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2018 Workers' Compensation Part B Fee Schedule

73218-74022

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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
73218   1 XXX 0 0 962.93 0
73218 26 1 XXX 0 0 98.91 0
73218 TC 1 XXX 0 0 864.06 0
73218   2 XXX 0 0 819.20 0
73218 26 2 XXX 0 0 91.09 0
73218 TC 2 XXX 0 0 728.14 0
73218   3 XXX 0 0 819.20 0
73218 26 3 XXX 0 0 91.09 0
73218 TC 3 XXX 0 0 728.14 0
73218   4 XXX 0 0 819.20 0
73218 26 4 XXX 0 0 91.09 0
73218 TC 4 XXX 0 0 728.14 0
73219   1 XXX 0 0 1,153.73 0
73219 26 1 XXX 0 0 117.53 0
73219 TC 1 XXX 0 0 1,036.19 0
73219   2 XXX 0 0 981.52 0
73219 26 2 XXX 0 0 108.48 0
73219 TC 2 XXX 0 0 873.02 0
73219   3 XXX 0 0 981.52 0
73219 26 3 XXX 0 0 108.48 0
73219 TC 3 XXX 0 0 873.02 0
73219   4 XXX 0 0 981.52 0
73219 26 4 XXX 0 0 108.48 0
73219 TC 4 XXX 0 0 873.02 0
73220   1 XXX 0 0 1,109.19 0
73220 26 1 XXX 0 0 199.29 0
73220 TC 1 XXX 0 0 927.25 0
73220   2 XXX 0 0 1,090.22 0
73220 26 2 XXX 0 0 198.70 0
73220 TC 2 XXX 0 0 910.51 0
73220   3 XXX 0 0 1,010.49 0
73220 26 3 XXX 0 0 190.15 0
73220 TC 3 XXX 0 0 839.99 0
73220   4 XXX 0 0 995.29 0
73220 26 4 XXX 0 0 185.26 0
73220 TC 4 XXX 0 0 826.67 0
73221   1 XXX 0 0 1,043.26 0
73221 26 1 XXX 0 0 169.63 0
73221 TC 1 XXX 0 0 927.25 0
73221   2 XXX 0 0 1,040.44 0
73221 26 2 XXX 0 0 169.39 0
73221 TC 2 XXX 0 0 910.51 0
73221   3 XXX 0 0 984.32 0
73221 26 3 XXX 0 0 162.70 0
73221 TC 3 XXX 0 0 839.99 0
73221   4 XXX 0 0 957.96 0
73221 26 4 XXX 0 0 160.06 0
73221 TC 4 XXX 0 0 826.67 0
73222   1 XXX 0 0 1,153.73 0
73222 26 1 XXX 0 0 117.53 0
73222 TC 1 XXX 0 0 1,036.19 0
73222   2 XXX 0 0 981.52 0
73222 26 2 XXX 0 0 108.48 0
73222 TC 2 XXX 0 0 873.02 0
73222   3 XXX 0 0 981.52 0
73222 26 3 XXX 0 0 108.48 0
73222 TC 3 XXX 0 0 873.02 0
73222   4 XXX 0 0 981.52 0
73222 26 4 XXX 0 0 108.48 0
73222 TC 4 XXX 0 0 873.02 0
73223   1 XXX 0 0 2,076.44 0
73223 26 1 XXX 0 0 159.08 0
73223 TC 1 XXX 0 0 1,917.37 0
73223   2 XXX 0 0 1,761.95 0
73223 26 2 XXX 0 0 145.94 0
73223 TC 2 XXX 0 0 1,616.02 0
73223   3 XXX 0 0 1,761.95 0
