0 404.92 149.21
32560   4 0 2 0 404.92 149.21
32561   1 0 2 0 140.57 107.49
32561   2 0 2 0 125.38 97.50
32561   3 0 2 0 125.38 97.50
32561   4 0 2 0 125.38 97.50
32562   1 0 2 0 124.94 96.20
32562   2 0 2 0 111.49 87.26
32562   3 0 2 0 111.49 87.26
32562   4 0 2 0 111.49 87.26
32601   1 0 2 0 829.82 0
32601   2 0 2 0 817.97 0
32601   3 0 2 0 769.08 0
32601   4 0 2 0 760.34 0
32604   1 0 2 0 997.05 0
32604   2 0 2 0 988.44 0
32604   3 0 2 0 1,078.79 0
32604   4 0 2 0 1,067.03 0
32606   1 0 2 0 986.23 0
32606   2 0 2 0 977.73 0
32606   3 0 2 0 1,047.15 0
32606   4 0 2 0 1,035.67 0
32607   1 0 2 0 457.76 0
32607   2 0 2 0 409.61 0
32607   3 0 2 0 409.61 0
32607   4 0 2 0 409.61 0
32608   1 0 2 0 562.74 0
32608   2 0 2 0 503.65 0
32608   3 0 2 0 503.65 0
32608   4 0 2 0 503.65 0
32609   1 0 2 0 389.52 0
32609   2 0 2 0 347.74 0
32609   3 0 2 0 347.74 0
32609   4 0 2 0 347.74 0
32650   1 90 2 0 1,475.85 0
32650   2 90 2 0 1,508.46 0
32650   3 90 2 0 1,350.99 0
32650   4 90 2 0 1,462.12 0
32651   1 90 2 0 2,320.67 0
32651   2 90 2 0 2,280.41 0
32651   3 90 2 0 2,114.38 0
32651   4 90 2 0 2,089.51 0
32652   1 90 2 0 3,353.14 0
32652   2 90 2 0 3,330.45 0
32652   3 90 2 0 3,236.82 0
32652   4 90 2 0 3,220.52 0
32653   1 90 2 0 2,362.51 0
32653   2 90 2 0 2,347.30 0
32653   3 90 2 0 2,000.64 0
32653   4 90 2 0 1,977.47 0
32654   1 90 2 0 2,257.21 0
32654   2 90 2 0 2,286.75 0
32654   3 90 2 0 2,073.18 0
32654   4 90 2 0 2,014.07 0
32655   1 90 2 0 2,514.19 0
32655   2 90 2 0 2,469.75 0
32655   3 90 2 0 2,307.24 0
32655   4 90 2 0 2,321.23 0
32656   1 90 2 0 2,459.80 0
32656   2 90 2 0 3,017.00 0
32656   3 90 2 0 2,943.11 0
32656   4 90 2 0 2,931.80 0
32658   1 90 2 0 2,598.25 0
32658   2 90 2 0 2,567.83 0
32658   3 90 2 0 2,504.62 0
32658   4 90 2 0 2,493.68 0
32659   1 90 2 0 2,638.84 0
32659   2 90 2 0 2,608.64 0
32659   3 90 2 0 2,532.67 0
32659   4 90 2 0 2,184.61 0
32661   1 90 2 0 2,047.55 0
32661   2 90 2 0 2,017.34 0
32661   3 90 2 0 1,892.88 0
32661   4 90 2 0 1,961.70 0
32662   1 90 2 0 2,998.22 0
32662   2 90 2 0 2,974.68 0
32662   3 90 2 0 2,838.56 0
32662   4 90 2 0 2,862.78 0
32663   1 90 2 0 3,500.97 0
32663   2 90 2 0 3,490.25 0
32663   3 90 2 0 3,219.44 0
32663   4 90 2 0 3,327.36 0
32664   1 90 2 0 2,381.45 0
32664   2 90 2 0 2,273.89 0
32664   3 90 2 0 2,120.11 0
32664   4 90 2 0 2,095.77 0
