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2018 Workers' Compensation Part B Fee Schedule

36580-38564

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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
36580   1 0 0 0 560.86 126.16
36580   2 0 0 0 483.79 113.93
36580   3 0 0 0 483.79 113.93
36580   4 0 0 0 483.79 113.93
36581   1 10 2 0 1,180.28 397.77
36581   2 10 2 0 1,017.19 351.42
36581   3 10 2 0 1,017.19 351.42
36581   4 10 2 0 1,017.19 351.42
36582   1 10 2 0 2,207.85 573.62
36582   2 10 2 0 1,905.65 515.38
36582   3 10 2 0 1,905.65 515.38
36582   4 10 2 0 1,905.65 515.38
36583   1 10 2 0 1,286.79 577.54
36583   2 10 2 0 1,122.50 519.05
36583   3 10 2 0 1,122.50 519.05
36583   4 10 2 0 1,122.50 519.05
36584   1 0 0 0 586.01 127.98
36584   2 0 0 0 504.28 114.62
36584   3 0 0 0 504.28 114.62
36584   4 0 0 0 504.28 114.62
36585   1 10 2 0 2,786.75 538.37
36585   2 10 2 0 2,394.89 482.15
36585   3 10 2 0 2,394.89 482.15
36585   4 10 2 0 2,394.89 482.15
36589   1 10 2 0 318.17 264.06
36589   2 10 2 0 282.85 236.84
36589   3 10 2 0 282.85 236.84
36589   4 10 2 0 282.85 236.84
36590   1 10 2 0 686.50 359.92
36590   2 10 2 0 600.56 322.71
36590   3 10 2 0 600.56 322.71
36590   4 10 2 0 600.56 322.71
36591   1 XXX 0 0 33.34 0
36591   2 XXX 0 0 27.50 0
36591   3 XXX 0 0 27.50 0
36591   4 XXX 0 0 27.50 0
36592   1 XXX 0 0 41.18 0
36592   2 XXX 0 0 33.97 0
36592   3 XXX 0 0 33.97 0
36592   4 XXX 0 0 33.97 0
36593   1 XXX 0 0 66.31 0
36593   2 XXX 0 0 48.94 0
36593   3 XXX 0 0 48.94 0
36593   4 XXX 0 0 48.94 0
36595   1 0 2 0 1,604.26 354.79
36595   2 0 2 0 1,386.98 323.99
36595   3 0 2 0 1,386.98 323.99
36595   4 0 2 0 1,386.98 323.99
36596   1 0 2 0 353.05 86.02
36596   2 0 2 0 305.17 78.05
36596   3 0 2 0 305.17 78.05
36596   4 0 2 0 305.17 78.05
36597   1 0 2 0 301.47 113.20
36597   2 0 2 0 264.53 104.39
36597   3 0 2 0 264.53 104.39
36597   4 0 2 0 264.53 104.39
36598   1 0 2 0 210.76 0
36598   2 0 2 0 178.32 0
36598   3 0 2 0 178.32 0
36598   4 0 2 0 178.32 0
36600   1 XXX 2 0 31.82 0
36600   2 XXX 2 0 31.44 0
36600   3 XXX 2 0 30.02 0
36600   4 XXX 2 0 29.69 0
36620   1 0 0 0 160.08 0
36620   2 0 0 0 157.66 0
36620   3 0 0 0 147.76 0
36620   4 0 0 0 146.08 0
36625   1 0 0 0 271.16 0
36625   2 0 0 0 253.09 0
36625   3 0 0 0 239.05 0
36625   4 0 0 0 236.51 0
36640   1 0 2 0 407.57 0
36640   2 0 2 0 428.20 0
36640   3 0 2 0 424.23 0
36640   4 0 2 0 378.30 0
