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2019 Workers' Compensation Part B Fee Schedule

93620-94005

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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
93620   1 0 0 0.00 2,918.69 0.00
93620   2 0 0 0.00 2,876.33 0.00
93620   3 0 0 0.00 2,699.05 0.00
93620   4 0 0 0.00 2,662.54 0.00
93620 26 1 0 0 0.00 2,264.84 0.00
93620 26 2 0 0 0.00 2,253.03 0.00
93620 26 3 0 0 0.00 2,203.89 0.00
93620 26 4 0 0 0.00 2,193.16 0.00
93620 TC 1 0 0 0.00 766.16 0.00
93620 TC 2 0 0 0.00 751.87 0.00
93620 TC 3 0 0 0.00 691.80 0.00
93620 TC 4 0 0 0.00 680.93 0.00
93621 26 1 0 0 0.00 2,373.20 0.00
93621 26 2 0 0 0.00 2,341.71 0.00
93621 26 3 0 0 0.00 2,210.42 0.00
93621 26 4 0 0 0.00 2,182.29 0.00
93622 26 1 0 0 0.00 2,357.91 0.00
93622 26 2 0 0 0.00 2,326.93 0.00
93622 26 3 0 0 0.00 2,197.85 0.00
93622 26 4 0 0 0.00 2,169.91 0.00
93623 26 1 ZZZ 0 0.00 480.34 0.00
93623 26 2 ZZZ 0 0.00 474.38 0.00
93623 26 3 ZZZ 0 0.00 449.26 0.00
93623 26 4 ZZZ 0 0.00 443.65 0.00
93624   1 0 0 0.00 827.22 0.00
93624   2 0 0 0.00 816.75 0.00
93624   3 0 0 0.00 773.11 0.00
93624   4 0 0 0.00 763.50 0.00
93624 26 1 0 0 0.00 707.08 0.00
93624 26 2 0 0 0.00 704.09 0.00
93624 26 3 0 0 0.00 619.64 0.00
93624 26 4 0 0 0.00 688.59 0.00
93624 TC 1 0 0 0.00 170.21 0.00
93624 TC 2 0 0 0.00 166.98 0.00
93624 TC 3 0 0 0.00 153.51 0.00
93624 TC 4 0 0 0.00 151.13 0.00
93631   1 0 0 0.00 1,727.01 0.00
93631   2 0 0 0.00 1,698.97 0.00
93631   3 0 0 0.00 1,582.56 0.00
93631   4 0 0 0.00 1,562.27 0.00
93631 26 1 0 0 0.00 2,276.93 0.00
93631 26 2 0 0 0.00 1,149.24 0.00
93631 26 3 0 0 0.00 1,084.56 0.00
93631 26 4 0 0 0.00 2,242.31 0.00
93631 TC 1 0 0 0.00 562.12 0.00
93631 TC 2 0 0 0.00 549.74 0.00
93631 TC 3 0 0 0.00 498.06 0.00
93631 TC 4 0 0 0.00 490.53 0.00
93640   1 0 0 0.00 1,148.56 0.00
93640   2 0 0 0.00 1,513.80 0.00
93640   3 0 0 0.00 1,405.44 0.00
93640   4 0 0 0.00 1,385.32 0.00
93640 26 1 0 0 0.00 722.52 0.00
93640 26 2 0 0 0.00 715.55 0.00
93640 26 3 0 0 0.00 850.64 0.00
93640 26 4 0 0 0.00 680.94 0.00
93640 TC 1 0 0 0.00 614.42 0.00
93640 TC 2 0 0 0.00 603.00 0.00
93640 TC 3 0 0 0.00 554.82 0.00
93640 TC 4 0 0 0.00 546.08 0.00
93641   1 0 0 0.00 1,213.83 0.00
93641   2 0 0 0.00 1,710.23 0.00
93641   3 0 0 0.00 1,595.95 0.00
93641   4 0 0 0.00 1,573.76 0.00
93641 26 1 0 0 0.00 787.84 0.00
93641 26 2 0 0 0.00 780.39 0.00
