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2018 Workers' Compensation Part B Fee Schedule

33212-33676

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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
33212   1 90 2 0 1,010.12 0
33212   2 90 2 0 993.42 0
33212   3 90 2 0 996.04 0
33212   4 90 2 0 983.20 0
33213   1 90 2 0 1,089.56 0
33213   2 90 2 0 1,072.45 0
33213   3 90 2 0 1,021.49 0
33213   4 90 2 0 1,008.44 0
33214   1 90 2 0 1,222.28 0
33214   2 90 2 0 1,202.79 0
33214   3 90 2 0 1,122.58 0
33214   4 90 2 0 1,109.80 0
33215   1 90 2 0 556.64 0
33215   2 90 2 0 499.51 0
33215   3 90 2 0 499.51 0
33215   4 90 2 0 499.51 0
33216   1 90 2 0 905.81 0
33216   2 90 2 0 916.56 0
33216   3 90 2 0 897.36 0
33216   4 90 2 0 894.03 0
33217   1 90 2 0 915.08 0
33217   2 90 2 0 925.77 0
33217   3 90 2 0 906.42 0
33217   4 90 2 0 902.98 0
33218   1 90 2 0 893.99 0
33218   2 90 2 0 880.61 0
33218   3 90 2 0 825.61 0
33218   4 90 2 0 815.64 0
33220   1 90 2 0 900.69 0
33220   2 90 2 0 887.30 0
33220   3 90 2 0 832.05 0
33220   4 90 2 0 822.12 0
33221   1 90 2 0 515.21 0
33221   2 90 2 0 460.70 0
33221   3 90 2 0 460.70 0
33221   4 90 2 0 460.70 0
33222   1 90 2 0 1,352.53 0
33222   2 90 2 0 1,373.73 0
33222   3 90 2 0 1,229.49 0
33222   4 90 2 0 1,343.21 0
33223   1 90 2 0 1,395.89 0
33223   2 90 2 0 1,416.81 0
33223   3 90 2 0 1,271.60 0
33223   4 90 2 0 1,384.90 0
33224   1 90 2 0 886.79 0
33224   2 90 2 0 812.53 0
33224   3 90 2 0 812.53 0
33224   4 90 2 0 812.53 0
33225   1 0 2 0 785.11 0
33225   2 0 2 0 720.67 0
33225   3 0 2 0 720.67 0
33225   4 0 2 0 720.67 0
33226   1 ZZZ 0 0 854.58 0
33226   2 ZZZ 0 0 782.40 0
33226   3 ZZZ 0 0 782.40 0
33226   4 ZZZ 0 0 782.40 0
33227   1 90 2 0 491.74 0
33227   2 90 2 0 439.54 0
33227   3 90 2 0 439.54 0
33227   4 90 2 0 439.54 0
33228   1 90 2 0 512.92 0
33228   2 90 2 0 458.56 0
33228   3 90 2 0 458.56 0
33228   4 90 2 0 458.56 0
33229   1 90 2 0 534.10 0
33229   2 90 2 0 477.59 0
33229   3 90 2 0 477.59 0
33229   4 90 2 0 477.59 0
33230   1 90 2 0 554.78 0
33230   2 90 2 0 496.24 0
33230   3 90 2 0 496.24 0
33230   4 90 2 0 496.24 0
33231   1 90 2 0 575.96 0
33231   2 90 2 0 515.26 0
33231   3 90 2 0 515.26 0
33231   4 90 2 0 515.26 0
33233   1 90 2 0 746.26 0
33233   2 90 2 0 758.76 0
33233   3 90 2 0 747.54 0
33233   4 90 2 0 744.89 0
33234   1 90 2 0 900.64 0
33234   2 90 2 0 849.93 0
33234   3 90 2 0 827.04 0
33234   4 90 2 0 827.04 0