36660   1 0 0 0 155.14 0
36660   2 0 0 0 153.61 0
36660   3 0 0 0 147.41 0
36660   4 0 0 0 145.85 0
36680   1 0 2 0 204.62 0
36680   2 0 2 0 201.94 0
36680   3 0 2 0 190.79 0
36680   4 0 2 0 188.43 0
36800   1 0 2 0 421.69 0
36800   2 0 2 0 464.14 0
36800   3 0 2 0 433.22 0
36800   4 0 2 0 367.34 0
36810   1 0 2 0 985.07 0
36810   2 0 2 0 849.80 0
36810   3 0 2 0 935.36 0
36810   4 0 2 0 759.29 0
36815   1 0 2 0 746.93 0
36815   2 0 2 0 747.03 0
36815   3 0 2 0 638.32 0
36815   4 0 2 0 532.36 0
36818   1 90 2 0 1,286.03 0
36818   2 90 2 0 1,137.77 0
36818   3 90 2 0 1,137.77 0
36818   4 90 2 0 1,137.77 0
36819   1 90 2 0 1,626.76 0
36819   2 90 2 0 1,458.58 0
36819   3 90 2 0 1,458.58 0
36819   4 90 2 0 1,458.58 0
36820   1 90 2 0 1,498.41 0
36820   2 90 2 0 1,338.52 0
36820   3 90 2 0 1,338.52 0
36820   4 90 2 0 1,338.52 0
36821   1 90 2 0 1,901.80 0
36821   2 90 2 0 1,884.42 0
36821   3 90 2 0 1,839.76 0
36821   4 90 2 0 1,839.83 0
36823     90 2 0 * 0
36823 26   90 2 0 # 0
36823 TC   90 2 0 # 0
36825   1 90 2 0 2,302.65 0
36825   2 90 2 0 2,311.80 0
36825   3 90 2 0 2,255.99 0
36825   4 90 2 0 2,191.68 0
36830   1 90 2 0 2,292.51 0
36830   2 90 2 0 2,279.99 0
36830   3 90 2 0 2,225.24 0
36830   4 90 2 0 2,178.63 0
36831   1 90 2 0 844.67 889.33
36831   2 90 2 0 749.41 787.64
36831   3 90 2 0 749.41 787.64
36831   4 90 2 0 749.41 787.64
36832   1 90 2 0 2,167.31 0
36832   2 90 2 0 2,199.67 0
36832   3 90 2 0 2,111.16 0
36832   4 90 2 0 2,066.31 0
36833   1 90 2 0 1,280.98 1278.72
36833   2 90 2 0 1,153.14 1151.23
36833   3 90 2 0 1,153.14 1151.23
36833   4 90 2 0 1,153.14 1151.23
36835   1 90 2 0 2,612.80 0
36835   2 90 2 0 2,612.80 0
36835   3 90 2 0 2,612.80 0
36835   4 90 2 0 2,612.80 0
36838   1 90 2 0 2,224.51 0
36838   2 90 2 0 1,984.80 0
36838   3 90 2 0 1,984.80 0
36838   4 90 2 0 1,984.80 0
36860   1 0 2 0 331.44 0
36860   2 0 2 0 368.66 0
36860   3 0 2 0 301.42 0
36860   4 0 2 0 284.97 0
36861   1 0 2 0 519.95 0
36861   2 0 2 0 537.38 0
36861   3 0 2 0 482.81 0
36861   4 0 2 0 484.43 0
36901   1 0 2 0 728.39 187.87
36901   2 0 2 0 639.97 173.48
36901   3 0 2 0 639.97 173.48
36901   4 0 2 0 639.97 173.48
36902   1 0 2 0 1,550.37 279.72
36902   2 0 2 0 1,355.15 258.48
36902   3 0 2 0 1,355.15 258.48
36902   4 0 2 0 1,355.15 258.48
36903   1 0 2 0 7,120.60 382.67
36903   2 0 2 0 6,169.28 353.84
36903   3 0 2 0 6,169.28 353.84
36903   4 0 2 0 6,169.28 353.84