73223 26 3 XXX 0 0 145.94 0
73223 TC 3 XXX 0 0 1,616.02 0
73223   4 XXX 0 0 1,761.95 0
73223 26 4 XXX 0 0 145.94 0
73223 TC 4 XXX 0 0 1,616.02 0
73225     XXX 9 0 * 0
73501   1 XXX 0 0 37.87 0
73501 26 1 XXX 0 0 12.01 0
73501 TC 1 XXX 0 0 25.87 0
73501   2 XXX 0 0 33.27 0
73501 26 2 XXX 0 0 11.20 0
73501 TC 2 XXX 0 0 22.07 0
73501   3 XXX 0 0 33.27 0
73501 26 3 XXX 0 0 11.20 0
73501 TC 3 XXX 0 0 22.07 0
73501   4 XXX 0 0 33.27 0
73501 26 4 XXX 0 0 11.20 0
73501 TC 4 XXX 0 0 22.07 0
73502   1 XXX 0 0 52.97 0
73502 26 1 XXX 0 0 14.20 0
73502 TC 1 XXX 0 0 38.78 0
73502   2 XXX 0 0 46.37 0
73502 26 2 XXX 0 0 13.29 0
73502 TC 2 XXX 0 0 33.09 0
73502   3 XXX 0 0 46.37 0
73502 26 3 XXX 0 0 13.29 0
73502 TC 3 XXX 0 0 33.09 0
73502   4 XXX 0 0 46.37 0
73502 26 4 XXX 0 0 13.29 0
73502 TC 4 XXX 0 0 33.09 0
73503   1 XXX 0 0 66.28 0
73503 26 1 XXX 0 0 18.29 0
73503 TC 1 XXX 0 0 47.99 0
73503   2 XXX 0 0 57.98 0
73503 26 2 XXX 0 0 17.02 0
73503 TC 2 XXX 0 0 40.96 0
73503   3 XXX 0 0 57.98 0
73503 26 3 XXX 0 0 17.02 0
73503 TC 3 XXX 0 0 40.96 0
73503   4 XXX 0 0 57.98 0
73503 26 4 XXX 0 0 17.02 0
73503 TC 4 XXX 0 0 40.96 0
73521   1 XXX 0 0 50.68 0
73521 26 1 XXX 0 0 14.67 0
73521 TC 1 XXX 0 0 36.00 0
73521   2 XXX 0 0 44.41 0
73521 26 2 XXX 0 0 13.68 0
73521 TC 2 XXX 0 0 30.75 0
73521   3 XXX 0 0 44.41 0
73521 26 3 XXX 0 0 13.68 0
73521 TC 3 XXX 0 0 30.75 0
73521   4 XXX 0 0 44.41 0
73521 26 4 XXX 0 0 13.68 0
73521 TC 4 XXX 0 0 30.75 0
73522   1 XXX 0 0 62.52 0
73522 26 1 XXX 0 0 19.15 0
73522 TC 1 XXX 0 0 43.37 0
73522   2 XXX 0 0 54.89 0
73522 26 2 XXX 0 0 17.85 0
73522 TC 2 XXX 0 0 37.04 0
73522   3 XXX 0 0 54.89 0
73522 26 3 XXX 0 0 17.85 0
73522 TC 3 XXX 0 0 37.04 0
73522   4 XXX 0 0 54.89 0
73522 26 4 XXX 0 0 17.85 0
73522 TC 4 XXX 0 0 37.04 0
73523   1 XXX 0 0 72.60 0
73523 26 1 XXX 0 0 20.48 0
73523 TC 1 XXX 0 0 52.14 0
73523   2 XXX 0 0 63.61 0
73523 26 2 XXX 0 0 19.10 0
73523 TC 2 XXX 0 0 44.52 0
73523   3 XXX 0 0 63.61 0
73523 26 3 XXX 0 0 19.10 0
73523 TC 3 XXX 0 0 44.52 0
73523   4 XXX 0 0 63.61 0
73523 26 4 XXX 0 0 19.10 0
