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Fee Schedule
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Fee Schedule 33677-35011
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2024 Workers' Compensation Part B Fee Schedule
33677-35011
View the PDF
CPT/HCPC Code
Modifier
Medicare Location
Global Surgery Indicator
Multiple Surgery Indicator
Prevailing Charge Amount
Fee Schedule Amount
Site of Service Amount
33677
004
90
2
X
3,855.02
X
33677
003
90
2
X
3,855.02
X
33677
002
90
2
X
3,855.02
X
33677
001
90
2
X
4,399.45
X
33681
002
90
2
X
8,001.99
X
33681
003
90
2
X
7,405.98
X
33681
004
90
2
X
7,300.01
X
33681
001
90
2
X
8,284.29
X
33684
001
90
2
X
8,514.95
X
33684
004
90
2
X
7,520.22
X
33684
003
90
2
X
7,628.51
X
33684
002
90
2
X
8,229.74
X
33688
002
90
2
X
8,343.03
X
33688
003
90
2
X
7,739.21
X
33688
001
90
2
X
8,629.71
X
33688
004
90
2
X
7,629.82
X
33690
004
90
2
X
4,834.98
X
33690
002
90
2
X
5,297.90
X
33690
003
90
2
X
4,904.24
X
33690
001
90
2
X
5,486.01
X
33692
001
90
2
X
9,261.55
X
33692
004
90
2
X
8,140.82
X
33692
003
90
2
X
8,258.82
X
33692
002
90
2
X
8,937.72
X
33694
003
90
2
X
8,370.62
X
33694
002
90
2
X
9,052.16
X
33694
004
90
2
X
8,251.56
X
33694
001
90
2
X
9,377.46
X
33697
003
90
2
X
8,593.14
X
33697
002
90
2
X
9,279.91
X
33697
004
90
2
X
8,471.86
X
33697
001
90
2
X
9,608.18
X
33702
003
90
2
X
6,719.81
X
33702
002
90
2
X
7,240.70
X
33702
004
90
2
X
6,624.75
X
33702
001
90
2
X
7,487.19
X
33710
001
90
2
X
8,519.73
X
33710
004
90
2
X
7,524.75
X
33710
002
90
2
X
8,234.43
X
33710
003
90
2
X
7,633.08
X
33720
004
90
2
X
6,624.75
X
33720
001
90
2
X
7,487.19
X
33720
003
90
2
X
6,719.81
X
33720
002
90
2
X
7,240.70
X
33724
002
90
2
X
2,579.22
X
33724
003
90
2
X
2,579.22
X
33724
001
90
2
X
2,925.75
X
33724
004
90
2
X
2,579.22
X
33726
001
90
2
X
3,843.94
X
33726
004
90
2
X
3,402.05
X
33726
002
90
2
X
3,402.05
X
33726
003
90
2
X
3,402.05
X
33730
001
90
2
X
9,333.79
X
33730
004
90
2
X
8,209.75
X
33730
003
90
2
X
8,328.37
X
33730
002
90
2
X
9,008.94
X
33732
004
90
2
X
6,910.55
X
33732
001
90
2
X
7,798.07
X
33732
003
90
2
X
7,009.30
X
33732
002
90
2
X
7,544.60
X
33735
004
90
2
X
5,460.38
X
33735
002
90
2
X
5,988.76
X
33735
001
90
2
X
6,203.01
X
33735
003
90
2
X
5,539.29
X
33736
001
90
2
X
5,804.48
X
33736
004
90
2
X
5,188.02
X
33736
003
90
2
X
5,251.72
X
33736
002
90
2
X
5,696.71
X
33737
004
90
2
X
5,520.27
X
33737
001
90
2
X
6,265.69
X
33737
003
90
2
X
5,599.81
X
33737
002
90
2
X
6,050.70
X
33741
002
0
2
X
990.92
X
33741
003
0
2
X
990.92
X
33741
001
0
2
X
1,083.13
X
33741
004
0
2
X
990.92
X
33745
001
0
2
X
1,526.08
X
33745