36904   1 0 2 0 2,259.97 440.71
36904   2 0 2 0 1,977.64 407.45
36904   3 0 2 0 1,977.64 407.45
36904   4 0 2 0 1,977.64 407.45
36905   1 0 2 0 2,892.15 553.15
36905   2 0 2 0 2,530.20 511.43
36905   3 0 2 0 2,530.20 511.43
36905   4 0 2 0 2,530.20 511.43
36906   1 0 2 0 8,632.44 645.54
36906   2 0 2 0 7,490.25 596.84
36906   3 0 2 0 7,490.25 596.84
36906   4 0 2 0 7,490.25 596.84
36907   1 ZZZ 0 0 927.74 161.03
36907   2 ZZZ 0 0 810.70 148.95
36907   3 ZZZ 0 0 810.70 148.95
36907   4 ZZZ 0 0 810.70 148.95
36908   1 ZZZ 0 0 3,421.55 241.34
36908   2 ZZZ 0 0 2,968.09 223.27
36908   3 ZZZ 0 0 2,968.09 223.27
36908   4 ZZZ 0 0 2,968.09 223.27
36909   1 ZZZ 0 0 2,495.21 229.36
36909   2 ZZZ 0 0 2,167.54 211.92
36909   3 ZZZ 0 0 2,167.54 211.92
36909   4 ZZZ 0 0 2,167.54 211.92
37140   1 90 2 0 4,106.84 0
37140   2 90 2 0 4,081.65 0
37140   3 90 2 0 3,611.04 0
37140   4 90 2 0 3,339.67 0
37145   1 90 2 0 3,631.64 0
37145   2 90 2 0 3,585.35 0
37145   3 90 2 0 3,393.79 0
37145   4 90 2 0 3,353.54 0
37160   1 90 2 0 4,111.39 0
37160   2 90 2 0 4,084.25 0
37160   3 90 2 0 3,364.48 0
37160   4 90 2 0 3,325.74 0
37180   1 90 2 0 3,517.58 0
37180   2 90 2 0 3,603.24 0
37180   3 90 2 0 3,247.57 0
37180   4 90 2 0 3,211.28 0
37181   1 90 2 0 4,202.61 0
37181   2 90 2 0 4,176.04 0
37181   3 90 2 0 4,066.74 0
37181   4 90 2 0 3,608.94 0
37182   1 90 2 0 1,669.90 0
37182   2 90 2 0 1,507.79 0
37182   3 90 2 0 1,507.79 0
37182   4 90 2 0 1,507.79 0
37183   1 0 2 0 770.09 0
37183   2 0 2 0 703.47 0
37183   3 0 2 0 703.47 0
37183   4 0 2 0 703.47 0
37184   1 0 2 0 5,002.39 746.39
37184   2 0 2 0 4,159.77 682.51
37184   3 0 2 0 4,159.77 682.51
37184   4 0 2 0 4,159.77 682.51
37185   1 ZZZ 0 0 1,628.89 272.72
37185   2 ZZZ 0 0 1,358.34 250.34
37185   3 ZZZ 0 0 1,358.34 250.34
37185   4 ZZZ 0 0 1,358.34 250.34
37186   1 ZZZ 0 0 3,381.65 409.16
37186   2 ZZZ 0 0 2,804.06 375.46
37186   3 ZZZ 0 0 2,804.06 375.46
37186   4 ZZZ 0 0 2,804.06 375.46
37187   1 0 2 0 4,868.88 694.23
37187   2 0 2 0 4,045.39 634.58
37187   3 0 2 0 4,045.39 634.58
37187   4 0 2 0 4,045.39 634.58
37188   1 0 2 0 4,214.33 502.30
37188   2 0 2 0 3,491.03 458.17
37188   3 0 2 0 3,491.03 458.17
37188   4 0 2 0 3,491.03 458.17
37191   1 0 2 0 3,698.82 340.66
37191   2 0 2 0 3,206.69 311.51
37191   3 0 2 0 3,206.69 311.51
37191   4 0 2 0 3,206.69 311.51
37192   1 0 2 0 2,487.93 527.52
37192   2 0 2 0 2,172.67 482.54