33235   1 90 2 0 859.86 0
33235   2 90 2 0 810.30 0
33235   3 90 2 0 788.48 0
33235   4 90 2 0 788.48 0
33236   1 90 2 0 1,407.70 0
33236   2 90 2 0 1,391.71 0
33236   3 90 2 0 1,326.07 0
33236   4 90 2 0 1,311.99 0
33237   1 90 2 0 2,088.47 0
33237   2 90 2 0 2,055.24 0
33237   3 90 2 0 1,918.21 0
33237   4 90 2 0 1,896.34 0
33238   1 90 2 0 2,327.52 0
33238   2 90 2 0 2,290.51 0
33238   3 90 2 0 2,138.04 0
33238   4 90 2 0 2,113.72 0
33240   1 90 2 0 1,178.27 0
33240   2 90 2 0 1,160.56 0
33240   3 90 2 0 1,049.90 0
33240   4 90 2 0 1,036.62 0
33241   1 90 2 0 462.95 0
33241   2 90 2 0 455.57 0
33241   3 90 2 0 425.37 0
33241   4 90 2 0 420.49 0
33243   1 90 2 0 2,068.28 0
33243   2 90 2 0 2,083.60 0
33243   3 90 2 0 1,990.54 0
33243   4 90 2 0 2,572.69 0
33244   1 90 2 0 1,701.61 0
33244   2 90 2 0 1,719.10 0
33244   3 90 2 0 1,634.72 0
33244   4 90 2 0 1,504.25 0
33249   1 90 2 0 3,089.43 0
33249   2 90 2 0 3,032.82 0
33249   3 90 2 0 3,423.10 0
33249   4 90 2 0 2,513.40 0
33250   1 90 2 0 2,742.88 0
33250   2 90 2 0 2,712.47 0
33250   3 90 2 0 2,586.78 0
33250   4 90 2 0 2,556.68 0
33251   1 90 2 0 3,713.69 0
33251   2 90 2 0 3,654.58 0
33251   3 90 2 0 3,410.98 0
33251   4 90 2 0 3,372.10 0
33254   1 90 2 0 1,985.00 0
33254   2 90 2 0 1,748.07 0
33254   3 90 2 0 1,748.07 0
33254   4 90 2 0 1,748.07 0
33255   1 90 2 0 2,384.78 0
33255   2 90 2 0 2,106.06 0
33255   3 90 2 0 2,106.06 0
33255   4 90 2 0 2,106.06 0
33256   1 90 2 0 2,851.31 0
33256   2 90 2 0 2,515.56 0
33256   3 90 2 0 2,515.56 0
33256   4 90 2 0 2,515.56 0
33257   1 ZZZ 0 0 872.75 0
33257   2 ZZZ 0 0 782.17 0
33257   3 ZZZ 0 0 782.17 0
33257   4 ZZZ 0 0 782.17 0
33258   1 ZZZ 0 0 987.52 0
33258   2 ZZZ 0 0 884.54 0
33258   3 ZZZ 0 0 884.54 0
33258   4 ZZZ 0 0 884.54 0
33259   1 ZZZ 0 0 1,306.02 0
33259   2 ZZZ 0 0 1,161.11 0
33259   3 ZZZ 0 0 1,161.11 0
33259   4 ZZZ 0 0 1,161.11 0
33261   1 90 2 0 6,681.74 0
33261   2 90 2 0 3,392.34 0
33261   3 90 2 0 6,569.55 0
33261   4 90 2 0 3,142.90 0
33262   1 90 2 0 534.52 0
33262   2 90 2 0 478.06 0
33262   3 90 2 0 478.06 0
33262   4 90 2 0 478.06 0
33263   1 90 2 0 555.70 0
33263   2 90 2 0 497.09 0
33263   3 90 2 0 497.09 0
33263   4 90 2 0 497.09 0
33264   1 90 2 0 576.86 0
33264   2 90 2 0 516.12 0
33264   3 90 2 0 516.12 0
33264   4 90 2 0 516.12 0
33265   1 90 2 0 1,985.00 0
33265   2 90 2 0 1,748.07 0
33265   3 90 2 0 1,748.07 0
33265   4 90 2 0 1,748.07 0
33266   1 90 2 0 2,715.91 0
