Part B Fee Schedules

Fee Schedule 63287-64766

CPT/HCPC Code	Medicare Location	Global Surgery Indicator	Multiple Surgery Indicator	Prevailing Charge Amount	Fee Schedule Amount	Site of Service Amount
63287	001	90	2	X	7,337.17	X
63287	004	90	2	X	6,680.00	X
63287	002	90	2	X	6,231.87	X
63287	003	90	2	X	6,757.80	X
63290	001	90	2	X	7,581.00	X
63290	004	90	2	X	6,900.82	X
63290	003	90	2	X	6,981.74	X
63290	002	90	2	X	7,464.12	X
63295	004	ZZZ	0	X	637.26	X
63295	001	ZZZ	0	X	723.81	X
63295	003	ZZZ	0	X	637.26	X
63295	002	ZZZ	0	X	637.26	X
63300	002	90	2	X	6,585.33	X
63300	003	90	2	X	6,475.89	X
63300	004	90	2	X	4,340.21	X
63300	001	90	2	X	6,611.81	X
63301	004	90	2	X	4,867.74	X
63301	001	90	2	X	5,360.99	X
63301	003	90	2	X	4,923.87	X
63301	002	90	2	X	5,275.67	X
63302	003	90	2	X	6,784.75	X
63302	002	90	2	X	6,928.66	X
63302	004	90	2	X	5,153.24	X
63302	001	90	2	X	5,640.88	X
63303	001	90	2	X	7,793.04	X
63303	002	90	2	X	5,620.56	X
63303	003	90	2	X	5,268.98	X
63303	004	90	2	X	5,209.43	X
63304	001	90	2	X	5,821.48	X
63304	003	90	2	X	5,419.78	X
63304	002	90	2	X	5,743.23	X
63304	004	90	2	X	5,355.65	X
63305	001	90	2	X	6,305.32	X
63305	002	90	2	X	7,989.04	X
63305	003	90	2	X	5,813.92	X
63305	004	90	2	X	5,746.57	X
63306	004	90	2	X	5,717.93	X
63306	001	90	2	X	6,214.58	X
63306	002	90	2	X	6,131.24	X
63306	003	90	2	X	5,786.32	X
63307	001	90	2	X	6,387.18	X
63307	004	90	2	X	5,857.73	X
63307	003	90	2	X	5,928.46	X
63307	002	90	2	X	6,297.95	X
63308	001	ZZZ	0	X	1,140.42	X
63308	004	ZZZ	0	X	1,036.42	X
63308	002	ZZZ	0	X	1,122.46	X
63308	003	ZZZ	0	X	1,048.54	X
63600	001	90	2	X	2,846.99	X
63600	002	90	2	X	2,950.74	X
63600	003	90	2	X	2,770.21	X
63600	004	90	2	X	2,553.34	X
63610		0	2	X	*	X
63620	004	90	0	X	1,290.15	X
63620	001	90	0	X	1,468.75	X
63620	003	90	0	X	1,290.15	X
63620	002	90	0	X	1,290.15	X
63621	002	ZZZ	0	X	408.17	X
63621	003	ZZZ	0	X	408.17	X
63621	004	ZZZ	0	X	408.17	X
63621	001	ZZZ	0	X	458.20	X
63650	002	10	2	X	2,128.42	X
63650	003	10	2	X	1,788.71	X
63650	004	10	2	X	1,767.14	X
63650	001	10	2	X	2,146.31	X
63655	002	90	2	X	3,469.14	X
63655	003	90	2	X	3,159.70	X
63655	001	90	2	X	3,543.91	X
63655	004	90	2	X	3,120.10	X
63661	001	10	2	X	1,012.92	554.46
63661	004	10	2	X	898.16	511.61
63661	002	10	2	X	898.16	511.61
63661	003	10	2	X	898.16	511.61
63662	004	90	2	X	1,183.50	X
63662	001	90	2	X	1,313.29	X
63662	003	90	2	X	1,183.50	X
63662	002	90	2	X	1,183.50	X
63663	002	10	2	X	1,338.77	797.33
63663	003	10	2	X	1,338.77	797.33
