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2019 Workers' Compensation Part B Fee Schedule

49424-50551

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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
49424   1 0 2 0.00 110.33 0.00
49424   2 0 2 0.00 98.19 0.00
49424   3 0 2 0.00 98.19 0.00
49424   4 0 2 0.00 98.19 0.00
49425   1 90 2 0.00 2,074.48 0.00
49425   2 90 2 0.00 2,058.49 0.00
49425   3 90 2 0.00 2,006.47 0.00
49425   4 90 2 0.00 1,998.35 0.00
49426   1 90 2 0.00 1,603.78 0.00
49426   2 90 2 0.00 1,595.17 0.00
49426   3 90 2 0.00 1,559.66 0.00
49426   4 90 2 0.00 1,553.78 0.00
49427   1 0 2 0.00 165.49 0.00
49427   2 0 2 0.00 164.98 0.00
49427   3 0 2 0.00 162.87 0.00
49427   4 0 2 0.00 108.37 0.00
49428   1 10 2 0.00 313.81 0.00
49428   2 10 2 0.00 304.80 0.00
49428   3 10 2 0.00 286.67 0.00
49428   4 10 2 0.00 282.98 0.00
49429   1 10 2 0.00 1,005.00 0.00
49429   2 10 2 0.00 976.09 0.00
49429   3 10 2 0.00 917.95 0.00
49429   4 10 2 0.00 906.33 0.00
49435   1 ZZZ 0 0.00 169.51 0.00
49435   2 ZZZ 0 0.00 151.46 0.00
49435   3 ZZZ 0 0.00 151.46 0.00
49435   4 ZZZ 0 0.00 151.46 0.00
49436   1 10 2 0.00 254.06 0.00
49436   2 10 2 0.00 224.14 0.00
49436   3 10 2 0.00 224.14 0.00
49436   4 10 2 0.00 224.14 0.00
49440   1 10 2 0.00 1,793.62 361.37
49440   2 10 2 0.00 1,511.79 323.88
49440   3 10 2 0.00 1,511.79 323.88
49440   4 10 2 0.00 1,511.79 323.88
49441   1 10 2 0.00 2,118.82 386.55
49441   2 10 2 0.00 1,789.42 352.70
49441   3 10 2 0.00 1,789.42 352.70
49441   4 10 2 0.00 1,789.42 352.70
49442   1 10 2 0.00 1,726.72 320.35
49442   2 10 2 0.00 1,459.09 292.63
49442   3 10 2 0.00 1,459.09 292.63
49442   4 10 2 0.00 1,459.09 292.63
49446   1 0 2 0.00 1,768.40 251.12
49446   2 0 2 0.00 1,489.27 230.86
49446   3 0 2 0.00 1,489.27 230.86
49446   4 0 2 0.00 1,489.27 230.86
49450   1 0 2 0.00 1,243.42 101.93
49450   2 0 2 0.00 1,040.53 93.76
49450   3 0 2 0.00 1,040.53 93.76
49450   4 0 2 0.00 1,040.53 93.76
49451   1 0 2 0.00 1,315.36 140.60
49451   2 0 2 0.00 1,103.38 129.03
49451   3 0 2 0.00 1,103.38 129.03
49451   4 0 2 0.00 1,103.38 129.03
49452   1 0 2 0.00 1,606.39 219.76
49452   2 0 2 0.00 1,351.51 201.41
49452   3 0 2 0.00 1,351.51 201.41
49452   4 0 2 0.00 1,351.51 201.41
49460   1 0 2 0.00 1,320.85 71.54
49460   2 0 2 0.00 1,102.14 65.96
49460   3 0 2 0.00 1,102.14 65.96
49460   4 0 2 0.00 1,102.14 65.96
49465   1 0 2 0.00 273.38 47.27
49465   2 0 2 0.00 231.10 43.57
49465   3 0 2 0.00 231.10 43.57
49465   4 0 2 0.00 231.10 43.57