32665   1 90 2 0 2,800.19 0
32665   2 90 2 0 2,752.62 0
32665   3 90 2 0 2,556.11 0
32665   4 90 2 0 2,525.94 0
32666   1 90 2 0 1,285.57 0
32666   2 90 2 0 1,147.62 0
32666   3 90 2 0 1,147.62 0
32666   4 90 2 0 1,147.62 0
32667   1 ZZZ 0 0 233.67 0
32667   2 ZZZ 0 0 209.46 0
32667   3 ZZZ 0 0 209.46 0
32667   4 ZZZ 0 0 209.46 0
32668   1 ZZZ 0 0 235.57 0
32668   2 ZZZ 0 0 210.85 0
32668   3 ZZZ 0 0 210.85 0
32668   4 ZZZ 0 0 210.85 0
32669   1 90 2 0 1,984.54 0
32669   2 90 2 0 1,774.91 0
32669   3 90 2 0 1,774.91 0
32669   4 90 2 0 1,774.91 0
32670   1 90 2 0 2,368.28 0
32670   2 90 2 0 2,120.09 0
32670   3 90 2 0 2,120.09 0
32670   4 90 2 0 2,120.09 0
32671   1 90 2 0 2,634.68 0
32671   2 90 2 0 2,356.91 0
32671   3 90 2 0 2,356.91 0
32671   4 90 2 0 2,356.91 0
32672   1 90 2 0 2,252.07 0
32672   2 90 2 0 2,014.11 0
32672   3 90 2 0 2,014.11 0
32672   4 90 2 0 2,014.11 0
32673   1 90 2 0 1,762.43 0
32673   2 90 2 0 1,581.96 0
32673   3 90 2 0 1,581.96 0
32673   4 90 2 0 1,581.96 0
32674   1 ZZZ 0 0 319.94 0
32674   2 ZZZ 0 0 287.03 0
32674   3 ZZZ 0 0 287.03 0
32674   4 ZZZ 0 0 287.03 0
32701   1 XXX 0 0 315.29 0
32701   2 XXX 0 0 281.91 0
32701   3 XXX 0 0 281.91 0
32701   4 XXX 0 0 281.91 0
32800     90 2 0 * 0
32810   1 90 2 0 1,684.05 0
32810   2 90 2 0 1,660.07 0
32810   3 90 2 0 1,561.57 0
32810   4 90 2 0 1,544.20 0
32815   1 90 2 0 3,415.96 0
32815   2 90 2 0 3,323.18 0
32815   3 90 2 0 3,169.53 0
32815   4 90 2 0 3,133.17 0
32820     90 2 0 * 0
32851     90 2 0 * 0
32852     90 2 0 * 0
32853     90 2 0 * 0
32854   1 90 2 0 8,260.37 0
32854   2 90 2 0 8,013.07 0
32854   3 90 2 0 7,503.46 0
32854   4 90 2 0 7,404.00 0
32855     XXX 2 0 * 0
32856     XXX 2 0 * 0
32900   1 90 2 0 2,462.07 0
32900   2 90 2 0 2,428.54 0
32900   3 90 2 0 2,290.91 0
32900   4 90 2 0 2,265.96 0
32905   1 90 2 0 3,034.40 0
32905   2 90 2 0 2,806.76 0
32905   3 90 2 0 2,790.28 0
32905   4 90 2 0 2,758.93 0
32906   1 90 2 0 3,811.70 0
32906   2 90 2 0 3,755.08 0
32906   3 90 2 0 3,522.12 0
32906   4 90 2 0 3,482.65 0
32940   1 90 2 0 2,723.42 0
32940   2 90 2 0 2,685.70 0
32940   3 90 2 0 2,529.89 0
32940   4 90 2 0 2,501.09 0
32960   1 0 2 0 229.31 0
32960   2 0 2 0 209.31 0
32960   3 0 2 0 219.79 0
32960   4 0 2 0 218.38 0
32994   1 0 2 0 7,649.18 608.56
32994   2 0 2 0 6,698.11 562.15
32994   3 0 2 0 6,698.11 562.15