73523 TC 4 XXX 0 0 44.52 0
73525   1 XXX 0 0 241.15 0
73525 26 1 XXX 0 0 74.19 0
73525 TC 1 XXX 0 0 173.79 0
73525   2 XXX 0 0 237.23 0
73525 26 2 XXX 0 0 74.03 0
73525 TC 2 XXX 0 0 170.60 0
73525   3 XXX 0 0 224.62 0
73525 26 3 XXX 0 0 70.78 0
73525 TC 3 XXX 0 0 157.31 0
73525   4 XXX 0 0 217.25 0
73525 26 4 XXX 0 0 70.01 0
73525 TC 4 XXX 0 0 154.86 0
73551   1 XXX 0 0 35.64 0
73551 26 1 XXX 0 0 10.68 0
73551 TC 1 XXX 0 0 24.95 0
73551   2 XXX 0 0 31.24 0
73551 26 2 XXX 0 0 9.95 0
73551 TC 2 XXX 0 0 21.29 0
73551   3 XXX 0 0 31.24 0
73551 26 3 XXX 0 0 9.95 0
73551 TC 3 XXX 0 0 21.29 0
73551   4 XXX 0 0 31.24 0
73551 26 4 XXX 0 0 9.95 0
73551 TC 4 XXX 0 0 21.29 0
73552   1 XXX 0 0 41.57 0
73552 26 1 XXX 0 0 12.01 0
73552 TC 1 XXX 0 0 29.56 0
73552   2 XXX 0 0 36.42 0
73552 26 2 XXX 0 0 11.20 0
73552 TC 2 XXX 0 0 25.22 0
73552   3 XXX 0 0 36.42 0
73552 26 3 XXX 0 0 11.20 0
73552 TC 3 XXX 0 0 25.22 0
73552   4 XXX 0 0 36.42 0
73552 26 4 XXX 0 0 11.20 0
73552 TC 4 XXX 0 0 25.22 0
73560   1 XXX 0 0 63.54 0
73560 26 1 XXX 0 0 21.48 0
73560 TC 1 XXX 0 0 43.55 0
73560   2 XXX 0 0 62.52 0
73560 26 2 XXX 0 0 21.45 0
73560 TC 2 XXX 0 0 42.73 0
73560   3 XXX 0 0 59.15 0
73560 26 3 XXX 0 0 20.49 0
73560 TC 3 XXX 0 0 39.51 0
73560   4 XXX 0 0 57.46 0
73560 26 4 XXX 0 0 20.21 0
73560 TC 4 XXX 0 0 38.86 0
73562   1 XXX 0 0 70.23 0
73562 26 1 XXX 0 0 24.48 0
73562 TC 1 XXX 0 0 47.86 0
73562   2 XXX 0 0 69.01 0
73562 26 2 XXX 0 0 24.41 0
73562 TC 2 XXX 0 0 46.96 0
73562   3 XXX 0 0 65.72 0
73562 26 3 XXX 0 0 23.44 0
73562 TC 3 XXX 0 0 43.16 0
73562   4 XXX 0 0 63.26 0
73562 26 4 XXX 0 0 22.75 0
73562 TC 4 XXX 0 0 42.50 0
73564   1 XXX 0 0 79.25 0
73564 26 1 XXX 0 0 29.83 0
73564 TC 1 XXX 0 0 51.79 0
73564   2 XXX 0 0 77.93 0
73564 26 2 XXX 0 0 29.74 0
73564 TC 2 XXX 0 0 50.84 0
73564   3 XXX 0 0 74.55 0
73564 26 3 XXX 0 0 28.47 0
73564 TC 3 XXX 0 0 46.79 0
73564   4 XXX 0 0 72.61 0
73564 26 4 XXX 0 0 27.72 0
73564 TC 4 XXX 0 0 46.09 0
73565   1 XXX 0 0 61.11 0
73565 26 1 XXX 0 0 20.03 0
73565 TC 1 XXX 0 0 39.24 0
73565   2 XXX 0 0 60.18 0
73565 26 2 XXX 0 0 19.72 0