63663	004	10	2	X	1,338.77	797.33
63663	001	10	2	X	1,524.16	882.03
63664	003	90	2	X	1,233.06	X
63664	002	90	2	X	1,233.06	X
63664	004	90	2	X	1,233.06	X
63664	001	90	2	X	1,367.96	X
63685	001	10	2	X	1,742.06	X
63685	003	10	2	X	1,633.94	X
63685	002	10	2	X	1,710.00	X
63685	004	10	2	X	1,558.46	X
63688	004	10	2	X	1,263.19	X
63688	001	10	2	X	1,226.10	X
63688	003	10	2	X	1,278.69	X
63688	002	10	2	X	1,210.33	X
63700	004	90	2	X	3,187.03	X
63700	002	90	2	X	3,449.20	X
63700	003	90	2	X	3,229.89	X
63700	001	90	2	X	3,555.52	X
63702	001	90	2	X	3,999.88	X
63702	004	90	2	X	3,585.59	X
63702	002	90	2	X	3,880.30	X
63702	003	90	2	X	3,633.76	X
63704	001	90	2	X	4,443.38	X
63704	004	90	2	X	3,983.03	X
63704	002	90	2	X	4,310.49	X
63704	003	90	2	X	4,036.48	X
63706	004	90	2	X	4,581.35	X
63706	001	90	2	X	5,110.62	X
63706	003	90	2	X	4,642.86	X
63706	002	90	2	X	4,957.84	X
63707	004	90	2	X	4,467.49	X
63707	002	90	2	X	4,120.10	X
63707	003	90	2	X	4,416.46	X
63707	001	90	2	X	4,456.07	X
63709	001	90	2	X	4,503.27	X
63709	004	90	2	X	4,436.47	X
63709	002	90	2	X	4,627.08	X
63709	003	90	2	X	3,489.89	X
63710	001	90	2	X	2,753.91	X
63710	003	90	2	X	2,542.60	X
63710	002	90	2	X	2,712.63	X
63710	004	90	2	X	2,513.18	X
63740	001	90	2	X	3,478.42	X
63740	004	90	2	X	2,892.59	X
63740	002	90	2	X	3,451.55	X
63740	003	90	2	X	3,340.47	X
63741	002	90	2	X	2,368.62	X
63741	003	90	2	X	2,164.68	X
63741	001	90	2	X	2,418.00	X
63741	004	90	2	X	2,138.21	X
63744	001	90	2	X	3,136.47	X
63744	003	90	2	X	3,000.39	X
63744	002	90	2	X	2,990.29	X
63744	004	90	2	X	1,714.13	X
63746	001	90	2	X	1,396.26	X
63746	003	90	2	X	1,271.34	X
63746	002	90	2	X	2,703.00	X
63746	004	90	2	X	1,256.35	X
64400	004	0	2	X	154.26	134.38
64400	002	0	2	X	144.75	125.28
64400	003	0	2	X	151.21	131.57
64400	001	0	2	X	165.43	143.05
64405	004	0	2	X	200.25	170.55
64405	002	0	2	X	180.96	154.14
64405	003	0	2	X	205.65	175.14
64405	001	0	2	X	201.94	171.61
64408	002	0	2	X	228.52	X
64408	003	0	2	X	250.38	X
64408	001	0	2	X	231.58	X
64408	004	0	2	X	247.44	X
64415	004	0	2	X	167.84	X
64415	003	0	2	X	168.96	X
64415	002	0	2	X	170.55	X
64415	001	0	2	X	172.97	X
64416	004	0	2	X	344.44	X
64416	001	0	2	X	368.28	X
64416	003	0	2	X	344.44	X
64416	002	0	2	X	344.44	X
64417	003	0	2	X	201.38	X
64417	001	0	2	X	209.37	X
64417	002	0	2	X	214.56	X
64417	004	0	2	X	206.25	X
64418	003	0	2	X	193.28	160.09
64418	002	0	2	X	200.06	165.45
64418	001	0	2	X	202.33	167.54
64418	004	0	2	X	191.83	158.44
64420	001	0	2	X	211.21	X