002
0
2
X
1,400.68
X
33745
003
0
2
X
1,400.68
X
33745
004
0
2
X
1,400.68
X
33746
004
ZZZ
0
X
554.09
X
33746
001
ZZZ
0
X
602.21
X
33746
002
ZZZ
0
X
554.09
X
33746
003
ZZZ
0
X
554.09
X
33750
004
90
2
X
5,042.89
X
33750
001
90
2
X
5,703.63
X
33750
002
90
2
X
5,512.76
X
33750
003
90
2
X
5,114.30
X
33755
003
90
2
X
5,154.17
X
33755
002
90
2
X
5,553.59
X
33755
004
90
2
X
5,082.40
X
33755
001
90
2
X
5,745.11
X
33762
003
90
2
X
5,154.17
X
33762
001
90
2
X
5,745.11
X
33762
002
90
2
X
5,553.59
X
33762
004
90
2
X
5,082.40
X
33764
001
90
2
X
7,216.25
X
33764
004
90
2
X
7,216.25
X
33764
002
90
2
X
7,216.25
X
33764
003
90
2
X
7,216.25
X
33766
002
90
2
X
5,666.87
X
33766
003
90
2
X
5,264.90
X
33766
001
90
2
X
5,859.85
X
33766
004
90
2
X
5,192.03
X
33767
001
90
2
X
6,612.28
X
33767
003
90
2
X
5,934.10
X
33767
002
90
2
X
6,392.90
X
33767
004
90
2
X
5,851.25
X
33768
004
ZZZ
0
X
826.60
X
33768
002
ZZZ
0
X
826.60
X
33768
003
ZZZ
0
X
826.60
X
33768
001
ZZZ
0
X
925.32
X
33770
002
90
2
X
9,250.76
X
33770
003
90
2
X
8,564.58
X
33770
001
90
2
X
9,578.55
X
33770
004
90
2
X
8,443.64
X
33771
001
90
2
X
9,724.11
X
33771
004
90
2
X
8,582.55
X
33771
003
90
2
X
8,705.07
X
33771
002
90
2
X
9,394.40
X
33774
001
90
2
X
8,057.11
X
33774
002
90
2
X
7,800.43
X
33774
003
90
2
X
7,259.19
X
33774
004
90
2
X
7,157.98
X
33775
001
90
2
X
8,201.46
X
33775
004
90
2
X
7,295.75
X
33775
002
90
2
X
7,942.83
X
33775
003
90
2
X
7,398.37
X
33776
002
90
2
X
8,685.23
X
33776
003
90
2
X
8,073.56
X
33776
004
90
2
X
7,960.80
X
33776
001
90
2
X
8,976.35
X
33777
004
90
2
X
7,434.71
X
33777
001
90
2
X
8,346.97
X
33777
003
90
2
X
7,538.78
X
33777
002
90
2
X
8,086.51
X
33778
002
90
2
X
15,353.83
X
33778
003
90
2
X
15,353.83
X
33778
004
90
2
X
15,353.83
X
33778
001
90
2
X
15,353.83
X
33779
001
90
2
X
15,353.83
X
33779
004
90
2
X
15,353.83
X
33779
003
90
2
X
15,353.83
X
33779
002
90
2
X
15,353.83
X
33780
002
90
2
X
15,353.83
X
33780
003
90
2
X
15,353.83
X
33780
001
90
2
X
15,353.83
X
33780
004
90
2
X
15,353.83
X
33781
001
90
2
X
15,353.83
X
33781
004
90
2
X
15,353.83
X
33781
003
90
2
X
15,353.83
X
33781
002
90
2
X
15,353.83
X
33782
001
90
2
X
5,354.34
X
33782
004
90
2
X
5,037.02
X
33782
002
90
2
X
5,037.02
X
33782
003
90
2
X
5,037.02
X
33783
002
90
2
X
5,501.55
X
33783
003
90
2
X
5,501.55
X
33783
004
90
2
X
5,501.55
X
33783
001
90
2
X
5,871.57
X
33786
002
90
2
X
13,511.38
X
33786
003
90
2
X
13,511.38
X
33786
004
90
2
X
13,511.38
X
33786
001
90
2
X
13,511.38
X
33788
90
2
X
*
X
33800
004
90
2
X
2,931.83
X
33800
002
90
2
X
3,177.18
X
33800
003
90
2
X
2,965.67
X
33800
001
90
2
X
3,228.56
X
33802