73565 TC 2 XXX 0 0 38.86 0
73565   3 XXX 0 0 56.08 0
73565 26 3 XXX 0 0 18.78 0
73565 TC 3 XXX 0 0 36.47 0
73565   4 XXX 0 0 55.28 0
73565 26 4 XXX 0 0 18.62 0
73565 TC 4 XXX 0 0 35.65 0
73580   1 XXX 0 0 285.96 0
73580 26 1 XXX 0 0 74.19 0
73580 TC 1 XXX 0 0 241.39 0
73580   2 XXX 0 0 281.08 0
73580 26 2 XXX 0 0 74.03 0
73580 TC 2 XXX 0 0 214.48 0
73580   3 XXX 0 0 260.70 0
73580 26 3 XXX 0 0 70.92 0
73580 TC 3 XXX 0 0 197.60 0
73580   4 XXX 0 0 256.89 0
73580 26 4 XXX 0 0 69.51 0
73580 TC 4 XXX 0 0 194.47 0
73590   1 XXX 0 0 65.13 0
73590 26 1 XXX 0 0 21.48 0
73590 TC 1 XXX 0 0 45.51 0
73590   2 XXX 0 0 62.52 0
73590 26 2 XXX 0 0 21.45 0
73590 TC 2 XXX 0 0 43.74 0
73590   3 XXX 0 0 59.14 0
73590 26 3 XXX 0 0 20.53 0
73590 TC 3 XXX 0 0 39.51 0
73590   4 XXX 0 0 57.46 0
73590 26 4 XXX 0 0 20.05 0
73590 TC 4 XXX 0 0 38.86 0
73592   1 XXX 0 0 60.38 0
73592 26 1 XXX 0 0 20.35 0
73592 TC 1 XXX 0 0 41.18 0
73592   2 XXX 0 0 59.43 0
73592 26 2 XXX 0 0 20.32 0
73592 TC 2 XXX 0 0 40.44 0
73592   3 XXX 0 0 55.97 0
73592 26 3 XXX 0 0 19.47 0
73592 TC 3 XXX 0 0 37.34 0
73592   4 XXX 0 0 54.52 0
73592 26 4 XXX 0 0 19.01 0
73592 TC 4 XXX 0 0 36.74 0
73600   1 XXX 0 0 61.30 0
73600 26 1 XXX 0 0 20.35 0
73600 TC 1 XXX 0 0 42.12 0
73600   2 XXX 0 0 59.43 0
73600 26 2 XXX 0 0 20.32 0
73600 TC 2 XXX 0 0 40.44 0
73600   3 XXX 0 0 55.98 0
73600 26 3 XXX 0 0 19.50 0
73600 TC 3 XXX 0 0 37.34 0
73600   4 XXX 0 0 54.52 0
73600 26 4 XXX 0 0 19.31 0
73600 TC 4 XXX 0 0 36.74 0
73610   1 XXX 0 0 65.03 0
73610 26 1 XXX 0 0 23.01 0
73610 TC 1 XXX 0 0 44.30 0
73610   2 XXX 0 0 65.38 0
73610 26 2 XXX 0 0 22.99 0
73610 TC 2 XXX 0 0 43.55 0
73610   3 XXX 0 0 61.98 0
73610 26 3 XXX 0 0 22.07 0
73610 TC 3 XXX 0 0 40.23 0
73610   4 XXX 0 0 60.26 0
73610 26 4 XXX 0 0 21.48 0
73610 TC 4 XXX 0 0 39.57 0
73615   1 XXX 0 0 241.15 0
73615 26 1 XXX 0 0 74.19 0
73615 TC 1 XXX 0 0 173.79 0
73615   2 XXX 0 0 237.23 0
73615 26 2 XXX 0 0 74.03 0
73615 TC 2 XXX 0 0 170.60 0
73615   3 XXX 0 0 224.62 0
73615 26 3 XXX 0 0 70.78 0
73615 TC 3 XXX 0 0 157.31 0
73615   4 XXX 0 0 217.25 0
73615 26 4 XXX 0 0 68.97 0