64420	003	0	2	X	185.12	X
64420	002	0	2	X	194.80	X
64420	004	0	2	X	202.87	X
64421	003	ZZZ	0	X	263.02	X
64421	002	ZZZ	0	X	279.50	X
64421	004	ZZZ	0	X	288.11	X
64421	001	ZZZ	0	X	283.50	X
64425	001	0	2	X	235.63	207.93
64425	004	0	2	X	185.14	164.04
64425	002	0	2	X	228.11	202.14
64425	003	0	2	X	238.47	211.13
64430	003	0	2	X	239.52	X
64430	002	0	2	X	272.57	X
64430	004	0	2	X	236.88	X
64430	001	0	2	X	279.13	X
64435	004	0	2	X	209.87	X
64435	002	0	2	X	199.36	X
64435	001	0	2	X	216.60	X
64435	003	0	2	X	192.93	X
64445	002	0	2	X	178.59	159.58
64445	003	0	2	X	187.40	167.23
64445	001	0	2	X	194.80	173.59
64445	004	0	2	X	189.88	169.90
64446	002	0	2	X	354.59	X
64446	003	0	2	X	354.59	X
64446	001	0	2	X	383.05	X
64446	004	0	2	X	354.59	X
64447	003	0	2	X	165.51	X
64447	001	0	2	X	180.82	X
64447	002	0	2	X	165.51	X
64447	004	0	2	X	165.51	X
64448	001	0	2	X	352.37	X
64448	003	0	2	X	325.99	X
64448	002	0	2	X	325.99	X
64448	004	0	2	X	325.99	X
64449	001	0	2	X	345.92	X
64449	004	0	2	X	322.61	X
64449	002	0	2	X	322.61	X
64449	003	0	2	X	322.61	X
64450	004	0	2	X	170.96	149.01
64450	002	0	2	X	192.08	167.71
64450	003	0	2	X	181.08	157.86
64450	001	0	2	X	184.63	160.50
64451	001	0	2	X	320.31	120.74
64451	004	0	2	X	284.99	111.68
64451	002	0	2	X	284.99	111.68
64451	003	0	2	X	284.99	111.68
64454	003	0	2	X	287.79	114.95
64454	002	0	2	X	287.79	114.95
64454	001	0	2	X	323.55	124.53
64454	004	0	2	X	287.79	114.95
64455	003	0	2	X	85.79	69.07
64455	002	0	2	X	85.79	69.07
64455	001	0	2	X	95.44	75.58
64455	004	0	2	X	85.79	69.07
64461	003	0	2	X	222.12	134.05
64461	002	0	2	X	222.12	134.05
64461	004	0	2	X	222.12	134.05
64461	001	0	2	X	246.58	143.51
64462	002	ZZZ	0	X	126.26	84.50
64462	003	ZZZ	0	X	126.26	84.50
64462	001	ZZZ	0	X	139.35	90.51
64462	004	ZZZ	0	X	126.26	84.50
64463	003	0	2	X	241.11	130.15
64463	002	0	2	X	241.11	130.15
64463	004	0	2	X	241.11	130.15
64463	001	0	2	X	268.17	138.34
64479	001	0	2	X	579.66	272.01
64479	004	0	2	X	512.66	249.64
64479	002	0	2	X	512.66	249.64
64479	003	0	2	X	512.66	249.64
64480	004	ZZZ	0	X	460.19	172.95
64480	001	ZZZ	0	X	524.44	188.45
64480	003	ZZZ	0	X	460.19	172.95
64480	002	ZZZ	0	X	460.19	172.95
64483	001	0	2	X	534.99	231.18
64483	004	0	2	X	473.23	213.45
64483	002	0	2	X	473.23	213.45
64483	003	0	2	X	473.23	213.45
64484	003	ZZZ	0	X	434.34	149.57
64484	002	ZZZ	0	X	434.34	149.57
64484	001	ZZZ	0	X	496.34	163.23
64484	004	ZZZ	0	X	434.34	149.57
64486	002	0	2	X	188.22	100.74
64486	003	0	2	X	188.22	100.74
64486	004	0	2	X	188.22	100.74