49491   1 90 2 0.00 1,229.63 0.00
49491   2 90 2 0.00 1,103.93 0.00
49491   3 90 2 0.00 1,103.93 0.00
49491   4 90 2 0.00 1,103.93 0.00
49492   1 90 2 0.00 1,513.45 0.00
49492   2 90 2 0.00 1,356.09 0.00
49492   3 90 2 0.00 1,356.09 0.00
49492   4 90 2 0.00 1,356.09 0.00
49495   1 90 2 0.00 1,159.34 0.00
49495   2 90 2 0.00 1,132.90 0.00
49495   3 90 2 0.00 1,071.12 0.00
49495   4 90 2 0.00 1,067.82 0.00
49496   1 90 2 0.00 1,303.50 0.00
49496   2 90 2 0.00 1,283.31 0.00
49496   3 90 2 0.00 1,200.27 0.00
49496   4 90 2 0.00 1,186.96 0.00
49500   1 90 2 0.00 1,120.12 0.00
49500   2 90 2 0.00 1,093.89 0.00
49500   3 90 2 0.00 1,033.02 0.00
49500   4 90 2 0.00 1,030.12 0.00
49501   1 90 2 0.00 1,207.63 0.00
49501   2 90 2 0.00 1,187.98 0.00
49501   3 90 2 0.00 1,107.24 0.00
49501   4 90 2 0.00 1,094.81 0.00
49505   1 90 2 0.00 1,049.21 0.00
49505   2 90 2 0.00 1,032.74 0.00
49505   3 90 2 0.00 967.36 0.00
49505   4 90 2 0.00 958.62 0.00
49507   1 90 2 0.00 1,219.61 0.00
49507   2 90 2 0.00 1,199.87 0.00
49507   3 90 2 0.00 1,118.89 0.00
49507   4 90 2 0.00 1,106.28 0.00
49520   1 90 2 0.00 1,280.03 0.00
49520   2 90 2 0.00 1,259.61 0.00
49520   3 90 2 0.00 1,145.39 0.00
49520   4 90 2 0.00 1,139.81 0.00
49521   1 90 2 0.00 1,395.10 0.00
49521   2 90 2 0.00 1,374.32 0.00
49521   3 90 2 0.00 1,289.14 0.00
49521   4 90 2 0.00 1,275.00 0.00
49525   1 90 2 0.00 1,250.50 0.00
49525   2 90 2 0.00 1,239.32 0.00
49525   3 90 2 0.00 1,142.18 0.00
49525   4 90 2 0.00 1,098.88 0.00
49540   1 90 2 0.00 1,283.04 0.00
49540   2 90 2 0.00 1,262.53 0.00
49540   3 90 2 0.00 1,178.16 0.00
49540   4 90 2 0.00 1,164.98 0.00
49550   1 90 2 0.00 1,109.69 0.00
49550   2 90 2 0.00 1,091.01 0.00
49550   3 90 2 0.00 1,016.37 0.00
49550   4 90 2 0.00 1,018.30 0.00
49553   1 90 2 0.00 1,121.83 0.00
49553   2 90 2 0.00 1,103.06 0.00
49553   3 90 2 0.00 1,028.16 0.00
49553   4 90 2 0.00 1,030.02 0.00
49555   1 90 2 0.00 1,389.26 0.00
49555   2 90 2 0.00 1,364.43 0.00
49555   3 90 2 0.00 1,281.41 0.00
49555   4 90 2 0.00 1,279.78 0.00
49557   1 90 2 0.00 1,430.52 0.00
49557   2 90 2 0.00 1,405.42 0.00
49557   3 90 2 0.00 1,321.38 0.00
49557   4 90 2 0.00 1,319.38 0.00
49560   1 90 2 0.00 1,313.46 0.00
49560   2 90 2 0.00 1,164.96 0.00
49560   3 90 2 0.00 1,164.96 0.00
49560   4 90 2 0.00 1,164.96 0.00
49561   1 90 2 0.00 1,631.19 0.00
49561   2 90 2 0.00 1,607.74 0.00
49561   3 90 2 0.00 1,511.43 0.00
49561   4 90 2 0.00 1,329.33 0.00
49565   1 90 2 0.00 1,393.27 0.00
49565   2 90 2 0.00 1,228.16 0.00
49565   3 90 2 0.00 1,228.16 0.00