32994   4 0 2 0 6,698.11 562.15
32997   1 0 2 0 647.09 0
32997   2 0 2 0 584.59 0
32997   3 0 2 0 584.59 0
32997   4 0 2 0 584.59 0
32998   1 0 2 0 4,364.40 408.65
32998   2 0 2 0 3,605.25 371.98
32998   3 0 2 0 3,605.25 371.98
32998   4 0 2 0 3,605.25 371.98
32999     YYY 2 0 * 0
33010   1 0 2 0 375.41 0
33010   2 0 2 0 367.61 0
33010   3 0 2 0 348.76 0
33010   4 0 2 0 359.53 0
33011   1 0 2 0 279.06 0
33011   2 0 2 0 356.35 0
33011   3 0 2 0 366.08 0
33011   4 0 2 0 364.77 0
33015   1 90 2 0 918.22 0
33015   2 90 2 0 904.96 0
33015   3 90 2 0 850.17 0
33015   4 90 2 0 840.24 0
33020   1 90 2 0 2,598.25 0
33020   2 90 2 0 2,567.83 0
33020   3 90 2 0 2,504.62 0
33020   4 90 2 0 2,493.68 0
33025   1 90 2 0 2,638.84 0
33025   2 90 2 0 2,608.64 0
33025   3 90 2 0 2,532.67 0
33025   4 90 2 0 2,184.61 0
33030   1 90 2 0 3,760.41 0
33030   2 90 2 0 3,496.79 0
33030   3 90 2 0 3,393.75 0
33030   4 90 2 0 3,352.88 0
33031   1 90 2 0 3,106.92 0
33031   2 90 2 0 3,856.24 0
33031   3 90 2 0 2,863.32 0
33031   4 90 2 0 2,830.87 0
33050   1 90 2 0 2,047.55 0
33050   2 90 2 0 2,017.34 0
33050   3 90 2 0 1,892.88 0
33050   4 90 2 0 1,961.70 0
33120   1 90 2 0 6,886.29 0
33120   2 90 2 0 6,971.17 0
33120   3 90 2 0 6,380.59 0
33120   4 90 2 0 5,577.44 0
33130   1 90 2 0 3,081.52 0
33130   2 90 2 0 3,065.52 0
33130   3 90 2 0 2,850.26 0
33130   4 90 2 0 2,817.60 0
33140   1 90 2 0 2,628.68 0
33140   2 90 2 0 2,334.71 0
33140   3 90 2 0 2,334.71 0
33140   4 90 2 0 2,334.71 0
33141   1 ZZZ 0 0 542.79 0
33141   2 ZZZ 0 0 484.78 0
33141   3 ZZZ 0 0 484.78 0
33141   4 ZZZ 0 0 484.78 0
33202   1 90 2 0 1,135.58 0
33202   2 90 2 0 1,000.96 0
33202   3 90 2 0 1,000.96 0
33202   4 90 2 0 1,000.96 0
33203   1 90 2 0 1,153.88 0
33203   2 90 2 0 1,027.38 0
33203   3 90 2 0 1,027.38 0
33203   4 90 2 0 1,027.38 0
33206   1 90 2 0 1,597.50 0
33206   2 90 2 0 1,572.47 0
33206   3 90 2 0 1,492.81 0
33206   4 90 2 0 1,482.48 0
33207   1 90 2 0 1,676.31 0
33207   2 90 2 0 1,650.49 0
33207   3 90 2 0 1,550.87 0
33207   4 90 2 0 1,545.05 0
33208   1 90 2 0 1,892.47 0
33208   2 90 2 0 1,884.83 0
33208   3 90 2 0 1,749.93 0
33208   4 90 2 0 1,646.30 0
33210   1 0 2 0 599.55 0
33210   2 0 2 0 595.86 0
33210   3 0 2 0 554.03 0
33210   4 0 2 0 558.42 0
33211   1 0 2 0 602.10 0
33211   2 0 2 0 598.46 0
33211   3 0 2 0 556.54 0
33211   4 0 2 0 560.90 0