001
90
2
X
5,283.69
X
33802
002
90
2
X
5,098.12
X
33802
003
90
2
X
4,709.11
X
33802
004
90
2
X
4,641.85
X
33803
004
90
2
X
4,860.95
X
33803
001
90
2
X
5,513.24
X
33803
002
90
2
X
5,324.63
X
33803
003
90
2
X
4,930.58
X
33813
004
90
2
X
7,369.86
X
33813
001
90
2
X
7,369.86
X
33813
003
90
2
X
7,369.86
X
33813
002
90
2
X
7,369.86
X
33814
001
90
2
X
8,598.09
X
33814
004
90
2
X
8,598.09
X
33814
003
90
2
X
8,598.09
X
33814
002
90
2
X
8,598.09
X
33820
004
90
2
X
4,105.32
X
33820
001
90
2
X
4,105.32
X
33820
003
90
2
X
4,105.32
X
33820
002
90
2
X
4,105.32
X
33822
001
90
2
X
5,283.69
X
33822
003
90
2
X
4,709.11
X
33822
002
90
2
X
5,098.12
X
33822
004
90
2
X
4,641.85
X
33824
001
90
2
X
5,513.24
X
33824
004
90
2
X
4,860.95
X
33824
002
90
2
X
5,324.63
X
33824
003
90
2
X
4,930.58
X
33840
002
90
2
X
7,247.00
X
33840
003
90
2
X
7,247.00
X
33840
001
90
2
X
7,247.00
X
33840
004
90
2
X
7,247.00
X
33845
004
90
2
X
8,871.39
X
33845
002
90
2
X
8,871.39
X
33845
003
90
2
X
8,871.39
X
33845
001
90
2
X
8,871.39
X
33851
001
90
2
X
8,598.09
X
33851
004
90
2
X
8,598.09
X
33851
003
90
2
X
8,598.09
X
33851
002
90
2
X
8,598.09
X
33852
004
90
2
X
9,212.33
X
33852
001
90
2
X
9,212.33
X
33852
003
90
2
X
9,212.33
X
33852
002
90
2
X
9,212.33
X
33853
004
90
2
X
10,619.74
X
33853
002
90
2
X
10,619.74
X
33853
001
90
2
X
10,619.74
X
33853
003
90
2
X
10,619.74
X
33858
004
90
2
X
4,809.52
X
33858
001
90
2
X
5,286.22
X
33858
003
90
2
X
4,809.52
X
33858
002
90
2
X
4,809.52
X
33859
003
90
2
X
3,451.44
X
33859
002
90
2
X
3,451.44
X
33859
004
90
2
X
3,451.44
X
33859
001
90
2
X
3,794.55
X
33863
003
90
2
X
9,658.93
X
33863
002
90
2
X
9,718.54
X
33863
001
90
2
X
9,973.17
X
33863
004
90
2
X
9,603.13
X
33864
003
90
2
X
5,477.22
X
33864
002
90
2
X
5,477.22
X
33864
004
90
2
X
5,477.22
X
33864
001
90
2
X
6,067.40
X
33866
002
ZZZ
0
X
1,477.38
X
33866
003
ZZZ
0
X
1,477.38
X
33866
001
ZZZ
0
X
1,610.87
X
33866
004
ZZZ
0
X
1,477.38
X
33871
003
90
2
X
4,624.00
X
33871
002
90
2
X
4,624.00
X
33871
004
90
2
X
4,624.00
X
33871
001
90
2
X
5,083.93
X
33875
004
90
2
X
8,744.34
X
33875
003
90
2
X
8,873.24
X
33875
002
90
2
X
9,331.82
X
33875
001
90
2
X
9,099.84
X
33877
004
90
2
X
10,343.41
X
33877
001
90
2
X
10,804.00
X
33877
003
90
2
X
10,332.86
X
33877
002
90
2
X
10,687.36
X
33880
001
90
2
X
3,798.64
X
33880
004
90
2
X
3,446.25
X
33880
003
90
2
X
3,446.25
X
33880
002
90
2
X
3,446.25
X
33881
003
90
2
X
2,958.37
X
33881
002
90
2
X
2,958.37
X
33881
001
90
2
X
3,264.91
X
33881
004
90
2
X
2,958.37
X
33883
001
90
2
X
2,428.54
X
33883
004
90
2
X
2,181.42
X
33883
003
90
2
X
2,181.42
X
33883
002
90
2
X
2,181.42