37192   3 0 2 0 2,172.67 482.54
37192   4 0 2 0 2,172.67 482.54
37193   1 0 2 0 2,375.13 527.05
37193   2 0 2 0 2,075.41 482.14
37193   3 0 2 0 2,075.41 482.14
37193   4 0 2 0 2,075.41 482.14
37195   1 XXX 0 0 685.86 0
37195   2 XXX 0 0 568.10 0
37195   3 XXX 0 0 568.10 0
37195   4 XXX 0 0 568.10 0
37197   1 0 2 0 2,119.65 411.89
37197   2 0 2 0 1,854.62 382.31
37197   3 0 2 0 1,854.62 382.31
37197   4 0 2 0 1,854.62 382.31
37200   1 0 2 0 502.65 0
37200   2 0 2 0 497.79 0
37200   3 0 2 0 477.74 0
37200   4 0 2 0 472.51 0
37211   1 0 2 0 561.74 0
37211   2 0 2 0 510.98 0
37211   3 0 2 0 510.98 0
37211   4 0 2 0 510.98 0
37212   1 0 2 0 496.00 0
37212   2 0 2 0 451.13 0
37212   3 0 2 0 451.13 0
37212   4 0 2 0 451.13 0
37213   1 0 2 0 346.64 0
37213   2 0 2 0 315.50 0
37213   3 0 2 0 315.50 0
37213   4 0 2 0 315.50 0
37214   1 0 2 0 203.28 0
37214   2 0 2 0 184.34 0
37214   3 0 2 0 184.34 0
37214   4 0 2 0 184.34 0
37215   1 90 2 0 1,874.49 0
37215   2 90 2 0 1,711.38 0
37215   3 90 2 0 1,711.38 0
37215   4 90 2 0 1,711.38 0
37216   1 90 2 0 1,805.74 0
37216   2 90 2 0 1,648.43 0
37216   3 90 2 0 1,648.43 0
37216   4 90 2 0 1,648.43 0
37217   1 90 2 0 1,570.65 0
37217   2 90 2 0 1,428.55 0
37217   3 90 2 0 1,428.55 0
37217   4 90 2 0 1,428.55 0
37218   1 90 2 0 1,094.10 1174.66
37218   2 90 2 0 1,001.84 1070.72
37218   3 90 2 0 1,001.84 1070.72
37218   4 90 2 0 1,001.84 1070.72
37220   1 0 2 0 4,655.07 653.39
37220   2 0 2 0 4,127.21 590.66
37220   3 0 2 0 4,127.21 590.66
37220   4 0 2 0 4,127.21 590.66
37221   1 0 2 0 6,870.44 791.09
37221   2 0 2 0 6,090.47 717.79
37221   3 0 2 0 6,090.47 717.79
37221   4 0 2 0 6,090.47 717.79
37222   1 ZZZ 0 0 1,344.87 296.61
37222   2 ZZZ 0 0 1,194.67 268.25
37222   3 ZZZ 0 0 1,194.67 268.25
37222   4 ZZZ 0 0 1,194.67 268.25
37223   1 ZZZ 0 0 3,782.69 336.21
37223   2 ZZZ 0 0 3,350.38 304.48
37223   3 ZZZ 0 0 3,350.38 304.48
37223   4 ZZZ 0 0 3,350.38 304.48
37224   1 0 2 0 5,590.23 718.74
37224   2 0 2 0 4,955.59 650.34
37224   3 0 2 0 4,955.59 650.34
37224   4 0 2 0 4,955.59 650.34
37225   1 0 2 0 15,760.70 970.71
37225   2 0 2 0 13,947.29 876.44
37225   3 0 2 0 13,947.29 876.44
37225   4 0 2 0 13,947.29 876.44
37226   1 0 2 0 13,170.58 778.32
37226   2 0 2 0 11,669.69 717.87
37226   3 0 2 0 11,669.69 717.87
37226   4 0 2 0 11,669.69 717.87
37227   1 0 2 0 21,303.85 1172.66
37227   2 0 2 0 18,849.91 1058.68