73615 TC 4 XXX 0 0 154.86 0
73620   1 XXX 0 0 60.38 0
73620 26 1 XXX 0 0 20.35 0
73620 TC 1 XXX 0 0 41.18 0
73620   2 XXX 0 0 59.43 0
73620 26 2 XXX 0 0 20.32 0
73620 TC 2 XXX 0 0 40.44 0
73620   3 XXX 0 0 55.98 0
73620 26 3 XXX 0 0 19.50 0
73620 TC 3 XXX 0 0 37.34 0
73620   4 XXX 0 0 54.52 0
73620 26 4 XXX 0 0 19.01 0
73620 TC 4 XXX 0 0 36.74 0
73630   1 XXX 0 0 65.03 0
73630 26 1 XXX 0 0 23.01 0
73630 TC 1 XXX 0 0 44.30 0
73630   2 XXX 0 0 65.33 0
73630 26 2 XXX 0 0 22.99 0
73630 TC 2 XXX 0 0 43.55 0
73630   3 XXX 0 0 61.98 0
73630 26 3 XXX 0 0 22.07 0
73630 TC 3 XXX 0 0 40.23 0
73630   4 XXX 0 0 60.26 0
73630 26 4 XXX 0 0 21.54 0
73630 TC 4 XXX 0 0 39.57 0
73650   1 XXX 0 0 59.90 0
73650 26 1 XXX 0 0 20.35 0
73650 TC 1 XXX 0 0 39.59 0
73650   2 XXX 0 0 57.91 0
73650 26 2 XXX 0 0 20.34 0
73650 TC 2 XXX 0 0 38.87 0
73650   3 XXX 0 0 54.40 0
73650 26 3 XXX 0 0 19.48 0
73650 TC 3 XXX 0 0 35.82 0
73650   4 XXX 0 0 53.12 0
73650 26 4 XXX 0 0 19.03 0
73650 TC 4 XXX 0 0 35.28 0
73660   1 XXX 0 0 52.06 0
73660 26 1 XXX 0 0 17.05 0
73660 TC 1 XXX 0 0 36.10 0
73660   2 XXX 0 0 50.13 0
73660 26 2 XXX 0 0 16.92 0
73660 TC 2 XXX 0 0 34.27 0
73660   3 XXX 0 0 47.16 0
73660 26 3 XXX 0 0 16.24 0
73660 TC 3 XXX 0 0 31.45 0
73660   4 XXX 0 0 45.82 0
73660 26 4 XXX 0 0 15.85 0
73660 TC 4 XXX 0 0 30.98 0
73700   1 XXX 0 0 543.19 0
73700 26 1 XXX 0 0 145.55 0
73700 TC 1 XXX 0 0 410.29 0
73700   2 XXX 0 0 534.17 0
73700 26 2 XXX 0 0 145.07 0
73700 TC 2 XXX 0 0 402.91 0
73700   3 XXX 0 0 502.42 0
73700 26 3 XXX 0 0 138.94 0
73700 TC 3 XXX 0 0 371.71 0
73700   4 XXX 0 0 489.14 0
73700 26 4 XXX 0 0 135.26 0
73700 TC 4 XXX 0 0 365.78 0
73701   1 XXX 0 0 630.67 0
73701 26 1 XXX 0 0 155.99 0
73701 TC 1 XXX 0 0 488.76 0
73701   2 XXX 0 0 620.06 0
73701 26 2 XXX 0 0 155.60 0
73701 TC 2 XXX 0 0 479.89 0
73701   3 XXX 0 0 575.59 0
73701 26 3 XXX 0 0 149.34 0
73701 TC 3 XXX 0 0 442.65 0
73701   4 XXX 0 0 567.12 0
73701 26 4 XXX 0 0 144.99 0
73701 TC 4 XXX 0 0 435.62 0
73702   1 XXX 0 0 762.83 0
73702 26 1 XXX 0 0 163.42 0
73702 TC 1 XXX 0 0 614.65 0
73702   2 XXX 0 0 749.94 0