33266   2 90 2 0 2,393.02 0
33266   3 90 2 0 2,393.02 0
33266   4 90 2 0 2,393.02 0
33270   1 90 2 0 869.38 0
33270   2 90 2 0 780.00 0
33270   3 90 2 0 780.00 0
33270   4 90 2 0 780.00 0
33271   1 90 2 0 649.60 0
33271   2 90 2 0 591.60 0
33271   3 90 2 0 591.60 0
33271   4 90 2 0 591.60 0
33272   1 90 2 0 597.51 0
33272   2 90 2 0 528.16 0
33272   3 90 2 0 528.16 0
33272   4 90 2 0 528.16 0
33273   1 90 2 0 521.93 0
33273   2 90 2 0 477.79 0
33273   3 90 2 0 477.79 0
33273   4 90 2 0 477.79 0
33282   1 90 2 0 793.16 0
33282   2 90 2 0 696.43 0
33282   3 90 2 0 696.43 0
33282   4 90 2 0 696.43 0
33284   1 90 2 0 617.76 0
33284   2 90 2 0 538.78 0
33284   3 90 2 0 538.78 0
33284   4 90 2 0 538.78 0
33300   1 90 2 0 2,921.45 0
33300   2 90 2 0 2,873.45 0
33300   3 90 2 0 2,675.41 0
33300   4 90 2 0 2,644.05 0
33305   1 90 2 0 3,494.49 0
33305   2 90 2 0 3,216.68 0
33305   3 90 2 0 3,201.50 0
33305   4 90 2 0 3,163.84 0
33310   1 90 2 0 2,652.79 0
33310   2 90 2 0 2,613.94 0
33310   3 90 2 0 2,599.02 0
33310   4 90 2 0 2,425.98 0
33315   1 90 2 0 3,262.29 0
33315   2 90 2 0 3,212.51 0
33315   3 90 2 0 3,007.06 0
33315   4 90 2 0 2,972.64 0
33320   1 90 2 0 3,086.27 0
33320   2 90 2 0 3,066.72 0
33320   3 90 2 0 2,986.12 0
33320   4 90 2 0 2,554.72 0
33321   1 90 2 0 4,065.08 0
33321   2 90 2 0 3,797.15 0
33321   3 90 2 0 3,521.94 0
33321   4 90 2 0 3,479.08 0
33322   1 90 2 0 4,065.08 0
33322   2 90 2 0 3,797.15 0
33322   3 90 2 0 3,521.94 0
33322   4 90 2 0 3,479.08 0
33330   1 90 2 0 2,941.43 0
33330   2 90 2 0 2,900.07 0
33330   3 90 2 0 2,729.51 0
33330   4 90 2 0 2,698.22 0
33335   1 90 2 0 3,925.33 0
33335   2 90 2 0 3,872.80 0
33335   3 90 2 0 3,656.34 0
33335   4 90 2 0 3,615.42 0
33340   1 0 2 0 1,044.99 0
33340   2 0 2 0 954.03 0
33340   3 0 2 0 954.03 0
33340   4 0 2 0 954.03 0
33361   1 0 2 0 1,895.35 0
33361   2 0 2 0 1,703.05 0
33361   3 0 2 0 1,703.05 0
33361   4 0 2 0 1,703.05 0
33362   1 0 2 0 2,073.69 0
33362   2 0 2 0 1,863.40 0
33362   3 0 2 0 1,863.40 0
33362   4 0 2 0 1,863.40 0
33363   1 0 2 0 2,147.19 0
33363   2 0 2 0 1,929.44 0
33363   3 0 2 0 1,929.44 0
33363   4 0 2 0 1,929.44 0
33364   1 0 2 0 2,283.52 0
33364   2 0 2 0 2,051.04 0
33364   3 0 2 0 2,051.04 0
33364   4 0 2 0 2,051.04 0
33365   1 0 2 0 2,517.90 0
33365   2 0 2 0 2,255.32 0
33365   3 0 2 0 2,255.32 0
33365   4 0 2 0 2,255.32 0
33366   1 0 2 0 2,707.15 0
33366   2 0 2 0 2,457.82 0
33366   3 0 2 0 2,457.82 0