37227   3 0 2 0 18,849.91 1058.68
37227   4 0 2 0 18,849.91 1058.68
37228   1 0 2 0 7,955.42 879.52
37228   2 0 2 0 7,048.48 795.06
37228   3 0 2 0 7,048.48 795.06
37228   4 0 2 0 7,048.48 795.06
37229   1 0 2 0 15,631.30 1137.55
37229   2 0 2 0 13,835.65 1026.61
37229   3 0 2 0 13,835.65 1026.61
37229   4 0 2 0 13,835.65 1026.61
37230   1 0 2 0 12,278.93 1,090.00
37230   2 0 2 0 10,877.35 989.00
37230   3 0 2 0 10,877.35 989.00
37230   4 0 2 0 10,877.35 989.00
37231   1 0 2 0 19,691.16 1184.79
37231   2 0 2 0 17,430.20 1074.95
37231   3 0 2 0 17,430.20 1074.95
37231   4 0 2 0 17,430.20 1074.95
37232   1 ZZZ 0 0 1,789.87 318.12
37232   2 ZZZ 0 0 1,588.29 287.64
37232   3 ZZZ 0 0 1,588.29 287.64
37232   4 ZZZ 0 0 1,588.29 287.64
37233   1 ZZZ 0 0 2,191.58 523.50
37233   2 ZZZ 0 0 1,946.80 472.64
37233   3 ZZZ 0 0 1,946.80 472.64
37233   4 ZZZ 0 0 1,946.80 472.64
37234   1 ZZZ 0 0 5,684.09 434.80
37234   2 ZZZ 0 0 5,032.86 393.75
37234   3 ZZZ 0 0 5,032.86 393.75
37234   4 ZZZ 0 0 5,032.86 393.75
37235   1 ZZZ 0 0 6,076.25 617.26
37235   2 ZZZ 0 0 5,383.40 558.91
37235   3 ZZZ 0 0 5,383.40 558.91
37235   4 ZZZ 0 0 5,383.40 558.91
37236   1 0 2 0 3,820.76 647.49
37236   2 0 2 0 3,316.78 593.01
37236   3 0 2 0 3,316.78 593.01
37236   4 0 2 0 3,316.78 593.01
37237   1 ZZZ 0 0 1,660.36 303.18
37237   2 ZZZ 0 0 1,442.46 277.53
37237   3 ZZZ 0 0 1,442.46 277.53
37237   4 ZZZ 0 0 1,442.46 277.53
37238   1 0 2 0 5,583.34 453.57
37238   2 0 2 0 4,818.46 415.40
37238   3 0 2 0 4,818.46 415.40
37238   4 0 2 0 4,818.46 415.40
37239   1 ZZZ 0 0 2,775.53 211.60
37239   2 ZZZ 0 0 2,394.45 193.71
37239   3 ZZZ 0 0 2,394.45 193.71
37239   4 ZZZ 0 0 2,394.45 193.71
37241   1 0 2 0 6,172.79 613.72
37241   2 0 2 0 5,340.30 568.72
37241   3 0 2 0 5,340.30 568.72
37241   4 0 2 0 5,340.30 568.72
37242   1 0 2 0 10,400.04 685.40
37242   2 0 2 0 8,973.56 635.08
37242   3 0 2 0 8,973.56 635.08
37242   4 0 2 0 8,973.56 635.08
37243   1 0 2 0 13,129.18 817.21
37243   2 0 2 0 11,325.10 757.21
37243   3 0 2 0 11,325.10 757.21
37243   4 0 2 0 11,325.10 757.21
37244   1 0 2 0 9,189.78 953.15
37244   2 0 2 0 7,953.17 883.31
37244   3 0 2 0 7,953.17 883.31
37244   4 0 2 0 7,953.17 883.31
37246   1 0 2 0 2,731.19 459.46
37246   2 0 2 0 2,385.17 424.47
37246   3 0 2 0 2,385.17 424.47
37246   4 0 2 0 2,385.17 424.47
37247   1 ZZZ 0 0 1,104.60 227.70
37247   2 ZZZ 0 0 967.32 210.48
37247   3 ZZZ 0 0 967.32 210.48