X
33884
001
ZZZ
0
X
899.57
X
33884
004
ZZZ
0
X
815.85
X
33884
002
ZZZ
0
X
815.85
X
33884
003
ZZZ
0
X
815.85
X
33886
003
90
2
X
1,882.15
X
33886
002
90
2
X
1,882.15
X
33886
004
90
2
X
1,882.15
X
33886
001
90
2
X
2,098.60
X
33889
002
0
2
X
1,625.18
X
33889
003
0
2
X
1,625.18
X
33889
001
0
2
X
1,811.48
X
33889
004
0
2
X
1,625.18
X
33891
002
0
2
X
2,071.47
X
33891
003
0
2
X
2,071.47
X
33891
004
0
2
X
2,071.47
X
33891
001
0
2
X
2,312.03
X
33894
003
0
2
X
1,154.89
X
33894
002
0
2
X
1,154.89
X
33894
001
0
2
X
1,258.34
X
33894
004
0
2
X
1,154.89
X
33895
002
0
2
X
918.90
X
33895
003
0
2
X
918.90
X
33895
001
0
2
X
1,001.19
X
33895
004
0
2
X
918.90
X
33897
001
0
2
X
745.50
X
33897
004
0
2
X
684.04
X
33897
003
0
2
X
684.04
X
33897
002
0
2
X
684.04
X
33900
002
0
2
X
663.19
X
33900
003
0
2
X
663.19
X
33900
004
0
2
X
663.19
X
33900
001
0
2
X
718.85
X
33901
002
0
2
X
871.61
X
33901
003
0
2
X
871.61
X
33901
004
0
2
X
871.61
X
33901
001
0
2
X
944.70
X
33902
004
0
2
X
842.13
X
33902
001
0
2
X
912.89
X
33902
003
0
2
X
842.13
X
33902
002
0
2
X
842.13
X
33903
002
0
2
X
992.43
X
33903
003
0
2
X
992.43
X
33903
004
0
2
X
992.43
X
33903
001
0
2
X
1,075.78
X
33904
003
ZZZ
0
X
333.10
X
33904
002
ZZZ
0
X
333.10
X
33904
004
ZZZ
0
X
333.10
X
33904
001
ZZZ
0
X
361.17
X
33910
001
90
2
X
4,456.12
X
33910
002
90
2
X
6,166.12
X
33910
003
90
2
X
4,107.32
X
33910
004
90
2
X
4,060.85
X
33915
001
90
2
X
3,745.78
X
33915
004
90
2
X
3,421.09
X
33915
003
90
2
X
3,460.15
X
33915
002
90
2
X
4,499.45
X
33916
004
90
2
X
4,668.03
X
33916
001
90
2
X
5,140.40
X
33916
003
90
2
X
4,721.87
X
33916
002
90
2
X
5,058.63
X
33917
004
90
2
X
6,948.75
X
33917
002
90
2
X
7,638.18
X
33917
003
90
2
X
7,050.91
X
33917
001
90
2
X
7,915.85
X
33920
002
90
2
X
9,109.38
X
33920
003
90
2
X
8,426.60
X
33920
001
90
2
X
9,435.41
X
33920
004
90
2
X
8,306.89
X
33922
001
90
2
X
4,456.12
X
33922
004
90
2
X
4,060.85
X
33922
002
90
2
X
4,387.98
X
33922
003
90
2
X
4,107.32
X
33924
001
ZZZ
0
X
1,246.38
X
33924
004
ZZZ
0
X
1,102.03
X
33924
002
ZZZ
0
X
1,190.37
X
33924
003
ZZZ
0
X
1,118.23
X
33925
004
90
2
X
3,378.81
X
33925
003
90
2
X
3,378.81
X
33925
002
90
2
X
3,378.81
X
33925
001
90
2
X
3,823.04
X
33926
004
90
2
X
4,580.26
X
33926
001
90
2
X
5,151.02
X
33926
003
90
2
X
4,580.26
X
33926
002
90
2
X
4,580.26
X
33927
002
XXX
2
X
3,857.25
X
33927
003
XXX
2
X
3,857.25
X
33927
004
XXX
2
X
3,857.25
X
33927
001
XXX
2
X
4,218.61
X
33928
XXX
2
X
#
X
33929
ZZZ
0
X
#
X
33933
XXX
2
X
*
X
33935
004
90
2
X
14,385.28
X
33935
001
90
2
X
16,217.21
X
33935
002
90
2
X
15,694.88
X
33935
003
90
2
X
14,590.56
X
33944
XXX
2
X
*
X
33945