33366   4 0 2 0 2,457.82 0
33367   1 ZZZ 0 0 885.04 0
33367   2 ZZZ 0 0 793.41 0
33367   3 ZZZ 0 0 793.41 0
33367   4 ZZZ 0 0 793.41 0
33368   1 ZZZ 0 0 1,072.83 0
33368   2 ZZZ 0 0 961.60 0
33368   3 ZZZ 0 0 961.60 0
33368   4 ZZZ 0 0 961.60 0
33369   1 ZZZ 0 0 1,416.23 0
33369   2 ZZZ 0 0 1,269.46 0
33369   3 ZZZ 0 0 1,269.46 0
33369   4 ZZZ 0 0 1,269.46 0
33390   1 90 2 0 2,487.52 0
33390   2 90 2 0 2,279.36 0
33390   3 90 2 0 2,279.36 0
33390   4 90 2 0 2,279.36 0
33391   1 90 2 0 2,947.47 0
33391   2 90 2 0 2,700.97 0
33391   3 90 2 0 2,700.97 0
33391   4 90 2 0 2,700.97 0
33404   1 90 2 0 4,379.13 0
33404   2 90 2 0 4,309.47 0
33404   3 90 2 0 4,022.63 0
33404   4 90 2 0 3,976.78 0
33405   1 90 2 0 6,056.25 0
33405   2 90 2 0 5,988.52 0
33405   3 90 2 0 5,614.79 0
33405   4 90 2 0 5,646.62 0
33406   1 90 2 0 5,677.94 0
33406   2 90 2 0 5,580.77 0
33406   3 90 2 0 5,179.47 0
33406   4 90 2 0 5,117.37 0
33410   1 90 2 0 4,416.59 0
33410   2 90 2 0 3,916.21 0
33410   3 90 2 0 3,916.21 0
33410   4 90 2 0 3,916.21 0
33411   1 90 2 0 6,803.74 0
33411   2 90 2 0 6,677.01 0
33411   3 90 2 0 6,153.58 0
33411   4 90 2 0 6,079.17 0
33412   1 90 2 0 5,168.64 0
33412   2 90 2 0 5,099.28 0
33412   3 90 2 0 4,812.18 0
33412   4 90 2 0 4,755.24 0
33413   1 90 2 0 5,677.94 0
33413   2 90 2 0 5,580.77 0
33413   3 90 2 0 5,179.47 0
33413   4 90 2 0 5,117.37 0
33414   1 90 2 0 4,694.06 0
33414   2 90 2 0 4,694.06 0
33414   3 90 2 0 4,694.06 0
33414   4 90 2 0 4,694.06 0
33415   1 90 2 0 3,998.56 0
33415   2 90 2 0 3,944.84 0
33415   3 90 2 0 3,722.79 0
33415   4 90 2 0 3,678.82 0
33416   1 90 2 0 5,412.62 0
33416   2 90 2 0 5,321.35 0
33416   3 90 2 0 4,944.23 0
33416   4 90 2 0 4,885.51 0
33417   1 90 2 0 7,125.87 0
33417   2 90 2 0 7,125.87 0
33417   3 90 2 0 7,125.87 0
33417   4 90 2 0 7,125.87 0
33418   1 90 2 0 2,299.03 2409.02
33418   2 90 2 0 2,123.79 2217.78
33418   3 90 2 0 2,123.79 2217.78
33418   4 90 2 0 2,123.79 2217.78
33419   1 ZZZ 0 0 771.18 0
33419   2 ZZZ 0 0 682.87 0
33419   3 ZZZ 0 0 682.87 0
33419   4 ZZZ 0 0 682.87 0
33420   1 90 2 0 3,744.74 0
33420   2 90 2 0 5,630.60 0
33420   3 90 2 0 5,275.74 0
33420   4 90 2 0 5,445.05 0
33422   1 90 2 0 7,119.44 0
33422   2 90 2 0 7,164.29 0
33422   3 90 2 0 6,702.30 0
33422   4 90 2 0 4,925.81 0
33425   1 90 2 0 6,925.75 0
33425   2 90 2 0 7,147.09 0
33425   3 90 2 0 6,815.71 0
33425   4 90 2 0 6,475.02 0
33426   1 90 2 0 6,436.26 0
33426   2 90 2 0 7,332.94 0