49565   4 90 2 0.00 1,228.16 0.00
49566   1 90 2 0.00 1,719.35 0.00
49566   2 90 2 0.00 1,693.47 0.00
49566   3 90 2 0.00 1,439.33 0.00
49566   4 90 2 0.00 1,426.32 0.00
49568   1 ZZZ 0 0.00 630.19 0.00
49568   2 ZZZ 0 0.00 559.63 0.00
49568   3 ZZZ 0 0.00 559.63 0.00
49568   4 ZZZ 0 0.00 559.63 0.00
49570   1 90 2 0.00 1,047.26 0.00
49570   2 90 2 0.00 1,031.48 0.00
49570   3 90 2 0.00 968.80 0.00
49570   4 90 2 0.00 946.36 0.00
49572   1 90 2 0.00 1,254.45 0.00
49572   2 90 2 0.00 1,218.83 0.00
49572   3 90 2 0.00 1,160.89 0.00
49572   4 90 2 0.00 1,158.35 0.00
49580   1 90 2 0.00 944.34 0.00
49580   2 90 2 0.00 1,031.56 0.00
49580   3 90 2 0.00 974.20 0.00
49580   4 90 2 0.00 966.32 0.00
49582   1 90 2 0.00 1,008.23 0.00
49582   2 90 2 0.00 1,094.97 0.00
49582   3 90 2 0.00 1,035.78 0.00
49582   4 90 2 0.00 1,027.27 0.00
49585   1 90 2 0.00 982.28 0.00
49585   2 90 2 0.00 965.79 0.00
49585   3 90 2 0.00 896.74 0.00
49585   4 90 2 0.00 889.07 0.00
49587   1 90 2 0.00 1,010.54 0.00
49587   2 90 2 0.00 993.86 0.00
49587   3 90 2 0.00 924.11 0.00
49587   4 90 2 0.00 916.27 0.00
49590   1 90 2 0.00 1,347.09 0.00
49590   2 90 2 0.00 1,328.89 0.00
49590   3 90 2 0.00 1,250.52 0.00
49590   4 90 2 0.00 1,240.97 0.00
49600   1 90 2 0.00 1,378.44 0.00
49600   2 90 2 0.00 1,360.41 0.00
49600   3 90 2 0.00 1,285.87 0.00
49600   4 90 2 0.00 1,271.42 0.00
49605   1 90 2 0.00 2,873.46 0.00
49605   2 90 2 0.00 2,835.81 0.00
49605   3 90 2 0.00 2,681.31 0.00
49605   4 90 2 0.00 2,652.72 0.00
49606   1 90 2 0.00 2,397.87 0.00
49606   2 90 2 0.00 2,370.40 0.00
49606   3 90 2 0.00 2,256.78 0.00
49606   4 90 2 0.00 2,231.61 0.00
49610   1 90 2 0.00 1,492.72 0.00
49610   2 90 2 0.00 1,469.52 0.00
49610   3 90 2 0.00 1,374.10 0.00
49610   4 90 2 0.00 1,359.06 0.00
49611   1 90 2 0.00 1,570.09 0.00
49611   2 90 2 0.00 1,550.30 0.00
49611   3 90 2 0.00 1,467.76 0.00
49611   4 90 2 0.00 1,449.10 0.00
49650   1 90 2 0.00 827.24 0.00
49650   2 90 2 0.00 740.37 0.00
49650   3 90 2 0.00 740.37 0.00
49650   4 90 2 0.00 740.37 0.00
49651   1 90 2 0.00 1,060.15 0.00
49651   2 90 2 0.00 949.81 0.00
49651   3 90 2 0.00 949.81 0.00
49651   4 90 2 0.00 949.81 0.00
49652   1 90 2 0.00 1,104.35 0.00
49652   2 90 2 0.00 1,001.24 0.00
49652   3 90 2 0.00 1,001.24 0.00
49652   4 90 2 0.00 1,001.24 0.00
49653   1 90 2 0.00 1,376.33 0.00
49653   2 90 2 0.00 1,249.70 0.00
49653   3 90 2 0.00 1,249.70 0.00
49653   4 90 2 0.00 1,249.70 0.00
49654   1 90 2 0.00 1,264.73 0.00
49654   2 90 2 0.00 1,149.48 0.00