93641 26 3 0 0 0.00 1,041.15 0.00
93641 26 4 0 0 0.00 743.15 0.00
93641 TC 1 0 0 0.00 614.42 0.00
93641 TC 2 0 0 0.00 603.00 0.00
93641 TC 3 0 0 0.00 554.82 0.00
93641 TC 4 0 0 0.00 546.08 0.00
93642   1 0 0 0.00 1,194.04 0.00
93642   2 0 0 0.00 1,650.59 0.00
93642   3 0 0 0.00 1,538.13 0.00
93642   4 0 0 0.00 1,516.54 0.00
93642 26 1 0 0 0.00 768.03 0.00
93642 26 2 0 0 0.00 760.72 0.00
93642 26 3 0 0 0.00 983.34 0.00
93642 26 4 0 0 0.00 724.25 0.00
93642 TC 1 0 0 0.00 614.42 0.00
93642 TC 2 0 0 0.00 603.00 0.00
93642 TC 3 0 0 0.00 554.82 0.00
93642 TC 4 0 0 0.00 546.08 0.00
93644   1 0 2 0.00 420.97 0.00
93644   2 0 2 0.00 374.37 0.00
93644   3 0 2 0.00 374.37 0.00
93644   4 0 2 0.00 374.37 0.00
93644 26 1 0 2 0.00 277.68 0.00
93644 26 2 0 2 0.00 252.03 0.00
93644 26 3 0 2 0.00 252.03 0.00
93644 26 4 0 2 0.00 252.03 0.00
93644 TC 1 0 2 0.00 143.28 0.00
93644 TC 2 0 2 0.00 122.33 0.00
93644 TC 3 0 2 0.00 122.33 0.00
93644 TC 4 0 2 0.00 122.33 0.00
93650   1 0 0 0.00 2,313.31 0.00
93650   2 0 0 0.00 2,279.64 0.00
93650   3 0 0 0.00 2,139.49 0.00
93650   4 0 0 0.00 2,111.51 0.00
93653   1 0 2 0.00 1,176.49 0.00
93653   2 0 2 0.00 1,057.39 0.00
93653   3 0 2 0.00 1,057.39 0.00
93653   4 0 2 0.00 1,057.39 0.00
93654   1 0 2 0.00 1,570.06 0.00
93654   2 0 2 0.00 1,411.05 0.00
93654   3 0 2 0.00 1,411.05 0.00
93654   4 0 2 0.00 1,411.05 0.00
93655   1 ZZZ 0 0.00 588.12 0.00
93655   2 ZZZ 0 0.00 528.65 0.00
93655   3 ZZZ 0 0.00 528.65 0.00
93655   4 ZZZ 0 0.00 528.65 0.00
93656   1 0 2 0.00 1,570.48 0.00
93656   2 0 2 0.00 1,411.53 0.00
93656   3 0 2 0.00 1,411.53 0.00
93656   4 0 2 0.00 1,411.53 0.00
93657   1 ZZZ 0 0.00 588.83 0.00
93657   2 ZZZ 0 0.00 529.15 0.00
93657   3 ZZZ 0 0.00 529.15 0.00
93657   4 ZZZ 0 0.00 529.15 0.00
93660     0 0 0.00 * 0.00
93662   1 ZZZ 0 0.00 621.91 0.00
93662   2 ZZZ 0 0.00 541.55 0.00
93662   3 ZZZ 0 0.00 541.55 0.00
93662   4 ZZZ 0 0.00 541.55 0.00
93662 26 1 ZZZ 0 0.00 305.56 0.00
93662 26 2 ZZZ 0 0.00 280.38 0.00
93662 26 3 ZZZ 0 0.00 280.38 0.00
93662 26 4 ZZZ 0 0.00 280.38 0.00
93662 TC 1 ZZZ 0 0.00 316.34 0.00
93662 TC 2 ZZZ 0 0.00 261.17 0.00
93662 TC 3 ZZZ 0 0.00 261.17 0.00
93662 TC 4 ZZZ 0 0.00 261.17 0.00
93668     XXX 9 0.00 * 0.00
93701   1 XXX 0 0.00 68.34 0.00
93701   2 XXX 0 0.00 58.86 0.00
93701   3 XXX 0 0.00 58.86 0.00
93701   4 XXX 0 0.00 58.86 0.00
93701 26 1 XXX 0 0.00 17.13 0.00
93701 26 2 XXX 0 0.00 15.62 0.00