33426   3 90 2 0 5,137.36 0
33426   4 90 2 0 5,075.11 0
33427   1 90 2 0 6,466.09 0
33427   2 90 2 0 6,353.54 0
33427   3 90 2 0 5,888.47 0
33427   4 90 2 0 5,818.05 0
33430   1 90 2 0 7,316.62 0
33430   2 90 2 0 7,483.95 0
33430   3 90 2 0 7,072.04 0
33430   4 90 2 0 7,058.11 0
33460   1 90 2 0 5,563.91 0
33460   2 90 2 0 5,371.35 0
33460   3 90 2 0 5,429.07 0
33460   4 90 2 0 4,166.70 0
33463   1 90 2 0 3,975.34 0
33463   2 90 2 0 3,912.07 0
33463   3 90 2 0 3,651.63 0
33463   4 90 2 0 3,610.04 0
33464   1 90 2 0 4,255.36 0
33464   2 90 2 0 4,187.75 0
33464   3 90 2 0 3,909.07 0
33464   4 90 2 0 3,864.58 0
33465   1 90 2 0 6,045.48 0
33465   2 90 2 0 5,844.11 0
33465   3 90 2 0 5,797.60 0
33465   4 90 2 0 5,183.56 0
33468   1 90 2 0 4,541.38 0
33468   2 90 2 0 4,471.89 0
33468   3 90 2 0 4,185.45 0
33468   4 90 2 0 4,137.66 0
33470   1 90 2 0 5,677.94 0
33470   2 90 2 0 5,580.77 0
33470   3 90 2 0 5,179.47 0
33470   4 90 2 0 5,117.37 0
33471   1 90 2 0 5,677.94 0
33471   2 90 2 0 5,580.77 0
33471   3 90 2 0 5,179.47 0
33471   4 90 2 0 5,117.37 0
33474   1 90 2 0 3,107.56 0
33474   2 90 2 0 3,067.48 0
33474   3 90 2 0 2,901.83 0
33474   4 90 2 0 2,868.29 0
33475   1 90 2 0 5,677.94 0
33475   2 90 2 0 5,580.77 0
33475   3 90 2 0 5,179.47 0
33475   4 90 2 0 5,117.37 0
33476   1 90 2 0 5,444.97 0
33476   2 90 2 0 5,266.55 0
33476   3 90 2 0 4,890.54 0
33476   4 90 2 0 4,821.75 0
33477   1 0 2 0 1,689.06 0
33477   2 0 2 0 1,563.67 0
33477   3 0 2 0 1,563.67 0
33477   4 0 2 0 1,563.67 0
33478   1 90 2 0 5,875.45 0
33478   2 90 2 0 5,681.35 0
33478   3 90 2 0 5,270.84 0
33478   4 90 2 0 5,196.02 0
33496   1 90 2 0 4,925.77 0
33496   2 90 2 0 4,259.73 0
33496   3 90 2 0 4,259.73 0
33496   4 90 2 0 4,259.73 0
33500   1 90 2 0 3,711.48 0
33500   2 90 2 0 4,870.10 0
33500   3 90 2 0 3,421.62 0
33500   4 90 2 0 3,383.12 0
33501   1 90 2 0 3,053.84 0
33501   2 90 2 0 4,545.08 0
33501   3 90 2 0 2,783.39 0
33501   4 90 2 0 2,750.83 0
33502   1 90 2 0 3,040.40 0
33502   2 90 2 0 2,998.73 0
33502   3 90 2 0 2,826.53 0
33502   4 90 2 0 3,960.68 0
33503   1 90 2 0 2,985.04 0
33503   2 90 2 0 3,468.83 0
33503   3 90 2 0 2,809.12 0
33503   4 90 2 0 4,248.26 0
33504   1 90 2 0 3,436.41 0
33504   2 90 2 0 3,385.86 0
33504   3 90 2 0 3,177.70 0
33504   4 90 2 0 3,142.32 0
33505   1 90 2 0 3,436.41 0
33505   2 90 2 0 3,385.86 0
33505   3 90 2 0 3,177.70 0
33505   4 90 2 0 3,142.32 0
33506   1 90 2 0 3,436.41 0