64486	001	0	2	X	210.25	107.91
64487	004	0	2	X	229.94	115.76
64487	002	0	2	X	229.94	115.76
64487	003	0	2	X	229.94	115.76
64487	001	0	2	X	257.35	123.78
64488	001	0	2	X	258.02	133.65
64488	003	0	2	X	231.46	125.13
64488	002	0	2	X	231.46	125.13
64488	004	0	2	X	231.46	125.13
64489	004	0	2	X	320.27	139.56
64489	002	0	2	X	320.27	139.56
64489	003	0	2	X	320.27	139.56
64489	001	0	2	X	360.34	148.94
64490	002	0	2	X	307.21	185.42
64490	003	0	2	X	307.21	185.42
64490	004	0	2	X	307.21	185.42
64490	001	0	2	X	348.52	204.13
64491	001	ZZZ	0	X	175.03	116.86
64491	003	ZZZ	0	X	156.08	107.04
64491	002	ZZZ	0	X	156.08	107.04
64491	004	ZZZ	0	X	156.08	107.04
64492	001	ZZZ	0	X	177.15	118.97
64492	004	ZZZ	0	X	157.86	108.80
64492	003	ZZZ	0	X	157.86	108.80
64492	002	ZZZ	0	X	157.86	108.80
64493	004	0	2	X	274.28	157.24
64493	001	0	2	X	311.96	173.14
64493	003	0	2	X	274.28	157.24
64493	002	0	2	X	274.28	157.24
64494	002	ZZZ	0	X	141.58	91.36
64494	003	ZZZ	0	X	141.58	91.36
64494	001	ZZZ	0	X	159.08	99.48
64494	004	ZZZ	0	X	141.58	91.36
64495	001	ZZZ	0	X	161.18	101.60
64495	004	ZZZ	0	X	143.34	93.11
64495	003	ZZZ	0	X	143.34	93.11
64495	002	ZZZ	0	X	143.34	93.11
64505	002	0	2	X	183.13	157.45
64505	003	0	2	X	189.88	164.36
64505	004	0	2	X	200.02	172.95
64505	001	0	2	X	203.65	175.39
64510	004	0	2	X	268.14	X
64510	001	0	2	X	280.10	X
64510	003	0	2	X	265.45	X
64510	002	0	2	X	270.45	X
64517	001	0	2	X	436.18	274.16
64517	004	0	2	X	389.91	252.17
64517	003	0	2	X	389.91	252.17
64517	002	0	2	X	389.91	252.17
64520	003	0	2	X	274.12	X
64520	002	0	2	X	235.25	X
64520	004	0	2	X	274.02	X
64520	001	0	2	X	243.12	X
64530	002	0	2	X	340.84	X
64530	003	0	2	X	296.11	X
64530	004	0	2	X	292.77	X
64530	001	0	2	X	312.07	X
64553		10	2	X	*	X
64555	001	10	2	X	791.87	X
64555	004	10	2	X	266.82	X
64555	003	10	2	X	819.00	X
64555	002	10	2	X	757.00	X
64561	001	10	2	X	1,944.39	920.18
64561	004	10	2	X	1,715.85	844.45
64561	003	10	2	X	1,715.85	844.45
64561	002	10	2	X	1,715.85	844.45
64566	004	0	2	X	217.71	51.90
64566	001	0	2	X	243.31	55.68
64566	003	0	2	X	217.71	51.90
64566	002	0	2	X	217.71	51.90
64568	001	90	2	X	1,216.68	X
64568	004	90	2	X	1,105.73	X
64568	003	90	2	X	1,105.73	X
64568	002	90	2	X	1,105.73	X
64569	003	90	2	X	1,113.30	X
64569	002	90	2	X	1,113.30	X
64569	004	90	2	X	1,113.30	X
64569	001	90	2	X	1,253.63	X
64570	001	90	2	X	1,121.59	X
64570	004	90	2	X	982.82	X
64570	002	90	2	X	982.82	X
64570	003	90	2	X	982.82	X
64575	003	90	2	X	808.07	X