49654   3 90 2 0.00 1,149.48 0.00
49654   4 90 2 0.00 1,149.48 0.00
49655   1 90 2 0.00 1,523.09 0.00
49655   2 90 2 0.00 1,384.06 0.00
49655   3 90 2 0.00 1,384.06 0.00
49655   4 90 2 0.00 1,384.06 0.00
49656   1 90 2 0.00 1,270.37 0.00
49656   2 90 2 0.00 1,154.17 0.00
49656   3 90 2 0.00 1,154.17 0.00
49656   4 90 2 0.00 1,154.17 0.00
49657   1 90 2 0.00 1,833.98 0.00
49657   2 90 2 0.00 1,668.12 0.00
49657   3 90 2 0.00 1,668.12 0.00
49657   4 90 2 0.00 1,668.12 0.00
49659     YYY 2 0.00 * 0.00
49900   1 90 2 0.00 871.54 0.00
49900   2 90 2 0.00 865.78 0.00
49900   3 90 2 0.00 739.65 0.00
49900   4 90 2 0.00 769.73 0.00
49904   1 90 2 0.00 2,622.54 0.00
49904   2 90 2 0.00 2,331.58 0.00
49904   3 90 2 0.00 2,331.58 0.00
49904   4 90 2 0.00 2,331.58 0.00
49905   1 ZZZ 0 0.00 968.91 0.00
49905   2 ZZZ 0 0.00 954.13 0.00
49905   3 ZZZ 0 0.00 893.28 0.00
49905   4 ZZZ 0 0.00 883.62 0.00
49906     90 2 0.00 * 0.00
49999     YYY 2 0.00 * 0.00
50010   1 90 2 0.00 1,847.58 0.00
50010   2 90 2 0.00 2,060.91 0.00
50010   3 90 2 0.00 2,014.73 0.00
50010   4 90 2 0.00 2,006.00 0.00
50020   1 90 2 0.00 1,725.58 0.00
50020   2 90 2 0.00 1,565.92 0.00
50020   3 90 2 0.00 1,565.92 0.00
50020   4 90 2 0.00 1,565.92 0.00
50040   1 90 2 0.00 1,529.89 0.00
50040   2 90 2 0.00 1,599.65 0.00
50040   3 90 2 0.00 1,675.58 0.00
50040   4 90 2 0.00 1,815.34 0.00
50045   1 90 2 0.00 2,220.20 0.00
50045   2 90 2 0.00 2,193.34 0.00
50045   3 90 2 0.00 2,082.29 0.00
50045   4 90 2 0.00 2,057.76 0.00
50060   1 90 2 0.00 2,778.22 0.00
50060   2 90 2 0.00 2,743.83 0.00
50060   3 90 2 0.00 2,612.84 0.00
50060   4 90 2 0.00 2,571.12 0.00
50065   1 90 2 0.00 3,082.89 0.00
50065   2 90 2 0.00 3,044.43 0.00
50065   3 90 2 0.00 2,885.17 0.00
50065   4 90 2 0.00 2,851.10 0.00
50070   1 90 2 0.00 2,950.24 0.00
50070   2 90 2 0.00 2,913.17 0.00
50070   3 90 2 0.00 2,759.97 0.00
50070   4 90 2 0.00 2,727.68 0.00
50075   1 90 2 0.00 3,415.87 0.00
50075   2 90 2 0.00 3,529.03 0.00
50075   3 90 2 0.00 3,138.67 0.00
50075   4 90 2 0.00 3,476.01 0.00
50080   1 90 2 0.00 2,418.50 0.00
50080   2 90 2 0.00 2,386.91 0.00
50080   3 90 2 0.00 2,255.45 0.00
50080   4 90 2 0.00 2,227.99 0.00
50081   1 90 2 0.00 2,709.97 0.00
50081   2 90 2 0.00 3,251.28 0.00
50081   3 90 2 0.00 2,874.22 0.00
50081   4 90 2 0.00 2,993.17 0.00
50100   1 90 2 0.00 2,390.16 0.00
50100   2 90 2 0.00 2,349.36 0.00
50100   3 90 2 0.00 2,216.80 0.00
50100   4 90 2 0.00 2,191.06 0.00
50120   1 90 2 0.00 2,406.36 0.00
50120   2 90 2 0.00 2,374.78 0.00