003
90
2
X
16,652.74
X
33945
002
90
2
X
16,652.74
X
33945
001
90
2
X
16,652.74
X
33945
004
90
2
X
16,652.74
X
33946
002
XXX
0
X
507.43
X
33946
003
XXX
0
X
507.43
X
33946
001
XXX
0
X
551.25
X
33946
004
XXX
0
X
507.43
X
33947
001
XXX
0
X
599.18
X
33947
003
XXX
0
X
552.92
X
33947
002
XXX
0
X
552.92
X
33947
004
XXX
0
X
552.92
X
33948
002
XXX
0
X
387.39
X
33948
003
XXX
0
X
387.39
X
33948
004
XXX
0
X
387.39
X
33948
001
XXX
0
X
418.03
X
33949
002
XXX
0
X
378.00
X
33949
003
XXX
0
X
378.00
X
33949
004
XXX
0
X
378.00
X
33949
001
XXX
0
X
408.06
X
33951
001
0
2
X
665.11
660.84
33951
004
0
2
X
625.07
621.40
33951
003
0
2
X
625.07
621.40
33951
002
0
2
X
625.07
621.40
33952
003
0
2
X
609.89
605.16
33952
001
0
2
X
647.34
641.84
33952
002
0
2
X
609.89
605.16
33952
004
0
2
X
609.89
605.16
33953
004
0
2
X
695.96
692.30
33953
001
0
2
X
739.97
735.72
33953
002
0
2
X
695.96
692.30
33953
003
0
2
X
695.96
692.30
33954
002
0
2
X
679.18
673.96
33954
003
0
2
X
679.18
673.96
33954
001
0
2
X
720.36
714.23
33954
004
0
2
X
679.18
673.96
33955
001
0
2
X
1,563.70
1,558.20
33955
003
0
2
X
1,431.99
1,427.26
33955
002
0
2
X
1,431.99
1,427.26
33955
004
0
2
X
1,431.99
1,427.26
33956
002
0
2
X
1,358.13
1,352.90
33956
003
0
2
X
1,358.13
1,352.90
33956
001
0
2
X
1,477.28
1,471.18
33956
004
0
2
X
1,358.13
1,352.90
33957
001
0
2
X
551.89
546.36
33957
004
0
2
X
477.53
472.83
33957
002
0
2
X
477.53
472.83
33957
003
0
2
X
477.53
472.83
33958
001
0
2
X
540.23
535.94
33958
002
0
2
X
467.56
463.89
33958
003
0
2
X
467.56
463.89
33958
004
0
2
X
467.56
463.89
33959
004
0
2
X
551.01
546.31
33959
003
0
2
X
551.01
546.31
33959
002
0
2
X
551.01
546.31
33959
001
0
2
X
629.83
624.30
33962
001
0
2
X
602.23
596.11
33962
004
0
2
X
527.46
522.23
33962
003
0
2
X
527.46
522.23
33962
002
0
2
X
527.46
522.23
33963
004
0
2
X
896.99
892.30
33963
003
0
2
X
896.99
892.30
33963
002
0
2
X
896.99
892.30
33963
001
0
2
X
996.56
991.05
33964
003
0
2
X
909.49
905.82
33964
002
0
2
X
909.49
905.82
33964
001
0
2
X
1,006.95
1,002.68
33964
004
0
2
X
909.49
905.82
33965
001
0
2
X
546.36
551.89
33965
004
0
2
X
472.83
477.53
33965
002
0
2
X
472.83
477.53
33965
003
0
2
X
472.83
477.53
33966
002
0
2
X
524.43
529.65
33966
003
0
2
X
524.43
529.65
33966
001
0
2
X
598.45
604.58
33966
004
0
2
X
524.43
529.65
33967
001
0
2
X
617.49
613.05
33967
002
0
2
X
563.00
559.22
33967
003
0
2
X
563.00
559.22
33967
004
0
2
X
563.00
559.22
33968
002
0
0
X
93.09
X
33968
003
0
0
X
93.09
X
33968
004
0
0
X
93.09
X
33968
001
0
0
X
112.44
X
33969
003
0
2
X
549.56
545.37
33969
002
0
2
X
549.56
545.37
33969
004
0
2
X
549.56
545.37
33969
001