64575	002	90	2	X	857.03	X
64575	004	90	2	X	798.64	X
64575	001	90	2	X	868.90	X
64580		90	2	X	*	X
64581	001	90	2	X	1,775.28	X
64581	004	90	2	X	1,628.60	X
64581	002	90	2	X	1,628.60	X
64581	003	90	2	X	1,628.60	X
64582	002	90	2	X	1,034.80	X
64582	003	90	2	X	1,034.80	X
64582	004	90	2	X	1,034.80	X
64582	001	90	2	X	1,137.52	X
64583	001	90	2	X	1,023.40	X
64583	004	90	2	X	948.66	X
64583	003	90	2	X	948.66	X
64583	002	90	2	X	948.66	X
64584	004	90	2	X	798.92	X
64584	001	90	2	X	862.86	X
64584	002	90	2	X	798.92	X
64584	003	90	2	X	798.92	X
64585	002	10	2	X	336.75	X
64585	003	10	2	X	321.35	X
64585	004	10	2	X	317.70	X
64585	001	10	2	X	340.51	X
64590	001	10	2	X	516.56	X
64590	003	10	2	X	474.17	X
64590	002	10	2	X	508.34	X
64590	004	10	2	X	468.68	X
64595	004	10	2	X	310.88	X
64595	002	10	2	X	335.73	X
64595	003	10	2	X	314.43	X
64595	001	10	2	X	340.96	X
64596		10	2	X	#	X
64597		ZZZ	0	X	#	X
64598		10	2	X	#	X
64600	004	10	2	X	766.18	X
64600	001	10	2	X	781.88	X
64600	003	10	2	X	752.80	X
64600	002	10	2	X	649.47	X
64605	001	10	2	X	1,184.75	X
64605	004	10	2	X	726.12	X
64605	003	10	2	X	733.64	X
64605	002	10	2	X	770.95	X
64610	004	10	2	X	2,124.00	X
64610	001	10	2	X	2,194.29	X
64610	003	10	2	X	2,131.60	X
64610	002	10	2	X	2,148.46	X
64611	003	10	2	X	172.57	156.66
64611	002	10	2	X	172.57	156.66
64611	004	10	2	X	172.57	156.66
64611	001	10	2	X	194.55	176.54
64612	001	10	2	X	395.91	X
64612	004	10	2	X	364.30	X
64612	003	10	2	X	368.67	X
64612	002	10	2	X	390.64	X
64615	004	10	2	X	230.33	209.05
64615	003	10	2	X	230.33	209.05
64615	002	10	2	X	230.33	209.05
64615	001	10	2	X	262.90	238.22
64616	004	10	2	X	194.70	172.95
64616	001	10	2	X	219.17	193.87
64616	002	10	2	X	194.70	172.95
64616	003	10	2	X	194.70	172.95
64617	002	10	2	X	296.55	183.18
64617	003	10	2	X	296.55	183.18
64617	004	10	2	X	296.55	183.18
64617	001	10	2	X	332.28	200.16
64620	001	10	2	X	362.80	X
64620	004	10	2	X	386.90	X
64620	003	10	2	X	335.78	X
64620	002	10	2	X	330.39	X
64624	004	10	2	X	549.18	205.40
64624	002	10	2	X	549.18	205.40
64624	003	10	2	X	549.18	205.40
64624	001	10	2	X	619.44	223.55
64625	002	10	2	X	672.14	271.69
64625	003	10	2	X	672.14	271.69
64625	004	10	2	X	672.14	271.69
64625	001	10	2	X	756.35	295.21
64628	001	10	2	X	603.53	X
64628	004	10	2	X	546.92	X
64628	002	10	2	X	546.92	X
64628	003	10	2	X	546.92	X
64629	001	ZZZ	0	X	282.17	X
64629	004	ZZZ	0	X	256.94	X
64629	003	ZZZ	0	X	256.94	X
64629	002	ZZZ	0	X	256.94	X
64630	003	10	2	X	496.20	X
64630	002	10	2	X	530.44	X