50120   3 90 2 0.00 2,244.02 0.00
50120   4 90 2 0.00 2,217.57 0.00
50125   1 90 2 0.00 2,438.37 0.00
50125   2 90 2 0.00 2,408.19 0.00
50125   3 90 2 0.00 2,282.84 0.00
50125   4 90 2 0.00 2,255.95 0.00
50130   1 90 2 0.00 2,669.23 0.00
50130   2 90 2 0.00 2,631.86 0.00
50130   3 90 2 0.00 2,491.87 0.00
50130   4 90 2 0.00 2,462.00 0.00
50135   1 90 2 0.00 3,261.65 0.00
50135   2 90 2 0.00 3,217.87 0.00
50135   3 90 2 0.00 3,035.96 0.00
50135   4 90 2 0.00 2,998.78 0.00
50200   1 0 2 0.00 515.22 0.00
50200   2 0 2 0.00 489.07 0.00
50200   3 0 2 0.00 483.14 0.00
50200   4 0 2 0.00 484.09 0.00
50205   1 90 2 0.00 1,567.86 0.00
50205   2 90 2 0.00 1,485.89 0.00
50205   3 90 2 0.00 1,466.09 0.00
50205   4 90 2 0.00 1,459.13 0.00
50220   1 90 2 0.00 2,725.31 0.00
50220   2 90 2 0.00 2,688.64 0.00
50220   3 90 2 0.00 2,536.73 0.00
50220   4 90 2 0.00 2,506.28 0.00
50225   1 90 2 0.00 3,289.47 0.00
50225   2 90 2 0.00 3,263.99 0.00
50225   3 90 2 0.00 3,065.14 0.00
50225   4 90 2 0.00 3,028.09 0.00
50230   1 90 2 0.00 3,615.29 0.00
50230   2 90 2 0.00 3,618.43 0.00
50230   3 90 2 0.00 3,533.96 0.00
50230   4 90 2 0.00 3,516.77 0.00
50234   1 90 2 0.00 3,486.85 0.00
50234   2 90 2 0.00 3,441.75 0.00
50234   3 90 2 0.00 3,254.94 0.00
50234   4 90 2 0.00 3,215.99 0.00
50236   1 90 2 0.00 3,708.95 0.00
50236   2 90 2 0.00 3,682.66 0.00
50236   3 90 2 0.00 3,548.49 0.00
50236   4 90 2 0.00 3,503.06 0.00
50240   1 90 2 0.00 3,362.45 0.00
50240   2 90 2 0.00 3,325.39 0.00
50240   3 90 2 0.00 3,134.18 0.00
50240   4 90 2 0.00 3,096.74 0.00
50250   1 90 2 0.00 1,861.45 0.00
50250   2 90 2 0.00 1,689.93 0.00
50250   3 90 2 0.00 1,689.93 0.00
50250   4 90 2 0.00 1,689.93 0.00
50280   1 90 2 0.00 2,359.10 0.00
50280   2 90 2 0.00 2,328.50 0.00
50280   3 90 2 0.00 2,201.80 0.00
50280   4 90 2 0.00 2,209.69 0.00
50290   1 90 2 0.00 2,109.65 0.00
50290   2 90 2 0.00 2,124.57 0.00
50290   3 90 2 0.00 1,964.99 0.00
50290   4 90 2 0.00 1,942.39 0.00
50320     90 2 0.00 * 0.00
50323     XXX 2 0.00 * 0.00
50325     XXX 2 0.00 * 0.00
50327   1 XXX 2 0.00 374.05 0.00
50327   2 XXX 2 0.00 343.07 0.00
50327   3 XXX 2 0.00 343.07 0.00
50327   4 XXX 2 0.00 343.07 0.00
50328   1 XXX 2 0.00 327.75 0.00
50328   2 XXX 2 0.00 300.46 0.00
50328   3 XXX 2 0.00 300.46 0.00
50328   4 XXX 2 0.00 300.46 0.00
50329   1 XXX 2 0.00 313.22 0.00
50329   2 XXX 2 0.00 287.02 0.00
50329   3 XXX 2 0.00 287.02 0.00
50329   4 XXX 2 0.00 287.02 0.00
50340   1 90 2 0.00 2,450.18 0.00
50340   2 90 2 0.00 2,374.30 0.00
50340   3 90 2 0.00 2,245.12 0.00