73702 26 2 XXX 0 0 163.01 0
73702 TC 2 XXX 0 0 603.54 0
73702   3 XXX 0 0 695.75 0
73702 26 3 XXX 0 0 155.98 0
73702 TC 3 XXX 0 0 556.82 0
73702   4 XXX 0 0 685.41 0
73702 26 4 XXX 0 0 151.97 0
73702 TC 4 XXX 0 0 547.95 0
73706   1 XXX 0 0 706.95 0
73706 26 1 XXX 0 0 125.03 0
73706 TC 1 XXX 0 0 581.89 0
73706   2 XXX 0 0 602.26 0
73706 26 2 XXX 0 0 114.86 0
73706 TC 2 XXX 0 0 487.39 0
73706   3 XXX 0 0 602.26 0
73706 26 3 XXX 0 0 114.86 0
73706 TC 3 XXX 0 0 487.39 0
73706   4 XXX 0 0 602.26 0
73706 26 4 XXX 0 0 114.86 0
73706 TC 4 XXX 0 0 487.39 0
73718   1 XXX 0 0 962.93 0
73718 26 1 XXX 0 0 98.91 0
73718 TC 1 XXX 0 0 864.06 0
73718   2 XXX 0 0 819.20 0
73718 26 2 XXX 0 0 91.09 0
73718 TC 2 XXX 0 0 728.14 0
73718   3 XXX 0 0 819.20 0
73718 26 3 XXX 0 0 91.09 0
73718 TC 3 XXX 0 0 728.14 0
73718   4 XXX 0 0 819.20 0
73718 26 4 XXX 0 0 91.09 0
73718 TC 4 XXX 0 0 728.14 0
73719   1 XXX 0 0 1,153.73 0
73719 26 1 XXX 0 0 117.53 0
73719 TC 1 XXX 0 0 1,036.19 0
73719   2 XXX 0 0 981.52 0
73719 26 2 XXX 0 0 108.48 0
73719 TC 2 XXX 0 0 873.02 0
73719   3 XXX 0 0 981.52 0
73719 26 3 XXX 0 0 108.48 0
73719 TC 3 XXX 0 0 873.02 0
73719   4 XXX 0 0 981.52 0
73719 26 4 XXX 0 0 108.48 0
73719 TC 4 XXX 0 0 873.02 0
73720   1 XXX 0 0 1,109.19 0
73720 26 1 XXX 0 0 199.29 0
73720 TC 1 XXX 0 0 927.25 0
73720   2 XXX 0 0 1,090.22 0
73720 26 2 XXX 0 0 198.70 0
73720 TC 2 XXX 0 0 910.51 0
73720   3 XXX 0 0 1,010.49 0
73720 26 3 XXX 0 0 190.29 0
73720 TC 3 XXX 0 0 839.99 0
73720   4 XXX 0 0 995.29 0
73720 26 4 XXX 0 0 186.66 0
73720 TC 4 XXX 0 0 826.67 0
73721   1 XXX 0 0 1,043.26 0
73721 26 1 XXX 0 0 169.63 0
73721 TC 1 XXX 0 0 927.25 0
73721   2 XXX 0 0 1,040.44 0
73721 26 2 XXX 0 0 169.39 0
73721 TC 2 XXX 0 0 910.51 0
73721   3 XXX 0 0 984.32 0
73721 26 3 XXX 0 0 162.72 0
73721 TC 3 XXX 0 0 839.99 0
73721   4 XXX 0 0 957.96 0
73721 26 4 XXX 0 0 157.80 0
73721 TC 4 XXX 0 0 826.67 0
73722   1 XXX 0 0 1,153.73 0
73722 26 1 XXX 0 0 117.53 0
73722 TC 1 XXX 0 0 1,036.19 0
73722   2 XXX 0 0 981.52 0
73722 26 2 XXX 0 0 108.48 0
73722 TC 2 XXX 0 0 873.02 0
73722   3 XXX 0 0 981.52 0