37247   4 ZZZ 0 0 967.32 210.48
37248   1 0 2 0 1,891.16 395.20
37248   2 0 2 0 1,656.16 365.01
37248   3 0 2 0 1,656.16 365.01
37248   4 0 2 0 1,656.16 365.01
37249   1 ZZZ 0 0 810.15 193.79
37249   2 ZZZ 0 0 711.06 179.09
37249   3 ZZZ 0 0 711.06 179.09
37249   4 ZZZ 0 0 711.06 179.09
37252   1 ZZZ 0 0 1,832.41 122.35
37252   2 ZZZ 0 0 1,574.20 112.70
37252   3 ZZZ 0 0 1,574.20 112.70
37252   4 ZZZ 0 0 1,574.20 112.70
37253   1 ZZZ 0 0 283.61 97.95
37253   2 ZZZ 0 0 248.86 90.18
37253   3 ZZZ 0 0 248.86 90.18
37253   4 ZZZ 0 0 248.86 90.18
37500   1 ZZZ 0 0 1,345.82 0
37500   2 ZZZ 0 0 1,216.53 0
37500   3 ZZZ 0 0 1,216.53 0
37500   4 ZZZ 0 0 1,216.53 0
37501     90 2 0 * 0
37565   1 90 2 0 1,239.39 0
37565   2 90 2 0 1,345.80 0
37565   3 90 2 0 1,275.37 0
37565   4 90 2 0 1,304.00 0
37600   1 90 2 0 1,187.53 0
37600   2 90 2 0 1,180.93 0
37600   3 90 2 0 1,153.46 0
37600   4 90 2 0 1,148.95 0
37605   1 90 2 0 996.29 0
37605   2 90 2 0 1,084.25 0
37605   3 90 2 0 1,025.10 0
37605   4 90 2 0 892.77 0
37606   1 90 2 0 1,007.19 0
37606   2 90 2 0 991.40 0
37606   3 90 2 0 925.97 0
37606   4 90 2 0 914.26 0
37607   1 90 2 0 845.25 0
37607   2 90 2 0 832.31 0
37607   3 90 2 0 779.38 0
37607   4 90 2 0 770.91 0
37609   1 10 2 0 496.32 0
37609   2 10 2 0 489.61 0
37609   3 10 2 0 474.32 0
37609   4 10 2 0 478.66 0
37615   1 90 2 0 1,009.75 0
37615   2 90 2 0 1,011.37 0
37615   3 90 2 0 972.35 0
37615   4 90 2 0 934.34 0
37616   1 90 2 0 1,706.55 0
37616   2 90 2 0 1,686.85 0
37616   3 90 2 0 1,606.29 0
37616   4 90 2 0 1,589.63 0
37617   1 90 2 0 1,634.08 0
37617   2 90 2 0 1,623.85 0
37617   3 90 2 0 1,557.66 0
37617   4 90 2 0 1,901.62 0
37618   1 90 2 0 1,077.16 0
37618   2 90 2 0 1,069.88 0
37618   3 90 2 0 1,039.87 0
37618   4 90 2 0 986.35 0
37619   1 90 2 0 2,406.01 0
37619   2 90 2 0 2,157.06 0
37619   3 90 2 0 2,157.06 0
37619   4 90 2 0 2,157.06 0
37650   1 90 2 0 979.42 0
37650   2 90 2 0 961.42 0
37650   3 90 2 0 750.42 0
37650   4 90 2 0 931.31 0
37660   1 90 2 0 1,441.05 0
37660   2 90 2 0 1,420.06 0
37660   3 90 2 0 1,333.39 0
37660   4 90 2 0 1,318.48 0
37700   1 90 2 0 700.52 0
37700   2 90 2 0 835.59 0
37700   3 90 2 0 718.15 0
37700   4 90 2 0 628.72 0
37718   1 90 2 0 649.95 0
37718   2 90 2 0 593.05 0
37718   3 90 2 0 593.05 0
37718   4 90 2 0 593.05 0
37722   1 90 2 0 786.66 0
37722   2 90 2 0 701.41 0
37722   3 90 2 0 701.41 0
37722   4 90 2 0 701.41 0