50340   4 90 2 0.00 2,071.54 0.00
50360   1 90 2 0.00 5,019.02 0.00
50360   2 90 2 0.00 4,937.43 0.00
50360   3 90 2 0.00 4,600.83 0.00
50360   4 90 2 0.00 4,546.63 0.00
50365   1 90 2 0.00 6,234.97 0.00
50365   2 90 2 0.00 5,900.83 0.00
50365   3 90 2 0.00 5,898.08 0.00
50365   4 90 2 0.00 5,469.83 0.00
50370   1 90 2 0.00 2,310.89 0.00
50370   2 90 2 0.00 2,295.63 0.00
50370   3 90 2 0.00 2,232.67 0.00
50370   4 90 2 0.00 2,222.77 0.00
50380   1 90 2 0.00 3,285.10 0.00
50380   2 90 2 0.00 2,493.13 0.00
50380   3 90 2 0.00 2,344.70 0.00
50380   4 90 2 0.00 2,318.24 0.00
50382   1 0 2 0.00 2,649.46 467.44
50382   2 0 2 0.00 2,212.07 429.29
50382   3 0 2 0.00 2,212.07 429.29
50382   4 0 2 0.00 2,212.07 429.29
50384   1 0 2 0.00 2,560.66 425.64
50384   2 0 2 0.00 2,135.17 390.83
50384   3 0 2 0.00 2,135.17 390.83
50384   4 0 2 0.00 2,135.17 390.83
50385   1 0 2 0.00 2,132.06 370.86
50385   2 0 2 0.00 1,798.22 337.45
50385   3 0 2 0.00 1,798.22 337.45
50385   4 0 2 0.00 1,798.22 337.45
50386   1 0 2 0.00 1,375.79 281.13
50386   2 0 2 0.00 1,163.36 255.41
50386   3 0 2 0.00 1,163.36 255.41
50386   4 0 2 0.00 1,163.36 255.41
50387   1 0 2 0.00 1,286.43 169.06
50387   2 0 2 0.00 1,068.36 155.42
50387   3 0 2 0.00 1,068.36 155.42
50387   4 0 2 0.00 1,068.36 155.42
50389   1 0 2 0.00 881.74 93.40
50389   2 0 2 0.00 729.83 85.75
50389   3 0 2 0.00 729.83 85.75
50389   4 0 2 0.00 729.83 85.75
50390   1 0 2 0.00 418.18 0.00
50390   2 0 2 0.00 413.54 0.00
50390   3 0 2 0.00 430.70 0.00
50390   4 0 2 0.00 416.45 0.00
50391   1 0 2 0.00 246.35 180.92
50391   2 0 2 0.00 220.76 166.23
50391   3 0 2 0.00 220.76 166.23
50391   4 0 2 0.00 220.76 166.23
50396   1 0 2 0.00 216.02 0.00
50396   2 0 2 0.00 214.05 0.00
50396   3 0 2 0.00 206.00 0.00
50396   4 0 2 0.00 203.86 0.00
50400   1 90 2 0.00 2,926.72 0.00
50400   2 90 2 0.00 2,976.52 0.00
50400   3 90 2 0.00 2,734.05 0.00
50400   4 90 2 0.00 2,803.31 0.00
50405   1 90 2 0.00 3,769.41 0.00
50405   2 90 2 0.00 3,750.39 0.00
50405   3 90 2 0.00 3,659.85 0.00
50405   4 90 2 0.00 3,385.56 0.00
50430   1 0 2 0.00 691.56 221.23
50430   2 0 2 0.00 607.30 205.36
50430   3 0 2 0.00 607.30 205.36
50430   4 0 2 0.00 607.30 205.36
50431   1 0 2 0.00 214.88 88.11
50431   2 0 2 0.00 189.31 80.97
50431   3 0 2 0.00 189.31 80.97
50431   4 0 2 0.00 189.31 80.97
50432   1 0 2 0.00 1,123.16 292.30
50432   2 0 2 0.00 981.89 271.79
50432   3 0 2 0.00 981.89 271.79
50432   4 0 2 0.00 981.89 271.79
50433   1 0 2 0.00 1,512.55 360.29
50433   2 0 2 0.00 1,320.07 335.30