64630	001	10	2	X	538.77	X
64630	004	10	2	X	490.79	X
64632	002	10	2	X	137.74	118.60
64632	003	10	2	X	137.74	118.60
64632	004	10	2	X	137.74	118.60
64632	001	10	2	X	151.27	128.55
64633	003	10	2	X	719.34	385.65
64633	002	10	2	X	719.34	385.65
64633	004	10	2	X	719.34	385.65
64633	001	10	2	X	808.31	421.26
64634	003	ZZZ	0	X	326.92	116.33
64634	002	ZZZ	0	X	326.92	116.33
64634	004	ZZZ	0	X	326.92	116.33
64634	001	ZZZ	0	X	370.20	125.94
64635	002	10	2	X	706.88	377.87
64635	003	10	2	X	706.88	377.87
64635	004	10	2	X	706.88	377.87
64635	001	10	2	X	794.16	412.59
64636	002	ZZZ	0	X	293.96	101.18
64636	003	ZZZ	0	X	293.96	101.18
64636	004	ZZZ	0	X	293.96	101.18
64636	001	ZZZ	0	X	332.89	109.29
64640	004	10	2	X	289.37	256.43
64640	001	10	2	X	303.02	267.75
64640	003	10	2	X	289.57	257.08
64640	002	10	2	X	298.53	263.29
64642	004	0	2	X	219.21	172.06
64642	002	0	2	X	219.21	172.06
64642	003	0	2	X	219.21	172.06
64642	001	0	2	X	245.25	190.32
64643	001	ZZZ	0	X	161.38	127.41
64643	004	ZZZ	0	X	145.03	115.87
64643	002	ZZZ	0	X	145.03	115.87
64643	003	ZZZ	0	X	145.03	115.87
64644	001	0	2	X	279.71	207.48
64644	003	0	2	X	249.82	187.81
64644	002	0	2	X	249.82	187.81
64644	004	0	2	X	249.82	187.81
64645	002	ZZZ	0	X	176.84	132.84
64645	003	ZZZ	0	X	176.84	132.84
64645	004	ZZZ	0	X	176.84	132.84
64645	001	ZZZ	0	X	197.46	146.24
64646	001	0	2	X	263.72	205.69
64646	004	0	2	X	235.97	186.11
64646	003	0	2	X	235.97	186.11
64646	002	0	2	X	235.97	186.11
64647	002	0	2	X	273.24	214.95
64647	003	0	2	X	273.24	214.95
64647	004	0	2	X	273.24	214.95
64647	001	0	2	X	305.18	237.27
64650	002	0	2	X	111.47	74.09
64650	003	0	2	X	111.47	74.09
64650	004	0	2	X	111.47	74.09
64650	001	0	2	X	127.60	81.84
64653	003	0	2	X	129.01	93.61
64653	001	0	2	X	146.91	103.57
64653	004	0	2	X	129.01	93.61
64653	002	0	2	X	129.01	93.61
64680	002	10	2	X	644.66	X
64680	003	10	2	X	637.96	X
64680	001	10	2	X	630.95	X
64680	004	10	2	X	439.03	X
64681	002	10	2	X	954.29	456.56
64681	003	10	2	X	954.29	456.56
64681	004	10	2	X	954.29	456.56
64681	001	10	2	X	1,084.87	499.82
64702	001	90	2	X	1,153.84	X
64702	004	90	2	X	1,052.27	X
64702	002	90	2	X	1,084.45	X
64702	003	90	2	X	1,043.97	X
64704	001	90	2	X	1,322.19	X
64704	004	90	2	X	1,167.09	X
64704	002	90	2	X	1,226.15	X
64704	003	90	2	X	1,098.57	X
64708	004	90	2	X	1,466.04	X
64708	002	90	2	X	1,604.65	X
64708	003	90	2	X	1,484.22	X
64708	001	90	2	X	1,633.80	X
64712	004	90	2	X	1,854.56	X
64712	002	90	2	X	2,041.04	X
64712	003	90	2	X	1,877.42	X