93701 26 3 XXX 0 0.00 15.62 0.00
93701 26 4 XXX 0 0.00 15.62 0.00
93701 TC 1 XXX 0 0.00 51.20 0.00
93701 TC 2 XXX 0 0.00 43.27 0.00
93701 TC 3 XXX 0 0.00 43.27 0.00
93701 TC 4 XXX 0 0.00 43.27 0.00
93702   1 XXX 6 0.00 155.73 0.00
93702   2 XXX 6 0.00 133.05 0.00
93702   3 XXX 6 0.00 133.05 0.00
93702   4 XXX 6 0.00 133.05 0.00
93724   1 0 0 0.00 996.19 0.00
93724   2 0 0 0.00 982.52 0.00
93724   3 0 0 0.00 925.45 0.00
93724   4 0 0 0.00 913.44 0.00
93724 26 1 0 0 0.00 655.84 0.00
93724 26 2 0 0 0.00 648.59 0.00
93724 26 3 0 0 0.00 618.41 0.00
93724 26 4 0 0 0.00 611.26 0.00
93724 TC 1 0 0 0.00 340.39 0.00
93724 TC 2 0 0 0.00 333.97 0.00
93724 TC 3 0 0 0.00 306.96 0.00
93724 TC 4 0 0 0.00 302.19 0.00
93740   1 XXX 9 0.00 * 0.00
93740   2 XXX 9 0.00 * 0.00
93740   3 XXX 9 0.00 * 0.00
93740   4 XXX 9 0.00 * 0.00
93740 26 1 XXX 9 0.00 40.50 0.00
93740 26 2 XXX 9 0.00 39.85 0.00
93740 26 3 XXX 9 0.00 37.16 0.00
93740 26 4 XXX 9 0.00 36.64 0.00
93740 TC 1 XXX 9 0.00 36.67 0.00
93740 TC 2 XXX 9 0.00 12.95 0.00
93740 TC 3 XXX 9 0.00 12.00 0.00
93740 TC 4 XXX 9 0.00 11.81 0.00
93745     XXX 0 0.00 * 0.00
93750   1 XXX 0 0.00 77.15 67.17
93750   2 XXX 0 0.00 70.83 62.40
93750   3 XXX 0 0.00 70.83 62.40
93750   4 XXX 0 0.00 70.83 62.40
93770   1 XXX 9 0.00 31.27 0.00
93770   2 XXX 9 0.00 45.95 0.00
93770   3 XXX 9 0.00 42.52 0.00
93770   4 XXX 9 0.00 28.55 0.00
93770 26 1 XXX 9 0.00 28.86 0.00
93770 26 2 XXX 9 0.00 72.62 0.00
93770 26 3 XXX 9 0.00 71.91 0.00
93770 26 4 XXX 9 0.00 26.38 0.00
93770 TC 1 XXX 9 0.00 2.38 0.00
93770 TC 2 XXX 9 0.00 2.37 0.00
93770 TC 3 XXX 9 0.00 2.23 0.00
93770 TC 4 XXX 9 0.00 2.22 0.00
93784     XXX 0 0.00 * 0.00
93786     XXX 0 0.00 * 0.00
93788     XXX 0 0.00 * 0.00
93790     XXX 0 0.00 * 0.00
93792   1 XXX 0 0.00 68.63 0.00
93792   2 XXX 0 0.00 59.67 0.00
93792   3 XXX 0 0.00 59.67 0.00
93792   4 XXX 0 0.00 59.67 0.00
93793   1 XXX 0 0.00 14.94 0.00
93793   2 XXX 0 0.00 13.77 0.00
93793   3 XXX 0 0.00 13.77 0.00
93793   4 XXX 0 0.00 13.77 0.00
93797   1 0 0 0.00 47.46 33.48
93797   2 0 0 0.00 46.87 33.16
93797   3 0 0 0.00 40.86 28.84
93797   4 0 0 0.00 37.44 26.41
93798   1 0 0 0.00 66.77 47.15
93798   2 0 0 0.00 65.87 46.43
93798   3 0 0 0.00 62.44 44.04
93798   4 0 0 0.00 59.92 42.30
93799     XXX 0 0.00 * 0.00
93880   1 XXX 0 0.00 522.72 0.00
93880   2 XXX 0 0.00 520.61 0.00
93880   3 XXX 0 0.00 508.59 0.00
93880   4 XXX 0 0.00 496.97 0.00