37735   1 90 2 0 1,760.62 0
37735   2 90 2 0 1,730.89 0
37735   3 90 2 0 1,608.42 0
37735   4 90 2 0 1,589.85 0
37760   1 90 2 0 1,667.32 0
37760   2 90 2 0 1,640.03 0
37760   3 90 2 0 1,527.59 0
37760   4 90 2 0 1,533.71 0
37761   1 90 2 0 861.56 0
37761   2 90 2 0 768.45 0
37761   3 90 2 0 768.45 0
37761   4 90 2 0 768.45 0
37765   1 90 2 0 824.42 0
37765   2 90 2 0 748.99 0
37765   3 90 2 0 748.99 0
37765   4 90 2 0 748.99 0
37766   1 90 2 0 998.10 0
37766   2 90 2 0 912.58 0
37766   3 90 2 0 912.58 0
37766   4 90 2 0 912.58 0
37780   1 90 2 0 502.53 0
37780   2 90 2 0 512.90 0
37780   3 90 2 0 466.49 0
37780   4 90 2 0 461.32 0
37785   1 90 2 0 407.11 0
37785   2 90 2 0 402.57 0
37785   3 90 2 0 384.14 0
37785   4 90 2 0 380.14 0
37788   1 90 2 0 3,530.24 0
37788   2 90 2 0 3,445.61 0
37788   3 90 2 0 3,261.79 0
37788   4 90 2 0 3,218.36 0
37790   1 90 2 0 1,050.50 0
37790   2 90 2 0 1,037.33 0
37790   3 90 2 0 982.97 0
37790   4 90 2 0 971.36 0
37799     YYY 2 0 * 0
38100   1 90 2 0 2,031.34 0
38100   2 90 2 0 2,090.92 0
38100   3 90 2 0 1,927.33 0
38100   4 90 2 0 1,887.03 0
38101   1 90 2 0 1,852.66 0
38101   2 90 2 0 2,108.29 0
38101   3 90 2 0 1,709.40 0
38101   4 90 2 0 1,690.63 0
38102   1 ZZZ 0 0 693.87 0
38102   2 ZZZ 0 0 683.28 0
38102   3 ZZZ 0 0 639.84 0
38102   4 ZZZ 0 0 632.91 0
38115   1 90 2 0 1,905.26 0
38115   2 90 2 0 2,132.74 0
38115   3 90 2 0 2,027.88 0
38115   4 90 2 0 1,739.56 0
38120     XXX 2 0 * 0
38129     YYY 2 0 * 0
38200   1 0 2 0 362.33 0
38200   2 0 2 0 382.80 0
38200   3 0 2 0 363.94 0
38200   4 0 2 0 359.60 0
38204     XXX 9 0 * 0
38205   1 XXX 9 0 143.39 0
38205   2 XXX 9 0 131.86 0
38205   3 XXX 9 0 131.86 0
38205   4 XXX 9 0 131.86 0
38206   1 0 2 0 143.39 0
38206   2 0 2 0 131.86 0
38206   3 0 2 0 131.86 0
38206   4 0 2 0 131.86 0
38207     XXX 9 0 * 0
38208     XXX 9 0 * 0
38209     XXX 9 0 * 0
38210     XXX 9 0 * 0
38211     XXX 9 0 * 0
38212     XXX 9 0 * 0
38213     XXX 9 0 * 0
38214     XXX 9 0 * 0
38215     XXX 9 0 * 0
38220   1 XXX 2 0 393.73 103.14
38220   2 XXX 2 0 342.27 95.07
38220   3 XXX 2 0 342.27 95.07
38220   4 XXX 2 0 342.27 95.07
38221   1 XXX 2 0 420.35 131.14
38221   2 XXX 2 0 366.81 120.79
38221   3 XXX 2 0 366.81 120.79
38221   4 XXX 2 0 366.81 120.79
38222   1 XXX 2 0 209.65 96.06
38222   2 XXX 2 0 188.43 89.44
38222   3 XXX 2 0 188.43 89.44
38222   4 XXX 2 0 188.43 89.44
38230   1 10 2 0 1,679.86 0