73722 26 3 XXX 0 0 108.48 0
73722 TC 3 XXX 0 0 873.02 0
73722   4 XXX 0 0 981.52 0
73722 26 4 XXX 0 0 108.48 0
73722 TC 4 XXX 0 0 873.02 0
73723   1 XXX 0 0 2,076.44 0
73723 26 1 XXX 0 0 159.08 0
73723 TC 1 XXX 0 0 1,917.37 0
73723   2 XXX 0 0 1,761.95 0
73723 26 2 XXX 0 0 145.94 0
73723 TC 2 XXX 0 0 1,616.02 0
73723   3 XXX 0 0 1,761.95 0
73723 26 3 XXX 0 0 145.94 0
73723 TC 3 XXX 0 0 1,616.02 0
73723   4 XXX 0 0 1,761.95 0
73723 26 4 XXX 0 0 145.94 0
73723 TC 4 XXX 0 0 1,616.02 0
73725   1 XXX 0 0 1,135.85 0
73725 26 1 XXX 0 0 208.54 0
73725 TC 1 XXX   0 927.31 0
73725   2     0 1,116.75 0
73725 26 2     0 206.18 0
73725 TC 2     0 910.58 0
73725   3     0 1,036.37 0
73725 26 3     0 196.35 0
73725 TC 3     0 840.02 0
73725   4     0 1,020.92 0
73725 26 4     0 194.25 0
73725 TC 4     0 826.67 0
74018   1 XXX 0 0 33.50 0
74018 26 1 XXX 0 0 11.11 0
74018 TC 1 XXX 0 0 22.41 0
74018   2 XXX 0 0 29.87 0
74018 26 2 XXX 0 0 10.41 0
74018 TC 2 XXX 0 0 19.46 0
74018   3 XXX 0 0 29.87 0
74018 26 3 XXX 0 0 10.41 0
74018 TC 3 XXX 0 0 19.46 0
74018   4 XXX 0 0 29.87 0
74018 26 4 XXX 0 0 10.41 0
74018 TC 4 XXX 0 0 19.46 0
74019   1 XXX 0 0 40.83 0
74019 26 1 XXX 0 0 14.06 0
74019 TC 1 XXX 0 0 26.77 0
74019   2 XXX 0 0 36.47 0
74019 26 2 XXX 0 0 13.20 0
74019 TC 2 XXX 0 0 23.27 0
74019   3 XXX 0 0 36.47 0
74019 26 3 XXX 0 0 13.20 0
74019 TC 3 XXX 0 0 23.27 0
74019   4 XXX 0 0 36.47 0
74019 26 4 XXX 0 0 13.20 0
74019 TC 4 XXX 0 0 23.27 0
74021   1 XXX 0 0 47.86 0
74021 26 1 XXX 0 0 16.71 0
74021 TC 1 XXX 0 0 31.14 0
74021   2 XXX 0 0 42.70 0
74021 26 2 XXX 0 0 15.63 0
74021 TC 2 XXX 0 0 27.07 0
74021   3 XXX 0 0 42.70 0
74021 26 3 XXX 0 0 15.63 0
74021 TC 3 XXX 0 0 27.07 0
74021   4 XXX 0 0 42.70 0
74021 26 4 XXX 0 0 15.63 0
74021 TC 4 XXX 0 0 27.07 0
74022   1 XXX 0 0 100.78 0
74022 26 1 XXX 0 0 42.29 0
74022 TC 1 XXX 0 0 61.60 0
74022   2 XXX 0 0 99.18 0
74022 26 2 XXX 0 0 42.11 0
74022 TC 2 XXX 0 0 60.46 0
74022   3 XXX 0 0 94.49 0
74022 26 3 XXX 0 0 40.27 0
74022 TC 3 XXX 0 0 55.64 0
74022   4 XXX 0 0 92.04 0
74022 26 4 XXX 0 0 39.36 0
74022 TC 4 XXX 0 0 54.74 0