33506   2 90 2 0 3,385.86 0
33506   3 90 2 0 3,177.70 0
33506   4 90 2 0 3,142.32 0
33507   1 90 2 0 2,879.55 0
33507   2 90 2 0 2,565.00 0
33507   3 90 2 0 2,565.00 0
33507   4 90 2 0 2,565.00 0
33508   1 90 2 0 30.26 0
33508   2 90 2 0 27.27 0
33508   3 90 2 0 27.27 0
33508   4 90 2 0 27.27 0
33510   1 90 2 0 5,480.15 0
33510   2 90 2 0 5,381.15 0
33510   3 90 2 0 5,044.63 0
33510   4 90 2 0 5,039.07 0
33511   1 90 2 0 6,308.95 0
33511   2 90 2 0 6,220.24 0
33511   3 90 2 0 5,839.81 0
33511   4 90 2 0 5,777.40 0
33512   1 90 2 0 6,778.17 0
33512   2 90 2 0 6,697.77 0
33512   3 90 2 0 6,267.20 0
33512   4 90 2 0 6,232.05 0
33513   1 90 2 0 7,232.75 0
33513   2 90 2 0 7,151.01 0
33513   3 90 2 0 6,667.71 0
33513   4 90 2 0 6,640.57 0
33514   1 90 2 0 7,492.90 0
33514   2 90 2 0 7,440.15 0
33514   3 90 2 0 7,021.82 0
33514   4 90 2 0 6,970.10 0
33516   1 90 2 0 7,643.99 0
33516   2 90 2 0 7,706.40 0
33516   3 90 2 0 7,481.03 0
33516   4 90 2 0 7,447.09 0
33517   1 90 0 0 557.53 0
33517   2 90 0 0 565.99 0
33517   3 90 0 0 521.67 0
33517   4 90 0 0 519.89 0
33518   1 90 0 0 1,072.59 0
33518   2 90 0 0 1,085.77 0
33518   3 90 0 0 992.29 0
33518   4 90 0 0 997.16 0
33519   1 90 0 0 1,419.44 0
33519   2 90 0 0 1,449.09 0
33519   3 90 0 0 1,368.00 0
33519   4 90 0 0 1,364.63 0
33521   1 90 0 0 1,688.92 0
33521   2 90 0 0 1,780.58 0
33521   3 90 0 0 1,803.24 0
33521   4 90 0 0 1,789.26 0
33522   1 90 0 0 2,058.42 0
33522   2 90 0 0 2,222.48 0
33522   3 90 0 0 2,344.86 0
33522   4 90 0 0 2,317.74 0
33523   1 90 0 0 2,249.75 0
33523   2 90 0 0 2,410.72 0
33523   3 90 0 0 2,520.25 0
33523   4 90 0 0 2,491.03 0
33530   1 ZZZ 0 0 1,656.50 0
33530   2 ZZZ 0 0 1,621.93 0
33530   3 ZZZ 0 0 1,479.29 0
33530   4 ZZZ 0 0 1,461.00 0
33533   1 90 2 0 5,837.26 0
33533   2 90 2 0 5,730.29 0
33533   3 90 2 0 5,356.64 0
33533   4 90 2 0 5,320.29 0
33534   1 90 2 0 6,446.06 0
33534   2 90 2 0 6,352.72 0
33534   3 90 2 0 5,954.57 0
33534   4 90 2 0 5,912.11 0
33535   1 90 2 0 6,994.02 0
33535   2 90 2 0 6,909.54 0
33535   3 90 2 0 6,474.37 0
33535   4 90 2 0 6,436.37 0
33536   1 90 2 0 7,527.46 0
33536   2 90 2 0 7,451.74 0
33536   3 90 2 0 6,986.38 0
33536   4 90 2 0 6,948.06 0
33542   1 90 2 0 8,323.59 0
33542   2 90 2 0 8,839.94 0
33542   3 90 2 0 8,208.59 0
33542   4 90 2 0 8,415.22 0
33545   1 90 2 0 6,502.83 0
33545   2 90 2 0 6,547.32 0
33545   3 90 2 0 6,271.01 0
33545   4 90 2 0 5,986.20 0
33548   1 90 2 0 3,800.89 0