0
2
X
615.33
610.40
33970
001
0
2
X
2,379.79
X
33970
004
0
2
X
2,294.28
X
33970
002
0
2
X
2,234.61
X
33970
003
0
2
X
2,295.16
X
33971
004
90
2
X
924.98
X
33971
001
90
2
X
992.99
X
33971
003
90
2
X
932.58
X
33971
002
90
2
X
971.33
X
33973
004
0
2
X
2,353.69
X
33973
002
0
2
X
2,296.03
X
33973
003
0
2
X
2,355.08
X
33973
001
0
2
X
2,441.52
X
33974
001
90
2
X
1,319.22
X
33974
004
90
2
X
1,238.08
X
33974
002
90
2
X
1,295.60
X
33974
003
90
2
X
1,248.63
X
33975
XXX
2
X
*
X
33976
001
XXX
2
X
5,657.03
X
33976
004
XXX
2
X
5,137.10
X
33976
003
XXX
2
X
5,196.36
X
33976
002
XXX
2
X
5,567.05
X
33977
XXX
2
X
*
X
33978
001
XXX
2
X
4,151.09
X
33978
004
XXX
2
X
3,769.84
X
33978
003
XXX
2
X
3,813.25
X
33978
002
XXX
2
X
4,085.14
X
33979
XXX
2
X
*
X
33980
XXX
2
X
*
X
33981
XXX
2
X
*
X
33982
XXX
2
X
*
X
33983
XXX
2
X
*
X
33984
001
0
2
X
601.56
595.43
33984
002
0
2
X
539.50
534.29
33984
003
0
2
X
539.50
534.29
33984
004
0
2
X
539.50
534.29
33985
003
0
2
X
1,016.74
1,011.99
33985
002
0
2
X
1,016.74
1,011.99
33985
004
0
2
X
1,016.74
1,011.99
33985
001
0
2
X
1,134.90
1,129.37
33986
003
0
2
X
972.12
966.91
33986
002
0
2
X
972.12
966.91
33986
001
0
2
X
1,081.79
1,075.66
33986
004
0
2
X
972.12
966.91
33987
004
ZZZ
0
X
409.32
X
33987
002
ZZZ
0
X
409.32
X
33987
003
ZZZ
0
X
409.32
X
33987
001
ZZZ
0
X
458.57
X
33988
001
0
2
X
1,283.63
1,276.90
33988
004
0
2
X
1,193.21
1,187.47
33988
002
0
2
X
1,193.21
1,187.47
33988
003
0
2
X
1,193.21
1,187.47
33989
004
0
2
X
796.94
791.72
33989
002
0
2
X
796.94
791.72
33989
001
0
2
X
865.56
859.44
33989
003
0
2
X
796.94
791.72
33990
004
0
2
X
716.00
X
33990
001
0
2
X
796.96
X
33990
003
0
2
X
716.00
X
33990
002
0
2
X
716.00
X
33991
002
0
2
X
1,043.28
X
33991
003
0
2
X
1,043.28
X
33991
004
0
2
X
1,043.28
X
33991
001
0
2
X
1,161.15
X
33992
002
0
2
X
341.43
X
33992
003
0
2
X
341.43
X
33992
004
0
2
X
341.43
X
33992
001
0
2
X
379.50
X
33993
002
0
2
X
299.75
X
33993
003
0
2
X
299.75
X
33993
001
0
2
X
333.18
X
33993
004
0
2
X
299.75
X
33995
004
0
2
X
476.00
X
33995
001
0
2
X
519.50
X
33995
003
0
2
X
476.00
X
33995
002
0
2
X
476.00
X
33997
001
0
2
X
231.11
X
33997
004
0
2
X
211.75
X
33997
003
0
2
X
211.75
X
33997
002
0
2
X
211.75
X
33999
YYY
2
X
#
X
34001
002
90
2
X
3,412.80
X
34001
003
90
2
X
3,227.48
X
34001
004
90
2
X
3,232.02
X
34001
001
90
2
X
3,478.58
X
34051
001
90
2
X
2,719.86
X
34051
004
90
2
X
2,484.54
X
34051
003
90
2
X
2,654.67
X
34051
002
90
2
X
2,679.41
X
34101
004
90
2
X
2,328.14
X
34101
001
90
2
X
2,419.44
X
34101
003
90
2
X
1,958.69
X
34101
002
90
2
X
2,290.05
X
34111
004
90
2
X
2,221.42
X
34111
001
90
2
X
2,304.09
X
34111