93880 26 1 XXX 0 0.00 227.58 0.00
93880 26 2 XXX 0 0.00 223.23 0.00
93880 26 3 XXX 0 0.00 225.75 0.00
93880 26 4 XXX 0 0.00 211.21 0.00
93880 TC 1 XXX 0 0.00 316.58 0.00
93880 TC 2 XXX 0 0.00 309.74 0.00
93880 TC 3 XXX 0 0.00 281.23 0.00
93880 TC 4 XXX 0 0.00 276.97 0.00
93882   1 XXX 0 0.00 503.41 0.00
93882   2 XXX 0 0.00 501.54 0.00
93882   3 XXX 0 0.00 490.52 0.00
93882   4 XXX 0 0.00 479.11 0.00
93882 26 1 XXX 0 0.00 208.29 0.00
93882 26 2 XXX 0 0.00 204.15 0.00
93882 26 3 XXX 0 0.00 207.67 0.00
93882 26 4 XXX 0 0.00 193.38 0.00
93882 TC 1 XXX 0 0.00 316.58 0.00
93882 TC 2 XXX 0 0.00 309.74 0.00
93882 TC 3 XXX 0 0.00 281.23 0.00
93882 TC 4 XXX 0 0.00 276.97 0.00
93886   1 XXX 0 0.00 455.36 0.00
93886   2 XXX 0 0.00 446.71 0.00
93886   3 XXX 0 0.00 410.44 0.00
93886   4 XXX 0 0.00 404.70 0.00
93886 26 1 XXX 0 0.00 138.79 0.00
93886 26 2 XXX 0 0.00 136.95 0.00
93886 26 3 XXX 0 0.00 129.25 0.00
93886 26 4 XXX 0 0.00 127.73 0.00
93886 TC 1 XXX 0 0.00 316.58 0.00
93886 TC 2 XXX 0 0.00 309.74 0.00
93886 TC 3 XXX 0 0.00 281.23 0.00
93886 TC 4 XXX 0 0.00 276.97 0.00
93888   1 XXX 0 0.00 409.60 0.00
93888   2 XXX 0 0.00 401.69 0.00
93888   3 XXX 0 0.00 368.76 0.00
93888   4 XXX 0 0.00 363.51 0.00
93888 26 1 XXX 0 0.00 93.04 0.00
93888 26 2 XXX 0 0.00 91.93 0.00
93888 26 3 XXX 0 0.00 87.54 0.00
93888 26 4 XXX 0 0.00 86.57 0.00
93888 TC 1 XXX 0 0.00 316.58 0.00
93888 TC 2 XXX 0 0.00 309.74 0.00
93888 TC 3 XXX 0 0.00 281.23 0.00
93888 TC 4 XXX 0 0.00 276.97 0.00
93890   1 XXX 0 0.00 440.53 0.00
93890   2 XXX 0 0.00 366.97 0.00
93890   3 XXX 0 0.00 366.97 0.00
93890   4 XXX 0 0.00 366.97 0.00
93890 26 1 XXX 0 0.00 96.71 0.00
93890 26 2 XXX 0 0.00 88.72 0.00
93890 26 3 XXX 0 0.00 88.72 0.00
93890 26 4 XXX 0 0.00 88.72 0.00
93890 TC 1 XXX 0 0.00 343.80 0.00
93890 TC 2 XXX 0 0.00 278.24 0.00
93890 TC 3 XXX 0 0.00 278.24 0.00
93890 TC 4 XXX 0 0.00 278.24 0.00
93892   1 XXX 0 0.00 468.02 0.00
93892   2 XXX 0 0.00 391.31 0.00
93892   3 XXX 0 0.00 391.31 0.00
93892   4 XXX 0 0.00 391.31 0.00
93892 26 1 XXX 0 0.00 110.47 0.00
93892 26 2 XXX 0 0.00 101.58 0.00
93892 26 3 XXX 0 0.00 101.58 0.00
93892 26 4 XXX 0 0.00 101.58 0.00
93892 TC 1 XXX 0 0.00 357.58 0.00
93892 TC 2 XXX 0 0.00 289.72 0.00
93892 TC 3 XXX 0 0.00 289.72 0.00
93892 TC 4 XXX 0 0.00 289.72 0.00
93893   1 XXX 0 0.00 459.05 0.00
93893   2 XXX 0 0.00 383.83 0.00
93893   3 XXX 0 0.00 383.83 0.00