33548   2 90 2 0 3,367.10 0
33548   3 90 2 0 3,367.10 0
33548   4 90 2 0 3,367.10 0
33572   1 ZZZ 0 0 782.92 0
33572   2 ZZZ 0 0 759.52 0
33572   3 ZZZ 0 0 711.26 0
33572   4 ZZZ 0 0 701.85 0
33600   1 90 2 0 4,489.85 0
33600   2 90 2 0 4,406.49 0
33600   3 90 2 0 4,062.28 0
33600   4 90 2 0 4,013.01 0
33602   1 90 2 0 3,854.59 0
33602   2 90 2 0 3,793.28 0
33602   3 90 2 0 3,540.51 0
33602   4 90 2 0 3,500.15 0
33606   1 90 2 0 7,163.95 0
33606   2 90 2 0 6,913.45 0
33606   3 90 2 0 6,388.32 0
33606   4 90 2 0 6,297.04 0
33608   1 90 2 0 7,231.66 0
33608   2 90 2 0 6,980.30 0
33608   3 90 2 0 6,453.64 0
33608   4 90 2 0 6,361.70 0
33610   1 90 2 0 7,163.95 0
33610   2 90 2 0 6,913.45 0
33610   3 90 2 0 6,388.32 0
33610   4 90 2 0 6,297.04 0
33611   1 90 2 0 7,342.39 0
33611   2 90 2 0 7,089.62 0
33611   3 90 2 0 6,560.46 0
33611   4 90 2 0 6,467.46 0
33612   1 90 2 0 7,418.32 0
33612   2 90 2 0 7,164.62 0
33612   3 90 2 0 6,633.72 0
33612   4 90 2 0 6,539.96 0
33615   1 90 2 0 7,275.59 0
33615   2 90 2 0 7,023.67 0
33615   3 90 2 0 6,495.99 0
33615   4 90 2 0 6,403.71 0
33617   1 90 2 0 7,432.07 0
33617   2 90 2 0 7,178.15 0
33617   3 90 2 0 6,646.92 0
33617   4 90 2 0 6,553.11 0
33619   1 90 2 0 8,316.77 0
33619   2 90 2 0 8,036.19 0
33619   3 90 2 0 7,445.14 0
33619   4 90 2 0 7,339.34 0
33620   1 90 2 0 2,619.00 0
33620   2 90 2 0 2,342.82 0
33620   3 90 2 0 2,342.82 0
33620   4 90 2 0 2,342.82 0
33621   1 90 2 0 1,399.46 0
33621   2 90 2 0 1,256.33 0
33621   3 90 2 0 1,256.33 0
33621   4 90 2 0 1,256.33 0
33622   1 90 2 0 5,492.29 0
33622   2 90 2 0 4,929.55 0
33622   3 90 2 0 4,929.55 0
33622   4 90 2 0 4,929.55 0
33641   1 90 2 0 4,489.85 0
33641   2 90 2 0 4,406.49 0
33641   3 90 2 0 4,062.28 0
33641   4 90 2 0 4,013.01 0
33645   1 90 2 0 3,649.08 0
33645   2 90 2 0 3,600.13 0
33645   3 90 2 0 3,397.38 0
33645   4 90 2 0 3,357.21 0
33647     90 2 0 * 0
33660   1 90 2 0 5,786.70 0
33660   2 90 2 0 5,593.73 0
33660   3 90 2 0 5,185.16 0
33660   4 90 2 0 5,111.26 0
33665   1 90 2 0 6,054.76 0
33665   2 90 2 0 5,858.43 0
33665   3 90 2 0 5,443.88 0
33665   4 90 2 0 5,367.24 0
33670   1 90 2 0 7,342.39 0
33670   2 90 2 0 7,089.62 0
33670   3 90 2 0 6,560.46 0
33670   4 90 2 0 6,467.46 0
33675   1 90 2 0 3,168.36 0
33675   2 90 2 0 2,783.25 0
33675   3 90 2 0 2,783.25 0
33675   4 90 2 0 2,783.25 0
33676   1 90 2 0 3,273.71 0
33676   2 90 2 0 2,868.69 0
33676   3 90 2 0 2,868.69 0
33676   4 90 2 0 2,868.69 0