64712	001	90	2	X	2,071.68	X
64713	004	90	2	X	2,211.42	X
64713	002	90	2	X	2,405.45	X
64713	003	90	2	X	2,334.89	X
64713	001	90	2	X	2,446.06	X
64714	001	90	2	X	2,605.42	X
64714	002	90	2	X	1,954.86	X
64714	003	90	2	X	1,823.09	X
64714	004	90	2	X	1,802.88	X
64716	004	90	2	X	1,164.66	X
64716	002	90	2	X	1,255.66	X
64716	001	90	2	X	1,274.38	X
64716	003	90	2	X	1,178.60	X
64718	004	90	2	X	1,406.38	X
64718	001	90	2	X	1,522.47	X
64718	003	90	2	X	1,411.14	X
64718	002	90	2	X	1,495.90	X
64719	001	90	2	X	1,238.49	X
64719	004	90	2	X	1,130.03	X
64719	003	90	2	X	1,132.27	X
64719	002	90	2	X	1,214.97	X
64721	001	90	2	X	1,152.17	X
64721	004	90	2	X	1,053.21	X
64721	003	90	2	X	1,056.72	X
64721	002	90	2	X	1,141.08	X
64722	002	90	2	X	1,754.43	X
64722	003	90	2	X	1,587.86	X
64722	001	90	2	X	1,752.42	X
64722	004	90	2	X	1,497.71	X
64726	003	90	2	X	501.85	X
64726	002	90	2	X	519.92	X
64726	004	90	2	X	496.79	X
64726	001	90	2	X	524.30	X
64727	001	ZZZ	0	X	1,439.12	X
64727	004	ZZZ	0	X	1,407.04	X
64727	003	ZZZ	0	X	1,410.67	X
64727	002	ZZZ	0	X	1,433.55	X
64732	002	90	2	X	1,029.33	X
64732	003	90	2	X	1,012.64	X
64732	001	90	2	X	1,066.02	X
64732	004	90	2	X	945.70	X
64734	002	90	2	X	1,364.59	X
64734	003	90	2	X	1,334.10	X
64734	001	90	2	X	1,121.82	X
64734	004	90	2	X	1,019.04	X
64736	001	90	2	X	1,038.73	X
64736	003	90	2	X	965.99	X
64736	002	90	2	X	1,024.61	X
64736	004	90	2	X	953.97	X
64738	002	90	2	X	1,343.32	X
64738	003	90	2	X	1,157.63	X
64738	004	90	2	X	1,143.58	X
64738	001	90	2	X	1,660.08	X
64740	001	90	2	X	1,248.75	X
64740	004	90	2	X	1,141.06	X
64740	002	90	2	X	1,230.49	X
64740	003	90	2	X	1,155.07	X
64742	004	90	2	X	1,169.71	X
64742	002	90	2	X	1,250.87	X
64742	003	90	2	X	1,184.11	X
64742	001	90	2	X	1,267.05	X
64744	001	90	2	X	1,383.41	X
64744	003	90	2	X	1,255.17	X
64744	002	90	2	X	1,371.06	X
64744	004	90	2	X	1,240.01	X
64746	003	90	2	X	1,055.44	X
64746	002	90	2	X	1,137.49	X
64746	004	90	2	X	1,050.44	X
64746	001	90	2	X	1,155.67	X
64755	004	90	2	X	2,669.51	X
64755	002	90	2	X	2,908.95	X
64755	003	90	2	X	2,700.38	X
64755	001	90	2	X	3,234.03	X
64760	001	90	2	X	1,693.54	X
64760	002	90	2	X	1,661.89	X
64760	003	90	2	X	2,102.44	X
64760	004	90	2	X	1,513.37	X
64763	003	90	2	X	1,299.51	X
64763	002	90	2	X	1,390.94	X
64763	004	90	2	X	1,284.69	X
64763	001	90	2	X	1,413.06	X
64766	003	90	2	X	1,688.49	X
64766	001	90	2	X	1,838.02	X
64766	002	90	2	X	1,808.81	X
64766	004	90	2	X	1,668.90	X

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