93893   4 XXX 0 0.00 383.83 0.00
93893 26 1 XXX 0 0.00 110.47 0.00
93893 26 2 XXX 0 0.00 101.58 0.00
93893 26 3 XXX 0 0.00 101.58 0.00
93893 26 4 XXX 0 0.00 101.58 0.00
93893 TC 1 XXX 0 0.00 348.62 0.00
93893 TC 2 XXX 0 0.00 282.26 0.00
93893 TC 3 XXX 0 0.00 282.26 0.00
93893 TC 4 XXX 0 0.00 282.26 0.00
93895     XXX 6 0.00 * 0.00
93922   1 XXX 0 0.00 287.92 0.00
93922   2 XXX 0 0.00 301.74 0.00
93922   3 XXX 0 0.00 308.76 0.00
93922   4 XXX 0 0.00 264.29 0.00
93922 26 1 XXX 0 0.00 155.15 0.00
93922 26 2 XXX 0 0.00 139.65 0.00
93922 26 3 XXX 0 0.00 153.64 0.00
93922 26 4 XXX 0 0.00 144.76 0.00
93922 TC 1 XXX 0 0.00 190.18 0.00
93922 TC 2 XXX 0 0.00 185.09 0.00
93922 TC 3 XXX 0 0.00 93.77 0.00
93922 TC 4 XXX 0 0.00 92.37 0.00
93923   1 XXX 0 0.00 333.47 0.00
93923   2 XXX 0 0.00 346.41 0.00
93923   3 XXX 0 0.00 349.51 0.00
93923   4 XXX 0 0.00 304.49 0.00
93923 26 1 XXX 0 0.00 169.71 0.00
93923 26 2 XXX 0 0.00 153.98 0.00
93923 26 3 XXX 0 0.00 166.96 0.00
93923 26 4 XXX 0 0.00 157.87 0.00
93923 TC 1 XXX 0 0.00 221.20 0.00
93923 TC 2 XXX 0 0.00 215.41 0.00
93923 TC 3 XXX 0 0.00 177.07 0.00
93923 TC 4 XXX 0 0.00 174.40 0.00
93924   1 XXX 0 0.00 334.01 0.00
93924   2 XXX 0 0.00 352.99 0.00
93924   3 XXX 0 0.00 354.07 0.00
93924   4 XXX 0 0.00 317.59 0.00
93924 26 1 XXX 0 0.00 165.35 0.00
93924 26 2 XXX 0 0.00 160.96 0.00
93924 26 3 XXX 0 0.00 167.63 0.00
93924 26 4 XXX 0 0.00 149.52 0.00
93924 TC 1 XXX 0 0.00 218.98 0.00
93924 TC 2 XXX 0 0.00 214.08 0.00
93924 TC 3 XXX 0 0.00 193.57 0.00
93924 TC 4 XXX 0 0.00 190.64 0.00
93925   1 XXX 0 0.00 408.41 0.00
93925   2 XXX 0 0.00 400.39 0.00
93925   3 XXX 0 0.00 366.92 0.00
93925   4 XXX 0 0.00 361.60 0.00
93925 26 1 XXX 0 0.00 91.87 0.00
93925 26 2 XXX 0 0.00 90.66 0.00
93925 26 3 XXX 0 0.00 85.66 0.00
93925 26 4 XXX 0 0.00 84.61 0.00
93925 TC 1 XXX 0 0.00 316.58 0.00
93925 TC 2 XXX 0 0.00 309.74 0.00
93925 TC 3 XXX 0 0.00 281.23 0.00
93925 TC 4 XXX 0 0.00 276.97 0.00
93926   1 XXX 0 0.00 362.70 0.00
93926   2 XXX 0 0.00 355.20 0.00
93926   3 XXX 0 0.00 324.04 0.00
93926   4 XXX 0 0.00 319.27 0.00
93926 26 1 XXX 0 0.00 46.12 0.00
93926 26 2 XXX 0 0.00 45.50 0.00
93926 26 3 XXX 0 0.00 42.85 0.00
93926 26 4 XXX 0 0.00 42.31 0.00
93926 TC 1 XXX 0 0.00 316.58 0.00
93926 TC 2 XXX 0 0.00 309.74 0.00
93926 TC 3 XXX 0 0.00 281.23 0.00
93926 TC 4 XXX 0 0.00 276.97 0.00
93930   1 XXX 0 0.00 392.79 0.00
93930   2 XXX 0 0.00 384.95 0.00