38230   2 10 2 0 489.64 0
38230   3 10 2 0 464.17 0
38230   4 10 2 0 458.53 0
38232   1 0 2 0 267.53 0
38232   2 0 2 0 239.29 0
38232   3 0 2 0 239.29 0
38232   4 0 2 0 239.29 0
38240   1 XXX 2 0 358.22 0
38240   2 XXX 2 0 353.84 0
38240   3 XXX 2 0 335.67 0
38240   4 XXX 2 0 331.48 0
38241   1 XXX 2 0 353.89 0
38241   2 XXX 2 0 427.39 0
38241   3 XXX 2 0 331.98 0
38241   4 XXX 2 0 327.85 0
38242   1 XXX 2 0 163.16 0
38242   2 XXX 2 0 150.25 0
38242   3 XXX 2 0 150.25 0
38242   4 XXX 2 0 150.25 0
38243   1 0 2 0 154.34 0
38243   2 0 2 0 143.13 0
38243   3 0 2 0 143.13 0
38243   4 0 2 0 143.13 0
38300   1 10 2 0 187.67 0
38300   2 10 2 0 185.38 0
38300   3 10 2 0 175.94 0
38300   4 10 2 0 170.57 0
38305   1 90 2 0 570.69 0
38305   2 90 2 0 563.13 0
38305   3 90 2 0 532.00 0
38305   4 90 2 0 526.22 0
38308   1 90 2 0 727.81 0
38308   2 90 2 0 717.76 0
38308   3 90 2 0 676.02 0
38308   4 90 2 0 668.13 0
38380   1 90 2 0 1,026.53 0
38380   2 90 2 0 1,105.88 0
38380   3 90 2 0 948.69 0
38380   4 90 2 0 937.82 0
38381   1 90 2 0 1,857.19 0
38381   2 90 2 0 1,828.93 0
38381   3 90 2 0 1,712.47 0
38381   4 90 2 0 1,693.25 0
38382   1 90 2 0 1,336.65 0
38382   2 90 2 0 1,316.21 0
38382   3 90 2 0 1,232.43 0
38382   4 90 2 0 1,219.02 0
38500   1 10 2 0 413.69 0
38500   2 10 2 0 435.42 0
38500   3 10 2 0 382.94 0
38500   4 10 2 0 396.42 0
38505   1 0 2 0 271.08 0
38505   2 0 2 0 318.47 0
38505   3 0 2 0 276.15 0
38505   4 0 2 0 273.17 0
38510   1 90 2 0 602.35 0
38510   2 90 2 0 622.95 0
38510   3 90 2 0 549.53 0
38510   4 90 2 0 555.38 0
38520   1 90 2 0 712.13 0
38520   2 90 2 0 712.84 0
38520   3 90 2 0 680.51 0
38520   4 90 2 0 659.81 0
38525   1 90 2 0 660.01 0
38525   2 90 2 0 662.57 0
38525   3 90 2 0 579.41 0
38525   4 90 2 0 560.10 0
38530   1 90 2 0 845.10 0
38530   2 90 2 0 683.26 0
38530   3 90 2 0 781.43 0
38530   4 90 2 0 648.91 0
38542   1 90 2 0 855.94 0
38542   2 90 2 0 811.76 0
38542   3 90 2 0 749.63 0
38542   4 90 2 0 744.07 0
38550   1 90 2 0 898.59 0
38550   2 90 2 0 885.95 0
38550   3 90 2 0 834.01 0
38550   4 90 2 0 824.89 0
38555   1 90 2 0 1,898.72 0
38555   2 90 2 0 1,871.41 0
38555   3 90 2 0 1,758.82 0
38555   4 90 2 0 1,739.34 0
38562   1 90 2 0 1,509.00 0
38562   2 90 2 0 1,495.51 0
38562   3 90 2 0 1,439.89 0
38562   4 90 2 0 1,430.44 0
38564   1 90 2 0 1,573.72 0
38564   2 90 2 0 1,558.11 0
38564   3 90 2 0 1,493.91 0
38564   4 90 2 0 1,510.51 0