003
90
2
X
2,229.88
X
34111
002
90
2
X
2,289.63
X
34151
003
90
2
X
3,356.54
X
34151
002
90
2
X
3,438.47
X
34151
004
90
2
X
3,331.18
X
34151
001
90
2
X
3,480.31
X
34201
002
90
2
X
2,297.43
X
34201
003
90
2
X
1,950.05
X
34201
004
90
2
X
2,458.93
X
34201
001
90
2
X
2,620.80
X
34203
001
90
2
X
2,788.26
X
34203
004
90
2
X
2,681.62
X
34203
003
90
2
X
2,697.21
X
34203
002
90
2
X
2,769.61
X
34401
002
90
2
X
2,386.07
X
34401
003
90
2
X
2,688.87
X
34401
001
90
2
X
2,389.28
X
34401
004
90
2
X
2,181.16
X
34421
003
90
2
X
2,471.02
X
34421
002
90
2
X
2,561.99
X
34421
004
90
2
X
2,428.07
X
34421
001
90
2
X
2,639.95
X
34451
003
90
2
X
2,434.15
X
34451
002
90
2
X
2,491.33
X
34451
004
90
2
X
2,679.78
X
34451
001
90
2
X
2,520.37
X
34471
001
90
2
X
1,474.09
X
34471
004
90
2
X
1,369.68
X
34471
002
90
2
X
1,456.56
X
34471
003
90
2
X
1,384.60
X
34490
001
90
2
X
1,901.39
X
34490
004
90
2
X
1,808.81
X
34490
003
90
2
X
1,898.72
X
34490
002
90
2
X
1,951.50
X
34501
001
90
2
X
3,684.92
X
34501
004
90
2
X
3,684.92
X
34501
002
90
2
X
3,684.92
X
34501
003
90
2
X
3,684.92
X
34502
004
90
2
X
4,954.20
X
34502
001
90
2
X
5,455.33
X
34502
003
90
2
X
5,011.31
X
34502
002
90
2
X
5,368.65
X
34510
001
90
2
X
3,684.92
X
34510
003
90
2
X
3,684.92
X
34510
002
90
2
X
3,684.92
X
34510
004
90
2
X
3,684.92
X
34520
004
90
2
X
4,606.12
X
34520
002
90
2
X
4,606.12
X
34520
003
90
2
X
4,606.12
X
34520
001
90
2
X
4,606.12
X
34530
002
90
2
X
3,684.92
X
34530
003
90
2
X
3,684.92
X
34530
001
90
2
X
3,684.92
X
34530
004
90
2
X
3,684.92
X
34701
004
90
2
X
1,863.16
X
34701
001
90
2
X
2,031.47
X
34701
003
90
2
X
1,863.16
X
34701
002
90
2
X
1,863.16
X
34702
004
90
2
X
2,784.78
X
34702
001
90
2
X
3,031.74
X
34702
003
90
2
X
2,784.78
X
34702
002
90
2
X
2,784.78
X
34703
004
90
2
X
2,100.92
X
34703
001
90
2
X
2,296.32
X
34703
003
90
2
X
2,100.92
X
34703
002
90
2
X
2,100.92
X
34704
002
90
2
X
3,496.64
X
34704
003
90
2
X
3,496.64
X
34704
004
90
2
X
3,496.64
X
34704
001
90
2
X
3,814.34
X
34705
001
90
2
X
2,522.98
X
34705
004
90
2
X
2,313.81
X
34705
002
90
2
X
2,313.81
X
34705
003
90
2
X
2,313.81
X
34706
001
90
2
X
3,797.34
X
34706
004
90
2
X
3,484.68
X
34706
003
90
2
X
3,484.68
X
34706
002
90
2
X
3,484.68
X
34707
004
90
2
X
1,738.18
X
34707
001
90
2
X
1,894.42
X
34707
003
90
2
X
1,738.18
X
34707
002
90
2
X
1,738.18
X
34708
004
90
2
X
2,799.66
X
34708
001
90
2
X
3,047.23
X
34708
003
90
2
X
2,799.66
X
34708
002
90
2
X
2,799.66
X
34709
001
ZZZ
0
X
534.33
X
34709
004
ZZZ
0
X
490.70
X
34709
003
ZZZ
0
X
490.70
X
34709
002
ZZZ
0
X
490.70
X
34710
004
90
2
X
1,211.13
X
34710
002
90
2
X
1,211.13
X
34710
003
90