93930   3 XXX 0 0.00 352.37 0.00
93930   4 XXX 0 0.00 347.24 0.00
93930 26 1 XXX 0 0.00 76.24 0.00
93930 26 2 XXX 0 0.00 75.20 0.00
93930 26 3 XXX 0 0.00 71.17 0.00
93930 26 4 XXX 0 0.00 70.36 0.00
93930 TC 1 XXX 0 0.00 316.58 0.00
93930 TC 2 XXX 0 0.00 309.74 0.00
93930 TC 3 XXX 0 0.00 281.23 0.00
93930 TC 4 XXX 0 0.00 276.97 0.00
93931   1 XXX 0 0.00 354.31 0.00
93931   2 XXX 0 0.00 346.95 0.00
93931   3 XXX 0 0.00 316.36 0.00
93931   4 XXX 0 0.00 311.68 0.00
93931 26 1 XXX 0 0.00 37.69 0.00
93931 26 2 XXX 0 0.00 37.23 0.00
93931 26 3 XXX 0 0.00 35.18 0.00
93931 26 4 XXX 0 0.00 34.75 0.00
93931 TC 1 XXX 0 0.00 316.58 0.00
93931 TC 2 XXX 0 0.00 309.74 0.00
93931 TC 3 XXX 0 0.00 281.23 0.00
93931 TC 4 XXX 0 0.00 276.97 0.00
93970   1 XXX 0 0.00 425.30 0.00
93970   2 XXX 0 0.00 416.94 0.00
93970   3 XXX 0 0.00 382.15 0.00
93970   4 XXX 0 0.00 376.71 0.00
93970 26 1 XXX 0 0.00 108.73 0.00
93970 26 2 XXX 0 0.00 107.18 0.00
93970 26 3 XXX 0 0.00 100.96 0.00
93970 26 4 XXX 0 0.00 99.75 0.00
93970 TC 1 XXX 0 0.00 316.58 0.00
93970 TC 2 XXX 0 0.00 309.74 0.00
93970 TC 3 XXX 0 0.00 281.23 0.00
93970 TC 4 XXX 0 0.00 276.97 0.00
93971   1 XXX 0 0.00 370.68 0.00
93971   2 XXX 0 0.00 363.14 0.00
93971   3 XXX 0 0.00 331.69 0.00
93971   4 XXX 0 0.00 326.86 0.00
93971 26 1 XXX 0 0.00 54.12 0.00
93971 26 2 XXX 0 0.00 53.45 0.00
93971 26 3 XXX 0 0.00 50.51 0.00
93971 26 4 XXX 0 0.00 49.88 0.00
93971 TC 1 XXX 0 0.00 316.58 0.00
93971 TC 2 XXX 0 0.00 309.74 0.00
93971 TC 3 XXX 0 0.00 281.23 0.00
93971 TC 4 XXX 0 0.00 276.97 0.00
93975   1 XXX 0 0.00 540.70 0.00
93975   2 XXX 0 0.00 531.36 0.00
93975   3 XXX 0 0.00 492.61 0.00
93975   4 XXX 0 0.00 485.99 0.00
93975 26 1 XXX 0 0.00 224.17 0.00
93975 26 2 XXX 0 0.00 221.64 0.00
93975 26 3 XXX 0 0.00 211.40 0.00
93975 26 4 XXX 0 0.00 209.06 0.00
93975 TC 1 XXX 0 0.00 316.58 0.00
93975 TC 2 XXX 0 0.00 309.74 0.00
93975 TC 3 XXX 0 0.00 281.23 0.00
93975 TC 4 XXX 0 0.00 276.97 0.00
93976   1 XXX 0 0.00 428.85 0.00
93976   2 XXX 0 0.00 420.77 0.00
93976   3 XXX 0 0.00 387.31 0.00
93976   4 XXX 0 0.00 381.91 0.00
93976 26 1 XXX 0 0.00 112.26 0.00
93976 26 2 XXX 0 0.00 111.02 0.00
93976 26 3 XXX 0 0.00 106.11 0.00
93976 26 4 XXX 0 0.00 104.93 0.00
93976 TC 1 XXX 0 0.00 316.58 0.00
93976 TC 2 XXX 0 0.00 309.74 0.00
93976 TC 3 XXX 0 0.00 281.23 0.00
93976 TC 4 XXX 0 0.00 276.97 0.00
93978   1 XXX 0 0.00 419.26 0.00
93978   2 XXX 0 0.00 411.09 0.00