50433   3 0 2 0.00 1,320.07 335.30
50433   4 0 2 0.00 1,320.07 335.30
50434   1 0 2 0.00 1,197.31 276.45
50434   2 0 2 0.00 1,043.92 256.90
50434   3 0 2 0.00 1,043.92 256.90
50434   4 0 2 0.00 1,043.92 256.90
50435   1 0 2 0.00 628.95 134.59
50435   2 0 2 0.00 546.94 124.42
50435   3 0 2 0.00 546.94 124.42
50435   4 0 2 0.00 546.94 124.42
50436   1 0 2 0.00 188.60 0.00
50436   2 0 2 0.00 174.89 0.00
50436   3 0 2 0.00 174.89 0.00
50436   4 0 2 0.00 174.89 0.00
50437   1 0 2 0.00 314.16 0.00
50437   2 0 2 0.00 292.30 0.00
50437   3 0 2 0.00 292.30 0.00
50437   4 0 2 0.00 292.30 0.00
50500   1 90 2 0.00 2,876.96 0.00
50500   2 90 2 0.00 2,838.06 0.00
50500   3 90 2 0.00 2,677.47 0.00
50500   4 90 2 0.00 2,646.44 0.00
50520   1 90 2 0.00 2,473.44 0.00
50520   2 90 2 0.00 2,439.43 0.00
50520   3 90 2 0.00 2,299.05 0.00
50520   4 90 2 0.00 2,272.69 0.00
50525   1 90 2 0.00 3,136.77 0.00
50525   2 90 2 0.00 3,093.22 0.00
50525   3 90 2 0.00 2,913.75 0.00
50525   4 90 2 0.00 2,880.76 0.00
50526   1 90 2 0.00 2,864.60 0.00
50526   2 90 2 0.00 2,822.87 0.00
50526   3 90 2 0.00 2,652.11 0.00
50526   4 90 2 0.00 2,625.00 0.00
50540   1 90 2 0.00 3,022.25 0.00
50540   2 90 2 0.00 2,982.78 0.00
50540   3 90 2 0.00 2,819.68 0.00
50540   4 90 2 0.00 2,786.63 0.00
50541   1 90 2 0.00 1,755.71 0.00
50541   2 90 2 0.00 1,601.13 0.00
50541   3 90 2 0.00 1,601.13 0.00
50541   4 90 2 0.00 1,601.13 0.00
50542   1 90 2 0.00 2,033.56 0.00
50542   2 90 2 0.00 1,845.74 0.00
50542   3 90 2 0.00 1,845.74 0.00
50542   4 90 2 0.00 1,845.74 0.00
50543   1 90 2 0.00 2,547.85 0.00
50543   2 90 2 0.00 2,325.42 0.00
50543   3 90 2 0.00 2,325.42 0.00
50543   4 90 2 0.00 2,325.42 0.00
50544   1 90 2 0.00 2,416.84 0.00
50544   2 90 2 0.00 2,208.61 0.00
50544   3 90 2 0.00 2,208.61 0.00
50544   4 90 2 0.00 2,208.61 0.00
50545   1 90 2 0.00 2,618.47 0.00
50545   2 90 2 0.00 2,377.83 0.00
50545   3 90 2 0.00 2,377.83 0.00
50545   4 90 2 0.00 2,377.83 0.00
50546   1 90 2 0.00 2,245.28 0.00
50546   2 90 2 0.00 2,045.05 0.00
50546   3 90 2 0.00 2,045.05 0.00
50546   4 90 2 0.00 2,045.05 0.00
50547   1 90 2 0.00 2,889.25 0.00
50547   2 90 2 0.00 2,620.11 0.00
50547   3 90 2 0.00 2,620.11 0.00
50547   4 90 2 0.00 2,620.11 0.00
50548   1 90 2 0.00 2,631.54 0.00
50548   2 90 2 0.00 2,403.81 0.00
50548   3 90 2 0.00 2,403.81 0.00
50548   4 90 2 0.00 2,403.81 0.00
50549     YYY 2 0.00 * 0.00
50551   1 0 2 0.00 701.14 0.00
50551   2 0 2 0.00 744.98 0.00
50551   3 0 2 0.00 710.84 0.00
50551   4 0 2 0.00 729.32 0.00