2
X
1,211.13
X
34710
001
90
2
X
1,323.03
X
34711
004
ZZZ
0
X
453.06
X
34711
003
ZZZ
0
X
453.06
X
34711
002
ZZZ
0
X
453.06
X
34711
001
ZZZ
0
X
493.43
X
34712
001
90
2
X
1,127.65
X
34712
003
90
2
X
1,030.63
X
34712
002
90
2
X
1,030.63
X
34712
004
90
2
X
1,030.63
X
34713
002
ZZZ
0
X
195.11
X
34713
003
ZZZ
0
X
195.11
X
34713
004
ZZZ
0
X
195.11
X
34713
001
ZZZ
0
X
212.58
X
34714
002
ZZZ
0
X
409.32
X
34714
003
ZZZ
0
X
409.32
X
34714
001
ZZZ
0
X
445.55
X
34714
004
ZZZ
0
X
409.32
X
34715
001
ZZZ
0
X
496.92
X
34715
002
ZZZ
0
X
457.61
X
34715
003
ZZZ
0
X
457.61
X
34715
004
ZZZ
0
X
457.61
X
34716
004
ZZZ
0
X
567.39
X
34716
001
ZZZ
0
X
617.88
X
34716
002
ZZZ
0
X
567.39
X
34716
003
ZZZ
0
X
567.39
X
34717
004
ZZZ
0
X
633.66
X
34717
001
ZZZ
0
X
694.12
X
34717
002
ZZZ
0
X
633.66
X
34717
003
ZZZ
0
X
633.66
X
34718
001
90
2
X
1,936.11
X
34718
004
90
2
X
1,763.50
X
34718
002
90
2
X
1,763.50
X
34718
003
90
2
X
1,763.50
X
34808
002
ZZZ
0
X
518.29
X
34808
003
ZZZ
0
X
518.29
X
34808
001
ZZZ
0
X
569.92
X
34808
004
ZZZ
0
X
518.29
X
34812
004
ZZZ
0
X
848.37
X
34812
002
ZZZ
0
X
848.37
X
34812
003
ZZZ
0
X
848.37
X
34812
001
ZZZ
0
X
933.60
X
34813
004
ZZZ
0
X
602.73
X
34813
001
ZZZ
0
X
662.96
X
34813
002
ZZZ
0
X
602.73
X
34813
003
ZZZ
0
X
602.73
X
34820
001
ZZZ
0
X
1,347.67
X
34820
004
ZZZ
0
X
1,224.95
X
34820
002
ZZZ
0
X
1,224.95
X
34820
003
ZZZ
0
X
1,224.95
X
34830
002
90
2
X
4,241.31
X
34830
003
90
2
X
4,241.31
X
34830
001
90
2
X
4,676.81
X
34830
004
90
2
X
4,241.31
X
34831
002
90
2
X
4,585.52
X
34831
003
90
2
X
4,585.52
X
34831
004
90
2
X
4,585.52
X
34831
001
90
2
X
5,055.08
X
34832
002
90
2
X
4,585.52
X
34832
003
90
2
X
4,585.52
X
34832
001
90
2
X
5,055.08
X
34832
004
90
2
X
4,585.52
X
34833
001
ZZZ
0
X
1,526.40
X
34833
003
ZZZ
0
X
1,390.36
X
34833
002
ZZZ
0
X
1,390.36
X
34833
004
ZZZ
0
X
1,390.36
X
34834
002
ZZZ
0
X
650.77
X
34834
003
ZZZ
0
X
650.77
X
34834
004
ZZZ
0
X
650.77
X
34834
001
ZZZ
0
X
724.17
X
34839
YYY
0
X
#
X
34841
YYY
2
X
*
X
34842
YYY
2
X
*
X
34843
YYY
2
X
*
X
34844
YYY
2
X
*
X
34845
YYY
2
X
*
X
34846
YYY
2
X
*
X
34847
YYY
2
X
*
X
34848
YYY
2
X
*
X
35001
001
90
2
X
4,256.34
X
35001
004
90
2
X
3,997.24
X
35001
003
90
2
X
3,884.84
X
35001
002
90
2
X
4,200.12
X
35002
002
90
2
X
3,852.45
X
35002
003
90
2
X
3,607.64
X
35002
004
90
2
X
3,567.00
X
35002
001
90
2
X
5,153.24
X
35005
001
90
2
X
3,307.02
X
35005
004
90
2
X
3,009.51
X
35005
003
90
2
X
3,043.39
X
35005
002
90
2
X
3,255.48
X
35011
002
90
2
X
3,383.88
X
35011
003
90
2
X
3,247.30
X
35011
001
90
2
X
3,493.94
X
35011
004
90
2
X
2,728.68
X
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