93978   3 XXX 0 0.00 376.83 0.00
93978   4 XXX 0 0.00 371.41 0.00
93978 26 1 XXX 0 0.00 102.72 0.00
93978 26 2 XXX 0 0.00 101.31 0.00
93978 26 3 XXX 0 0.00 95.61 0.00
93978 26 4 XXX 0 0.00 94.49 0.00
93978 TC 1 XXX 0 0.00 316.58 0.00
93978 TC 2 XXX 0 0.00 309.74 0.00
93978 TC 3 XXX 0 0.00 281.23 0.00
93978 TC 4 XXX 0 0.00 276.97 0.00
93979   1 XXX 0 0.00 369.12 0.00
93979   2 XXX 0 0.00 361.60 0.00
93979   3 XXX 0 0.00 330.15 0.00
93979   4 XXX 0 0.00 325.33 0.00
93979 26 1 XXX 0 0.00 52.55 0.00
93979 26 2 XXX 0 0.00 51.83 0.00
93979 26 3 XXX 0 0.00 48.96 0.00
93979 26 4 XXX 0 0.00 48.35 0.00
93979 TC 1 XXX 0 0.00 316.58 0.00
93979 TC 2 XXX 0 0.00 309.74 0.00
93979 TC 3 XXX 0 0.00 281.23 0.00
93979 TC 4 XXX 0 0.00 276.97 0.00
93980   1 XXX 0 0.00 539.08 0.00
93980   2 XXX 0 0.00 529.89 0.00
93980   3 XXX 0 0.00 491.64 0.00
93980   4 XXX 0 0.00 485.08 0.00
93980 26 1 XXX 0 0.00 222.45 0.00
93980 26 2 XXX 0 0.00 220.12 0.00
93980 26 3 XXX 0 0.00 210.48 0.00
93980 26 4 XXX 0 0.00 208.12 0.00
93980 TC 1 XXX 0 0.00 316.58 0.00
93980 TC 2 XXX 0 0.00 309.74 0.00
93980 TC 3 XXX 0 0.00 281.23 0.00
93980 TC 4 XXX 0 0.00 276.97 0.00
93981   1 XXX 0 0.00 380.27 0.00
93981   2 XXX 0 0.00 372.93 0.00
93981   3 XXX 0 0.00 342.19 0.00
93981   4 XXX 0 0.00 337.31 0.00
93981 26 1 XXX 0 0.00 87.77 0.00
93981 26 2 XXX 0 0.00 86.83 0.00
93981 26 3 XXX 0 0.00 82.74 0.00
93981 26 4 XXX 0 0.00 81.77 0.00
93981 TC 1 XXX 0 0.00 292.53 0.00
93981 TC 2 XXX 0 0.00 286.15 0.00
93981 TC 3 XXX 0 0.00 259.48 0.00
93981 TC 4 XXX 0 0.00 255.56 0.00
93990   1 XXX 0 0.00 354.31 0.00
93990   2 XXX 0 0.00 346.95 0.00
93990   3 XXX 0 0.00 316.36 0.00
93990   4 XXX 0 0.00 311.68 0.00
93990 26 1 XXX 0 0.00 37.69 0.00
93990 26 2 XXX 0 0.00 37.23 0.00
93990 26 3 XXX 0 0.00 35.18 0.00
93990 26 4 XXX 0 0.00 34.75 0.00
93990 TC 1 XXX 0 0.00 316.58 0.00
93990 TC 2 XXX 0 0.00 309.74 0.00
93990 TC 3 XXX 0 0.00 281.23 0.00
93990 TC 4 XXX 0 0.00 276.97 0.00
93998     XXX 0 0.00 * 0.00
94002   1 XXX 0 0.00 126.77 0.00
94002   2 XXX 0 0.00 117.90 0.00
94002   3 XXX 0 0.00 117.90 0.00
94002   4 XXX 0 0.00 117.90 0.00
94003   1 XXX 0 0.00 92.81 0.00
94003   2 XXX 0 0.00 85.68 0.00
94003   3 XXX 0 0.00 85.68 0.00
94003   4 XXX 0 0.00 85.68 0.00
94004   1 XXX 0 0.00 67.54 0.00
94004   2 XXX 0 0.00 62.46 0.00
94004   3 XXX 0 0.00 62.46 0.00
94004   4 XXX 0 0.00 62.46 0.00
94005     XXX 9 0.00 * 0.00