fourth quarter 2016 dmepos/pen fee schedule revised ... · fourth quarter 2016 dmepos/pen fee...

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Fourth Quarter 2016 DMEPOS/PEN Fee Schedule Revised- Jurisdiction BRevised per CR 9968Inclusion or exclusion of a fee schedule amount for an item or service does not imply any health insurance coverage

Category KeyCR=Capped Rental ItemsFS=Frequently Serviced ItemsIN=Inexpensive and Other Routinely Purchased ItemsOS=Ostomy, Tracheostomy & Urological ItemsOX=Oxygen and Oxygen EquipmentPE=Parenteral and Enteral NutritionPO=Prosthetics & OrthoticsSD=Surgical DressingsSU=SuppliesTE=Transcutaneous Electrical Nerve StimulatorsTS=Therapeutic Shoes

HCPCS 1st Mod 2nd Mod CategoryFee

ScheduleRural Fee Indicator Rural Fee

Fee Schedule

Rural Fee Indicator Rural Fee

Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule


A4216 OS $0.42 $0.49 $0.44 $0.49 $0.49 $0.42 $0.49A4217 AU OS $3.47 $3.47 $2.95 $3.47 $3.47 $3.47 $3.47A4217 SU $3.47 $3.47 $2.95 $3.47 $3.47 $3.47 $3.47A4221 SU $22.21 $22.21 $22.21 $22.21 $22.21 $22.21 $22.21A4222 SU $43.24 $44.23 $44.23 $44.23 $44.23 $43.24 $44.23A4233 NU IN $0.51 $0.51 $0.51 $0.51 $0.51 $0.51 $0.51A4234 NU IN $2.36 $2.36 $2.36 $2.36 $2.36 $2.36 $2.36A4235 NU IN $1.00 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00A4236 NU IN $1.16 $1.16 $1.16 $1.16 $1.16 $1.16 $1.16A4253 NU IN $8.32 $8.32 $8.32 $8.32 $8.32 $8.32 $8.32A4255 SU $4.32 $4.55 $4.55 $4.47 $4.55 $4.32 $4.55A4256 SU $3.38 $3.38 $3.38 $3.38 $3.38 $3.38 $3.38A4257 SU $14.10 $14.10 $14.10 $14.10 $14.10 $14.10 $14.10A4258 SU $2.12 $2.12 $2.12 $2.12 $2.12 $2.12 $2.12A4259 SU $1.42 $1.42 $1.42 $1.42 $1.42 $1.42 $1.42A4265 SU $3.76 $3.76 $3.76 $3.76 $3.76 $3.76 $3.76A4280 PO $5.88 $5.88 $5.90 $5.88 $5.88 $5.88 $5.88A4310 OS $8.54 $8.54 $7.50 $8.54 $8.54 $8.54 $8.54A4311 OS $16.39 $16.39 $16.39 $16.39 $16.39 $16.39 $16.39A4312 OS $19.94 $19.94 $19.55 $19.94 $19.94 $19.94 $19.94A4313 OS $20.48 $20.48 $20.48 $17.41 $20.48 $20.48 $20.48A4314 OS $27.95 $27.95 $27.95 $27.95 $27.95 $27.95 $27.95A4315 OS $29.17 $29.17 $29.17 $29.17 $29.17 $29.17 $29.17A4316 OS $31.39 $31.39 $31.39 $31.39 $31.39 $31.39 $31.39A4320 OS $5.50 $5.77 $5.90 $5.44 $5.90 $5.26 $5.90A4322 OS $3.12 $3.32 $3.32 $3.37 $3.35 $3.21 $3.37A4326 OS $11.46 $11.93 $11.93 $10.35 $11.93 $11.46 $10.35A4327 OS $49.31 $49.31 $49.31 $49.31 $49.31 $46.72 $49.08A4328 OS $11.54 $11.54 $11.44 $11.50 $11.20 $10.47 $11.54A4330 OS $7.66 $6.72 $7.91 $7.91 $7.53 $6.72 $7.84A4331 OS $3.52 $3.52 $3.52 $3.52 $3.52 $3.52 $3.52A4332 OS $0.13 $0.13 $0.13 $0.13 $0.13 $0.13 $0.13A4333 OS $2.44 $2.44 $2.44 $2.44 $2.44 $2.44 $2.44A4334 OS $5.44 $5.44 $5.44 $5.44 $5.44 $5.44 $5.44A4336 OS $1.59 $1.59 $1.59 $1.59 $1.59 $1.59 $1.59A4338 OS $13.56 $13.56 $13.56 $13.56 $13.56 $13.56 $13.56A4340 OS $29.84 $29.84 $30.22 $29.84 $29.84 $29.84 $35.10A4344 OS $15.19 $17.70 $17.70 $17.70 $16.94 $17.70 $17.70A4346 OS $21.65 $21.65 $21.65 $21.65 $21.65 $21.65 $21.50A4349 OS $2.23 $2.23 $2.23 $2.23 $2.23 $2.23 $2.23A4351 OS $2.01 $1.71 $1.71 $2.01 $2.01 $1.89 $2.01A4352 OS $6.04 $6.04 $6.04 $6.04 $6.04 $6.04 $6.04

There are three columns under each state/territory listing (Fee Schedule, Rural Fee Indicator and Rural Fee). The Rural Fee applies to the HCPCS codes with the Rural Fee Indicator of "R" for the beneficiaries residing in the rural designated Zip codes for that state.

WISCONSINILLINOIS INDIANA KENTUCKY MICHIGAN MINNESOTA OHIO

Fourth Quarter 2016 DMEPOS/PEN Fee Schedule Revised - Jurisdiction BRevised per CR 9968Inclusion or exclusion of a fee schedule amount for an item or service does not imply any health insurance coverage




Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule



A4353 OS $7.73 $7.74 $7.74 $7.74 $7.74 $7.73 $7.74A4354 OS $13.05 $12.87 $13.05 $11.27 $13.05 $13.05 $12.87A4355 OS $9.86 $9.86 $9.86 $9.86 $9.86 $9.86 $9.86A4356 OS $50.44 $50.44 $50.44 $50.44 $50.44 $50.44 $50.44A4357 OS $10.73 $10.73 $9.12 $10.73 $10.73 $10.73 $10.73A4358 OS $7.33 $6.23 $6.23 $6.49 $7.22 $7.33 $7.33A4360 OS $0.54 $0.54 $0.54 $0.54 $0.54 $0.54 $0.54A4361 OS $20.31 $20.31 $20.31 $20.31 $20.31 $20.31 $20.31A4362 OS $3.26 $3.58 $3.51 $3.31 $3.75 $3.75 $3.26A4363 OS $2.62 $2.62 $2.23 $2.62 $2.62 $2.62 $2.50A4364 OS $2.76 $2.76 $3.25 $3.25 $3.25 $2.76 $2.76A4366 OS $1.43 $1.43 $1.43 $1.43 $1.43 $1.43 $1.43A4367 OS $7.83 $8.13 $8.13 $6.91 $8.13 $8.13 $8.13A4368 OS $0.28 $0.28 $0.28 $0.28 $0.28 $0.28 $0.28A4369 OS $2.68 $2.68 $2.68 $2.68 $2.68 $2.68 $2.68A4371 OS $4.03 $4.03 $4.03 $4.03 $4.03 $4.03 $4.03A4372 OS $4.64 $4.64 $4.64 $4.64 $4.64 $4.64 $4.64A4373 OS $6.93 $6.93 $6.93 $6.93 $6.93 $6.93 $6.93A4375 OS $18.99 $18.99 $18.99 $18.99 $18.99 $18.99 $18.99A4376 OS $52.61 $52.61 $52.61 $52.61 $52.61 $52.61 $52.61A4377 OS $4.75 $4.75 $4.75 $4.75 $4.75 $4.75 $4.75A4378 OS $33.98 $33.98 $33.98 $33.98 $33.98 $33.98 $33.98A4379 OS $16.60 $16.60 $16.60 $16.60 $16.60 $16.60 $16.60A4380 OS $41.26 $41.26 $41.26 $41.26 $41.26 $41.26 $41.26A4381 OS $5.11 $5.11 $5.11 $5.11 $5.11 $5.11 $5.11A4382 OS $27.21 $27.21 $27.21 $27.21 $27.21 $27.21 $27.21A4383 OS $31.16 $31.16 $31.16 $31.16 $31.16 $31.16 $31.16A4384 OS $10.63 $10.63 $10.63 $10.63 $10.63 $10.63 $10.63A4385 OS $5.64 $5.64 $5.64 $5.64 $5.64 $5.64 $5.64A4387 OS $2.48 $2.48 $2.48 $2.48 $2.48 $2.48 $2.48A4388 OS $4.83 $4.83 $4.83 $4.83 $4.83 $4.83 $4.83A4389 OS $6.87 $6.87 $6.87 $6.87 $6.87 $6.87 $6.87A4390 OS $10.62 $10.62 $10.62 $10.62 $10.62 $10.62 $10.62A4391 OS $7.82 $7.82 $7.82 $7.82 $7.82 $7.82 $7.82A4392 OS $9.04 $9.04 $9.04 $9.04 $9.04 $9.04 $9.04A4393 OS $10.00 $10.00 $10.00 $10.00 $10.00 $10.00 $10.00A4394 OS $2.86 $2.86 $2.86 $2.86 $2.86 $2.86 $2.86A4395 OS $0.05 $0.05 $0.05 $0.05 $0.05 $0.05 $0.05A4396 OS $44.75 $44.75 $44.75 $44.75 $44.75 $44.75 $44.75A4397 OS $5.29 $4.67 $4.50 $5.29 $5.29 $5.29 $5.29A4398 OS $15.28 $15.28 $13.90 $15.28 $15.28 $15.28 $15.28A4399 OS $13.56 $13.56 $12.09 $13.56 $13.56 $11.53 $13.56A4400 OS $48.85 $47.72 $51.70 $45.92 $54.02 $54.02 $54.02A4402 OS $1.50 $1.50 $1.50 $1.77 $1.77 $1.77 $1.77A4404 OS $1.86 $1.84 $1.64 $1.86 $1.86 $1.71 $1.86A4405 OS $3.77 $3.77 $3.77 $3.77 $3.77 $3.77 $3.77A4406 OS $6.33 $6.33 $6.33 $6.33 $6.33 $6.33 $6.33A4407 OS $9.68 $9.68 $9.68 $9.68 $9.68 $9.68 $9.68A4408 OS $10.91 $10.91 $10.91 $10.91 $10.91 $10.91 $10.91A4409 OS $6.87 $6.87 $6.87 $6.87 $6.87 $6.87 $6.87A4410 OS $10.00 $10.00 $10.00 $10.00 $10.00 $10.00 $10.00A4411 OS $5.64 $5.64 $5.64 $5.64 $5.64 $5.64 $5.64A4412 OS $2.99 $2.99 $2.99 $2.99 $2.99 $2.99 $2.99A4413 OS $6.09 $6.09 $6.09 $6.09 $6.09 $6.09 $6.09A4414 OS $5.44 $5.44 $5.44 $5.44 $5.44 $5.44 $5.44A4415 OS $6.62 $6.62 $6.62 $6.62 $6.62 $6.62 $6.62A4416 OS $3.05 $3.05 $3.05 $3.05 $3.05 $3.05 $3.05A4417 OS $4.11 $4.11 $4.11 $4.11 $4.11 $4.11 $4.11A4418 OS $2.01 $2.01 $2.01 $2.01 $2.01 $2.01 $2.01A4419 OS $1.92 $1.92 $1.92 $1.92 $1.92 $1.92 $1.92A4422 OS $0.13 $0.13 $0.13 $0.13 $0.13 $0.13 $0.13A4423 OS $2.06 $2.06 $2.06 $2.06 $2.06 $2.06 $2.06A4424 OS $5.26 $5.26 $5.26 $5.26 $5.26 $5.26 $5.26A4425 OS $3.96 $3.96 $3.96 $3.96 $3.96 $3.96 $3.96A4426 OS $3.02 $3.02 $3.02 $3.02 $3.02 $3.02 $3.02A4427 OS $3.08 $3.08 $3.08 $3.08 $3.08 $3.08 $3.08





Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule



A4428 OS $7.20 $7.20 $7.20 $7.20 $7.20 $7.20 $7.20A4429 OS $9.12 $9.12 $9.12 $9.12 $9.12 $9.12 $9.12A4430 OS $9.41 $9.41 $9.41 $9.41 $9.41 $9.41 $9.41A4431 OS $6.87 $6.87 $6.87 $6.87 $6.87 $6.87 $6.87A4432 OS $3.97 $3.97 $3.97 $3.97 $3.97 $3.97 $3.97A4433 OS $3.70 $3.70 $3.70 $3.70 $3.70 $3.70 $3.70A4434 OS $4.15 $4.15 $4.15 $4.15 $4.15 $4.15 $4.15A4435 OS $6.38 $6.38 $6.38 $6.38 $6.38 $6.38 $6.38A4450 AU OS $0.09 $0.09 $0.09 $0.09 $0.09 $0.09 $0.09A4450 AV OS $0.09 $0.09 $0.09 $0.09 $0.09 $0.09 $0.09A4450 AW OS $0.12 $0.12 $0.12 $0.12 $0.12 $0.12 $0.12A4452 AU OS $0.40 $0.40 $0.40 $0.40 $0.40 $0.40 $0.40A4452 AV OS $0.40 $0.40 $0.40 $0.40 $0.40 $0.40 $0.40A4452 AW OS $0.44 $0.44 $0.44 $0.44 $0.44 $0.44 $0.44A4455 OS $1.38 $1.34 $1.34 $1.58 $1.40 $1.58 $1.34A4456 OS $0.27 $0.27 $0.27 $0.27 $0.27 $0.27 $0.27A4461 SD $3.64 $3.64 $3.64 $3.64 $3.64 $3.64 $3.64A4463 SD $14.72 $14.72 $14.72 $14.72 $14.72 $14.72 $14.72A4481 OS $0.41 $0.42 $0.42 $0.42 $0.42 $0.41 $0.42A4556 SU $11.42 $13.43 $11.48 $13.43 $11.42 $13.43 $13.43A4557 SU $15.23 R $15.59 $15.23 R $15.59 $17.20 R $17.34 $15.23 R $15.59 $15.10 R $15.59 $16.98 R $17.34 $16.98 R $17.34A4558 SU $5.13 $6.03 $6.03 $6.03 $5.91 $6.03 $6.03A4559 SU $0.11 $0.11 $0.11 $0.11 $0.11 $0.11 $0.11A4595 SU $21.16 R $21.67 $21.16 R $21.67 $21.48 R $21.67 $21.16 R $21.67 $21.30 R $21.67 $21.16 R $21.67 $21.16 R $21.67A4602 NU IN $4.11 $4.11 $4.11 $4.11 $4.11 $4.11 $4.11A4604 NU IN $51.81 R $53.81 $51.81 R $53.81 $51.69 R $53.81 $51.81 R $53.81 $51.86 R $53.81 $51.81 R $53.81 $51.81 R $53.81A4605 NU IN $18.13 $18.13 $18.13 $18.13 $18.13 $18.13 $18.13A4608 OX $55.41 $55.41 $55.41 $55.41 $55.41 $55.41 $55.41A4614 IN $26.29 $26.29 $26.29 $26.29 $26.29 $26.29 $26.29A4615 SU $0.80 $0.80 $0.80 $0.80 $0.80 $0.80 $0.80A4616 SU $0.07 $0.07 $0.07 $0.07 $0.07 $0.07 $0.07A4617 SU $3.43 $3.43 $3.43 $3.43 $3.43 $3.43 $3.43A4618 NU IN $9.83 $8.36 $9.83 $9.83 $8.50 $8.36 $8.36A4618 RR IN $1.04 $0.97 $0.97 $1.14 $0.97 $0.97 $0.97A4618 UE IN $7.37 $6.26 $7.37 $7.37 $6.35 $6.26 $6.26A4619 NU IN $2.01 $2.01 $2.01 $2.01 $2.01 $2.01 $2.01A4620 SU $0.70 $0.70 $0.70 $0.70 $0.70 $0.70 $0.70A4623 OS $6.15 $7.24 $6.15 $7.24 $7.24 $6.15 $7.24A4624 NU IN $2.91 $2.47 $2.47 $2.47 $2.91 $2.91 $2.47A4625 OS $7.15 $6.51 $7.66 $7.66 $7.66 $7.66 $7.66A4626 OS $3.00 $3.53 $3.00 $3.00 $3.44 $3.53 $3.00A4628 NU IN $4.13 $4.13 $4.13 $4.13 $4.13 $4.13 $4.13A4629 OS $5.13 $5.13 $5.13 $5.13 $5.13 $5.13 $5.13A4630 NU IN $5.87 $5.87 $6.90 $5.87 $5.87 $5.87 $5.87A4633 NU IN $45.36 $45.36 $45.36 $45.36 $45.36 $45.36 $45.36A4635 NU IN $4.81 $5.66 $5.66 $4.81 $4.81 $4.87 $5.66A4635 RR IN $0.72 $0.65 $0.77 $0.65 $0.65 $0.65 $0.77A4635 UE IN $3.20 $3.76 $3.76 $3.20 $3.32 $3.66 $3.76A4636 NU KE IN $3.80 $3.80 $3.80 $3.45 $3.56 $3.45 $3.80A4636 NU IN $3.47 $3.47 $3.47 $3.18 $3.27 $3.18 $3.47A4636 RR KE IN $0.37 $0.38 $0.38 $0.35 $0.35 $0.35 $0.38A4636 RR IN $0.34 $0.35 $0.35 $0.32 $0.32 $0.32 $0.35A4636 UE KE IN $2.80 $2.80 $2.80 $2.54 $2.66 $2.54 $2.80A4636 UE IN $2.56 $2.56 $2.56 $2.35 $2.45 $2.35 $2.56A4637 NU KE IN $1.99 $1.94 $1.99 $1.82 $1.82 $1.99 $1.99A4637 NU IN $1.84 $1.80 $1.84 $1.68 $1.68 $1.84 $1.84A4637 RR KE IN $0.25 $0.22 $0.25 $0.22 $0.25 $0.25 $0.25A4637 RR IN $0.22 $0.20 $0.22 $0.20 $0.22 $0.22 $0.22A4637 UE KE IN $1.50 $1.47 $1.50 $1.37 $1.37 $1.50 $1.50A4637 UE IN $1.38 $1.34 $1.38 $1.27 $1.27 $1.38 $1.38A4639 RR CR $31.76 $31.76 $31.76 $31.76 $31.76 $31.76 $31.76A4640 NU IN $62.57 R $63.28 $62.57 R $63.28 $59.46 R $63.28 $61.13 R $61.84 $56.36 R $58.03 $57.52 R $58.23 $62.57 R $63.28A4640 RR IN $6.32 R $6.39 $6.17 R $6.24 $6.01 R $6.39 $6.11 R $6.18 $5.69 R $5.86 $5.79 R $5.86 $6.09 R $6.16A4640 UE IN $45.48 R $46.01 $45.48 R $46.01 $43.15 R $46.01 $45.48 R $46.01 $41.04 R $42.16 $43.16 R $43.70 $45.48 R $46.01A5051 OS $2.28 $2.28 $2.28 $2.28 $2.28 $2.28 $2.28A5052 OS $1.64 $1.64 $1.64 $1.64 $1.64 $1.64 $1.64





Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule



A5053 OS $1.92 $1.92 $1.63 $1.92 $1.92 $1.92 $1.63A5054 OS $1.99 $1.99 $1.99 $1.99 $1.99 $1.99 $1.99A5055 OS $1.59 $1.59 $1.59 $1.59 $1.59 $1.46 $1.59A5056 OS $5.16 $5.16 $5.16 $5.16 $5.16 $5.16 $5.16A5057 OS $10.62 $10.62 $10.62 $10.62 $10.62 $10.62 $10.62A5061 OS $3.90 $3.90 $3.90 $3.90 $3.90 $3.90 $3.90A5062 OS $2.30 $2.46 $2.46 $2.43 $2.46 $2.30 $2.46A5063 OS $2.99 $2.99 $2.99 $2.99 $2.99 $2.99 $2.99A5071 OS $6.64 $6.64 $6.64 $6.64 $6.64 $6.64 $6.64A5072 OS $3.80 $3.32 $3.90 $3.90 $3.90 $3.90 $3.90A5073 OS $3.52 $3.45 $3.52 $3.52 $3.52 $3.46 $3.52A5081 OS $3.66 $3.11 $3.45 $3.11 $3.66 $3.66 $3.66A5082 OS $13.15 $11.18 $11.18 $13.15 $12.48 $13.15 $13.15A5083 OS $0.71 $0.71 $0.71 $0.71 $0.71 $0.71 $0.71A5093 OS $2.03 $1.94 $2.16 $2.16 $2.16 $1.84 $2.16A5102 OS $24.78 $24.96 $24.96 $24.96 $24.96 $24.78 $24.96A5105 OS $45.07 $45.07 $39.26 $45.07 $45.07 $45.07 $45.07A5112 OS $38.27 $38.10 $38.27 $38.27 $37.59 $34.83 $37.59A5113 OS $5.21 $4.43 $4.43 $5.21 $5.21 $4.43 $5.21A5114 OS $8.42 $9.90 $8.42 $8.42 $9.78 $8.42 $8.61A5120 AU OS $0.26 $0.24 $0.24 $0.27 $0.27 $0.24 $0.27A5120 AV PO $0.26 $0.26 $0.26 $0.26 $0.26 $0.26 $0.26A5121 OS $8.24 $7.77 $8.24 $8.24 $7.74 $7.89 $7.49A5122 OS $14.20 $13.52 $14.20 $14.20 $13.69 $14.20 $13.97A5126 OS $1.23 $1.33 $1.23 $1.23 $1.23 $1.23 $1.45A5131 OS $16.01 $15.49 $17.51 $14.90 $14.90 $14.90 $14.90A5200 OS $12.48 $12.50 $12.50 $12.50 $12.50 $12.48 $12.50A5500 TS $70.29 $70.29 $70.29 $70.29 $70.29 $70.29 $70.29A5501 TS $210.83 $210.83 $210.83 $210.83 $210.83 $210.83 $210.83A5503 TS $34.55 $34.55 $34.55 $34.55 $34.55 $34.55 $34.55A5504 TS $34.55 $34.55 $34.55 $34.55 $34.55 $34.55 $34.55A5505 TS $34.55 $34.55 $34.55 $34.55 $34.55 $34.55 $34.55A5506 TS $34.55 $34.55 $34.55 $34.55 $34.55 $34.55 $34.55A5507 TS $34.55 $34.55 $34.55 $34.55 $34.55 $34.55 $34.55A5512 TS $28.67 $28.67 $28.67 $28.67 $28.67 $28.67 $28.67A5513 TS $42.79 $42.79 $42.79 $42.79 $42.79 $42.79 $42.79A6010 SD $34.24 $34.24 $34.24 $34.24 $34.24 $34.24 $34.24A6011 SD $2.52 $2.52 $2.52 $2.52 $2.52 $2.52 $2.52A6021 SD $23.24 $23.24 $23.24 $23.24 $23.24 $23.24 $23.24A6022 SD $23.24 $23.24 $23.24 $23.24 $23.24 $23.24 $23.24A6023 SD $210.39 $210.39 $210.39 $210.39 $210.39 $210.39 $210.39A6024 SD $6.84 $6.84 $6.84 $6.84 $6.84 $6.84 $6.84A6154 SD $15.41 $15.90 $15.90 $15.90 $15.90 $15.41 $15.90A6196 SD $8.13 $8.13 $8.13 $8.13 $8.13 $8.13 $8.13A6197 SD $18.17 $18.17 $18.17 $18.17 $18.17 $18.17 $18.17A6199 SD $5.85 $5.85 $5.85 $5.85 $5.85 $5.85 $5.85A6203 SD $3.72 $3.72 $3.72 $3.72 $3.72 $3.72 $3.72A6204 SD $6.88 $6.88 $6.88 $6.88 $6.88 $6.88 $6.88A6207 SD $8.11 $8.11 $8.11 $8.11 $8.11 $8.11 $8.11A6209 SD $8.26 $8.26 $8.26 $8.26 $8.26 $8.26 $8.26A6210 SD $22.03 $22.03 $22.03 $22.03 $22.03 $22.03 $22.03A6211 SD $32.47 $32.47 $32.47 $32.47 $32.47 $32.47 $32.47A6212 SD $10.73 $10.73 $10.73 $10.73 $10.73 $10.73 $10.73A6214 SD $11.37 $11.37 $11.37 $11.37 $11.37 $11.37 $11.37A6216 SD $0.05 $0.05 $0.05 $0.05 $0.05 $0.05 $0.05A6219 SD $1.06 $1.06 $1.06 $1.06 $1.06 $1.06 $1.06A6220 SD $2.86 $2.86 $2.86 $2.86 $2.86 $2.86 $2.86A6222 SD $2.35 $2.35 $2.35 $2.35 $2.35 $2.35 $2.35A6223 SD $2.68 $2.68 $2.68 $2.68 $2.68 $2.68 $2.68A6224 SD $3.99 $3.99 $3.99 $3.99 $3.99 $3.99 $3.99A6229 SD $3.99 $3.99 $3.99 $3.99 $3.99 $3.99 $3.99A6231 SD $5.16 $5.18 $5.18 $5.18 $5.18 $5.16 $5.18A6232 SD $7.59 $7.59 $7.59 $7.59 $7.59 $7.59 $7.59A6233 SD $21.20 $21.20 $21.20 $21.20 $21.20 $21.20 $21.20A6234 SD $7.23 $7.23 $7.23 $7.23 $7.23 $7.23 $7.23A6235 SD $18.59 $18.59 $18.59 $18.59 $18.59 $18.59 $18.59





Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule



A6236 SD $30.13 $30.13 $30.13 $30.13 $30.13 $30.13 $30.13A6237 SD $8.75 $8.75 $8.75 $8.75 $8.75 $8.75 $8.75A6238 SD $25.20 $25.20 $25.20 $25.20 $25.20 $25.20 $25.20A6240 SD $13.54 $13.54 $13.54 $13.54 $13.54 $13.54 $13.54A6241 SD $2.84 $2.84 $2.84 $2.84 $2.84 $2.84 $2.84A6242 SD $6.70 $6.70 $6.70 $6.70 $6.70 $6.70 $6.70A6243 SD $13.62 $13.62 $13.62 $13.62 $13.62 $13.62 $13.62A6244 SD $43.43 $43.43 $43.43 $43.43 $43.43 $43.43 $43.43A6245 SD $8.03 $8.03 $8.03 $8.03 $8.03 $8.03 $8.03A6246 SD $10.98 $10.98 $10.98 $10.98 $10.98 $10.98 $10.98A6247 SD $26.29 $26.29 $26.29 $26.29 $26.29 $26.29 $26.29A6248 SD $17.96 $17.96 $17.96 $17.96 $17.96 $17.96 $17.96A6251 SD $2.20 $2.20 $2.20 $2.20 $2.20 $2.20 $2.20A6252 SD $3.60 $3.60 $3.60 $3.60 $3.60 $3.60 $3.60A6253 SD $7.00 $7.00 $7.00 $7.00 $7.00 $7.00 $7.00A6254 SD $1.33 $1.33 $1.33 $1.33 $1.33 $1.33 $1.33A6255 SD $3.36 $3.36 $3.36 $3.36 $3.36 $3.36 $3.36A6257 SD $1.70 $1.70 $1.70 $1.70 $1.70 $1.70 $1.70A6258 SD $4.77 $4.77 $4.77 $4.77 $4.77 $4.77 $4.77A6259 SD $12.10 $12.10 $12.10 $12.10 $12.10 $12.10 $12.10A6266 SD $2.13 $2.13 $2.13 $2.13 $2.13 $2.13 $2.13A6402 SD $0.13 $0.13 $0.13 $0.13 $0.13 $0.13 $0.13A6403 SD $0.47 $0.47 $0.47 $0.47 $0.47 $0.47 $0.47A6407 SD $2.08 $2.08 $2.08 $2.08 $2.08 $2.08 $2.08A6410 SD $0.43 $0.43 $0.43 $0.43 $0.43 $0.43 $0.43A6441 SD $0.75 $0.75 $0.75 $0.75 $0.75 $0.75 $0.75A6442 SD $0.18 $0.18 $0.18 $0.18 $0.18 $0.18 $0.18A6443 SD $0.31 $0.31 $0.31 $0.31 $0.31 $0.31 $0.31A6444 SD $0.62 $0.62 $0.62 $0.62 $0.62 $0.62 $0.62A6445 SD $0.36 $0.36 $0.36 $0.36 $0.36 $0.36 $0.36A6446 SD $0.45 $0.45 $0.45 $0.45 $0.45 $0.45 $0.45A6447 SD $0.75 $0.75 $0.75 $0.75 $0.75 $0.75 $0.75A6448 SD $1.28 $1.28 $1.28 $1.28 $1.28 $1.28 $1.28A6449 SD $1.94 $1.94 $1.94 $1.94 $1.94 $1.94 $1.94A6450 SD $1.94 $1.94 $1.94 $1.94 $1.94 $1.94 $1.94A6451 SD $1.94 $1.94 $1.94 $1.94 $1.94 $1.94 $1.94A6452 SD $6.53 $6.53 $6.53 $6.53 $6.53 $6.53 $6.53A6453 SD $0.69 $0.69 $0.69 $0.69 $0.69 $0.69 $0.69A6454 SD $0.86 $0.86 $0.86 $0.86 $0.86 $0.86 $0.86A6455 SD $1.54 $1.54 $1.54 $1.54 $1.54 $1.54 $1.54A6456 SD $1.40 $1.40 $1.40 $1.40 $1.40 $1.40 $1.40A6457 SD $1.26 $1.26 $1.26 $1.26 $1.26 $1.26 $1.26A6531 AW SD $47.83 $47.83 $47.83 $47.83 $47.83 $47.83 $47.83A6532 AW SD $67.39 $67.39 $67.39 $67.39 $67.39 $67.39 $67.39A6545 AW SD $94.17 $94.17 $94.17 $94.17 $94.17 $94.17 $94.17A6550 SU $25.49 R $26.15 $25.49 R $26.15 $25.34 R $26.15 $25.49 R $26.15 $25.33 R $26.15 $25.49 R $26.15 $25.49 R $26.15A7000 NU KE IN $8.80 R $9.14 $9.05 R $9.39 $9.36 R $9.71 $9.00 R $9.34 $8.66 R $9.14 $9.08 R $9.42 $9.05 R $9.39A7000 NU IN $8.10 R $8.10 $8.35 R $8.52 $8.63 R $8.98 $8.32 R $8.45 $8.01 R $8.10 $8.39 R $8.59 $8.35 R $8.52A7001 NU IN $36.56 $36.56 $32.32 $36.56 $36.56 $36.56 $36.56A7002 NU IN $4.23 $4.23 $3.60 $4.23 $4.23 $4.23 $4.23A7003 NU IN $2.04 R $2.12 $2.07 R $2.15 $2.26 R $2.33 $2.06 R $2.14 $2.10 R $2.15 $2.04 R $2.12 $2.07 R $2.15A7004 NU IN $1.62 R $1.68 $1.62 R $1.68 $1.48 R $1.53 $1.62 R $1.68 $1.63 R $1.68 $1.62 R $1.68 $1.62 R $1.68A7005 NU IN $23.55 R $23.55 $23.55 R $23.55 $20.66 R $21.00 $23.55 R $23.55 $22.76 R $23.55 $23.55 R $23.55 $23.55 R $23.55A7006 NU IN $9.14 R $9.14 $9.14 R $9.14 $9.01 R $9.14 $9.14 R $9.14 $8.44 R $9.14 $9.14 R $9.14 $9.14 R $9.14A7007 NU IN $4.25 R $4.25 $4.25 R $4.25 $4.04 R $4.11 $4.25 R $4.25 $3.94 R $4.25 $4.25 R $4.25 $4.25 R $4.25A7008 NU IN $12.16 $12.16 $10.34 $12.16 $12.16 $12.16 $12.16A7009 NU IN $46.48 $46.48 $45.33 $46.48 $46.48 $46.48 $46.48A7010 NU IN $20.99 R $21.31 $20.99 R $21.31 $18.99 R $19.35 $20.99 R $21.31 $20.16 R $21.31 $20.99 R $21.31 $20.99 R $21.31A7012 NU IN $3.13 R $3.28 $3.14 R $3.29 $3.54 R $3.60 $3.13 R $3.28 $3.11 R $3.30 $3.13 R $3.28 $3.14 R $3.29A7013 NU IN $0.75 R $0.76 $0.75 R $0.76 $0.67 R $0.69 $0.75 R $0.76 $0.72 R $0.76 $0.75 R $0.76 $0.75 R $0.76A7014 NU IN $4.14 R $4.23 $4.14 R $4.23 $4.09 R $4.23 $4.14 R $4.23 $4.00 R $4.23 $4.14 R $4.23 $4.14 R $4.23A7015 NU IN $1.54 R $1.59 $1.58 R $1.63 $1.69 R $1.72 $1.57 R $1.61 $1.55 R $1.63 $1.54 R $1.59 $1.58 R $1.63A7016 NU IN $8.01 $8.01 $7.53 $8.01 $8.01 $8.01 $8.01A7017 NU IN $134.41 R $136.08 $134.41 R $136.08 $135.02 R $136.08 $134.41 R $136.08 $124.81 R $136.08 $134.41 R $136.08 $134.41 R $136.08A7017 RR IN $13.45 R $13.62 $13.45 R $13.62 $13.51 R $13.62 $13.45 R $13.62 $12.49 R $13.62 $13.45 R $13.62 $13.45 R $13.62A7017 UE IN $100.81 R $102.06 $100.81 R $102.06 $101.26 R $102.06 $100.81 R $102.06 $93.61 R $102.06 $100.81 R $102.06 $100.81 R $102.06





Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule



A7018 SU $0.38 R $0.38 $0.38 R $0.38 $0.34 R $0.35 $0.38 R $0.38 $0.36 R $0.38 $0.38 R $0.38 $0.38 R $0.38A7020 NU IN $16.01 $16.01 $16.01 $16.01 $16.01 $16.01 $16.01A7025 RR CR $48.09 $48.09 $48.09 $48.09 $48.09 $48.09 $48.09A7026 NU IN $31.78 $31.78 $31.78 $31.78 $31.78 $31.78 $31.78A7027 NU IN $163.98 R $168.74 $163.98 R $168.74 $164.57 R $168.74 $163.98 R $168.74 $164.60 R $168.74 $163.98 R $168.74 $163.98 R $168.74A7028 NU IN $44.59 R $45.84 $44.59 R $45.84 $44.64 R $45.84 $44.59 R $45.84 $44.92 R $45.84 $44.59 R $45.84 $44.59 R $45.84A7029 NU IN $18.82 R $19.63 $18.82 R $19.63 $18.89 R $19.63 $18.82 R $19.63 $18.91 R $19.63 $18.82 R $19.63 $18.82 R $19.63A7030 NU IN $134.86 R $139.24 $134.86 R $139.24 $134.76 R $139.24 $134.86 R $139.24 $135.36 R $139.24 $134.86 R $139.24 $134.86 R $139.24A7031 NU IN $50.19 R $52.01 $50.19 R $52.01 $50.59 R $52.01 $50.19 R $52.01 $50.70 R $52.01 $50.19 R $52.01 $50.19 R $52.01A7032 NU IN $28.63 R $29.78 $28.63 R $29.78 $29.04 R $29.78 $28.63 R $29.78 $28.87 R $29.78 $28.63 R $29.78 $28.63 R $29.78A7033 NU IN $21.26 R $22.03 $21.26 R $22.03 $21.24 R $22.03 $21.26 R $22.03 $21.32 R $22.03 $21.26 R $22.03 $21.26 R $22.03A7034 NU IN $84.20 R $86.78 $84.20 R $86.78 $84.27 R $86.78 $84.20 R $86.78 $84.66 R $86.78 $84.20 R $86.78 $84.20 R $86.78A7035 NU IN $28.16 R $29.08 $28.16 R $29.08 $26.55 R $27.50 $28.16 R $29.08 $28.22 R $29.08 $28.16 R $29.08 $28.16 R $29.08A7036 NU IN $12.73 R $13.14 $12.75 R $13.17 $12.66 R $13.21 $12.73 R $13.14 $12.75 R $13.22 $12.73 R $13.14 $12.75 R $13.17A7037 NU IN $25.63 R $26.21 $25.69 R $26.28 $25.38 R $25.92 $25.69 R $26.28 $25.57 R $26.28 $25.63 R $26.21 $25.69 R $26.28A7038 NU IN $3.24 R $3.35 $3.24 R $3.35 $3.63 R $3.74 $3.24 R $3.35 $3.23 R $3.35 $3.24 R $3.35 $3.24 R $3.35A7039 NU IN $9.83 R $10.02 $10.18 R $10.37 $9.27 R $9.56 $10.12 R $10.31 $10.07 R $10.43 $9.83 R $10.02 $10.18 R $10.37A7044 NU IN $100.52 R $102.79 $100.52 R $102.79 $99.20 R $102.79 $100.52 R $102.79 $98.82 R $102.79 $100.52 R $102.79 $100.52 R $102.79A7045 NU IN $15.63 R $15.92 $15.63 R $15.92 $15.13 R $15.92 $15.63 R $15.92 $15.29 R $15.92 $15.63 R $15.92 $15.63 R $15.92A7045 RR IN $1.56 R $1.59 $1.56 R $1.59 $1.51 R $1.59 $1.56 R $1.59 $1.53 R $1.59 $1.56 R $1.59 $1.56 R $1.59A7045 UE IN $11.73 R $11.95 $11.73 R $11.95 $11.36 R $11.95 $11.73 R $11.95 $11.48 R $11.95 $11.73 R $11.95 $11.73 R $11.95A7046 NU IN $16.06 R $16.54 $16.06 R $16.54 $15.95 R $16.54 $16.06 R $16.54 $16.09 R $16.54 $16.06 R $16.54 $16.06 R $16.54A7047 NU IN $133.66 $133.66 $133.66 $133.66 $133.66 $133.66 $133.66A7501 OS $116.10 $116.10 $116.10 $116.10 $116.10 $116.10 $116.10A7502 OS $55.19 $55.19 $55.19 $55.19 $55.19 $55.19 $55.19A7503 OS $12.54 $12.54 $12.54 $12.54 $12.54 $12.54 $12.54A7504 OS $0.75 $0.75 $0.75 $0.75 $0.75 $0.75 $0.75A7505 OS $5.18 $5.18 $5.18 $5.18 $5.18 $5.18 $5.18A7506 OS $0.37 $0.37 $0.37 $0.37 $0.37 $0.37 $0.37A7507 OS $2.75 $2.75 $2.75 $2.75 $2.75 $2.75 $2.75A7508 OS $3.17 $3.17 $3.17 $3.17 $3.17 $3.17 $3.17A7509 OS $1.56 $1.56 $1.56 $1.56 $1.56 $1.56 $1.56A7520 OS $52.49 $52.49 $52.49 $52.49 $52.49 $52.49 $52.49A7521 OS $52.00 $52.00 $52.00 $52.00 $52.00 $52.00 $52.00A7522 OS $49.93 $49.93 $49.93 $49.93 $49.93 $49.93 $49.93A7524 OS $85.58 $85.58 $85.58 $85.58 $85.58 $85.58 $85.58A7525 OS $2.28 $2.28 $2.28 $2.28 $2.28 $2.28 $2.28A7526 OS $3.74 $3.74 $3.74 $3.74 $3.74 $3.74 $3.74A7527 OS $3.96 $3.96 $3.96 $3.96 $3.96 $3.96 $3.96A8000 NU IN $169.54 $169.54 $169.54 $169.54 $169.54 $169.54 $169.54A8000 RR IN $16.95 $16.95 $16.95 $16.95 $16.95 $16.95 $16.95A8000 UE IN $127.18 $127.18 $127.18 $127.18 $127.18 $127.18 $127.18A8001 NU IN $169.54 $169.54 $169.54 $169.54 $169.54 $169.54 $169.54A8001 RR IN $16.95 $16.95 $16.95 $16.95 $16.95 $16.95 $16.95A8001 UE IN $127.18 $127.18 $127.18 $127.18 $127.18 $127.18 $127.18B4034 PE $4.63 R $4.80 $4.63 R $4.80 $4.67 R $4.80 $4.63 R $4.80 $4.63 R $4.80 $4.63 R $4.80 $4.63 R $4.80B4035 PE $8.65 R $8.87 $8.65 R $8.87 $8.75 R $8.87 $8.65 R $8.87 $8.69 R $8.87 $8.65 R $8.87 $8.65 R $8.87B4036 PE $6.15 R $6.38 $6.15 R $6.38 $6.22 R $6.38 $6.15 R $6.38 $6.17 R $6.38 $6.15 R $6.38 $6.15 R $6.38B4081 PE $18.56 R $19.44 $18.56 R $19.44 $18.53 R $19.44 $18.56 R $19.44 $18.49 R $19.44 $18.56 R $19.44 $18.56 R $19.44B4082 PE $13.58 R $14.23 $13.58 R $14.23 $13.70 R $14.23 $13.58 R $14.23 $13.64 R $14.23 $13.58 R $14.23 $13.58 R $14.23B4083 PE $2.05 R $2.16 $2.05 R $2.16 $2.08 R $2.16 $2.05 R $2.16 $2.06 R $2.16 $2.05 R $2.16 $2.05 R $2.16B4087 PE $31.46 R $32.91 $31.46 R $32.91 $31.22 R $32.91 $31.46 R $32.91 $30.84 R $32.91 $31.46 R $32.91 $31.46 R $32.91B4088 PE $33.43 R $35.38 $33.43 R $35.38 $33.00 R $35.38 $33.43 R $35.38 $33.06 R $35.38 $33.43 R $35.38 $33.43 R $35.38B4149 PE $1.30 R $1.36 $1.30 R $1.36 $1.31 R $1.36 $1.30 R $1.36 $1.30 R $1.36 $1.30 R $1.36 $1.30 R $1.36B4150 PE $0.54 R $0.55 $0.54 R $0.55 $0.54 R $0.55 $0.54 R $0.55 $0.54 R $0.55 $0.54 R $0.55 $0.54 R $0.55B4152 PE $0.44 R $0.45 $0.44 R $0.45 $0.44 R $0.45 $0.44 R $0.45 $0.44 R $0.45 $0.44 R $0.45 $0.44 R $0.45B4153 PE $1.57 R $1.63 $1.57 R $1.63 $1.59 R $1.63 $1.57 R $1.63 $1.59 R $1.63 $1.57 R $1.63 $1.57 R $1.63B4154 PE $0.95 R $0.98 $0.95 R $0.98 $0.96 R $0.98 $0.95 R $0.98 $0.96 R $0.98 $0.95 R $0.98 $0.95 R $0.98B4155 PE $0.83 R $0.88 $0.83 R $0.88 $0.84 R $0.88 $0.83 R $0.88 $0.84 R $0.88 $0.83 R $0.88 $0.83 R $0.88B4164 PE $19.50 $19.50 $19.50 $19.50 $19.50 $19.50 $19.50B4168 PE $28.44 $28.44 $28.44 $28.44 $28.44 $28.44 $28.44B4176 PE $55.03 $55.03 $55.03 $55.03 $55.03 $55.03 $55.03B4178 PE $66.05 $66.05 $66.05 $66.05 $66.05 $66.05 $66.05B4180 PE $28.00 $28.00 $28.00 $28.00 $28.00 $28.00 $28.00B4185 PE $12.90 $12.90 $12.90 $12.90 $12.90 $12.90 $12.90B4189 PE $204.06 $204.06 $204.06 $204.06 $204.06 $204.06 $204.06





Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule



B4193 PE $263.67 $263.67 $263.67 $263.67 $263.67 $263.67 $263.67B4197 PE $321.01 $321.01 $321.01 $321.01 $321.01 $321.01 $321.01B4199 PE $366.81 $366.81 $366.81 $366.81 $366.81 $366.81 $366.81B4216 PE $8.86 $8.86 $8.86 $8.86 $8.86 $8.86 $8.86B4220 PE $9.19 $9.19 $9.19 $9.19 $9.19 $9.19 $9.19B4222 PE $11.33 $11.33 $11.33 $11.33 $11.33 $11.33 $11.33B4224 PE $28.70 $28.70 $28.70 $28.70 $28.70 $28.70 $28.70B5000 PE $13.65 $13.65 $13.65 $13.65 $13.65 $13.65 $13.65B5100 PE $5.33 $5.33 $5.33 $5.33 $5.33 $5.33 $5.33B9000 MS PE $44.28 R $45.72 $44.28 R $45.72 $44.74 R $45.72 $44.28 R $45.72 $44.33 R $45.72 $44.28 R $45.72 $44.28 R $45.72B9000 NU PE $936.27 R $965.15 $936.27 R $965.15 $945.53 R $965.15 $936.27 R $965.15 $937.29 R $965.15 $936.27 R $965.15 $936.27 R $965.15B9000 RR PE $88.55 R $91.44 $88.55 R $91.44 $89.48 R $91.44 $88.55 R $91.44 $88.65 R $91.44 $88.55 R $91.44 $88.55 R $91.44B9000 UE PE $702.21 R $723.87 $702.21 R $723.87 $709.15 R $723.87 $702.21 R $723.87 $702.97 R $723.87 $702.21 R $723.87 $702.21 R $723.87B9002 MS PE $45.83 R $47.28 $45.83 R $47.28 $46.32 R $47.28 $45.83 R $47.28 $45.88 R $47.28 $45.83 R $47.28 $45.83 R $47.28B9002 NU PE $936.27 R $965.31 $936.27 R $965.31 $946.10 R $965.31 $936.27 R $965.31 $937.29 R $965.31 $936.27 R $965.31 $936.27 R $965.31B9002 RR PE $91.65 R $94.56 $91.65 R $94.56 $92.64 R $94.56 $91.65 R $94.56 $91.76 R $94.56 $91.65 R $94.56 $91.65 R $94.56B9002 UE PE $702.21 R $723.98 $702.21 R $723.98 $709.58 R $723.98 $702.21 R $723.98 $702.97 R $723.98 $702.21 R $723.98 $702.21 R $723.98B9004 MS PE $229.27 $229.27 $229.27 $229.27 $229.27 $229.27 $229.27B9004 NU PE $2,896.55 $2,896.55 $2,896.55 $2,896.55 $2,896.55 $2,896.55 $2,896.55B9004 RR PE $458.53 $458.53 $458.53 $458.53 $458.53 $458.53 $458.53B9004 UE PE $2,172.41 $2,172.41 $2,172.41 $2,172.41 $2,172.41 $2,172.41 $2,172.41B9006 MS PE $229.27 $229.27 $229.27 $229.27 $229.27 $229.27 $229.27B9006 NU PE $2,896.55 $2,896.55 $2,896.55 $2,896.55 $2,896.55 $2,896.55 $2,896.55B9006 RR PE $458.53 $458.53 $458.53 $458.53 $458.53 $458.53 $458.53B9006 UE PE $2,172.41 $2,172.41 $2,172.41 $2,172.41 $2,172.41 $2,172.41 $2,172.41E0100 NU IN $23.30 $22.92 $19.81 $19.81 $23.30 $19.81 $20.84E0100 RR IN $6.56 $6.56 $5.58 $6.56 $6.56 $6.56 $6.56E0100 UE IN $18.57 $18.57 $15.78 $15.78 $18.57 $16.99 $17.61E0105 NU IN $54.30 $51.01 $53.15 $53.50 $51.87 $51.25 $51.14E0105 RR IN $9.80 $9.80 $8.33 $9.80 $9.80 $9.80 $9.80E0105 UE IN $41.85 $41.85 $39.85 $40.08 $41.85 $39.76 $41.85E0110 NU IN $77.89 $85.78 $82.70 $72.91 $85.78 $72.91 $85.78E0110 RR IN $17.67 $15.02 $15.02 $17.67 $17.67 $17.67 $17.67E0110 UE IN $58.39 $64.31 $62.05 $54.66 $64.31 $54.66 $64.31E0111 NU IN $58.87 $58.87 $50.04 $58.87 $52.93 $54.48 $58.87E0111 RR IN $9.31 $7.91 $9.31 $8.50 $9.31 $9.31 $9.31E0111 UE IN $45.44 $45.44 $38.62 $45.44 $39.71 $44.50 $45.44E0112 NU IN $40.91 $37.11 $40.91 $34.77 $40.91 $36.86 $34.77E0112 RR IN $10.99 $9.34 $9.63 $10.99 $10.99 $10.99 $9.34E0112 UE IN $31.20 $27.81 $30.74 $26.52 $31.20 $28.98 $31.20E0113 NU IN $23.37 $19.86 $20.53 $23.37 $23.37 $19.86 $19.86E0113 RR IN $5.69 $4.84 $4.84 $4.84 $4.84 $5.69 $5.69E0113 UE IN $17.53 $14.90 $15.41 $17.53 $17.53 $14.90 $14.90E0114 NU IN $52.17 $52.17 $48.80 $47.62 $51.52 $44.34 $52.17E0114 RR IN $9.47 $8.05 $8.05 $9.47 $9.47 $9.47 $9.47E0114 UE IN $39.44 $39.44 $36.62 $35.72 $38.63 $33.52 $39.44E0116 NU IN $30.68 $26.51 $26.29 $30.68 $28.14 $26.08 $30.68E0116 RR IN $5.98 $5.08 $5.08 $5.08 $5.98 $5.98 $5.98E0116 UE IN $23.09 $19.90 $19.71 $23.09 $21.12 $19.63 $23.09E0117 RR CR $21.29 $21.29 $21.29 $21.29 $21.29 $21.29 $21.29E0130 NU IN $57.94 R $59.53 $53.40 R $54.99 $52.63 R $54.51 $52.92 R $54.51 $55.39 R $56.70 $55.13 R $56.72 $52.92 R $54.51E0130 RR IN $10.46 R $10.62 $10.03 R $10.19 $10.16 R $10.35 $10.46 R $10.62 $10.48 R $10.62 $10.46 R $10.62 $9.26 R $9.41E0130 UE IN $44.43 R $45.63 $42.16 R $43.36 $40.31 R $41.72 $40.52 R $41.72 $44.32 R $45.30 $44.03 R $45.22 $41.84 R $43.04E0135 NU IN $61.88 R $63.67 $60.78 R $62.57 $56.05 R $57.68 $57.28 R $59.07 $59.85 R $62.15 $58.44 R $60.23 $61.88 R $63.67E0135 RR IN $10.41 R $10.59 $10.16 R $10.34 $10.43 R $10.59 $10.41 R $10.59 $10.36 R $10.59 $10.41 R $10.59 $10.41 R $10.59E0135 UE IN $47.10 R $48.45 $47.10 R $48.45 $42.63 R $43.85 $42.50 R $43.85 $46.46 R $48.18 $44.73 R $46.07 $47.10 R $48.45E0140 RR CR $31.93 R $31.95 $31.93 R $31.95 $31.04 R $31.95 $31.93 R $31.95 $30.85 R $31.95 $31.93 R $31.95 $31.93 R $31.95E0141 NU IN $94.36 R $95.53 $92.67 R $93.85 $88.00 R $90.38 $95.05 R $96.23 $87.76 R $90.85 $86.81 R $87.99 $95.05 R $96.23E0141 RR IN $14.67 R $14.79 $13.08 R $13.19 $14.55 R $14.79 $14.67 R $14.79 $14.48 R $14.79 $13.08 R $13.19 $14.67 R $14.79E0141 UE IN $70.78 R $71.66 $69.51 R $70.40 $66.00 R $67.79 $71.29 R $72.17 $65.82 R $68.14 $65.11 R $65.99 $71.29 R $72.17E0143 NU IN $81.35 R $82.89 $81.03 R $82.57 $73.91 R $75.29 $81.35 R $82.89 $74.61 R $76.64 $72.76 R $74.30 $81.35 R $82.89E0143 RR IN $12.70 R $12.85 $11.65 R $11.80 $12.71 R $12.85 $12.70 R $12.85 $12.65 R $12.85 $12.20 R $12.35 $12.70 R $12.85E0143 UE IN $60.92 R $62.08 $60.77 R $61.93 $55.43 R $56.47 $60.92 R $62.08 $59.27 R $60.79 $54.50 R $55.65 $60.92 R $62.08E0144 RR CR $27.88 $27.88 $27.88 $27.88 $27.88 $27.88 $27.88E0147 NU IN $464.77 R $478.71 $464.77 R $478.71 $460.82 R $478.71 $464.77 R $478.71 $463.56 R $478.71 $464.77 R $478.71 $464.77 R $478.71E0147 RR IN $46.48 R $47.88 $46.48 R $47.88 $46.09 R $47.88 $46.48 R $47.88 $46.36 R $47.88 $46.48 R $47.88 $46.48 R $47.88





Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule



E0147 UE IN $348.59 R $359.04 $348.59 R $359.04 $345.62 R $359.04 $348.59 R $359.04 $347.68 R $359.04 $348.59 R $359.04 $348.59 R $359.04E0148 NU IN $101.86 R $104.66 $101.86 R $104.66 $101.56 R $104.66 $101.86 R $104.66 $102.15 R $104.66 $101.86 R $104.66 $101.86 R $104.66E0148 RR IN $10.19 R $10.47 $10.19 R $10.47 $10.16 R $10.47 $10.19 R $10.47 $10.22 R $10.47 $10.19 R $10.47 $10.19 R $10.47E0148 UE IN $76.39 R $78.49 $76.39 R $78.49 $76.16 R $78.49 $76.39 R $78.49 $76.61 R $78.49 $76.39 R $78.49 $76.39 R $78.49E0149 RR CR $16.54 R $16.90 $16.54 R $16.90 $16.79 R $16.90 $16.54 R $16.90 $16.61 R $16.90 $16.54 R $16.90 $16.54 R $16.90E0153 NU IN $65.20 $76.71 $76.71 $65.20 $69.71 $65.20 $76.71E0153 RR IN $8.67 $8.67 $8.67 $8.67 $8.67 $7.37 $8.67E0153 UE IN $48.89 $57.52 $57.52 $48.89 $52.30 $48.89 $57.52E0154 NU IN $52.58 R $54.27 $52.58 R $54.27 $56.35 R $59.31 $52.58 R $54.27 $57.26 R $59.31 $52.58 R $54.27 $57.62 R $59.31E0154 RR IN $6.48 R $6.65 $5.87 R $6.04 $6.31 R $6.61 $6.48 R $6.65 $6.44 R $6.65 $5.87 R $6.04 $6.48 R $6.65E0154 UE IN $39.71 R $40.98 $39.71 R $40.98 $42.59 R $44.81 $39.71 R $40.98 $43.27 R $44.81 $39.71 R $40.98 $43.54 R $44.81E0155 NU IN $24.84 R $25.57 $25.43 R $26.16 $24.93 R $26.16 $25.43 R $26.16 $24.85 R $26.16 $23.17 R $23.90 $25.43 R $26.16E0155 RR IN $2.60 R $2.67 $2.60 R $2.67 $2.55 R $2.67 $2.84 R $2.91 $2.82 R $2.95 $2.60 R $2.67 $2.87 R $2.95E0155 UE IN $18.64 R $19.19 $19.09 R $19.64 $18.88 R $19.81 $19.26 R $19.81 $18.83 R $19.81 $17.54 R $18.09 $19.26 R $19.81E0156 NU IN $18.41 R $19.08 $18.75 R $19.42 $20.34 R $20.88 $20.30 R $20.97 $18.30 R $19.08 $18.41 R $19.08 $20.30 R $20.97E0156 RR IN $2.14 R $2.21 $2.14 R $2.21 $2.15 R $2.21 $2.38 R $2.45 $2.13 R $2.21 $2.14 R $2.21 $2.38 R $2.45E0156 UE IN $13.82 R $14.32 $14.07 R $14.58 $15.24 R $15.65 $15.24 R $15.74 $13.74 R $14.32 $13.82 R $14.32 $15.24 R $15.74E0157 NU IN $68.26 R $68.53 $68.26 R $68.53 $60.72 R $62.67 $68.26 R $68.53 $64.10 R $66.60 $62.40 R $62.67 $68.26 R $68.53E0157 RR IN $7.21 R $7.24 $7.21 R $7.24 $6.40 R $6.60 $6.95 R $6.98 $6.41 R $6.65 $6.57 R $6.60 $7.21 R $7.24E0157 UE IN $51.19 R $51.40 $51.19 R $51.40 $45.54 R $47.00 $51.19 R $51.40 $48.08 R $49.95 $46.80 R $47.00 $51.19 R $51.40E0158 NU IN $26.49 R $26.78 $24.19 R $24.48 $23.40 R $24.48 $24.19 R $24.48 $25.22 R $26.66 $24.19 R $24.48 $25.64 R $25.93E0158 RR IN $2.66 R $2.69 $2.56 R $2.58 $2.48 R $2.58 $2.56 R $2.58 $2.52 R $2.66 $2.56 R $2.58 $2.81 R $2.84E0158 UE IN $19.94 R $20.16 $18.21 R $18.42 $17.62 R $18.42 $18.21 R $18.42 $18.92 R $20.00 $18.21 R $18.42 $19.94 R $20.16E0159 NU IN $16.15 R $16.29 $16.15 R $16.29 $15.76 R $16.29 $16.15 R $16.29 $15.51 R $16.29 $16.15 R $16.29 $16.15 R $16.29E0159 RR IN $1.64 R $1.66 $1.64 R $1.66 $1.61 R $1.66 $1.64 R $1.66 $1.58 R $1.66 $1.64 R $1.66 $1.64 R $1.66E0159 UE IN $12.12 R $12.22 $12.12 R $12.22 $11.82 R $12.22 $12.12 R $12.22 $11.64 R $12.22 $12.12 R $12.22 $12.12 R $12.22E0160 NU IN $33.14 R $33.65 $33.14 R $33.65 $28.50 R $30.91 $30.40 R $30.91 $32.67 R $33.65 $30.40 R $30.91 $33.14 R $33.65E0160 RR IN $3.89 R $3.94 $3.89 R $3.94 $3.34 R $3.58 $3.53 R $3.58 $3.84 R $3.94 $3.89 R $3.94 $3.89 R $3.94E0160 UE IN $24.84 R $25.22 $24.84 R $25.22 $21.37 R $23.17 $22.79 R $23.17 $24.49 R $25.22 $22.79 R $23.17 $24.84 R $25.22E0161 NU IN $27.30 R $27.67 $27.30 R $27.67 $24.48 R $24.64 $25.44 R $25.44 $26.64 R $27.67 $27.30 R $27.67 $27.30 R $27.67E0161 RR IN $3.26 R $3.29 $3.26 R $3.29 $2.90 R $3.00 $2.96 R $3.00 $3.19 R $3.29 $3.26 R $3.29 $3.26 R $3.29E0161 UE IN $20.45 R $20.73 $20.45 R $20.73 $18.35 R $18.45 $19.07 R $19.07 $19.96 R $20.73 $20.45 R $20.73 $20.45 R $20.73E0162 NU IN $136.92 $136.92 $136.92 $154.66 $136.92 $154.66 $136.92E0162 RR IN $14.36 $14.36 $14.36 $15.47 $14.36 $16.89 $14.36E0162 UE IN $106.17 $106.17 $106.17 $116.03 $106.17 $112.98 $106.17E0163 NU IN $87.82 R $89.58 $87.82 R $89.58 $86.63 R $87.91 $87.82 R $89.58 $79.04 R $80.44 $83.76 R $85.52 $85.76 R $87.52E0163 RR IN $16.18 R $16.36 $16.18 R $16.36 $14.84 R $14.96 $16.18 R $16.36 $16.22 R $16.36 $16.18 R $16.36 $16.18 R $16.36E0163 UE IN $67.16 R $68.48 $67.16 R $68.48 $64.13 R $65.09 $67.16 R $68.48 $64.91 R $65.96 $67.16 R $68.48 $67.16 R $68.48E0165 RR CR $16.35 R $16.79 $14.81 R $15.25 $16.38 R $16.79 $16.35 R $16.79 $15.54 R $15.89 $14.81 R $15.25 $16.35 R $16.79E0167 NU IN $12.33 R $12.41 $12.33 R $12.41 $10.53 R $11.27 $12.33 R $12.41 $11.82 R $12.40 $12.33 R $12.41 $11.90 R $11.98E0167 RR IN $1.26 R $1.27 $1.25 R $1.26 $1.08 R $1.17 $1.26 R $1.27 $1.18 R $1.24 $1.25 R $1.26 $1.19 R $1.20E0167 UE IN $9.27 R $9.33 $9.27 R $9.33 $7.92 R $8.50 $9.27 R $9.33 $8.88 R $9.32 $9.27 R $9.33 $8.93 R $8.99E0168 NU IN $142.57 R $146.20 $142.57 R $146.20 $142.60 R $146.20 $142.57 R $146.20 $138.62 R $146.20 $142.57 R $146.20 $142.57 R $146.20E0168 RR IN $14.25 R $14.61 $14.30 R $14.66 $14.30 R $14.66 $14.30 R $14.66 $13.90 R $14.66 $14.25 R $14.61 $14.30 R $14.66E0168 UE IN $106.93 R $109.64 $106.93 R $109.64 $106.95 R $109.64 $106.93 R $109.64 $103.96 R $109.64 $106.93 R $109.64 $106.93 R $109.64E0170 RR CR $170.10 R $175.50 $170.10 R $175.50 $167.50 R $175.50 $170.10 R $175.50 $167.89 R $175.50 $170.10 R $175.50 $170.10 R $175.50E0171 RR CR $31.19 R $31.97 $31.19 R $31.97 $30.38 R $31.97 $31.19 R $31.97 $30.93 R $31.97 $31.19 R $31.97 $31.19 R $31.97E0175 NU IN $69.86 $69.66 $73.23 $73.23 $62.25 $67.21 $70.11E0175 RR IN $6.98 $6.96 $7.32 $7.32 $6.22 $6.71 $7.32E0175 UE IN $52.40 $52.27 $53.89 $53.89 $45.81 $50.40 $52.57E0181 RR CR $22.08 R $22.80 $22.08 R $22.80 $22.26 R $22.80 $22.08 R $22.80 $22.23 R $22.80 $22.08 R $22.80 $22.08 R $22.80E0182 RR CR $25.52 R $25.52 $25.52 R $25.52 $21.72 R $23.35 $23.35 R $23.35 $25.11 R $25.52 $23.98 R $23.98 $25.52 R $25.52E0184 NU IN $167.76 R $177.41 $183.90 R $193.55 $170.56 R $177.41 $167.76 R $177.41 $171.38 R $177.41 $167.76 R $177.41 $180.74 R $190.39E0184 RR IN $21.21 R $22.17 $21.21 R $22.17 $19.45 R $20.14 $19.17 R $20.14 $19.53 R $20.14 $21.21 R $22.17 $19.17 R $20.14E0184 UE IN $127.37 R $134.61 $139.75 R $146.99 $129.47 R $134.61 $127.37 R $134.61 $130.09 R $134.61 $127.37 R $134.61 $135.55 R $142.79E0185 NU IN $232.42 R $241.36 $232.42 R $241.36 $235.61 R $241.36 $232.42 R $241.36 $263.56 R $267.88 $232.42 R $241.36 $258.94 R $267.88E0185 RR IN $33.06 R $33.95 $29.33 R $30.23 $29.65 R $30.23 $33.06 R $33.95 $33.52 R $33.95 $32.60 R $33.49 $33.06 R $33.95E0185 UE IN $176.94 R $183.65 $176.94 R $183.65 $179.34 R $183.65 $176.94 R $183.65 $200.76 R $204.00 $176.94 R $183.65 $197.30 R $204.00E0186 RR CR $18.93 R $19.07 $18.93 R $19.07 $18.29 R $19.07 $20.61 R $21.13 $18.19 R $19.07 $20.61 R $21.13 $20.61 R $21.13E0187 RR CR $21.81 R $21.81 $21.81 R $21.81 $22.18 R $23.96 $23.90 R $24.09 $20.93 R $21.81 $23.90 R $24.09 $23.90 R $24.09E0188 NU IN $27.24 R $27.60 $27.24 R $27.60 $26.23 R $27.60 $25.04 R $25.04 $26.37 R $27.28 $27.24 R $27.60 $27.24 R $27.60E0188 RR IN $2.98 R $3.02 $2.98 R $3.02 $2.88 R $3.02 $2.72 R $2.76 $2.67 R $2.76 $2.98 R $3.02 $2.98 R $3.02E0188 UE IN $20.44 R $20.71 $20.44 R $20.71 $19.69 R $20.71 $18.76 R $18.76 $19.79 R $20.47 $20.44 R $20.71 $20.44 R $20.71E0189 NU IN $52.57 R $54.96 $52.57 R $54.96 $50.59 R $52.75 $48.26 R $48.83 $52.31 R $54.96 $48.26 R $48.83 $52.57 R $54.96E0189 RR IN $5.49 R $5.73 $5.49 R $5.73 $5.05 R $5.27 $5.02 R $5.26 $5.47 R $5.73 $5.49 R $5.73 $5.49 R $5.73E0189 UE IN $39.43 R $41.22 $39.43 R $41.22 $37.93 R $39.55 $36.20 R $36.62 $39.23 R $41.22 $36.20 R $36.62 $39.43 R $41.22





Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule



E0191 NU IN $11.05 $10.21 $11.05 $11.05 $10.21 $10.99 $11.05E0191 RR IN $1.14 $1.02 $1.14 $0.97 $1.02 $1.14 $1.02E0191 UE IN $8.24 $7.66 $8.24 $8.24 $7.66 $8.22 $8.24E0193 RR CR $758.94 R $778.12 $779.05 R $798.23 $765.57 R $798.23 $779.05 R $798.23 $735.84 R $781.96 $779.05 R $798.23 $775.63 R $794.81E0194 RR CR $3,597.70 $3,597.70 $3,058.05 $3,391.53 $3,058.05 $3,290.85 $3,058.05E0196 RR CR $34.34 R $34.73 $34.34 R $34.73 $29.91 R $30.53 $34.34 R $34.73 $30.30 R $30.53 $34.34 R $34.73 $33.30 R $33.69E0197 RR CR $24.37 R $24.81 $23.59 R $24.04 $22.58 R $24.04 $26.13 R $26.57 $26.25 R $26.57 $26.13 R $26.57 $26.13 R $26.57E0198 RR CR $24.50 $20.83 $24.50 $23.66 $24.50 $24.50 $24.50E0199 NU IN $29.98 R $31.51 $29.28 R $30.13 $32.13 R $33.89 $31.94 R $33.89 $29.92 R $30.93 $29.28 R $30.13 $29.28 R $30.13E0199 RR IN $2.99 R $3.13 $2.92 R $3.00 $3.20 R $3.38 $3.18 R $3.38 $2.99 R $3.09 $2.92 R $3.00 $2.92 R $3.00E0199 UE IN $22.50 R $23.66 $21.96 R $22.59 $24.09 R $25.41 $23.95 R $25.41 $22.45 R $23.21 $21.96 R $22.59 $21.96 R $22.59E0200 NU IN $87.65 $74.50 $87.65 $74.50 $74.50 $87.65 $87.65E0200 RR IN $11.90 $10.12 $10.74 $10.12 $10.12 $11.90 $11.90E0200 UE IN $65.77 $55.90 $65.77 $55.90 $55.90 $65.77 $65.77E0202 RR CR $69.22 $64.53 $58.84 $69.22 $60.58 $69.22 $58.84E0205 NU IN $214.54 $214.54 $182.36 $182.36 $191.47 $214.54 $214.54E0205 RR IN $23.60 $23.60 $22.99 $20.06 $21.33 $23.60 $23.60E0205 UE IN $160.90 $160.90 $136.77 $136.77 $143.57 $160.90 $160.90E0210 NU IN $30.68 $30.68 $30.68 $36.09 $36.09 $36.09 $36.09E0210 RR IN $3.40 $2.89 $2.99 $3.40 $3.40 $3.40 $3.40E0210 UE IN $23.00 $23.00 $23.00 $27.06 $27.06 $27.06 $27.06E0215 NU IN $66.57 $66.57 $66.57 $66.57 $66.57 $78.32 $78.32E0215 RR IN $8.19 $6.96 $6.96 $6.96 $6.96 $8.19 $8.19E0215 UE IN $49.94 $49.94 $49.94 $49.94 $49.94 $58.75 $58.75E0217 NU IN $466.53 $466.53 $548.86 $466.53 $548.86 $466.53 $466.53E0217 RR IN $61.10 $51.94 $57.24 $51.94 $61.10 $51.94 $61.10E0217 UE IN $349.87 $349.87 $411.61 $349.87 $411.61 $349.87 $349.87E0225 NU IN $365.20 $365.20 $429.65 $365.20 $429.65 $365.20 $365.20E0225 RR IN $36.00 $36.00 $42.35 $36.00 $42.35 $36.00 $36.00E0225 UE IN $273.90 $273.90 $322.23 $273.90 $322.23 $273.90 $273.90E0235 RR CR $19.07 $19.07 $19.07 $17.50 $19.07 $16.21 $19.07E0236 RR CR $48.91 $48.91 $41.57 $41.57 $41.57 $41.57 $48.91E0239 NU IN $422.70 $422.70 $439.93 $422.70 $422.70 $422.70 $422.70E0239 RR IN $42.28 $42.28 $43.98 $42.28 $42.28 $42.28 $42.28E0239 UE IN $317.03 $317.03 $329.95 $317.03 $317.03 $317.03 $317.03E0249 NU IN $110.12 $93.60 $93.60 $93.60 $93.60 $93.60 $110.12E0249 RR IN $12.11 $10.29 $10.29 $10.29 $10.29 $10.29 $12.11E0249 UE IN $82.59 $70.20 $70.20 $70.20 $70.20 $70.20 $82.59E0250 RR CR $78.45 R $81.07 $78.45 R $81.07 $70.76 R $74.09 $78.45 R $81.07 $77.49 R $81.07 $78.45 R $81.07 $75.89 R $78.51E0251 RR CR $63.95 R $66.07 $63.95 R $66.07 $57.55 R $60.00 $63.95 R $66.07 $64.02 R $66.07 $62.89 R $65.01 $61.92 R $64.05E0255 RR CR $89.01 R $92.16 $82.91 R $86.06 $80.88 R $84.13 $89.01 R $92.16 $88.85 R $92.16 $89.01 R $92.16 $89.01 R $92.16E0256 RR CR $68.70 R $71.56 $68.09 R $70.94 $62.46 R $65.60 $68.70 R $71.56 $65.08 R $68.13 $62.84 R $65.69 $67.13 R $69.98E0260 RR CR $97.16 R $100.06 $97.16 R $100.06 $98.02 R $100.06 $97.16 R $100.06 $97.83 R $100.06 $97.16 R $100.06 $97.16 R $100.06E0261 RR CR $94.71 R $97.40 $89.87 R $92.56 $85.06 R $87.62 $94.71 R $97.40 $85.10 R $87.62 $94.71 R $97.40 $86.97 R $89.67E0265 RR CR $163.27 $160.69 $152.66 $156.00 $150.12 $163.27 $161.85E0266 RR CR $143.81 $143.81 $139.90 $143.81 $143.81 $141.68 $143.81E0271 NU IN $166.59 R $171.66 $166.59 R $171.66 $159.07 R $163.06 $151.21 R $156.28 $167.76 R $171.66 $150.72 R $155.79 $166.59 R $171.66E0271 RR IN $17.07 R $17.58 $17.07 R $17.58 $15.90 R $16.30 $15.42 R $15.93 $16.85 R $17.24 $15.42 R $15.93 $17.07 R $17.58E0271 UE IN $128.23 R $132.04 $128.23 R $132.04 $119.31 R $122.30 $115.84 R $119.64 $126.40 R $129.32 $115.84 R $119.64 $128.23 R $132.04E0272 NU IN $151.04 R $156.61 $158.93 R $164.51 $165.55 R $171.08 $164.70 R $170.28 $164.47 R $171.08 $159.89 R $165.47 $165.50 R $171.08E0272 RR IN $15.47 R $16.03 $15.90 R $16.46 $16.59 R $17.14 $15.47 R $16.03 $16.88 R $17.54 $16.98 R $17.54 $15.47 R $16.03E0272 UE IN $112.98 R $117.17 $119.19 R $123.38 $123.82 R $127.96 $123.52 R $127.70 $123.01 R $127.96 $119.92 R $124.10 $123.78 R $127.96E0275 NU IN $14.10 R $14.39 $15.37 R $15.90 $15.13 R $15.90 $14.10 R $14.39 $13.58 R $14.72 $15.37 R $15.90 $14.10 R $14.39E0275 RR IN $1.44 R $1.50 $1.58 R $1.63 $1.53 R $1.61 $1.44 R $1.50 $1.38 R $1.50 $1.58 R $1.63 $1.44 R $1.50E0275 UE IN $10.57 R $10.79 $11.52 R $11.92 $11.34 R $11.92 $10.57 R $10.79 $10.19 R $11.05 $11.52 R $11.92 $10.57 R $10.79E0276 NU IN $13.42 R $13.74 $13.42 R $13.74 $12.90 R $13.74 $13.42 R $13.74 $12.16 R $12.90 $12.59 R $12.91 $12.31 R $12.50E0276 RR IN $1.35 R $1.38 $1.39 R $1.43 $1.42 R $1.50 $1.48 R $1.51 $1.31 R $1.38 $1.48 R $1.51 $1.35 R $1.38E0276 UE IN $10.06 R $10.30 $10.36 R $10.60 $9.97 R $10.60 $10.36 R $10.60 $9.17 R $9.73 $10.36 R $10.60 $9.49 R $9.73E0277 RR CR $426.74 R $437.92 $426.74 R $437.92 $435.21 R $437.91 $399.11 R $410.29 $434.03 R $437.92 $426.74 R $437.92 $426.74 R $437.92E0280 NU IN $33.61 R $34.76 $33.61 R $34.76 $30.30 R $30.95 $33.61 R $34.76 $30.18 R $30.95 $30.88 R $30.95 $33.61 R $34.76E0280 RR IN $3.50 R $3.62 $3.50 R $3.62 $3.15 R $3.32 $3.50 R $3.62 $3.14 R $3.32 $3.21 R $3.32 $3.50 R $3.62E0280 UE IN $25.21 R $26.07 $25.21 R $26.07 $22.72 R $23.21 $25.21 R $26.07 $22.64 R $23.21 $23.16 R $23.21 $25.21 R $26.07E0290 RR CR $64.03 R $66.22 $64.03 R $66.22 $57.59 R $60.54 $63.92 R $66.11 $57.59 R $60.54 $58.69 R $60.54 $58.69 R $60.54E0291 RR CR $43.69 R $44.60 $47.26 R $49.33 $42.78 R $43.98 $43.38 R $43.98 $46.67 R $49.33 $43.38 R $43.98 $43.38 R $43.98E0292 RR CR $70.59 R $74.14 $70.59 R $74.14 $63.85 R $68.06 $70.59 R $74.14 $67.08 R $70.35 $64.58 R $68.06 $68.43 R $71.99E0293 RR CR $61.57 R $64.05 $58.14 R $60.62 $55.28 R $57.93 $61.22 R $63.71 $55.79 R $57.93 $56.46 R $57.93 $58.59 R $61.07





Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule



E0294 RR CR $96.98 R $98.91 $96.01 R $97.94 $87.14 R $89.57 $96.98 R $98.91 $87.44 R $91.09 $96.32 R $98.24 $91.98 R $93.91E0295 RR CR $93.47 R $96.16 $84.68 R $87.37 $85.00 R $87.06 $93.47 R $96.16 $83.24 R $87.06 $93.47 R $96.16 $84.37 R $87.06E0296 RR CR $131.31 $126.40 $119.58 $131.31 $119.58 $119.58 $119.58E0297 RR CR $113.86 $110.76 $105.90 $110.11 $109.50 $103.81 $112.07E0300 RR CR $253.53 $253.53 $253.53 $253.53 $253.53 $253.53 $253.53E0301 RR CR $210.07 R $216.44 $210.07 R $216.44 $213.08 R $216.44 $204.04 R $210.40 $208.87 R $216.44 $210.07 R $216.44 $210.07 R $216.44E0302 RR CR $566.35 R $594.85 $566.35 R $594.85 $577.97 R $594.85 $566.35 R $594.85 $565.77 R $594.85 $566.35 R $594.85 $566.35 R $594.85E0303 RR CR $224.26 R $231.65 $224.26 R $231.65 $227.88 R $231.65 $218.22 R $225.61 $225.92 R $231.65 $224.26 R $231.65 $224.26 R $231.65E0304 RR CR $604.89 R $624.51 $604.89 R $624.51 $611.42 R $624.51 $604.89 R $624.51 $600.98 R $624.51 $604.89 R $624.51 $604.89 R $624.51E0305 RR CR $13.75 R $14.19 $13.75 R $14.19 $13.77 R $14.19 $12.58 R $13.02 $13.72 R $14.16 $13.33 R $13.77 $13.75 R $14.19E0310 NU IN $137.76 R $143.87 $141.82 R $147.93 $136.05 R $138.87 $146.00 R $152.10 $146.16 R $152.10 $133.16 R $139.26 $146.00 R $152.10E0310 RR IN $14.56 R $15.17 $16.19 R $16.80 $16.52 R $16.80 $14.64 R $15.25 $16.21 R $16.80 $16.19 R $16.80 $16.19 R $16.80E0310 UE IN $100.12 R $104.70 $106.37 R $110.95 $102.09 R $104.21 $109.77 R $114.35 $110.25 R $114.71 $105.19 R $109.78 $109.06 R $113.64E0316 RR CR $176.13 R $184.92 $184.21 R $193.00 $186.39 R $193.00 $176.79 R $185.58 $185.63 R $193.00 $178.11 R $186.90 $180.92 R $189.71E0325 NU IN $9.21 R $9.51 $9.21 R $9.51 $9.87 R $10.44 $9.21 R $9.51 $10.14 R $10.44 $9.21 R $9.51 $10.05 R $10.44E0325 RR IN $1.28 R $1.32 $1.16 R $1.20 $1.26 R $1.32 $1.16 R $1.20 $1.29 R $1.32 $1.16 R $1.20 $1.16 R $1.20E0325 UE IN $6.77 R $6.86 $6.28 R $6.28 $6.90 R $7.33 $6.28 R $6.28 $7.11 R $7.33 $6.28 R $6.28 $7.04 R $7.33E0326 NU IN $10.47 R $10.82 $9.78 R $9.86 $10.41 R $11.01 $9.78 R $9.86 $9.55 R $9.86 $10.65 R $11.01 $10.65 R $11.01E0326 RR IN $1.06 R $1.10 $1.04 R $1.08 $1.12 R $1.18 $1.04 R $1.08 $1.02 R $1.08 $1.07 R $1.11 $1.14 R $1.18E0326 UE IN $7.87 R $8.13 $7.34 R $7.40 $7.81 R $8.26 $7.34 R $7.40 $7.16 R $7.40 $7.99 R $8.26 $7.99 R $8.26E0371 RR CR $337.92 R $356.18 $337.92 R $356.18 $351.75 R $356.18 $328.67 R $346.94 $334.55 R $356.18 $337.92 R $356.18 $337.92 R $356.18E0372 RR CR $379.39 R $391.87 $379.39 R $391.87 $388.31 R $391.87 $368.17 R $380.65 $371.29 R $391.87 $379.39 R $391.87 $379.39 R $391.87E0373 RR CR $466.36 R $485.70 $466.36 R $485.70 $473.95 R $485.70 $455.11 R $474.44 $463.94 R $485.70 $466.36 R $485.70 $466.36 R $485.70E0424 RR OX $125.82 R $129.37 $125.82 R $129.37 $126.67 R $129.37 $125.82 R $129.37 $127.01 R $129.37 $125.82 R $129.37 $125.82 R $129.37E0431 RR OX $23.85 R $24.74 $23.85 R $24.74 $23.92 R $24.74 $23.85 R $24.74 $24.16 R $24.74 $23.85 R $24.74 $23.85 R $24.74E0433 RR OX $44.02 R $46.90 $44.02 R $46.90 $44.71 R $46.90 $44.02 R $46.90 $45.47 R $46.90 $44.02 R $46.90 $44.02 R $46.90E0434 RR OX $23.85 R $24.74 $23.85 R $24.74 $23.92 R $24.74 $23.85 R $24.74 $24.16 R $24.74 $23.85 R $24.74 $23.85 R $24.74E0439 RR OX $125.82 R $129.37 $125.82 R $129.37 $126.67 R $129.37 $125.82 R $129.37 $127.01 R $129.37 $125.82 R $129.37 $125.82 R $129.37E0441 OX $65.42 R $67.93 $65.42 R $67.93 $65.75 R $67.93 $65.42 R $67.93 $66.10 R $67.93 $65.42 R $67.93 $65.42 R $67.93E0442 OX $65.42 R $67.93 $65.42 R $67.93 $65.75 R $67.93 $65.42 R $67.93 $66.10 R $67.93 $65.42 R $67.93 $65.42 R $67.93E0443 OX $62.66 R $65.20 $62.66 R $65.20 $63.13 R $65.20 $62.66 R $65.20 $63.92 R $65.20 $62.66 R $65.20 $62.66 R $65.20E0444 OX $62.66 R $65.20 $62.66 R $65.20 $63.13 R $65.20 $62.66 R $65.20 $63.92 R $65.20 $62.66 R $65.20 $62.66 R $65.20E0462 RR CR $322.15 $304.51 $322.15 $273.83 $282.26 $318.48 $285.45E0465 RR FS $1,055.23 $896.95 $1,055.23 $1,055.23 $1,055.23 $1,055.23 $903.13E0466 RR FS $1,055.23 $896.95 $1,055.23 $1,055.23 $1,055.23 $1,055.23 $903.13E0470 RR CR $176.99 R $181.24 $176.99 R $181.24 $176.42 R $181.24 $158.58 R $162.83 $159.91 R $164.31 $176.99 R $181.24 $176.04 R $180.29E0471 RR CR $428.03 R $436.56 $398.01 R $406.54 $438.62 R $452.62 $444.08 R $452.62 $409.48 R $419.40 $444.08 R $452.62 $398.01 R $406.54E0472 RR CR $499.53 R $507.20 $469.51 R $477.18 $503.12 R $523.26 $515.58 R $523.26 $488.28 R $490.04 $515.58 R $523.26 $469.51 R $477.18E0480 RR CR $48.58 $44.16 $48.58 $41.29 $41.29 $48.58 $41.29E0482 RR CR $475.40 $475.40 $475.40 $454.62 $475.40 $475.40 $475.40E0483 RR CR $1,175.30 $1,175.30 $1,175.30 $1,175.30 $1,175.30 $1,175.30 $1,175.30E0484 NU IN $40.83 $40.83 $40.83 $40.83 $40.83 $40.83 $40.83E0484 RR IN $4.07 $4.07 $4.07 $4.07 $4.07 $4.07 $4.07E0484 UE IN $30.63 $30.63 $30.63 $30.63 $30.63 $30.63 $30.63E0500 RR FS $121.34 $115.61 $117.54 $121.34 $104.96 $121.34 $121.34E0550 RR CR $47.11 $55.42 $47.11 $47.11 $55.42 $47.11 $47.11E0560 NU IN $138.91 $163.42 $146.92 $154.78 $163.42 $163.42 $163.42E0560 RR IN $16.78 $19.15 $16.28 $16.28 $19.15 $19.15 $19.15E0560 UE IN $104.18 $122.57 $110.18 $116.09 $122.57 $122.57 $122.57E0561 NU IN $88.44 R $89.95 $88.44 R $89.95 $87.15 R $89.95 $88.44 R $89.95 $85.55 R $89.95 $88.44 R $89.95 $88.44 R $89.95E0561 RR IN $8.84 R $8.99 $8.84 R $8.99 $8.71 R $8.99 $8.84 R $8.99 $8.55 R $8.99 $8.84 R $8.99 $8.84 R $8.99E0561 UE IN $66.33 R $67.46 $66.33 R $67.46 $65.36 R $67.46 $66.33 R $67.46 $64.15 R $67.46 $66.33 R $67.46 $66.33 R $67.46E0562 NU IN $211.78 R $218.96 $211.78 R $218.96 $213.36 R $218.96 $211.78 R $218.96 $212.93 R $218.96 $211.78 R $218.96 $211.78 R $218.96E0562 RR IN $21.17 R $21.89 $21.17 R $21.89 $21.33 R $21.89 $21.17 R $21.89 $21.29 R $21.89 $21.17 R $21.89 $21.17 R $21.89E0562 UE IN $158.83 R $164.21 $158.83 R $164.21 $160.02 R $164.21 $158.83 R $164.21 $159.69 R $164.21 $158.83 R $164.21 $158.83 R $164.21E0565 RR CR $54.92 R $56.36 $54.92 R $56.36 $49.11 R $51.30 $49.86 R $51.30 $51.82 R $54.32 $51.87 R $53.31 $49.86 R $51.30E0570 RR CR $12.00 R $12.07 $12.01 R $12.08 $11.95 R $12.08 $12.00 R $12.07 $11.81 R $12.07 $12.00 R $12.07 $12.00 R $12.07E0572 RR CR $36.36 R $36.36 $36.36 R $36.36 $36.36 R $36.36 $35.55 R $35.55 $33.57 R $36.36 $36.36 R $36.36 $36.36 R $36.36E0574 RR CR $44.51 $44.51 $44.51 $42.81 $44.51 $44.51 $44.51E0575 RR CR $99.76 $113.62 $113.62 $113.62 $103.09 $113.62 $113.62E0580 NU IN $127.60 $127.60 $127.60 $127.60 $127.60 $127.60 $127.60E0580 RR IN $12.76 $12.76 $12.76 $12.76 $12.76 $12.76 $12.76E0580 UE IN $95.69 $95.69 $95.69 $95.69 $95.69 $95.69 $95.69E0585 RR CR $31.50 R $31.59 $34.41 R $34.50 $33.91 R $34.50 $31.50 R $31.59 $31.75 R $34.50 $34.41 R $34.50 $34.41 R $34.50E0600 RR CR $44.28 $43.03 $43.03 $43.03 $50.62 $50.62 $43.03E0601 RR CR $74.50 R $75.77 $74.50 R $75.77 $74.10 R $75.63 $68.87 R $70.14 $66.61 R $68.69 $74.50 R $75.77 $72.19 R $73.46





Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule



E0602 NU IN $32.63 $32.63 $32.63 $32.63 $32.63 $32.63 $32.63E0602 RR IN $3.28 $3.28 $3.28 $3.28 $3.28 $3.28 $3.28E0602 UE IN $24.48 $24.48 $24.48 $24.48 $24.48 $24.48 $24.48E0605 NU IN $29.22 $29.22 $29.22 $29.22 $29.22 $27.67 $29.22E0605 RR IN $3.40 $3.40 $3.40 $3.40 $2.93 $3.40 $3.40E0605 UE IN $24.08 $24.08 $24.08 $24.08 $21.94 $20.74 $24.08E0606 RR CR $25.38 $25.38 $24.69 $22.99 $25.38 $25.38 $21.57E0607 NU IN $73.86 $73.86 $73.86 $73.86 $73.86 $73.86 $73.86E0607 RR IN $7.38 $7.38 $7.38 $7.38 $7.38 $7.38 $7.38E0607 UE IN $55.39 $55.39 $55.39 $55.39 $55.39 $55.39 $55.39E0610 NU IN $262.95 $262.95 $232.61 $262.95 $262.95 $262.95 $223.51E0610 RR IN $27.73 $27.73 $27.73 $27.73 $27.73 $27.73 $27.73E0610 UE IN $197.24 $197.24 $174.44 $197.24 $197.24 $197.24 $167.65E0615 NU IN $529.32 $498.20 $529.32 $480.42 $466.01 $490.87 $466.01E0615 RR IN $64.67 $64.67 $64.67 $64.67 $54.97 $64.67 $54.97E0615 UE IN $397.02 $373.65 $397.02 $360.33 $349.53 $368.12 $349.53E0617 RR KF CR $373.20 $373.20 $373.20 $373.20 $373.20 $373.20 $373.20E0617 RR CR $336.12 $336.12 $336.12 $336.12 $336.12 $336.12 $336.12E0618 RR CR $309.95 $290.35 $263.46 $263.46 $309.95 $309.95 $287.28E0620 RR CR $96.65 $96.65 $96.65 $96.65 $96.65 $96.65 $96.65E0621 NU IN $87.45 R $89.72 $91.43 R $93.70 $84.01 R $89.72 $87.57 R $89.84 $88.92 R $94.02 $95.41 R $97.67 $95.41 R $97.67E0621 RR IN $8.58 R $8.69 $9.15 R $9.37 $8.23 R $8.69 $8.76 R $8.98 $8.90 R $9.41 $9.34 R $9.57 $9.34 R $9.57E0621 UE IN $65.76 R $67.46 $68.57 R $70.27 $63.18 R $67.46 $65.76 R $67.46 $66.70 R $70.52 $71.76 R $73.46 $71.76 R $73.46E0627 NU IN $316.22 R $325.30 $305.79 R $314.88 $312.74 R $325.30 $312.56 R $321.65 $320.52 R $325.30 $312.56 R $321.65 $312.56 R $321.65E0627 RR IN $31.63 R $32.53 $30.58 R $31.48 $31.28 R $32.53 $31.26 R $32.17 $32.06 R $32.53 $31.26 R $32.17 $31.26 R $32.17E0627 UE IN $237.17 R $243.98 $229.35 R $236.16 $234.55 R $243.98 $234.41 R $241.23 $240.39 R $243.98 $234.41 R $241.23 $234.41 R $241.23E0628 NU IN $325.41 R $337.67 $314.99 R $327.24 $324.33 R $337.67 $321.76 R $334.01 $325.16 R $337.67 $321.76 R $334.01 $321.76 R $334.01E0628 RR IN $32.55 R $33.77 $31.50 R $32.72 $32.44 R $33.77 $32.18 R $33.40 $32.52 R $33.77 $32.18 R $33.40 $32.18 R $33.40E0628 UE IN $244.06 R $253.25 $236.24 R $245.43 $243.25 R $253.25 $241.31 R $250.50 $243.87 R $253.25 $241.31 R $250.50 $241.31 R $250.50E0629 NU IN $324.60 R $332.51 $317.82 R $325.74 $315.38 R $332.51 $324.60 R $332.51 $315.58 R $332.51 $324.60 R $332.51 $324.60 R $332.51E0629 RR IN $32.46 R $33.25 $31.78 R $32.57 $31.54 R $33.25 $32.46 R $33.25 $31.56 R $33.25 $32.46 R $33.25 $32.46 R $33.25E0629 UE IN $243.44 R $249.38 $238.37 R $244.31 $236.52 R $249.38 $243.44 R $249.38 $236.68 R $249.38 $243.44 R $249.38 $243.44 R $249.38E0630 RR CR $85.70 R $87.94 $85.31 R $87.55 $80.14 R $82.59 $83.78 R $86.02 $78.21 R $80.26 $85.70 R $87.94 $77.25 R $79.49E0635 RR CR $122.25 R $128.07 $124.22 R $130.04 $123.94 R $130.04 $124.22 R $130.04 $113.42 R $114.98 $114.08 R $114.98 $116.13 R $119.09E0636 RR CR $1,068.88 R $1,108.08 $1,068.88 R $1,108.08 $1,061.04 R $1,108.08 $1,068.88 R $1,108.08 $1,071.45 R $1,108.08 $1,068.88 R $1,108.08 $1,068.88 R $1,108.08E0639 RR CR $123.32 $123.32 $123.32 $123.32 $104.82 $109.87 $106.75E0640 RR CR $123.32 $123.32 $123.32 $123.32 $104.82 $109.87 $106.75E0650 NU IN $796.20 $796.20 $715.98 $676.77 $796.20 $729.29 $796.20E0650 RR IN $98.25 $98.25 $83.51 $98.25 $85.58 $96.62 $98.25E0650 UE IN $597.15 $597.15 $536.97 $507.58 $597.15 $525.36 $597.15E0651 NU IN $1,015.31 $889.61 $1,015.31 $1,015.31 $916.79 $863.01 $1,015.31E0651 RR IN $103.72 $103.72 $103.72 $103.72 $92.32 $88.16 $103.72E0651 UE IN $761.50 $667.21 $761.50 $761.50 $687.61 $647.28 $761.50E0652 NU IN $5,860.79 $5,850.21 $5,287.92 $5,860.79 $4,981.67 $5,792.45 $5,860.79E0652 RR IN $492.34 $579.22 $528.88 $492.34 $492.34 $579.21 $579.22E0652 UE IN $4,391.67 $4,387.63 $3,965.94 $3,732.92 $3,732.92 $4,344.34 $4,391.67E0655 NU IN $119.32 $111.02 $107.74 $119.32 $115.07 $101.42 $119.32E0655 RR IN $14.02 $11.92 $11.92 $14.02 $11.92 $11.92 $14.02E0655 UE IN $89.60 $83.29 $80.83 $89.60 $86.35 $76.16 $89.60E0656 RR CR $63.88 $63.88 $63.88 $63.88 $63.88 $63.88 $63.88E0657 RR CR $60.01 $60.01 $60.01 $60.01 $60.01 $60.01 $60.01E0660 NU IN $170.72 $173.84 $176.60 $176.60 $158.00 $150.11 $176.60E0660 RR IN $15.62 $17.38 $18.38 $18.32 $16.47 $15.62 $18.38E0660 UE IN $128.05 $130.39 $132.45 $132.45 $118.48 $112.58 $132.45E0665 NU IN $151.45 $151.45 $151.45 $138.56 $142.87 $128.73 $151.45E0665 RR IN $15.55 $15.27 $15.55 $13.88 $14.30 $13.22 $15.55E0665 UE IN $113.72 $113.72 $113.72 $103.92 $107.15 $96.66 $113.72E0666 NU IN $152.67 $152.67 $152.67 $152.67 $135.06 $129.77 $152.67E0666 RR IN $15.73 $15.27 $15.73 $15.73 $13.50 $13.37 $15.73E0666 UE IN $114.52 $114.52 $114.52 $114.52 $101.31 $97.34 $114.52E0667 NU IN $357.93 $304.24 $357.93 $357.93 $304.24 $357.92 $357.93E0667 RR IN $40.42 $34.36 $40.42 $40.42 $34.36 $35.81 $40.42E0667 UE IN $268.45 $228.18 $268.45 $268.45 $228.18 $268.44 $268.45E0668 NU IN $488.50 $415.23 $488.50 $415.23 $415.23 $415.23 $488.50E0668 RR IN $48.21 $40.98 $48.21 $40.98 $40.98 $40.98 $48.21E0668 UE IN $366.39 $311.43 $366.39 $311.43 $311.43 $311.43 $366.39





Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule



E0669 NU IN $192.41 $202.06 $202.07 $200.12 $202.66 $192.41 $202.06E0669 RR IN $19.25 $20.20 $20.20 $20.03 $20.28 $19.25 $20.20E0669 UE IN $144.31 $151.53 $151.54 $150.11 $152.03 $144.31 $151.53E0670 NU IN $1,389.68 $1,181.23 $1,389.68 $1,389.68 $1,181.23 $1,389.68 $1,389.68E0670 RR IN $148.77 $126.45 $148.77 $148.77 $126.45 $138.97 $148.77E0670 UE IN $1,042.21 $885.88 $1,042.21 $1,042.21 $885.88 $1,042.21 $1,042.21E0671 NU IN $459.18 $459.18 $459.18 $459.18 $459.18 $459.18 $459.18E0671 RR IN $45.94 $45.94 $45.94 $45.94 $45.94 $45.94 $45.94E0671 UE IN $344.37 $344.37 $344.37 $344.37 $344.37 $344.37 $344.37E0672 NU IN $356.77 $356.77 $356.77 $356.77 $356.77 $356.77 $356.77E0672 RR IN $35.69 $35.69 $35.69 $35.69 $35.69 $35.69 $35.69E0672 UE IN $267.60 $267.60 $267.60 $267.60 $267.60 $267.60 $267.60E0673 NU IN $296.46 $296.46 $296.46 $296.46 $296.46 $296.46 $296.46E0673 RR IN $29.65 $29.65 $29.65 $29.65 $29.65 $29.65 $29.65E0673 UE IN $222.38 $222.38 $222.38 $222.38 $222.38 $222.38 $222.38E0675 RR CR $425.12 $425.12 $425.12 $425.12 $425.12 $425.12 $425.12E0691 NU IN $993.40 $993.40 $993.40 $993.40 $993.40 $993.40 $993.40E0691 RR IN $99.33 $99.33 $99.33 $99.33 $99.33 $99.33 $99.33E0691 UE IN $745.05 $745.05 $745.05 $745.05 $745.05 $745.05 $745.05E0692 NU IN $1,247.44 $1,247.44 $1,247.44 $1,247.44 $1,247.44 $1,247.44 $1,247.44E0692 RR IN $124.73 $124.73 $124.73 $124.73 $124.73 $124.73 $124.73E0692 UE IN $935.57 $935.57 $935.57 $935.57 $935.57 $935.57 $935.57E0693 NU IN $1,537.74 $1,537.74 $1,537.74 $1,537.74 $1,537.74 $1,537.74 $1,537.74E0693 RR IN $153.78 $153.78 $153.78 $153.78 $153.78 $153.78 $153.78E0693 UE IN $1,153.30 $1,153.30 $1,153.30 $1,153.30 $1,153.30 $1,153.30 $1,153.30E0694 NU IN $4,894.46 $4,894.46 $4,894.46 $4,894.46 $4,894.46 $4,894.46 $4,894.46E0694 RR IN $489.44 $489.44 $489.44 $489.44 $489.44 $489.44 $489.44E0694 UE IN $3,670.87 $3,670.87 $3,670.87 $3,670.87 $3,670.87 $3,670.87 $3,670.87E0705 NU KU IN $51.80 $60.94 $60.94 $51.80 $51.80 $51.80 $60.94E0705 NU IN $48.06 R $50.57 $52.64 R $55.15 $54.50 R $55.15 $48.06 R $50.57 $48.27 R $50.57 $48.06 R $50.57 $52.64 R $55.15E0705 RR KU IN $5.27 $6.20 $6.20 $5.27 $5.27 $5.27 $5.88E0705 RR IN $4.85 R $5.10 $5.31 R $5.57 $5.50 R $5.57 $4.85 R $5.10 $4.87 R $5.10 $4.85 R $5.10 $5.16 R $5.41E0705 UE KU IN $37.94 $44.63 $44.63 $37.94 $37.94 $37.94 $44.63E0705 UE IN $35.60 R $37.48 $38.94 R $40.82 $40.34 R $40.82 $35.60 R $37.48 $35.75 R $37.48 $35.60 R $37.48 $38.94 R $40.82E0720 NU TE $241.74 R $241.74 $223.31 R $223.31 $220.98 R $220.98 $234.73 R $234.73 $216.79 R $218.45 $246.02 R $246.02 $246.14 R $246.14E0730 NU TE $229.95 R $229.95 $238.57 R $238.57 $225.18 R $225.18 $244.29 R $244.29 $234.32 R $236.51 $242.22 R $242.22 $244.29 R $244.29E0731 NU IN $217.24 R $217.24 $217.24 R $217.24 $246.81 R $246.81 $217.24 R $217.24 $212.41 R $217.24 $217.24 R $217.24 $217.24 R $217.24E0740 RR CR $57.82 $57.82 $57.82 $57.82 $57.82 $57.82 $57.82E0744 RR CR $101.23 $96.79 $101.23 $86.05 $90.94 $86.48 $101.23E0745 RR CR $98.96 $98.96 $98.96 $84.12 $98.96 $98.96 $98.96E0747 NU KF IN $3,679.86 $4,201.54 $3,679.86 $4,051.63 $4,201.54 $4,329.25 $3,871.31E0747 RR KF IN $365.67 $420.13 $365.67 $405.15 $420.13 $430.20 $430.20E0747 UE KF IN $2,734.07 $3,151.15 $2,734.07 $3,038.74 $3,151.15 $3,216.55 $2,903.47E0748 NU KF IN $4,301.21 $4,301.21 $4,301.21 $4,301.21 $4,301.21 $4,301.21 $4,301.21E0748 RR KF IN $430.10 $430.10 $430.10 $430.10 $430.10 $430.10 $430.10E0748 UE KF IN $3,225.91 $3,225.91 $3,225.91 $3,225.91 $3,225.91 $3,225.91 $3,225.91E0760 NU KF IN $3,574.23 $3,574.23 $3,574.23 $3,574.23 $3,574.23 $3,574.23 $3,574.23E0760 RR KF IN $357.43 $357.43 $357.43 $357.43 $357.43 $357.43 $357.43E0760 UE KF IN $2,680.65 $2,680.65 $2,680.65 $2,680.65 $2,680.65 $2,680.65 $2,680.65E0762 RR CR $103.32 $103.32 $118.57 $103.32 $103.32 $103.32 $104.11E0764 RR KF CR $1,223.43 $1,223.43 $1,223.43 $1,223.43 $1,223.43 $1,223.43 $1,223.43E0765 NU IN $93.01 $93.01 $93.01 $93.01 $93.01 $93.01 $93.01E0765 RR IN $9.31 $9.31 $9.31 $9.31 $9.31 $9.31 $9.31E0765 UE IN $69.78 $69.78 $69.78 $69.78 $69.78 $69.78 $69.78E0776 NU BA PE $77.30 R $79.77 $77.30 R $79.77 $77.87 R $79.77 $77.30 R $79.77 $77.09 R $79.77 $77.30 R $79.77 $77.30 R $79.77E0776 NU KE PE $85.64 R $88.11 $85.64 R $88.11 $86.21 R $88.11 $85.64 R $88.11 $85.43 R $88.11 $85.64 R $88.11 $85.64 R $88.11E0776 NU IN $148.01 $148.01 $134.53 $148.01 $134.53 $148.01 $148.01E0776 RR BA PE $15.69 R $15.94 $15.69 R $15.94 $15.75 R $15.94 $15.69 R $15.94 $15.67 R $15.94 $15.69 R $15.94 $15.69 R $15.94E0776 RR KE PE $17.81 R $18.06 $17.81 R $18.06 $17.87 R $18.06 $17.81 R $18.06 $17.79 R $18.06 $17.81 R $18.06 $17.81 R $18.06E0776 RR IN $17.20 $17.20 $15.65 $15.65 $15.65 $17.20 $17.20E0776 UE BA PE $57.98 R $59.84 $57.98 R $59.84 $58.41 R $59.84 $57.98 R $59.84 $57.83 R $59.84 $57.98 R $59.84 $57.98 R $59.84E0776 UE KE PE $64.23 R $66.08 $64.23 R $66.08 $64.66 R $66.08 $64.23 R $66.08 $64.07 R $66.08 $64.23 R $66.08 $64.23 R $66.08E0776 UE IN $109.89 $109.89 $98.98 $109.89 $98.98 $109.89 $109.89E0779 RR CR $18.18 $18.18 $18.18 $17.81 $18.18 $18.18 $18.18E0780 NU IN $11.41 $11.41 $11.41 $11.41 $11.41 $11.41 $11.41E0781 RR CR $262.38 $262.38 $262.38 $260.49 $262.38 $262.38 $262.38





Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule



E0784 RR CR $439.88 $439.93 $439.93 $439.93 $439.93 $439.88 $439.93E0791 RR CR $312.56 $312.56 $312.56 $312.56 $286.34 $286.34 $286.34E0840 NU IN $68.84 $68.84 $68.84 $68.84 $80.99 $80.86 $80.99E0840 RR IN $18.05 $18.05 $18.05 $18.05 $18.05 $18.05 $18.05E0840 UE IN $51.61 $51.61 $51.61 $51.61 $60.72 $60.72 $60.72E0849 RR CR $56.98 $56.98 $56.98 $56.98 $56.98 $56.98 $56.98E0850 NU IN $116.13 $98.71 $116.13 $98.71 $116.13 $116.13 $116.13E0850 RR IN $15.95 $13.56 $13.56 $13.56 $15.95 $15.95 $15.95E0850 UE IN $87.11 $74.04 $87.11 $74.04 $87.11 $74.04 $87.11E0855 RR CR $54.65 $55.56 $55.56 $55.56 $55.56 $54.65 $55.56E0856 RR CR $17.01 $17.01 $17.01 $17.01 $17.01 $17.01 $17.01E0860 NU IN $36.21 $42.60 $41.03 $37.67 $37.72 $42.60 $40.05E0860 RR IN $6.12 $7.20 $7.20 $6.12 $7.20 $7.20 $7.20E0860 UE IN $27.73 $32.62 $30.75 $28.25 $28.30 $32.62 $30.05E0870 NU IN $128.59 $128.59 $128.59 $128.59 $116.87 $128.59 $128.59E0870 RR IN $14.83 $14.83 $13.22 $14.83 $14.83 $14.30 $14.83E0870 UE IN $96.87 $96.87 $96.87 $96.87 $87.08 $96.87 $96.87E0880 NU IN $138.79 $138.79 $138.79 $138.79 $120.21 $138.79 $138.79E0880 RR IN $21.79 $21.79 $21.79 $18.52 $21.79 $21.79 $21.79E0880 UE IN $105.05 $104.08 $105.05 $105.05 $105.05 $105.05 $105.05E0890 NU IN $133.10 $133.10 $132.17 $113.14 $131.39 $113.14 $133.10E0890 RR IN $36.30 $36.30 $30.86 $36.30 $32.57 $36.30 $36.30E0890 UE IN $107.22 $107.22 $99.13 $91.14 $97.96 $93.36 $107.22E0900 NU IN $141.65 $131.95 $141.65 $120.40 $141.65 $126.87 $141.65E0900 RR IN $30.54 $30.54 $30.54 $30.54 $30.54 $25.96 $30.54E0900 UE IN $106.27 $98.98 $106.27 $90.33 $103.17 $106.27 $106.27E0910 RR CR $15.12 R $15.43 $15.12 R $15.43 $15.00 R $15.43 $14.44 R $14.75 $13.56 R $14.04 $14.80 R $15.11 $14.46 R $14.77E0911 RR CR $44.57 R $46.22 $44.57 R $46.22 $44.43 R $46.22 $44.57 R $46.22 $44.31 R $46.22 $44.57 R $46.22 $44.57 R $46.22E0912 RR CR $95.25 R $98.11 $95.25 R $98.11 $96.08 R $98.11 $95.25 R $98.11 $94.72 R $98.11 $95.25 R $98.11 $95.25 R $98.11E0920 RR CR $44.56 $47.46 $51.02 $43.37 $45.98 $51.02 $51.02E0930 RR CR $50.50 $43.65 $42.93 $42.93 $45.18 $50.50 $50.50E0935 RR FS $25.14 $25.14 $25.14 $25.14 $25.14 $25.14 $21.57E0940 RR CR $27.07 R $27.77 $25.07 R $25.78 $25.01 R $25.93 $26.14 R $26.85 $26.97 R $27.77 $27.07 R $27.77 $27.07 R $27.77E0941 RR CR $47.98 $47.10 $47.98 $40.78 $47.98 $42.30 $47.98E0942 NU IN $21.94 $20.31 $21.94 $21.94 $21.94 $18.65 $21.94E0942 RR IN $2.60 $2.21 $2.60 $2.60 $2.60 $2.21 $2.60E0942 UE IN $16.43 $15.25 $16.43 $16.43 $16.43 $13.97 $16.43E0944 NU IN $50.71 $50.71 $46.41 $43.10 $50.71 $43.10 $50.71E0944 RR IN $5.10 $5.10 $4.66 $4.34 $5.10 $4.34 $5.10E0944 UE IN $38.03 $38.03 $34.81 $32.33 $38.03 $32.33 $38.03E0945 NU IN $49.00 $49.00 $49.00 $45.73 $49.00 $49.00 $49.00E0945 RR IN $4.91 $4.91 $4.91 $4.91 $4.91 $4.91 $4.91E0945 UE IN $37.92 $37.92 $37.92 $37.92 $37.92 $37.92 $37.92E0946 RR CR $65.41 $55.60 $55.60 $55.60 $55.60 $55.60 $55.60E0947 NU IN $569.88 $569.88 $670.45 $569.88 $569.88 $569.88 $577.05E0947 RR IN $69.51 $59.08 $69.51 $59.08 $59.08 $59.08 $65.77E0947 UE IN $427.40 $427.40 $502.82 $427.40 $427.40 $427.40 $432.79E0948 NU IN $551.21 $551.21 $648.48 $551.21 $551.21 $551.21 $648.48E0948 RR IN $55.10 $55.10 $64.82 $55.10 $55.10 $55.10 $64.82E0948 UE IN $388.76 $388.76 $457.37 $388.76 $388.76 $388.76 $457.37E0950 NU KE IN $94.71 R $97.35 $94.71 R $97.35 $94.28 R $97.35 $94.71 R $97.35 $85.98 R $88.82 $86.09 R $88.73 $94.71 R $97.35E0950 NU KU IN $99.05 $99.05 $99.05 $99.05 $84.36 $84.19 $99.05E0950 NU IN $86.77 R $89.41 $86.77 R $89.41 $86.34 R $89.41 $86.77 R $89.41 $79.22 R $82.06 $79.34 R $81.98 $86.77 R $89.41E0950 RR KE IN $9.48 R $9.74 $9.48 R $9.74 $9.43 R $9.74 $9.48 R $9.74 $8.60 R $8.88 $8.62 R $8.88 $9.48 R $9.74E0950 RR KU IN $9.93 $9.93 $9.93 $9.93 $8.44 $8.44 $9.93E0950 RR IN $8.69 R $8.95 $8.69 R $8.95 $8.65 R $8.95 $8.69 R $8.95 $7.92 R $8.21 $7.94 R $8.21 $8.69 R $8.95E0950 UE KE IN $71.03 R $73.01 $71.03 R $73.01 $70.71 R $73.01 $71.03 R $73.01 $64.48 R $66.62 $64.57 R $66.55 $71.03 R $73.01E0950 UE KU IN $74.29 $74.29 $74.29 $74.29 $63.27 $63.15 $74.29E0950 UE IN $65.08 R $67.06 $65.08 R $67.06 $64.75 R $67.06 $65.08 R $67.06 $59.41 R $61.55 $59.51 R $61.49 $65.08 R $67.06E0951 NU KE IN $16.67 R $17.03 $17.01 R $17.37 $15.57 R $16.09 $15.76 R $16.12 $15.75 R $16.09 $15.44 R $15.80 $16.44 R $16.81E0951 NU KU IN $17.50 $18.09 $15.89 $15.93 $15.89 $15.38 $17.11E0951 NU IN $15.27 R $15.63 $15.56 R $15.92 $14.30 R $14.82 $14.48 R $14.84 $14.49 R $14.82 $14.21 R $14.57 $15.07 R $15.44E0951 RR KE IN $1.67 R $1.70 $1.74 R $1.77 $1.56 R $1.61 $1.57 R $1.61 $1.58 R $1.61 $1.57 R $1.61 $1.74 R $1.77E0951 RR KU IN $1.75 $1.86 $1.59 $1.59 $1.59 $1.58 $1.86E0951 RR IN $1.53 R $1.56 $1.58 R $1.62 $1.43 R $1.49 $1.45 R $1.49 $1.45 R $1.49 $1.44 R $1.48 $1.58 R $1.62E0951 UE KE IN $12.51 R $12.78 $12.75 R $13.02 $11.69 R $12.08 $11.84 R $12.11 $11.83 R $12.08 $11.57 R $11.84 $12.35 R $12.62





Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule



E0951 UE KU IN $13.12 $13.56 $11.91 $11.97 $11.91 $11.53 $12.86E0951 UE IN $11.45 R $11.72 $11.67 R $11.94 $10.73 R $11.12 $10.88 R $11.15 $10.86 R $11.12 $10.65 R $10.92 $11.32 R $11.59E0952 NU KE IN $17.37 $17.24 $16.51 $16.51 $16.51 $16.51 $16.80E0952 NU KU IN $16.71 $16.48 $15.26 $15.26 $15.26 $15.26 $15.73E0952 NU IN $16.03 $15.91 $15.26 $15.26 $15.26 $15.26 $15.53E0952 RR KE IN $1.74 $1.72 $1.69 $1.69 $1.69 $1.69 $1.69E0952 RR KU IN $1.66 $1.64 $1.58 $1.58 $1.58 $1.58 $1.58E0952 RR IN $1.60 $1.59 $1.56 $1.56 $1.56 $1.56 $1.56E0952 UE KE IN $13.03 $12.93 $12.40 $12.63 $12.60 $12.40 $12.60E0952 UE KU IN $12.55 $12.37 $11.45 $11.86 $11.80 $11.45 $11.80E0952 UE IN $12.03 $11.94 $11.44 $11.68 $11.65 $11.44 $11.65E0955 RR KE CR $18.36 R $18.81 $18.36 R $18.81 $18.12 R $18.81 $18.36 R $18.81 $18.20 R $18.81 $18.36 R $18.81 $18.36 R $18.81E0955 RR KU CR $19.28 $19.28 $19.28 $19.28 $19.28 $19.28 $19.28E0955 RR CR $16.82 R $17.27 $16.82 R $17.27 $16.58 R $17.27 $16.82 R $17.27 $16.66 R $17.27 $16.82 R $17.27 $16.82 R $17.27E0956 NU KE IN $92.86 R $94.72 $92.86 R $94.72 $90.99 R $94.72 $92.86 R $94.72 $92.95 R $94.72 $92.86 R $94.72 $92.86 R $94.72E0956 NU KU IN $93.92 $93.92 $93.92 $93.92 $93.92 $93.92 $93.92E0956 NU IN $85.32 R $87.19 $85.32 R $87.19 $83.46 R $87.19 $85.32 R $87.19 $85.41 R $87.19 $85.32 R $87.19 $85.32 R $87.19E0956 RR KE IN $9.29 R $9.48 $9.29 R $9.48 $9.10 R $9.48 $9.29 R $9.48 $9.30 R $9.48 $9.29 R $9.48 $9.29 R $9.48E0956 RR KU IN $9.39 $9.39 $9.39 $9.39 $9.39 $9.39 $9.39E0956 RR IN $8.53 R $8.72 $8.53 R $8.72 $8.35 R $8.72 $8.53 R $8.72 $8.54 R $8.72 $8.53 R $8.72 $8.53 R $8.72E0956 UE KE IN $69.64 R $71.04 $69.64 R $71.04 $68.24 R $71.04 $69.64 R $71.04 $69.71 R $71.04 $69.64 R $71.04 $69.64 R $71.04E0956 UE KU IN $70.45 $70.45 $70.45 $70.45 $70.45 $70.45 $70.45E0956 UE IN $64.00 R $65.39 $64.00 R $65.39 $62.60 R $65.39 $64.00 R $65.39 $64.06 R $65.39 $64.00 R $65.39 $64.00 R $65.39E0957 NU KE IN $134.18 R $139.17 $134.18 R $139.17 $133.70 R $139.17 $134.18 R $139.17 $133.20 R $139.17 $134.18 R $139.17 $134.18 R $139.17E0957 NU KU IN $131.43 $131.43 $131.43 $131.43 $131.43 $131.43 $131.43E0957 NU IN $123.66 R $128.64 $123.66 R $128.64 $123.18 R $128.64 $123.66 R $128.64 $122.67 R $128.64 $123.66 R $128.64 $123.66 R $128.64E0957 RR KE IN $13.42 R $13.92 $13.42 R $13.92 $13.38 R $13.92 $13.42 R $13.92 $13.33 R $13.92 $13.42 R $13.92 $13.42 R $13.92E0957 RR KU IN $13.15 $13.15 $13.15 $13.15 $13.15 $13.15 $13.15E0957 RR IN $12.37 R $12.87 $12.37 R $12.87 $12.32 R $12.87 $12.37 R $12.87 $12.27 R $12.87 $12.37 R $12.87 $12.37 R $12.87E0957 UE KE IN $100.64 R $104.37 $100.64 R $104.37 $100.28 R $104.37 $100.64 R $104.37 $99.90 R $104.37 $100.64 R $104.37 $100.64 R $104.37E0957 UE KU IN $98.57 $98.57 $98.57 $98.57 $98.57 $98.57 $98.57E0957 UE IN $92.74 R $96.48 $92.74 R $96.48 $92.38 R $96.48 $92.74 R $96.48 $92.00 R $96.48 $92.74 R $96.48 $92.74 R $96.48E0958 RR CR $44.50 R $45.97 $44.50 R $45.97 $43.81 R $45.97 $43.40 R $44.87 $43.85 R $44.21 $44.50 R $45.97 $40.89 R $41.00E0959 NU IN $41.25 R $41.54 $44.92 R $47.68 $45.00 R $47.68 $42.82 R $44.67 $43.32 R $44.34 $41.25 R $41.54 $41.25 R $41.54E0959 RR IN $4.14 R $4.18 $4.51 R $4.78 $4.52 R $4.78 $4.28 R $4.46 $4.33 R $4.42 $4.14 R $4.18 $4.14 R $4.18E0959 UE IN $31.08 R $31.43 $33.85 R $35.93 $33.92 R $35.93 $32.12 R $33.52 $32.49 R $33.26 $31.08 R $31.43 $31.08 R $31.43E0960 NU KE IN $86.73 R $88.47 $86.73 R $88.47 $85.44 R $88.47 $86.73 R $88.47 $86.21 R $88.47 $86.73 R $88.47 $86.73 R $88.47E0960 NU KU IN $86.69 $86.69 $86.69 $86.69 $86.69 $86.69 $86.69E0960 NU IN $79.79 R $81.52 $79.79 R $81.52 $78.50 R $81.52 $79.79 R $81.52 $79.27 R $81.52 $79.79 R $81.52 $79.79 R $81.52E0960 RR KE IN $8.68 R $8.85 $8.68 R $8.85 $8.55 R $8.85 $8.68 R $8.85 $8.63 R $8.85 $8.68 R $8.85 $8.68 R $8.85E0960 RR KU IN $8.69 $8.69 $8.69 $8.69 $8.69 $8.69 $8.69E0960 RR IN $7.99 R $8.16 $7.99 R $8.16 $7.86 R $8.16 $7.99 R $8.16 $7.94 R $8.16 $7.99 R $8.16 $7.99 R $8.16E0960 UE KE IN $65.06 R $66.36 $65.06 R $66.36 $64.09 R $66.36 $65.06 R $66.36 $64.67 R $66.36 $65.06 R $66.36 $65.06 R $66.36E0960 UE KU IN $65.03 $65.03 $65.03 $65.03 $65.03 $65.03 $65.03E0960 UE IN $59.85 R $61.15 $59.85 R $61.15 $58.88 R $61.15 $59.85 R $61.15 $59.46 R $61.15 $59.85 R $61.15 $59.85 R $61.15E0961 NU IN $26.22 R $27.21 $23.75 R $24.75 $23.61 R $24.75 $24.67 R $25.66 $26.34 R $27.21 $23.75 R $24.75 $23.75 R $24.75E0961 RR IN $2.70 R $2.80 $2.44 R $2.54 $2.42 R $2.54 $2.48 R $2.58 $2.71 R $2.80 $2.44 R $2.54 $2.44 R $2.54E0961 UE IN $14.55 R $14.55 $13.95 R $13.95 $15.43 R $16.28 $13.95 R $13.95 $14.84 R $14.84 $13.95 R $13.95 $13.95 R $13.95E0966 NU IN $73.53 R $75.77 $74.24 R $76.48 $68.78 R $71.84 $74.24 R $76.48 $74.72 R $76.48 $70.58 R $71.59 $71.31 R $73.05E0966 RR IN $7.37 R $7.60 $7.37 R $7.60 $6.89 R $7.20 $7.37 R $7.60 $7.42 R $7.60 $7.06 R $7.17 $6.71 R $6.71E0966 UE IN $55.16 R $56.84 $55.68 R $57.36 $51.59 R $53.89 $55.68 R $57.36 $56.04 R $57.36 $52.94 R $53.70 $53.49 R $54.80E0967 NU IN $71.32 R $72.61 $71.32 R $72.61 $70.58 R $72.61 $71.32 R $72.61 $70.71 R $72.61 $71.32 R $72.61 $71.32 R $72.61E0967 RR IN $7.14 R $7.27 $7.14 R $7.27 $7.06 R $7.27 $7.14 R $7.27 $7.08 R $7.27 $7.14 R $7.27 $7.14 R $7.27E0967 UE IN $53.48 R $54.44 $53.48 R $54.44 $52.93 R $54.44 $53.48 R $54.44 $53.03 R $54.44 $53.48 R $54.44 $53.48 R $54.44E0968 RR CR $19.81 $19.81 $16.84 $19.74 $19.63 $19.81 $19.81E0969 NU IN $173.16 $173.16 $171.42 $173.16 $173.16 $147.19 $168.74E0969 RR IN $15.52 $17.14 $17.14 $17.14 $17.14 $14.57 $16.87E0969 UE IN $129.88 $129.88 $128.56 $129.88 $129.88 $110.40 $126.55E0971 NU IN $38.53 R $39.93 $38.53 R $39.93 $39.08 R $39.93 $38.53 R $39.93 $38.77 R $39.93 $38.53 R $39.93 $38.53 R $39.93E0971 RR IN $3.86 R $4.00 $3.86 R $4.00 $3.92 R $4.00 $3.86 R $4.00 $3.88 R $4.00 $3.86 R $4.00 $3.86 R $4.00E0971 UE IN $28.91 R $29.96 $28.91 R $29.96 $29.33 R $29.96 $28.91 R $29.96 $29.09 R $29.96 $28.91 R $29.96 $28.91 R $29.96E0973 NU KE IN $89.77 R $91.83 $89.77 R $91.83 $81.94 R $82.30 $80.24 R $82.30 $89.16 R $91.83 $80.24 R $82.30 $80.24 R $82.30E0973 NU KU IN $109.55 $109.55 $93.12 $93.12 $109.55 $93.12 $93.12E0973 NU IN $80.99 R $83.06 $80.99 R $83.06 $74.48 R $74.84 $72.78 R $74.84 $80.39 R $83.06 $72.78 R $74.84 $72.78 R $74.84E0973 RR KE IN $8.68 R $8.88 $8.68 R $8.88 $7.94 R $7.98 $7.77 R $7.98 $8.62 R $8.88 $7.77 R $7.98 $7.77 R $7.98E0973 RR KU IN $10.43 $10.43 $8.87 $8.87 $10.43 $8.87 $8.87





Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule



E0973 RR IN $7.84 R $8.04 $7.84 R $8.04 $7.22 R $7.26 $7.05 R $7.26 $7.78 R $8.04 $7.05 R $7.26 $7.05 R $7.26E0973 UE KE IN $67.32 R $68.87 $67.32 R $68.87 $61.45 R $61.73 $60.18 R $61.73 $66.87 R $68.87 $60.18 R $61.73 $60.18 R $61.73E0973 UE KU IN $82.16 $82.16 $69.84 $69.84 $82.16 $69.84 $69.84E0973 UE IN $60.74 R $62.29 $60.74 R $62.29 $55.86 R $56.13 $54.58 R $56.13 $60.29 R $62.29 $54.58 R $56.13 $54.58 R $56.13E0974 NU IN $73.12 R $73.68 $79.62 R $81.83 $75.05 R $78.68 $79.62 R $81.83 $79.36 R $81.83 $79.62 R $81.83 $75.72 R $77.93E0974 RR IN $8.23 R $8.45 $8.16 R $8.38 $7.51 R $7.87 $7.99 R $8.21 $8.13 R $8.38 $8.23 R $8.45 $7.57 R $7.79E0974 UE IN $59.96 R $61.61 $59.96 R $61.61 $56.27 R $59.00 $59.96 R $61.61 $59.76 R $61.61 $59.96 R $61.61 $56.79 R $58.45E0978 NU KE IN $35.69 R $36.50 $35.69 R $36.50 $35.73 R $36.50 $34.85 R $35.65 $34.11 R $35.36 $35.29 R $36.09 $35.69 R $36.50E0978 NU KU IN $40.69 $40.69 $40.69 $39.21 $38.72 $39.99 $40.69E0978 NU IN $32.43 R $33.23 $32.43 R $33.23 $32.46 R $33.23 $31.69 R $32.49 $31.00 R $32.25 $32.08 R $32.88 $32.43 R $33.23E0978 RR KE IN $3.58 R $3.66 $3.58 R $3.66 $3.58 R $3.66 $3.23 R $3.31 $3.40 R $3.52 $3.53 R $3.61 $3.48 R $3.56E0978 RR KU IN $4.07 $4.07 $4.07 $3.46 $3.87 $3.99 $3.92E0978 RR IN $3.25 R $3.33 $3.25 R $3.33 $3.25 R $3.33 $2.94 R $3.02 $3.10 R $3.23 $3.21 R $3.29 $3.17 R $3.25E0978 UE KE IN $26.56 R $27.17 $26.56 R $27.17 $26.59 R $27.17 $26.13 R $26.74 $25.58 R $26.52 $26.47 R $27.07 $26.56 R $27.17E0978 UE KU IN $30.17 $30.17 $30.17 $29.43 $29.04 $30.00 $30.17E0978 UE IN $24.15 R $24.75 $24.15 R $24.75 $24.17 R $24.75 $23.78 R $24.38 $23.25 R $24.19 $24.06 R $24.67 $24.15 R $24.75E0980 NU IN $36.54 $36.54 $36.54 $35.33 $35.33 $35.33 $36.54E0980 RR IN $3.66 $3.66 $3.66 $3.11 $3.52 $3.52 $3.66E0980 UE IN $27.25 $27.25 $27.25 $26.50 $26.50 $26.50 $27.25E0981 NU KE IN $44.25 $45.28 $45.28 $44.29 $41.37 $41.37 $44.61E0981 NU KU IN $43.16 $44.93 $44.93 $43.23 $38.19 $38.19 $43.77E0981 NU IN $40.80 $41.68 $41.68 $40.83 $38.19 $38.19 $41.11E0981 RR KE IN $4.57 $4.57 $4.57 $4.43 $4.17 $4.17 $4.57E0981 RR KU IN $4.57 $4.57 $4.57 $4.32 $3.88 $3.88 $4.57E0981 RR IN $4.21 $4.21 $4.21 $4.08 $3.86 $3.86 $4.21E0981 UE KE IN $33.18 $34.15 $34.15 $33.22 $31.19 $31.19 $34.15E0981 UE KU IN $32.36 $34.00 $34.00 $32.42 $28.90 $28.90 $34.00E0981 UE IN $30.59 $31.42 $31.42 $30.62 $28.87 $28.87 $31.42E0982 NU KE IN $45.50 $49.77 $49.77 $45.50 $45.50 $45.50 $47.25E0982 NU KU IN $41.73 $49.09 $49.09 $41.73 $41.73 $41.73 $44.78E0982 NU IN $41.73 $45.83 $45.83 $41.73 $41.73 $41.73 $43.67E0982 RR KE IN $4.54 $4.97 $4.97 $4.54 $4.54 $4.54 $4.97E0982 RR KU IN $4.17 $4.91 $4.91 $4.17 $4.17 $4.17 $4.91E0982 RR IN $4.17 $4.58 $4.58 $4.17 $4.17 $4.17 $4.58E0982 UE KE IN $34.11 $37.31 $37.31 $34.11 $34.11 $34.11 $37.31E0982 UE KU IN $31.31 $36.83 $36.83 $31.31 $31.31 $31.31 $36.83E0982 UE IN $31.30 $34.38 $34.38 $31.30 $31.30 $31.30 $34.38E0983 RR CR $276.31 $276.31 $276.31 $264.78 $276.31 $276.31 $276.31E0984 RR CR $179.52 $179.52 $211.20 $179.52 $202.15 $179.52 $205.00E0985 RR KU CR $22.44 $22.44 $22.44 $22.44 $22.44 $22.44 $22.44E0985 RR CR $22.04 R $22.44 $22.04 R $22.44 $21.27 R $22.44 $22.04 R $22.44 $21.69 R $22.44 $22.04 R $22.44 $22.04 R $22.44E0986 RR CR $537.76 $537.76 $537.76 $537.76 $537.76 $537.76 $537.76E0988 RR CR $330.93 $330.93 $330.93 $330.93 $330.93 $330.93 $330.93E0990 NU KE IN $92.16 R $94.48 $89.63 R $91.95 $101.00 R $101.69 $89.63 R $91.95 $91.71 R $93.92 $89.63 R $91.95 $99.37 R $101.69E0990 NU KU IN $99.47 $95.11 $111.89 $95.11 $98.49 $95.11 $111.89E0990 NU IN $84.19 R $86.51 $82.01 R $84.33 $92.03 R $92.72 $82.01 R $84.33 $83.81 R $86.02 $82.01 R $84.33 $90.40 R $92.72E0990 RR KE IN $10.75 R $10.98 $9.66 R $9.89 $10.91 R $10.98 $9.66 R $9.89 $10.69 R $10.91 $9.66 R $9.89 $10.75 R $10.98E0990 RR KU IN $12.60 $10.71 $12.60 $10.71 $12.48 $10.71 $12.60E0990 RR IN $9.75 R $9.98 $8.80 R $9.03 $9.91 R $9.98 $8.80 R $9.03 $9.70 R $9.92 $8.80 R $9.03 $9.75 R $9.98E0990 UE KE IN $68.95 R $70.69 $68.95 R $70.69 $77.78 R $78.29 $68.95 R $70.69 $69.03 R $70.69 $68.95 R $70.69 $76.55 R $78.29E0990 UE KU IN $74.32 $74.32 $87.43 $74.32 $74.32 $74.32 $87.43E0990 UE IN $63.00 R $64.74 $63.00 R $64.74 $70.78 R $71.30 $63.00 R $64.74 $63.08 R $64.74 $63.00 R $64.74 $69.56 R $71.30E0992 NU IN $92.63 R $94.53 $84.96 R $86.86 $85.18 R $87.90 $84.96 R $86.86 $88.43 R $90.28 $92.85 R $94.75 $84.96 R $86.86E0992 RR IN $9.13 R $9.33 $8.37 R $8.56 $8.51 R $8.78 $8.37 R $8.56 $8.84 R $9.03 $9.13 R $9.33 $8.37 R $8.56E0992 UE IN $69.48 R $70.90 $63.72 R $65.15 $63.88 R $65.92 $63.72 R $65.15 $66.34 R $67.73 $69.64 R $71.07 $63.72 R $65.15E0994 NU IN $19.48 $17.17 $19.48 $19.48 $16.56 $19.48 $16.56E0994 RR IN $1.97 $1.72 $1.97 $1.97 $1.67 $1.97 $1.97E0994 UE IN $14.62 $12.89 $14.62 $14.62 $12.43 $14.62 $12.82E0995 NU KE IN $29.16 $26.64 $27.70 $29.16 $29.16 $26.64 $29.16E0995 NU KU IN $28.96 $24.62 $26.44 $28.96 $28.96 $24.62 $28.96E0995 NU IN $26.83 $24.62 $25.57 $26.83 $26.83 $24.62 $26.83E0995 RR KE IN $2.92 $2.67 $2.77 $2.92 $2.92 $2.67 $2.92E0995 RR KU IN $2.91 $2.47 $2.66 $2.91 $2.91 $2.47 $2.91E0995 RR IN $2.69 $2.47 $2.56 $2.69 $2.69 $2.47 $2.69E0995 UE KE IN $21.86 $19.97 $20.77 $21.86 $21.86 $19.97 $21.86E0995 UE KU IN $21.70 $18.45 $19.81 $21.70 $21.70 $18.45 $21.70





Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule



E0995 UE IN $20.11 $18.45 $19.17 $20.11 $20.11 $18.45 $20.11E1002 RR KE CR $395.41 $395.41 $395.41 $395.41 $395.41 $395.41 $395.41E1002 RR KU CR $386.19 $386.19 $386.19 $386.19 $386.19 $386.19 $386.19E1002 RR CR $364.46 $364.46 $364.46 $364.46 $364.46 $364.46 $364.46E1003 RR KE CR $443.32 $443.32 $443.32 $443.32 $443.32 $443.32 $443.32E1003 RR KU CR $418.43 $418.43 $418.43 $418.43 $418.43 $418.43 $418.43E1003 RR CR $409.80 $409.80 $409.80 $409.80 $409.80 $409.80 $409.80E1004 RR KE CR $489.61 $489.61 $489.61 $489.61 $489.61 $489.61 $489.61E1004 RR KU CR $463.93 $463.93 $463.93 $463.93 $463.93 $463.93 $463.93E1004 RR CR $452.43 $452.43 $452.43 $452.43 $452.43 $452.43 $452.43E1005 RR KE CR $532.50 $532.50 $532.50 $532.50 $532.50 $532.50 $532.50E1005 RR KU CR $502.17 $502.17 $502.17 $502.17 $502.17 $502.17 $502.17E1005 RR CR $492.26 $492.26 $492.26 $492.26 $492.26 $492.26 $492.26E1006 RR KE CR $654.19 $654.19 $654.19 $654.19 $654.19 $654.19 $654.19E1006 RR KU CR $615.11 $615.11 $615.11 $615.11 $615.11 $615.11 $615.11E1006 RR CR $604.91 $604.91 $604.91 $604.91 $604.91 $604.91 $604.91E1007 RR KE CR $852.29 $852.29 $852.29 $852.29 $852.29 $852.29 $852.29E1007 RR KU CR $832.91 $832.91 $832.91 $832.91 $832.91 $832.91 $832.91E1007 RR CR $785.57 $785.57 $785.57 $785.57 $785.57 $785.57 $785.57E1008 RR KE CR $861.83 $861.83 $861.83 $861.83 $861.83 $861.83 $861.83E1008 RR KU CR $832.97 $832.97 $832.97 $832.97 $832.97 $832.97 $832.97E1008 RR CR $795.09 $795.09 $795.09 $795.09 $795.09 $795.09 $795.09E1010 RR KE CR $114.68 $114.68 $114.68 $114.68 $114.68 $114.68 $114.68E1010 RR KU CR $108.99 $108.99 $108.99 $108.99 $108.99 $108.99 $108.99E1010 RR CR $105.95 $105.95 $105.95 $105.95 $105.95 $105.95 $105.95E1012 RR KU CR $108.99 $108.99 $108.99 $108.99 $108.99 $108.99 $108.99E1012 RR CR $105.95 $105.95 $105.95 $105.95 $105.95 $105.95 $105.95E1014 RR CR $40.38 $40.38 $40.38 $40.38 $40.38 $40.38 $40.38E1015 NU IN $123.98 R $125.75 $123.98 R $125.75 $120.27 R $125.75 $123.98 R $125.75 $122.61 R $125.75 $123.98 R $125.75 $123.98 R $125.75E1015 RR IN $12.39 R $12.57 $12.39 R $12.57 $12.02 R $12.57 $12.39 R $12.57 $12.26 R $12.57 $12.39 R $12.57 $12.39 R $12.57E1015 UE IN $92.98 R $94.31 $92.98 R $94.31 $90.20 R $94.31 $92.98 R $94.31 $91.95 R $94.31 $92.98 R $94.31 $92.98 R $94.31E1016 NU KE IN $130.28 R $130.93 $130.28 R $130.93 $124.12 R $130.93 $130.28 R $130.93 $126.21 R $130.93 $130.28 R $130.93 $130.28 R $130.93E1016 NU KU IN $125.13 $125.13 $125.13 $125.13 $125.13 $125.13 $125.13E1016 NU IN $120.26 R $120.91 $120.26 R $120.91 $114.10 R $120.91 $120.26 R $120.91 $116.19 R $120.91 $120.26 R $120.91 $120.26 R $120.91E1016 RR KE IN $13.04 R $13.10 $13.04 R $13.10 $12.42 R $13.10 $13.04 R $13.10 $12.63 R $13.10 $13.04 R $13.10 $13.04 R $13.10E1016 RR KU IN $12.53 $12.53 $12.53 $12.53 $12.53 $12.53 $12.53E1016 RR IN $12.03 R $12.10 $12.03 R $12.10 $11.42 R $12.10 $12.03 R $12.10 $11.63 R $12.10 $12.03 R $12.10 $12.03 R $12.10E1016 UE KE IN $97.71 R $98.20 $97.71 R $98.20 $93.09 R $98.20 $97.71 R $98.20 $94.66 R $98.20 $97.71 R $98.20 $97.71 R $98.20E1016 UE KU IN $93.83 $93.83 $93.83 $93.83 $93.83 $93.83 $93.83E1016 UE IN $90.19 R $90.68 $90.19 R $90.68 $85.57 R $90.68 $90.19 R $90.68 $87.14 R $90.68 $90.19 R $90.68 $90.19 R $90.68E1020 RR KE CR $22.32 R $22.92 $22.32 R $22.92 $22.23 R $22.92 $22.32 R $22.92 $22.34 R $22.92 $22.32 R $22.92 $22.32 R $22.92E1020 RR KU CR $23.18 $23.18 $23.18 $23.18 $23.18 $23.18 $23.18E1020 RR CR $20.46 R $21.07 $20.46 R $21.07 $20.37 R $21.07 $20.46 R $21.07 $20.48 R $21.07 $20.46 R $21.07 $20.46 R $21.07E1028 RR KE CR $17.88 R $18.50 $17.88 R $18.50 $18.15 R $18.50 $17.88 R $18.50 $17.81 R $18.50 $17.88 R $18.50 $17.88 R $18.50E1028 RR KU CR $19.67 $19.67 $19.67 $19.67 $19.67 $19.67 $19.67E1028 RR CR $16.30 R $16.92 $16.30 R $16.92 $16.57 R $16.92 $16.30 R $16.92 $16.23 R $16.92 $16.30 R $16.92 $16.30 R $16.92E1029 RR KE CR $37.76 $37.76 $37.76 $37.76 $37.76 $37.76 $37.76E1029 RR KU CR $35.20 $35.20 $35.20 $35.20 $35.20 $35.20 $35.20E1029 RR CR $34.93 $34.93 $34.93 $34.93 $34.93 $34.93 $34.93E1030 RR KE CR $118.55 $118.55 $118.55 $118.55 $118.55 $118.55 $118.55E1030 RR KU CR $111.03 $111.03 $111.03 $111.03 $111.03 $111.03 $111.03E1030 RR CR $109.66 $109.66 $109.66 $109.66 $109.66 $109.66 $109.66E1031 RR CR $48.97 R $50.38 $47.77 R $49.18 $44.26 R $46.19 $48.97 R $50.38 $44.90 R $46.19 $48.97 R $50.38 $45.16 R $46.57E1035 RR CR $622.83 R $647.92 $622.83 R $647.92 $625.21 R $647.92 $622.83 R $647.92 $622.81 R $647.92 $622.83 R $647.92 $622.83 R $647.92E1036 RR CR $894.31 R $924.26 $894.31 R $924.26 $881.16 R $924.26 $894.31 R $924.26 $882.23 R $924.26 $894.31 R $924.26 $894.31 R $924.26E1037 RR CR $114.33 R $116.04 $114.33 R $116.04 $110.38 R $116.04 $114.33 R $116.04 $112.38 R $116.04 $114.33 R $116.04 $114.33 R $116.04E1038 RR CR $16.96 R $17.64 $16.96 R $17.64 $17.38 R $17.64 $16.96 R $17.64 $16.98 R $17.64 $16.96 R $17.64 $16.96 R $17.64E1039 RR CR $35.04 R $36.20 $35.04 R $36.20 $34.64 R $36.20 $35.04 R $36.20 $35.68 R $36.20 $35.04 R $36.20 $35.04 R $36.20E1050 RR CR $112.58 $112.58 $102.01 $112.58 $96.30 $112.58 $109.57E1060 RR CR $139.36 $139.36 $139.36 $139.36 $120.03 $139.36 $118.46E1070 RR CR $121.09 $121.09 $121.09 $121.09 $116.45 $102.93 $121.09E1083 RR CR $87.05 $87.05 $87.05 $87.05 $73.99 $87.05 $87.05E1084 RR CR $108.45 $108.45 $108.45 $94.28 $92.18 $108.45 $101.19E1087 RR CR $132.49 $139.88 $118.90 $139.88 $139.88 $136.03 $139.48E1088 RR CR $166.68 $141.68 $141.68 $141.68 $141.68 $148.99 $166.68E1092 RR CR $142.08 $142.08 $127.82 $120.77 $142.08 $123.68 $142.08





Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule



E1093 RR CR $122.18 $122.18 $104.00 $104.13 $106.81 $110.07 $111.50E1100 RR CR $114.75 $114.75 $97.54 $114.75 $97.54 $97.54 $97.54E1110 RR CR $112.38 $112.38 $95.52 $112.38 $112.38 $99.08 $105.92E1150 RR CR $90.18 $81.07 $78.26 $90.18 $84.69 $90.18 $90.18E1160 RR CR $69.10 $67.07 $62.91 $68.40 $62.18 $69.10 $69.10E1161 RR CR $261.57 $261.57 $261.57 $261.57 $261.57 $261.57 $261.57E1170 RR CR $86.65 $98.75 $98.75 $98.75 $83.94 $83.94 $83.94E1171 RR CR $88.61 $88.61 $75.32 $88.61 $81.24 $75.32 $88.61E1172 RR CR $108.30 $108.30 $92.06 $108.30 $108.30 $92.06 $108.30E1180 RR CR $112.03 $112.03 $112.03 $112.03 $112.03 $98.88 $112.03E1190 RR CR $129.43 $129.43 $129.43 $129.43 $129.43 $113.72 $129.43E1195 RR CR $118.05 $124.67 $138.88 $118.05 $118.05 $118.05 $138.88E1200 RR CR $96.19 $96.19 $92.61 $96.19 $81.76 $81.76 $96.19E1221 RR CR $52.53 $44.65 $44.65 $47.12 $44.65 $52.53 $52.53E1222 RR CR $74.94 $63.70 $63.70 $74.94 $73.03 $70.35 $74.94E1223 RR CR $81.82 $77.67 $69.55 $69.55 $72.33 $81.82 $72.33E1224 RR CR $89.71 $89.71 $76.25 $78.43 $76.25 $89.71 $76.25E1225 RR CR $44.36 R $44.73 $44.36 R $44.73 $43.15 R $44.73 $43.83 R $44.21 $43.68 R $44.73 $44.36 R $44.73 $40.85 R $41.22E1226 NU IN $482.86 R $501.19 $482.86 R $501.19 $495.34 R $501.19 $482.86 R $501.19 $491.08 R $501.19 $437.62 R $455.94 $482.86 R $501.19E1226 RR IN $49.17 R $51.00 $49.17 R $51.00 $50.41 R $51.00 $49.17 R $51.00 $49.99 R $51.00 $44.51 R $46.34 $49.17 R $51.00E1226 UE IN $362.12 R $375.87 $362.12 R $375.87 $371.48 R $375.87 $362.12 R $375.87 $368.28 R $375.87 $328.19 R $341.94 $362.12 R $375.87E1227 NU IN $306.78 $306.78 $282.87 $306.78 $260.76 $260.76 $306.78E1227 RR IN $30.69 $30.69 $28.30 $30.69 $26.09 $26.09 $30.69E1227 UE IN $230.11 $230.11 $212.17 $230.11 $195.59 $195.59 $230.11E1228 RR CR $26.33 $26.33 $30.98 $30.98 $26.33 $30.98 $30.98E1230 NU IN $2,187.79 $2,341.42 $2,500.44 $2,125.37 $2,500.44 $2,448.83 $2,500.44E1230 RR IN $209.03 $221.58 $243.07 $245.92 $245.92 $245.92 $235.50E1230 UE IN $1,680.91 $1,680.91 $1,977.54 $1,680.91 $1,934.78 $1,800.00 $1,977.54E1232 RR CR $236.42 $236.42 $236.42 $236.42 $236.42 $236.42 $236.42E1233 RR CR $244.95 $244.95 $244.95 $244.95 $244.95 $244.95 $244.95E1234 RR CR $213.26 $213.26 $213.26 $213.26 $213.26 $213.26 $213.26E1235 RR CR $205.36 $205.36 $205.36 $205.36 $205.36 $205.36 $205.36E1236 RR CR $181.16 $181.16 $181.16 $181.16 $181.16 $181.16 $181.16E1237 RR CR $182.75 $182.75 $182.75 $182.75 $182.75 $182.75 $182.75E1238 RR CR $181.16 $181.16 $181.16 $181.16 $181.16 $181.16 $181.16E1240 RR CR $113.89 $105.63 $96.81 $104.37 $108.55 $113.89 $113.89E1270 RR CR $87.27 $74.22 $83.49 $74.18 $84.22 $87.27 $74.18E1280 RR CR $145.10 $144.00 $145.10 $135.32 $123.34 $132.78 $123.34E1295 RR CR $134.28 $124.67 $114.14 $134.28 $114.14 $124.20 $134.28E1296 NU IN $462.00 $527.39 $462.00 $462.00 $527.39 $462.00 $462.00E1296 RR IN $55.22 $52.74 $46.94 $46.94 $52.74 $46.94 $46.94E1296 UE IN $346.50 $395.55 $346.50 $346.50 $394.24 $346.50 $346.50E1297 NU IN $98.30 $114.81 $110.85 $115.65 $113.95 $98.30 $113.95E1297 RR IN $12.85 $11.49 $11.10 $12.85 $11.37 $10.92 $11.37E1297 UE IN $73.71 $86.12 $83.14 $86.72 $85.48 $73.71 $85.48E1298 NU IN $468.36 $468.36 $468.36 $398.11 $451.43 $398.11 $468.36E1298 RR IN $47.92 $47.92 $47.92 $40.73 $45.15 $40.73 $47.92E1298 UE IN $351.26 $351.26 $351.26 $298.57 $338.57 $298.57 $351.26E1310 NU IN $2,017.87 $2,017.87 $2,373.97 $2,017.87 $2,017.87 $2,017.87 $2,373.97E1310 RR IN $172.58 $172.58 $203.04 $182.62 $172.58 $182.62 $203.04E1310 UE IN $1,513.42 $1,513.42 $1,780.49 $1,513.42 $1,513.42 $1,513.42 $1,780.49E1353 OX $31.31 $31.31 $31.31 $31.31 $31.31 $31.31 $31.31E1355 OX $23.59 $23.59 $23.59 $23.59 $23.59 $23.59 $23.59E1372 NU IN $155.48 R $155.48 $147.15 R $147.15 $144.92 R $146.83 $155.48 R $155.48 $136.61 R $148.50 $141.96 R $141.96 $155.48 R $155.48E1372 RR IN $19.63 R $19.63 $19.63 R $19.63 $17.48 R $17.67 $17.67 R $17.67 $16.48 R $17.67 $17.67 R $17.67 $19.63 R $19.63E1372 UE IN $115.73 R $115.73 $110.36 R $110.36 $108.69 R $110.12 $115.73 R $115.73 $102.46 R $111.37 $105.73 R $105.73 $115.73 R $115.73E1390 RR OX $125.82 R $129.37 $125.82 R $129.37 $126.67 R $129.37 $125.82 R $129.37 $127.01 R $129.37 $125.82 R $129.37 $125.82 R $129.37E1391 RR OX $125.82 R $129.37 $125.82 R $129.37 $126.67 R $129.37 $125.82 R $129.37 $127.01 R $129.37 $125.82 R $129.37 $125.82 R $129.37E1392 RR OX $44.02 R $46.90 $44.02 R $46.90 $44.71 R $46.90 $44.02 R $46.90 $45.47 R $46.90 $44.02 R $46.90 $44.02 R $46.90E1405 RR OX $157.32 R $160.96 $160.22 R $163.87 $160.58 R $163.87 $157.32 R $160.96 $158.76 R $163.87 $160.22 R $163.87 $160.22 R $163.87E1406 RR OX $137.82 R $141.44 $137.82 R $141.44 $138.62 R $141.44 $137.82 R $141.44 $138.82 R $141.44 $137.82 R $141.44 $137.82 R $141.44E1700 RR CR $38.13 $32.41 $38.13 $32.41 $38.13 $32.41 $32.41E1701 SU $11.14 $11.72 $11.72 $9.96 $11.72 $11.72 $10.23E1702 SU $24.95 $24.95 $24.18 $21.21 $24.95 $24.95 $21.21E1800 RR CR $135.43 $135.43 $115.12 $135.43 $135.43 $135.43 $135.43E1801 RR CR $142.62 $142.62 $142.62 $136.40 $142.62 $142.62 $142.62





Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule



E1802 RR CR $361.29 $361.29 $361.29 $361.29 $361.29 $361.29 $361.29E1805 RR CR $139.68 $139.68 $118.73 $139.68 $139.68 $139.68 $139.68E1806 RR CR $117.10 $117.10 $117.10 $111.95 $117.10 $117.10 $117.10E1810 RR CR $137.73 $137.73 $117.07 $137.73 $137.73 $137.73 $137.73E1811 RR CR $148.27 $148.27 $148.27 $141.81 $148.27 $148.27 $148.27E1812 RR CR $95.06 $95.06 $95.06 $95.06 $95.06 $95.06 $95.06E1815 RR CR $139.68 $139.68 $118.73 $139.68 $139.68 $139.68 $139.68E1816 RR CR $150.62 $150.62 $150.62 $144.03 $150.62 $150.62 $150.62E1818 RR CR $153.76 $153.76 $153.76 $147.05 $153.76 $153.76 $153.76E1820 NU IN $85.24 $89.53 $90.37 $88.66 $90.37 $85.24 $89.53E1820 RR IN $8.54 $8.96 $9.03 $8.88 $9.03 $8.54 $8.96E1820 UE IN $63.94 $67.14 $67.79 $66.49 $67.79 $63.94 $67.14E1821 NU IN $116.35 $116.35 $116.35 $116.35 $116.35 $116.35 $116.35E1821 RR IN $11.61 $11.61 $11.61 $11.61 $11.61 $11.61 $11.61E1821 UE IN $87.29 $87.29 $87.29 $87.29 $87.29 $87.29 $87.29E1825 RR CR $139.68 $139.68 $118.73 $139.68 $139.68 $139.68 $139.68E1830 RR CR $139.68 $139.68 $118.73 $139.68 $139.68 $139.68 $139.68E1831 RR CR $73.05 $73.05 $73.05 $73.05 $73.05 $73.05 $73.05E1840 RR CR $423.09 $423.09 $423.09 $401.52 $414.11 $423.09 $422.50E1841 RR CR $500.78 $500.78 $500.78 $500.78 $500.78 $500.78 $500.78E2000 RR CR $57.30 $57.30 $57.30 $54.80 $57.30 $57.30 $57.30E2100 NU IN $711.04 $604.38 $711.04 $604.38 $687.93 $711.04 $604.38E2100 RR IN $71.11 $60.44 $71.11 $60.44 $68.79 $71.11 $60.44E2100 UE IN $533.29 $453.30 $533.29 $453.30 $515.93 $533.29 $453.30E2101 NU IN $208.45 $208.45 $208.45 $208.45 $208.45 $208.45 $208.45E2101 RR IN $20.84 $20.84 $20.84 $20.84 $20.84 $20.84 $20.84E2101 UE IN $156.34 $156.34 $156.34 $156.34 $156.34 $156.34 $156.34E2120 RR CR $313.44 $313.44 $313.44 $313.44 $313.44 $313.44 $313.44E2201 NU IN $354.63 R $367.19 $354.63 R $367.19 $359.72 R $367.19 $354.63 R $367.19 $355.60 R $367.19 $354.63 R $367.19 $354.63 R $367.19E2201 RR IN $35.46 R $36.72 $35.46 R $36.72 $35.97 R $36.72 $35.46 R $36.72 $35.56 R $36.72 $35.46 R $36.72 $35.46 R $36.72E2201 UE IN $265.97 R $275.39 $265.97 R $275.39 $269.78 R $275.39 $265.97 R $275.39 $266.70 R $275.39 $265.97 R $275.39 $265.97 R $275.39E2202 NU IN $480.26 R $494.14 $480.26 R $494.14 $475.32 R $494.14 $480.26 R $494.14 $478.56 R $494.14 $480.26 R $494.14 $480.26 R $494.14E2202 RR IN $48.03 R $49.42 $48.03 R $49.42 $47.53 R $49.42 $48.03 R $49.42 $47.86 R $49.42 $48.03 R $49.42 $48.03 R $49.42E2202 UE IN $360.21 R $370.62 $360.21 R $370.62 $356.50 R $370.62 $360.21 R $370.62 $358.93 R $370.62 $360.21 R $370.62 $360.21 R $370.62E2203 NU IN $471.28 R $483.75 $471.28 R $483.75 $472.09 R $483.75 $471.28 R $483.75 $465.62 R $483.75 $471.28 R $483.75 $471.28 R $483.75E2203 RR IN $47.12 R $48.37 $47.12 R $48.37 $47.20 R $48.37 $47.12 R $48.37 $46.55 R $48.37 $47.12 R $48.37 $47.12 R $48.37E2203 UE IN $353.45 R $362.80 $353.45 R $362.80 $354.05 R $362.80 $353.45 R $362.80 $349.20 R $362.80 $353.45 R $362.80 $353.45 R $362.80E2204 NU IN $813.62 R $831.69 $813.62 R $831.69 $807.55 R $831.69 $813.62 R $831.69 $805.75 R $831.69 $813.62 R $831.69 $813.62 R $831.69E2204 RR IN $81.37 R $83.17 $81.37 R $83.17 $80.76 R $83.17 $81.37 R $83.17 $80.58 R $83.17 $81.37 R $83.17 $81.37 R $83.17E2204 UE IN $610.22 R $623.77 $610.22 R $623.77 $605.66 R $623.77 $610.22 R $623.77 $604.31 R $623.77 $610.22 R $623.77 $610.22 R $623.77E2205 NU IN $35.11 R $36.11 $35.11 R $36.11 $34.66 R $36.11 $35.11 R $36.11 $34.43 R $36.11 $35.11 R $36.11 $35.11 R $36.11E2205 RR IN $3.50 R $3.60 $3.50 R $3.60 $3.46 R $3.60 $3.50 R $3.60 $3.44 R $3.60 $3.50 R $3.60 $3.50 R $3.60E2205 UE IN $26.35 R $27.11 $26.35 R $27.11 $26.01 R $27.11 $26.35 R $27.11 $25.84 R $27.11 $26.35 R $27.11 $26.35 R $27.11E2206 NU IN $41.16 R $42.36 $41.16 R $42.36 $40.69 R $42.36 $41.16 R $42.36 $40.87 R $42.36 $41.16 R $42.36 $41.16 R $42.36E2206 RR IN $4.11 R $4.23 $4.11 R $4.23 $4.06 R $4.23 $4.11 R $4.23 $4.08 R $4.23 $4.11 R $4.23 $4.11 R $4.23E2206 UE IN $30.87 R $31.77 $30.87 R $31.77 $30.52 R $31.77 $30.87 R $31.77 $30.65 R $31.77 $30.87 R $31.77 $30.87 R $31.77E2207 NU KU IN $47.92 $47.92 $47.92 $47.92 $47.92 $47.92 $47.92E2207 NU IN $46.58 R $47.69 $46.58 R $47.69 $44.99 R $47.69 $46.58 R $47.69 $45.58 R $47.69 $46.58 R $47.69 $46.58 R $47.69E2207 RR KU IN $4.81 $4.81 $4.81 $4.81 $4.81 $4.81 $4.81E2207 RR IN $4.67 R $4.78 $4.67 R $4.78 $4.51 R $4.78 $4.67 R $4.78 $4.57 R $4.78 $4.67 R $4.78 $4.67 R $4.78E2207 UE KU IN $35.95 $35.95 $35.95 $35.95 $35.95 $35.95 $35.95E2207 UE IN $34.94 R $35.77 $34.94 R $35.77 $33.75 R $35.77 $34.94 R $35.77 $34.19 R $35.77 $34.94 R $35.77 $34.94 R $35.77E2208 NU KE IN $103.48 R $105.82 $103.48 R $105.82 $104.45 R $105.82 $103.48 R $105.82 $104.14 R $105.82 $103.48 R $105.82 $103.48 R $105.82E2208 NU KU IN $113.19 $113.19 $113.19 $113.19 $113.19 $113.19 $113.19E2208 NU IN $94.42 R $96.75 $94.42 R $96.75 $95.38 R $96.75 $94.42 R $96.75 $95.07 R $96.75 $94.42 R $96.75 $94.42 R $96.75E2208 RR KE IN $10.34 R $10.58 $10.34 R $10.58 $10.44 R $10.58 $10.34 R $10.58 $10.41 R $10.58 $10.34 R $10.58 $10.34 R $10.58E2208 RR KU IN $11.31 $11.31 $11.31 $11.31 $11.31 $11.31 $11.31E2208 RR IN $9.44 R $9.67 $9.44 R $9.67 $9.54 R $9.67 $9.44 R $9.67 $9.51 R $9.67 $9.44 R $9.67 $9.44 R $9.67E2208 UE KE IN $77.61 R $79.36 $77.61 R $79.36 $78.33 R $79.36 $77.61 R $79.36 $78.10 R $79.36 $77.61 R $79.36 $77.61 R $79.36E2208 UE KU IN $84.89 $84.89 $84.89 $84.89 $84.89 $84.89 $84.89E2208 UE IN $70.81 R $72.56 $70.81 R $72.56 $71.54 R $72.56 $70.81 R $72.56 $71.30 R $72.56 $70.81 R $72.56 $70.81 R $72.56E2209 NU KE IN $101.04 R $102.94 $101.04 R $102.94 $98.67 R $102.94 $101.04 R $102.94 $99.06 R $102.94 $101.04 R $102.94 $101.04 R $102.94E2209 NU KU IN $102.11 $102.11 $102.11 $102.11 $102.11 $102.11 $102.11E2209 NU IN $92.85 R $94.76 $92.85 R $94.76 $90.49 R $94.76 $92.85 R $94.76 $90.88 R $94.76 $92.85 R $94.76 $92.85 R $94.76E2209 RR KE IN $10.12 R $10.31 $10.12 R $10.31 $9.89 R $10.31 $10.12 R $10.31 $9.92 R $10.31 $10.12 R $10.31 $10.12 R $10.31E2209 RR KU IN $10.23 $10.23 $10.23 $10.23 $10.23 $10.23 $10.23





Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule



E2209 RR IN $9.29 R $9.49 $9.29 R $9.49 $9.06 R $9.49 $9.29 R $9.49 $9.10 R $9.49 $9.29 R $9.49 $9.29 R $9.49E2209 UE KE IN $75.78 R $77.21 $75.78 R $77.21 $74.01 R $77.21 $75.78 R $77.21 $74.30 R $77.21 $75.78 R $77.21 $75.78 R $77.21E2209 UE KU IN $76.59 $76.59 $76.59 $76.59 $76.59 $76.59 $76.59E2209 UE IN $69.65 R $71.08 $69.65 R $71.08 $67.87 R $71.08 $69.65 R $71.08 $68.17 R $71.08 $69.65 R $71.08 $69.65 R $71.08E2210 NU KE IN $6.40 R $6.40 $6.40 R $6.40 $6.13 R $6.40 $6.40 R $6.40 $6.22 R $6.40 $6.40 R $6.40 $6.40 R $6.40E2210 NU KU IN $6.23 $6.23 $6.23 $6.23 $6.23 $6.23 $6.23E2210 NU IN $5.89 R $5.89 $5.89 R $5.89 $5.63 R $5.89 $5.89 R $5.89 $5.72 R $5.89 $5.89 R $5.89 $5.89 R $5.89E2210 RR KE IN $0.65 R $0.65 $0.65 R $0.65 $0.62 R $0.65 $0.65 R $0.65 $0.63 R $0.65 $0.65 R $0.65 $0.65 R $0.65E2210 RR KU IN $0.63 $0.63 $0.63 $0.63 $0.63 $0.63 $0.63E2210 RR IN $0.59 R $0.59 $0.59 R $0.59 $0.56 R $0.59 $0.59 R $0.59 $0.57 R $0.59 $0.59 R $0.59 $0.59 R $0.59E2210 UE KE IN $4.80 R $4.80 $4.80 R $4.80 $4.60 R $4.80 $4.80 R $4.80 $4.67 R $4.80 $4.80 R $4.80 $4.80 R $4.80E2210 UE KU IN $4.70 $4.70 $4.70 $4.70 $4.70 $4.70 $4.70E2210 UE IN $4.43 R $4.43 $4.43 R $4.43 $4.23 R $4.43 $4.43 R $4.43 $4.30 R $4.43 $4.43 R $4.43 $4.43 R $4.43E2211 NU IN $36.69 R $38.11 $35.54 R $36.96 $39.02 R $40.35 $35.54 R $36.96 $34.76 R $36.96 $35.54 R $36.96 $38.94 R $40.35E2211 RR IN $3.67 R $3.81 $3.52 R $3.66 $3.86 R $3.99 $3.52 R $3.66 $3.44 R $3.66 $3.52 R $3.66 $3.85 R $3.99E2211 UE IN $27.53 R $28.59 $26.01 R $27.07 $28.50 R $29.50 $26.01 R $27.07 $25.42 R $27.07 $26.01 R $27.07 $26.41 R $27.47E2212 NU IN $6.36 R $6.48 $6.36 R $6.48 $6.15 R $6.48 $6.36 R $6.48 $6.25 R $6.48 $6.36 R $6.48 $6.36 R $6.48E2212 RR IN $0.66 R $0.67 $0.66 R $0.67 $0.63 R $0.67 $0.66 R $0.67 $0.64 R $0.67 $0.66 R $0.67 $0.66 R $0.67E2212 UE IN $4.78 R $4.87 $4.78 R $4.87 $4.62 R $4.87 $4.78 R $4.87 $4.70 R $4.87 $4.78 R $4.87 $4.78 R $4.87E2213 NU IN $31.38 R $32.31 $31.38 R $32.31 $30.79 R $32.31 $31.38 R $32.31 $30.86 R $32.31 $31.38 R $32.31 $31.38 R $32.31E2213 RR IN $3.15 R $3.24 $3.15 R $3.24 $3.09 R $3.24 $3.15 R $3.24 $3.09 R $3.24 $3.15 R $3.24 $3.15 R $3.24E2213 UE IN $23.53 R $24.23 $23.53 R $24.23 $23.09 R $24.23 $23.53 R $24.23 $23.14 R $24.23 $23.53 R $24.23 $23.53 R $24.23E2214 NU IN $32.90 R $33.83 $35.89 R $36.96 $31.73 R $33.83 $35.89 R $36.96 $35.89 R $36.96 $32.90 R $33.83 $35.89 R $36.96E2214 RR IN $3.46 R $3.56 $3.79 R $3.89 $3.34 R $3.56 $3.79 R $3.89 $3.79 R $3.89 $3.46 R $3.56 $3.79 R $3.89E2214 UE IN $24.67 R $25.36 $26.91 R $27.71 $23.79 R $25.36 $26.91 R $27.71 $26.91 R $27.71 $24.67 R $25.36 $26.91 R $27.71E2215 NU IN $10.29 R $10.61 $10.29 R $10.61 $10.08 R $10.61 $10.29 R $10.61 $10.28 R $10.61 $10.29 R $10.61 $10.29 R $10.61E2215 RR IN $1.03 R $1.06 $1.03 R $1.06 $1.01 R $1.06 $1.03 R $1.06 $1.03 R $1.06 $1.03 R $1.06 $1.03 R $1.06E2215 UE IN $7.71 R $7.94 $7.71 R $7.94 $7.55 R $7.94 $7.71 R $7.94 $7.70 R $7.94 $7.71 R $7.94 $7.71 R $7.94E2219 NU IN $43.63 R $44.18 $41.84 R $42.39 $38.54 R $39.32 $43.63 R $44.18 $42.01 R $42.41 $41.86 R $42.41 $43.63 R $44.18E2219 RR IN $4.66 R $4.72 $4.27 R $4.33 $4.11 R $4.33 $4.66 R $4.72 $4.29 R $4.33 $4.27 R $4.33 $4.66 R $4.72E2219 UE IN $32.72 R $33.14 $31.40 R $31.81 $28.91 R $29.49 $32.72 R $33.14 $31.52 R $31.82 $31.41 R $31.82 $32.72 R $33.14E2220 NU IN $29.29 R $30.97 $27.51 R $27.99 $26.81 R $26.81 $26.81 R $26.81 $27.94 R $27.99 $26.81 R $26.81 $29.29 R $30.97E2220 RR IN $2.88 R $3.04 $2.75 R $2.80 $2.59 R $2.59 $2.65 R $2.65 $2.79 R $2.80 $2.68 R $2.68 $2.88 R $3.04E2220 UE IN $22.20 R $23.46 $20.63 R $20.99 $20.51 R $20.51 $20.39 R $20.51 $20.95 R $20.99 $20.39 R $20.51 $22.20 R $23.46E2221 NU IN $27.36 R $27.97 $27.36 R $27.97 $26.63 R $27.97 $27.36 R $27.97 $26.89 R $27.97 $27.36 R $27.97 $27.36 R $27.97E2221 RR IN $2.75 R $2.81 $2.75 R $2.81 $2.68 R $2.81 $2.75 R $2.81 $2.71 R $2.81 $2.75 R $2.81 $2.75 R $2.81E2221 UE IN $20.52 R $20.98 $20.52 R $20.98 $19.98 R $20.98 $20.52 R $20.98 $20.17 R $20.98 $20.52 R $20.98 $20.52 R $20.98E2222 NU IN $22.55 R $23.19 $22.55 R $23.19 $22.23 R $23.19 $22.55 R $23.19 $22.26 R $23.19 $22.55 R $23.19 $22.55 R $23.19E2222 RR IN $2.24 R $2.30 $2.24 R $2.30 $2.21 R $2.30 $2.24 R $2.30 $2.21 R $2.30 $2.24 R $2.30 $2.24 R $2.30E2222 UE IN $16.92 R $17.40 $16.92 R $17.40 $16.68 R $17.40 $16.92 R $17.40 $16.70 R $17.40 $16.92 R $17.40 $16.92 R $17.40E2224 NU IN $89.55 R $92.14 $97.68 R $103.35 $91.00 R $92.14 $89.55 R $92.14 $100.25 R $103.35 $89.55 R $92.14 $97.68 R $103.35E2224 RR IN $9.18 R $9.67 $10.03 R $10.60 $9.33 R $9.67 $9.18 R $9.67 $10.29 R $10.60 $9.18 R $9.67 $10.03 R $10.60E2224 UE IN $67.16 R $69.11 $73.26 R $77.52 $68.25 R $69.11 $67.16 R $69.11 $75.20 R $77.52 $67.16 R $69.11 $73.26 R $77.52E2225 NU IN $18.79 R $19.24 $18.79 R $19.24 $18.30 R $19.24 $18.79 R $19.24 $18.66 R $19.24 $18.79 R $19.24 $18.79 R $19.24E2225 RR IN $1.88 R $1.92 $1.88 R $1.92 $1.83 R $1.92 $1.88 R $1.92 $1.86 R $1.92 $1.88 R $1.92 $1.88 R $1.92E2225 UE IN $14.09 R $14.41 $14.09 R $14.41 $13.72 R $14.41 $14.09 R $14.41 $13.99 R $14.41 $14.09 R $14.41 $14.09 R $14.41E2226 NU IN $40.68 R $41.50 $40.68 R $41.50 $39.49 R $41.50 $40.68 R $41.50 $40.07 R $41.50 $40.68 R $41.50 $40.68 R $41.50E2226 RR IN $4.07 R $4.15 $4.07 R $4.15 $3.95 R $4.15 $4.07 R $4.15 $4.01 R $4.15 $4.07 R $4.15 $4.07 R $4.15E2226 UE IN $30.51 R $31.13 $30.51 R $31.13 $29.62 R $31.13 $30.51 R $31.13 $30.06 R $31.13 $30.51 R $31.13 $30.51 R $31.13E2227 RR CR $206.82 $206.82 $206.82 $206.82 $206.82 $206.82 $206.82E2228 RR CR $98.43 R $101.28 $98.43 R $101.28 $96.60 R $101.28 $98.43 R $101.28 $98.39 R $101.28 $98.43 R $101.28 $98.43 R $101.28E2231 NU IN $153.96 R $157.26 $153.96 R $157.26 $152.73 R $157.26 $153.96 R $157.26 $151.21 R $157.26 $153.96 R $157.26 $153.96 R $157.26E2231 RR IN $15.40 R $15.73 $15.40 R $15.73 $15.27 R $15.73 $15.40 R $15.73 $15.12 R $15.73 $15.40 R $15.73 $15.40 R $15.73E2231 UE IN $115.47 R $117.94 $115.47 R $117.94 $114.55 R $117.94 $115.47 R $117.94 $113.40 R $117.94 $115.47 R $117.94 $115.47 R $117.94E2310 RR KE CR $114.87 $114.87 $114.87 $114.87 $114.87 $114.87 $114.87E2310 RR KU CR $111.49 $111.49 $111.49 $111.49 $111.49 $111.49 $111.49E2310 RR CR $105.93 $105.93 $105.93 $105.93 $105.93 $105.93 $105.93E2311 RR KE CR $232.23 $232.23 $232.23 $232.23 $232.23 $232.23 $232.23E2311 RR KU CR $225.75 $225.75 $225.75 $225.75 $225.75 $225.75 $225.75E2311 RR CR $214.14 $214.14 $214.14 $214.14 $214.14 $214.14 $214.14E2312 RR KC CR $284.33 $284.33 $284.33 $284.33 $284.33 $284.33 $284.33E2312 RR CR $222.94 $222.94 $222.94 $222.94 $222.94 $222.94 $222.94E2313 RR CR $35.43 $35.43 $35.43 $35.43 $35.43 $35.43 $35.43E2321 RR KC CR $234.38 $234.38 $234.38 $234.38 $234.38 $234.38 $234.38E2321 RR KE CR $156.03 $156.03 $156.03 $156.03 $156.03 $156.03 $156.03E2321 RR KU CR $246.66 $246.66 $246.66 $246.66 $246.66 $246.66 $246.66





Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule



E2321 RR CR $143.90 $143.90 $143.90 $143.90 $143.90 $143.90 $143.90E2322 RR KC CR $255.80 $255.80 $255.80 $255.80 $255.80 $255.80 $255.80E2322 RR KE CR $142.37 $142.37 $142.37 $142.37 $142.37 $142.37 $142.37E2322 RR KU CR $261.19 $261.19 $261.19 $261.19 $261.19 $261.19 $261.19E2322 RR CR $131.60 $131.60 $131.60 $131.60 $131.60 $131.60 $131.60E2323 NU KE IN $69.63 $69.63 $69.63 $69.63 $69.63 $69.63 $69.63E2323 NU KU IN $65.91 $65.91 $65.91 $65.91 $65.91 $65.91 $65.91E2323 NU IN $64.35 $64.35 $64.35 $64.35 $64.35 $64.35 $64.35E2323 RR KE IN $6.96 $6.96 $6.96 $6.96 $6.96 $6.96 $6.96E2323 RR KU IN $6.58 $6.58 $6.58 $6.58 $6.58 $6.58 $6.58E2323 RR IN $6.43 $6.43 $6.43 $6.43 $6.43 $6.43 $6.43E2323 UE KE IN $52.22 $52.22 $52.22 $52.22 $52.22 $52.22 $52.22E2323 UE KU IN $49.41 $49.41 $49.41 $49.41 $49.41 $49.41 $49.41E2323 UE IN $48.26 $48.26 $48.26 $48.26 $48.26 $48.26 $48.26E2324 NU KE IN $44.95 $44.95 $44.95 $44.95 $44.95 $44.95 $44.95E2324 NU KU IN $41.75 $41.75 $41.75 $41.75 $41.75 $41.75 $41.75E2324 NU IN $41.61 $41.61 $41.61 $41.61 $41.61 $41.61 $41.61E2324 RR KE IN $4.49 $4.49 $4.49 $4.49 $4.49 $4.49 $4.49E2324 RR KU IN $4.15 $4.15 $4.15 $4.15 $4.15 $4.15 $4.15E2324 RR IN $4.15 $4.15 $4.15 $4.15 $4.15 $4.15 $4.15E2324 UE KE IN $33.72 $33.72 $33.72 $33.72 $33.72 $33.72 $33.72E2324 UE KU IN $31.31 $31.31 $31.31 $31.31 $31.31 $31.31 $31.31E2324 UE IN $31.20 $31.20 $31.20 $31.20 $31.20 $31.20 $31.20E2325 RR KE CR $136.03 $136.03 $136.03 $136.03 $136.03 $136.03 $136.03E2325 RR KU CR $128.34 $128.34 $128.34 $128.34 $128.34 $128.34 $128.34E2325 RR CR $125.74 $125.74 $125.74 $125.74 $125.74 $125.74 $125.74E2326 RR KE CR $35.35 $35.35 $35.35 $35.35 $35.35 $35.35 $35.35E2326 RR KU CR $33.09 $33.09 $33.09 $33.09 $33.09 $33.09 $33.09E2326 RR CR $32.69 $32.69 $32.69 $32.69 $32.69 $32.69 $32.69E2327 RR KC CR $372.04 $372.04 $372.04 $372.04 $372.04 $372.04 $372.04E2327 RR KE CR $264.83 $264.83 $264.83 $264.83 $264.83 $264.83 $264.83E2327 RR KU CR $378.16 $378.16 $378.16 $378.16 $378.16 $378.16 $378.16E2327 RR CR $244.88 $244.88 $244.88 $244.88 $244.88 $244.88 $244.88E2328 RR KE CR $501.21 $501.21 $501.21 $501.21 $501.21 $501.21 $501.21E2328 RR KU CR $472.15 $472.15 $472.15 $472.15 $472.15 $472.15 $472.15E2328 RR CR $463.38 $463.38 $463.38 $463.38 $463.38 $463.38 $463.38E2329 RR KE CR $179.71 $179.71 $179.71 $179.71 $179.71 $179.71 $179.71E2329 RR KU CR $168.28 $168.28 $168.28 $168.28 $168.28 $168.28 $168.28E2329 RR CR $166.22 $166.22 $166.22 $166.22 $166.22 $166.22 $166.22E2330 RR KE CR $346.75 $346.75 $346.75 $346.75 $346.75 $346.75 $346.75E2330 RR KU CR $326.06 $326.06 $326.06 $326.06 $326.06 $326.06 $326.06E2330 RR CR $320.63 $320.63 $320.63 $320.63 $320.63 $320.63 $320.63E2340 NU IN $396.17 $396.17 $396.17 $396.17 $396.17 $396.17 $396.17E2340 RR IN $39.63 $39.63 $39.63 $39.63 $39.63 $39.63 $39.63E2340 UE IN $297.16 $297.16 $297.16 $297.16 $297.16 $297.16 $297.16E2341 NU IN $594.30 $594.30 $594.30 $594.30 $594.30 $594.30 $594.30E2341 RR IN $59.42 $59.42 $59.42 $59.42 $59.42 $59.42 $59.42E2341 UE IN $445.73 $445.73 $445.73 $445.73 $445.73 $445.73 $445.73E2342 NU IN $495.25 $495.25 $495.25 $495.25 $495.25 $495.25 $495.25E2342 RR IN $49.52 $49.52 $49.52 $49.52 $49.52 $49.52 $49.52E2342 UE IN $371.45 $371.45 $371.45 $371.45 $371.45 $371.45 $371.45E2343 NU IN $792.41 $792.41 $792.41 $792.41 $792.41 $792.41 $792.41E2343 RR IN $79.23 $79.23 $79.23 $79.23 $79.23 $79.23 $79.23E2343 UE IN $594.30 $594.30 $594.30 $594.30 $594.30 $594.30 $594.30E2351 NU KE IN $712.77 $712.77 $712.77 $712.77 $712.77 $712.77 $712.77E2351 NU KU IN $665.69 $665.69 $665.69 $665.69 $665.69 $665.69 $665.69E2351 NU IN $659.43 $659.43 $659.43 $659.43 $659.43 $659.43 $659.43E2351 RR KE IN $71.28 $71.28 $71.28 $71.28 $71.28 $71.28 $71.28E2351 RR KU IN $66.59 $66.59 $66.59 $66.59 $66.59 $66.59 $66.59E2351 RR IN $65.94 $65.94 $65.94 $65.94 $65.94 $65.94 $65.94E2351 UE KE IN $534.58 $534.58 $534.58 $534.58 $534.58 $534.58 $534.58E2351 UE KU IN $499.25 $499.25 $499.25 $499.25 $499.25 $499.25 $499.25E2351 UE IN $494.58 $494.58 $494.58 $494.58 $494.58 $494.58 $494.58E2359 NU KU IN $192.52 $192.52 $192.52 $192.52 $192.52 $192.52 $192.52E2359 NU IN $180.20 R $183.39 $180.20 R $183.39 $175.72 R $183.39 $180.20 R $183.39 $179.62 R $183.39 $180.20 R $183.39 $180.20 R $183.39E2359 RR KU IN $19.26 $19.26 $19.26 $19.26 $19.26 $19.26 $19.26





Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule



E2359 RR IN $18.03 R $18.34 $18.03 R $18.34 $17.58 R $18.34 $18.03 R $18.34 $17.97 R $18.34 $18.03 R $18.34 $18.03 R $18.34E2359 UE KU IN $144.37 $144.37 $144.37 $144.37 $144.37 $144.37 $144.37E2359 UE IN $135.15 R $137.53 $135.15 R $137.53 $131.78 R $137.53 $135.15 R $137.53 $134.71 R $137.53 $135.15 R $137.53 $135.15 R $137.53E2360 NU KU IN $105.57 $105.57 $124.20 $105.57 $105.57 $112.95 $105.99E2360 NU IN $99.94 R $105.58 $99.94 R $105.58 $110.23 R $115.47 $99.94 R $105.58 $101.21 R $105.58 $103.63 R $109.85 $100.15 R $105.99E2360 RR KU IN $10.61 $10.61 $12.48 $10.61 $10.61 $11.29 $10.61E2360 RR IN $10.02 R $10.61 $10.02 R $10.61 $11.05 R $11.58 $10.02 R $10.61 $10.15 R $10.61 $10.36 R $10.98 $10.02 R $10.61E2360 UE KU IN $79.17 $79.17 $93.14 $79.17 $79.17 $84.70 $79.52E2360 UE IN $74.95 R $79.16 $74.95 R $79.16 $82.67 R $86.60 $74.95 R $79.16 $75.90 R $79.16 $77.72 R $82.38 $75.13 R $79.52E2361 NU KE IN $132.87 R $136.75 $132.87 R $136.75 $131.05 R $136.75 $132.87 R $136.75 $130.42 R $136.75 $132.87 R $136.75 $132.87 R $136.75E2361 NU KU IN $132.89 $132.89 $132.89 $132.89 $132.89 $132.89 $132.89E2361 NU IN $122.23 R $126.11 $122.23 R $126.11 $120.40 R $126.11 $122.23 R $126.11 $119.78 R $126.11 $122.23 R $126.11 $122.23 R $126.11E2361 RR KE IN $13.29 R $13.68 $13.29 R $13.68 $13.11 R $13.68 $13.29 R $13.68 $13.05 R $13.68 $13.29 R $13.68 $13.29 R $13.68E2361 RR KU IN $13.29 $13.29 $13.29 $13.29 $13.29 $13.29 $13.29E2361 RR IN $12.22 R $12.61 $12.22 R $12.61 $12.04 R $12.61 $12.22 R $12.61 $11.98 R $12.61 $12.22 R $12.61 $12.22 R $12.61E2361 UE KE IN $99.67 R $102.58 $99.67 R $102.58 $98.30 R $102.58 $99.67 R $102.58 $97.83 R $102.58 $99.67 R $102.58 $99.67 R $102.58E2361 UE KU IN $99.69 $99.69 $99.69 $99.69 $99.69 $99.69 $99.69E2361 UE IN $91.68 R $94.59 $91.68 R $94.59 $90.31 R $94.59 $91.68 R $94.59 $89.85 R $94.59 $91.68 R $94.59 $91.68 R $94.59E2362 NU KU IN $101.69 $101.69 $101.69 $101.69 $101.69 $101.69 $101.69E2362 NU IN $94.71 R $99.42 $94.71 R $99.42 $94.90 R $99.42 $94.71 R $99.42 $95.94 R $99.42 $94.71 R $99.42 $94.71 R $99.42E2362 RR KU IN $10.17 $10.17 $10.17 $10.17 $10.17 $10.17 $10.17E2362 RR IN $9.47 R $9.94 $9.47 R $9.94 $9.49 R $9.94 $9.47 R $9.94 $9.59 R $9.94 $9.47 R $9.94 $9.47 R $9.94E2362 UE KU IN $76.26 $76.26 $76.26 $76.26 $76.26 $76.26 $76.26E2362 UE IN $71.03 R $74.56 $71.03 R $74.56 $71.17 R $74.56 $71.03 R $74.56 $71.96 R $74.56 $71.03 R $74.56 $71.03 R $74.56E2363 NU KE IN $175.07 R $178.06 $175.07 R $178.06 $172.31 R $178.06 $175.07 R $178.06 $170.69 R $178.06 $175.07 R $178.06 $175.07 R $178.06E2363 NU KU IN $177.24 $177.24 $177.24 $177.24 $177.24 $177.24 $177.24E2363 NU IN $160.88 R $163.87 $160.88 R $163.87 $158.12 R $163.87 $160.88 R $163.87 $156.51 R $163.87 $160.88 R $163.87 $160.88 R $163.87E2363 RR KE IN $17.51 R $17.81 $17.51 R $17.81 $17.24 R $17.81 $17.51 R $17.81 $17.08 R $17.81 $17.51 R $17.81 $17.51 R $17.81E2363 RR KU IN $17.72 $17.72 $17.72 $17.72 $17.72 $17.72 $17.72E2363 RR IN $16.09 R $16.38 $16.09 R $16.38 $15.81 R $16.38 $16.09 R $16.38 $15.65 R $16.38 $16.09 R $16.38 $16.09 R $16.38E2363 UE KE IN $131.31 R $133.55 $131.31 R $133.55 $129.24 R $133.55 $131.31 R $133.55 $128.03 R $133.55 $131.31 R $133.55 $131.31 R $133.55E2363 UE KU IN $132.92 $132.92 $132.92 $132.92 $132.92 $132.92 $132.92E2363 UE IN $120.65 R $122.90 $120.65 R $122.90 $118.59 R $122.90 $120.65 R $122.90 $117.37 R $122.90 $120.65 R $122.90 $120.65 R $122.90E2364 NU KU IN $105.57 $105.57 $124.20 $105.57 $105.57 $112.95 $105.99E2364 NU IN $98.22 R $104.25 $98.22 R $104.25 $108.56 R $113.57 $98.22 R $104.25 $100.92 R $104.25 $101.91 R $107.94 $98.43 R $104.46E2364 RR KU IN $10.61 $10.61 $12.48 $10.61 $10.61 $11.29 $10.61E2364 RR IN $9.85 R $10.45 $9.85 R $10.45 $10.89 R $11.39 $9.85 R $10.45 $10.12 R $10.45 $10.19 R $10.79 $9.85 R $10.45E2364 UE KU IN $79.17 $79.17 $93.14 $79.17 $79.17 $84.70 $79.52E2364 UE IN $73.66 R $78.18 $73.66 R $78.18 $81.41 R $85.17 $73.66 R $78.18 $75.68 R $78.18 $76.43 R $80.95 $73.84 R $78.36E2365 NU KE IN $99.51 R $102.11 $99.51 R $102.11 $99.24 R $102.11 $99.51 R $102.11 $98.33 R $102.11 $99.51 R $102.11 $99.51 R $102.11E2365 NU KU IN $106.88 $106.88 $106.88 $106.88 $106.88 $106.88 $106.88E2365 NU IN $90.96 R $93.55 $90.96 R $93.55 $90.68 R $93.55 $90.96 R $93.55 $89.77 R $93.55 $90.96 R $93.55 $90.96 R $93.55E2365 RR KE IN $9.95 R $10.21 $9.95 R $10.21 $9.92 R $10.21 $9.95 R $10.21 $9.83 R $10.21 $9.95 R $10.21 $9.95 R $10.21E2365 RR KU IN $10.68 $10.68 $10.68 $10.68 $10.68 $10.68 $10.68E2365 RR IN $9.09 R $9.35 $9.09 R $9.35 $9.06 R $9.35 $9.09 R $9.35 $8.97 R $9.35 $9.09 R $9.35 $9.09 R $9.35E2365 UE KE IN $74.65 R $76.60 $74.65 R $76.60 $74.44 R $76.60 $74.65 R $76.60 $73.76 R $76.60 $74.38 R $76.32 $74.65 R $76.60E2365 UE KU IN $80.19 $80.19 $80.19 $80.19 $80.19 $79.69 $80.19E2365 UE IN $68.23 R $70.18 $68.23 R $70.18 $68.02 R $70.18 $68.23 R $70.18 $67.34 R $70.18 $67.98 R $69.93 $68.23 R $70.18E2366 NU KE IN $202.28 R $205.92 $202.28 R $205.92 $225.56 R $227.78 $202.28 R $205.92 $222.77 R $227.78 $202.28 R $205.92 $224.13 R $227.78E2366 NU KU IN $213.51 $213.51 $251.19 $213.51 $251.19 $213.51 $251.19E2366 NU IN $185.17 R $188.82 $185.17 R $188.82 $205.44 R $207.66 $185.17 R $188.82 $202.65 R $207.66 $185.17 R $188.82 $204.01 R $207.66E2366 RR KE IN $20.26 R $20.63 $20.26 R $20.63 $22.60 R $22.82 $20.26 R $20.63 $22.32 R $22.82 $20.26 R $20.63 $22.45 R $22.82E2366 RR KU IN $21.41 $21.41 $25.19 $21.41 $25.19 $21.41 $25.19E2366 RR IN $18.55 R $18.91 $18.55 R $18.91 $20.58 R $20.80 $18.55 R $18.91 $20.30 R $20.80 $18.55 R $18.91 $20.44 R $20.80E2366 UE KE IN $151.71 R $154.45 $151.71 R $154.45 $169.17 R $170.84 $151.71 R $154.45 $167.08 R $170.84 $151.71 R $154.45 $168.11 R $170.84E2366 UE KU IN $160.14 $160.14 $188.40 $160.14 $188.40 $160.14 $188.40E2366 UE IN $138.89 R $141.62 $138.89 R $141.62 $154.08 R $155.75 $138.89 R $141.62 $151.99 R $155.75 $138.89 R $141.62 $153.02 R $155.75E2367 NU KE IN $383.78 R $399.06 $383.78 R $399.06 $380.45 R $399.06 $383.78 R $399.06 $393.18 R $399.06 $383.78 R $399.06 $383.78 R $399.06E2367 NU KU IN $399.31 $399.31 $399.31 $399.31 $399.31 $399.31 $399.31E2367 NU IN $351.79 R $367.07 $351.79 R $367.07 $348.46 R $367.07 $351.79 R $367.07 $361.19 R $367.07 $351.79 R $367.07 $351.79 R $367.07E2367 RR KE IN $38.39 R $39.91 $38.39 R $39.91 $38.05 R $39.91 $38.39 R $39.91 $39.33 R $39.91 $38.39 R $39.91 $38.39 R $39.91E2367 RR KU IN $39.93 $39.93 $39.93 $39.93 $39.93 $39.93 $39.93E2367 RR IN $35.18 R $36.71 $35.18 R $36.71 $34.85 R $36.71 $35.18 R $36.71 $36.12 R $36.71 $35.18 R $36.71 $35.18 R $36.71E2367 UE KE IN $287.84 R $299.30 $287.84 R $299.30 $285.34 R $299.30 $287.84 R $299.30 $294.89 R $299.30 $287.84 R $299.30 $287.84 R $299.30E2367 UE KU IN $299.49 $299.49 $299.49 $299.49 $299.49 $299.49 $299.49E2367 UE IN $263.85 R $275.31 $263.85 R $275.31 $261.35 R $275.31 $263.85 R $275.31 $270.90 R $275.31 $263.85 R $275.31 $263.85 R $275.31





Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule


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Fee Schedule



E2368 RR KE CR $49.53 R $49.93 $49.53 R $49.93 $48.01 R $49.93 $49.53 R $49.93 $47.77 R $49.93 $49.53 R $49.93 $49.53 R $49.93E2368 RR KU CR $49.22 $49.22 $49.22 $49.22 $49.22 $49.22 $49.22E2368 RR CR $45.58 R $45.99 $45.58 R $45.99 $44.06 R $45.99 $45.58 R $45.99 $43.82 R $45.99 $45.58 R $45.99 $45.58 R $45.99E2369 RR KE CR $44.44 R $44.98 $44.44 R $44.98 $42.98 R $44.98 $44.44 R $44.98 $42.70 R $44.98 $44.44 R $44.98 $44.44 R $44.98E2369 RR KU CR $42.89 $42.89 $42.89 $42.89 $42.89 $42.89 $42.89E2369 RR CR $41.01 R $41.55 $41.01 R $41.55 $39.54 R $41.55 $41.01 R $41.55 $39.26 R $41.55 $41.01 R $41.55 $41.01 R $41.55E2370 RR KE CR $69.88 R $72.18 $69.88 R $72.18 $70.41 R $72.18 $69.88 R $72.18 $69.32 R $72.18 $69.88 R $72.18 $69.88 R $72.18E2370 RR KU CR $76.50 $76.50 $76.50 $76.50 $76.50 $76.50 $76.50E2370 RR CR $63.75 R $66.05 $63.75 R $66.05 $64.28 R $66.05 $63.75 R $66.05 $63.19 R $66.05 $63.75 R $66.05 $63.75 R $66.05E2371 NU KE IN $152.51 R $155.80 $152.51 R $155.80 $148.60 R $155.80 $152.51 R $155.80 $148.72 R $155.80 $152.51 R $155.80 $152.51 R $155.80E2371 NU KU IN $143.63 $143.63 $143.63 $143.63 $143.63 $143.63 $143.63E2371 NU IN $141.00 R $143.63 $141.00 R $143.63 $137.10 R $143.63 $141.00 R $143.63 $137.22 R $143.63 $141.00 R $143.63 $141.00 R $143.63E2371 RR KE IN $15.25 R $15.58 $15.25 R $15.58 $14.86 R $15.58 $15.25 R $15.58 $14.87 R $15.58 $15.25 R $15.58 $15.25 R $15.58E2371 RR KU IN $14.37 $14.37 $14.37 $14.37 $14.37 $14.37 $14.37E2371 RR IN $14.11 R $14.37 $14.11 R $14.37 $13.71 R $14.37 $14.11 R $14.37 $13.73 R $14.37 $14.11 R $14.37 $14.11 R $14.37E2371 UE KE IN $114.38 R $116.85 $114.38 R $116.85 $111.45 R $116.85 $114.38 R $116.85 $111.54 R $116.85 $114.38 R $116.85 $114.38 R $116.85E2371 UE KU IN $107.74 $107.74 $107.74 $107.74 $107.74 $107.74 $107.74E2371 UE IN $105.76 R $107.74 $105.76 R $107.74 $102.83 R $107.74 $105.76 R $107.74 $102.92 R $107.74 $105.76 R $107.74 $105.76 R $107.74E2373 RR KC CR $116.36 $116.36 $116.36 $116.36 $116.36 $116.36 $116.36E2373 RR KE CR $106.11 $106.11 $106.11 $106.11 $106.11 $106.11 $106.11E2373 RR KU CR $119.90 $119.90 $119.90 $119.90 $119.90 $119.90 $119.90E2373 RR CR $75.40 $75.40 $75.40 $75.40 $75.40 $75.40 $75.40E2374 RR KE CR $52.64 $52.64 $52.64 $52.64 $52.64 $52.64 $52.64E2374 RR KU CR $50.90 $50.90 $50.90 $50.90 $50.90 $50.90 $50.90E2374 RR CR $48.57 $48.57 $48.57 $48.57 $48.57 $48.57 $48.57E2375 RR KE CR $80.36 R $82.74 $80.36 R $82.74 $80.16 R $82.74 $80.36 R $82.74 $80.01 R $82.74 $80.36 R $82.74 $80.36 R $82.74E2375 RR KU CR $81.60 $81.60 $81.60 $81.60 $81.60 $81.60 $81.60E2375 RR CR $73.81 R $76.19 $73.81 R $76.19 $73.61 R $76.19 $73.81 R $76.19 $73.46 R $76.19 $73.81 R $76.19 $73.81 R $76.19E2376 RR KE CR $131.64 $131.64 $131.64 $131.64 $131.64 $131.64 $131.64E2376 RR KU CR $127.90 $127.90 $127.90 $127.90 $127.90 $127.90 $127.90E2376 RR CR $121.39 $121.39 $121.39 $121.39 $121.39 $121.39 $121.39E2377 RR KE CR $48.13 $48.13 $48.13 $48.13 $48.13 $48.13 $48.13E2377 RR KU CR $46.27 $46.27 $46.27 $46.27 $46.27 $46.27 $46.27E2377 RR CR $44.42 $44.42 $44.42 $44.42 $44.42 $44.42 $44.42E2378 RR KU CR $56.57 $56.57 $56.57 $56.57 $56.57 $56.57 $56.57E2378 RR CR $55.09 R $56.34 $55.09 R $56.34 $55.51 R $56.34 $55.09 R $56.34 $55.80 R $56.34 $55.09 R $56.34 $55.09 R $56.34E2381 NU KE IN $73.01 R $73.72 $73.01 R $73.72 $70.67 R $73.72 $73.01 R $73.72 $69.88 R $73.72 $73.01 R $73.72 $73.01 R $73.72E2381 NU KU IN $72.58 $72.58 $72.58 $72.58 $72.58 $72.58 $72.58E2381 NU IN $67.20 R $67.90 $67.20 R $67.90 $64.85 R $67.90 $67.20 R $67.90 $64.07 R $67.90 $67.20 R $67.90 $67.20 R $67.90E2381 RR KE IN $7.31 R $7.38 $7.31 R $7.38 $7.07 R $7.38 $7.31 R $7.38 $7.00 R $7.38 $7.31 R $7.38 $7.31 R $7.38E2381 RR KU IN $7.28 $7.28 $7.28 $7.28 $7.28 $7.28 $7.28E2381 RR IN $6.73 R $6.80 $6.73 R $6.80 $6.50 R $6.80 $6.73 R $6.80 $6.42 R $6.80 $6.73 R $6.80 $6.73 R $6.80E2381 UE KE IN $54.77 R $55.30 $54.77 R $55.30 $53.01 R $55.30 $54.77 R $55.30 $52.42 R $55.30 $54.77 R $55.30 $54.77 R $55.30E2381 UE KU IN $54.44 $54.44 $54.44 $54.44 $54.44 $54.44 $54.44E2381 UE IN $50.40 R $50.93 $50.40 R $50.93 $48.65 R $50.93 $50.40 R $50.93 $48.05 R $50.93 $50.40 R $50.93 $50.40 R $50.93E2382 NU KE IN $19.91 $19.91 $19.91 $19.91 $19.91 $19.91 $19.91E2382 NU KU IN $19.78 $19.78 $19.78 $19.78 $19.78 $19.78 $19.78E2382 NU IN $18.32 $18.32 $18.32 $18.32 $18.32 $18.32 $18.32E2382 RR KE IN $1.98 $1.98 $1.98 $1.98 $1.98 $1.98 $1.98E2382 RR KU IN $1.97 $1.97 $1.97 $1.97 $1.97 $1.97 $1.97E2382 RR IN $1.83 $1.83 $1.83 $1.83 $1.83 $1.83 $1.83E2382 UE KE IN $14.93 $14.93 $14.93 $14.93 $14.93 $14.93 $14.93E2382 UE KU IN $14.85 $14.85 $14.85 $14.85 $14.85 $14.85 $14.85E2382 UE IN $13.75 $13.75 $13.75 $13.75 $13.75 $13.75 $13.75E2383 NU KE IN $147.57 R $150.34 $147.57 R $150.34 $142.10 R $150.34 $147.57 R $150.34 $142.81 R $150.34 $147.57 R $150.34 $147.57 R $150.34E2383 NU KU IN $144.72 $144.72 $144.72 $144.72 $144.72 $144.72 $144.72E2383 NU IN $135.98 R $138.75 $135.98 R $138.75 $130.51 R $138.75 $135.98 R $138.75 $131.22 R $138.75 $135.98 R $138.75 $135.98 R $138.75E2383 RR KE IN $14.75 R $15.03 $14.75 R $15.03 $14.21 R $15.03 $14.75 R $15.03 $14.28 R $15.03 $14.75 R $15.03 $14.75 R $15.03E2383 RR KU IN $14.47 $14.47 $14.47 $14.47 $14.47 $14.47 $14.47E2383 RR IN $13.60 R $13.87 $13.60 R $13.87 $13.05 R $13.87 $13.60 R $13.87 $13.12 R $13.87 $13.60 R $13.87 $13.60 R $13.87E2383 UE KE IN $110.68 R $112.76 $110.68 R $112.76 $106.58 R $112.76 $110.68 R $112.76 $107.12 R $112.76 $110.68 R $112.76 $110.68 R $112.76E2383 UE KU IN $108.53 $108.53 $108.53 $108.53 $108.53 $108.53 $108.53E2383 UE IN $101.98 R $104.06 $101.98 R $104.06 $97.88 R $104.06 $101.98 R $104.06 $98.42 R $104.06 $101.98 R $104.06 $101.98 R $104.06E2384 NU KE IN $76.30 R $76.71 $76.30 R $76.71 $74.20 R $76.71 $76.30 R $76.71 $74.44 R $76.71 $76.30 R $76.71 $76.30 R $76.71E2384 NU KU IN $77.10 $77.10 $77.10 $77.10 $77.10 $77.10 $77.10E2384 NU IN $70.11 R $70.52 $70.11 R $70.52 $68.02 R $70.52 $70.11 R $70.52 $68.25 R $70.52 $70.11 R $70.52 $70.11 R $70.52





Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule


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Fee Schedule



E2384 RR KE IN $7.64 R $7.68 $7.64 R $7.68 $7.43 R $7.68 $7.64 R $7.68 $7.45 R $7.68 $7.64 R $7.68 $7.64 R $7.68E2384 RR KU IN $7.73 $7.73 $7.73 $7.73 $7.73 $7.73 $7.73E2384 RR IN $7.02 R $7.06 $7.02 R $7.06 $6.81 R $7.06 $7.02 R $7.06 $6.84 R $7.06 $7.02 R $7.06 $7.02 R $7.06E2384 UE KE IN $57.22 R $57.52 $57.22 R $57.52 $55.65 R $57.52 $57.22 R $57.52 $55.82 R $57.52 $57.22 R $57.52 $57.22 R $57.52E2384 UE KU IN $57.84 $57.84 $57.84 $57.84 $57.84 $57.84 $57.84E2384 UE IN $52.59 R $52.90 $52.59 R $52.90 $51.02 R $52.90 $52.59 R $52.90 $51.20 R $52.90 $52.59 R $52.90 $52.59 R $52.90E2385 NU KE IN $47.59 $47.59 $47.59 $47.59 $47.59 $47.59 $47.59E2385 NU KU IN $47.17 $47.17 $47.17 $47.17 $47.17 $47.17 $47.17E2385 NU IN $43.81 $43.81 $43.81 $43.81 $43.81 $43.81 $43.81E2385 RR KE IN $4.76 $4.76 $4.76 $4.76 $4.76 $4.76 $4.76E2385 RR KU IN $4.74 $4.74 $4.74 $4.74 $4.74 $4.74 $4.74E2385 RR IN $4.39 $4.39 $4.39 $4.39 $4.39 $4.39 $4.39E2385 UE KE IN $35.68 $35.68 $35.68 $35.68 $35.68 $35.68 $35.68E2385 UE KU IN $35.36 $35.36 $35.36 $35.36 $35.36 $35.36 $35.36E2385 UE IN $32.85 $32.85 $32.85 $32.85 $32.85 $32.85 $32.85E2386 NU KE IN $133.84 R $136.87 $133.84 R $136.87 $134.88 R $136.87 $133.84 R $136.87 $133.58 R $136.87 $133.84 R $136.87 $133.84 R $136.87E2386 NU KU IN $143.40 $143.40 $143.40 $143.40 $143.40 $143.40 $143.40E2386 NU IN $122.34 R $125.37 $122.34 R $125.37 $123.38 R $125.37 $122.34 R $125.37 $122.09 R $125.37 $122.34 R $125.37 $122.34 R $125.37E2386 RR KE IN $13.38 R $13.68 $13.38 R $13.68 $13.49 R $13.68 $13.38 R $13.68 $13.36 R $13.68 $13.38 R $13.68 $13.38 R $13.68E2386 RR KU IN $14.34 $14.34 $14.34 $14.34 $14.34 $14.34 $14.34E2386 RR IN $12.24 R $12.54 $12.24 R $12.54 $12.34 R $12.54 $12.24 R $12.54 $12.21 R $12.54 $12.24 R $12.54 $12.24 R $12.54E2386 UE KE IN $100.37 R $102.64 $100.37 R $102.64 $101.15 R $102.64 $100.37 R $102.64 $100.18 R $102.64 $100.37 R $102.64 $100.37 R $102.64E2386 UE KU IN $107.56 $107.56 $107.56 $107.56 $107.56 $107.56 $107.56E2386 UE IN $91.76 R $94.03 $91.76 R $94.03 $92.54 R $94.03 $91.76 R $94.03 $91.57 R $94.03 $91.76 R $94.03 $91.76 R $94.03E2387 NU KE IN $61.47 R $61.58 $62.89 R $62.99 $61.26 R $62.99 $62.89 R $62.99 $60.98 R $62.99 $61.47 R $61.58 $62.89 R $62.99E2387 NU KU IN $61.87 $64.30 $64.30 $64.30 $64.30 $61.87 $64.30E2387 NU IN $56.52 R $56.62 $57.73 R $57.84 $56.10 R $57.84 $57.73 R $57.84 $55.83 R $57.84 $56.52 R $56.62 $57.73 R $57.84E2387 RR KE IN $6.16 R $6.17 $6.29 R $6.30 $6.13 R $6.30 $6.29 R $6.30 $6.10 R $6.30 $6.16 R $6.17 $6.29 R $6.30E2387 RR KU IN $6.20 $6.43 $6.43 $6.43 $6.43 $6.20 $6.43E2387 RR IN $5.66 R $5.67 $5.78 R $5.79 $5.61 R $5.79 $5.78 R $5.79 $5.58 R $5.79 $5.66 R $5.67 $5.78 R $5.79E2387 UE KE IN $46.12 R $46.20 $47.19 R $47.27 $45.97 R $47.27 $47.19 R $47.27 $45.76 R $47.27 $46.12 R $46.20 $47.19 R $47.27E2387 UE KU IN $46.41 $48.27 $48.27 $48.27 $48.27 $46.41 $48.27E2387 UE IN $42.39 R $42.47 $43.32 R $43.40 $42.10 R $43.40 $43.32 R $43.40 $41.89 R $43.40 $42.39 R $42.47 $43.32 R $43.40E2388 NU KE IN $49.87 $49.87 $49.87 $49.87 $49.87 $49.87 $49.87E2388 NU KU IN $48.00 $48.00 $48.00 $48.00 $48.00 $48.00 $48.00E2388 NU IN $46.01 $46.01 $46.01 $46.01 $46.01 $46.01 $46.01E2388 RR KE IN $4.98 $4.98 $4.98 $4.98 $4.98 $4.98 $4.98E2388 RR KU IN $4.81 $4.81 $4.81 $4.81 $4.81 $4.81 $4.81E2388 RR IN $4.61 $4.61 $4.61 $4.61 $4.61 $4.61 $4.61E2388 UE KE IN $37.40 $37.40 $37.40 $37.40 $37.40 $37.40 $37.40E2388 UE KU IN $36.02 $36.02 $36.02 $36.02 $36.02 $36.02 $36.02E2388 UE IN $34.51 $34.51 $34.51 $34.51 $34.51 $34.51 $34.51E2389 NU KE IN $27.43 $27.43 $27.43 $27.43 $27.43 $27.43 $27.43E2389 NU KU IN $26.08 $26.08 $26.08 $26.08 $26.08 $26.08 $26.08E2389 NU IN $25.34 $25.34 $25.34 $25.34 $25.34 $25.34 $25.34E2389 RR KE IN $2.75 $2.75 $2.75 $2.75 $2.75 $2.75 $2.75E2389 RR KU IN $2.62 $2.62 $2.62 $2.62 $2.62 $2.62 $2.62E2389 RR IN $2.54 $2.54 $2.54 $2.54 $2.54 $2.54 $2.54E2389 UE KE IN $20.57 $20.57 $20.57 $20.57 $20.57 $20.57 $20.57E2389 UE KU IN $19.53 $19.53 $19.53 $19.53 $19.53 $19.53 $19.53E2389 UE IN $18.99 $18.99 $18.99 $18.99 $18.99 $18.99 $18.99E2390 NU KE IN $42.70 $42.70 $42.70 $42.70 $42.70 $42.70 $42.70E2390 NU KU IN $40.77 $40.77 $40.77 $40.77 $40.77 $40.77 $40.77E2390 NU IN $39.43 $39.43 $39.43 $39.43 $39.43 $39.43 $39.43E2390 RR KE IN $4.27 $4.27 $4.27 $4.27 $4.27 $4.27 $4.27E2390 RR KU IN $4.07 $4.07 $4.07 $4.07 $4.07 $4.07 $4.07E2390 RR IN $3.94 $3.94 $3.94 $3.94 $3.94 $3.94 $3.94E2390 UE KE IN $32.02 $32.02 $32.02 $32.02 $32.02 $32.02 $32.02E2390 UE KU IN $30.56 $30.56 $30.56 $30.56 $30.56 $30.56 $30.56E2390 UE IN $29.56 $29.56 $29.56 $29.56 $29.56 $29.56 $29.56E2391 NU KE IN $20.25 R $20.52 $20.25 R $20.52 $19.55 R $20.52 $20.25 R $20.52 $19.53 R $20.52 $20.25 R $20.52 $20.25 R $20.52E2391 NU KU IN $19.52 $19.52 $19.52 $19.52 $19.52 $19.52 $19.52E2391 NU IN $18.67 R $18.94 $18.67 R $18.94 $17.97 R $18.94 $18.67 R $18.94 $17.95 R $18.94 $18.67 R $18.94 $18.67 R $18.94E2391 RR KE IN $2.02 R $2.05 $2.02 R $2.05 $1.95 R $2.05 $2.02 R $2.05 $1.95 R $2.05 $2.02 R $2.05 $2.02 R $2.05E2391 RR KU IN $1.96 $1.96 $1.96 $1.96 $1.96 $1.96 $1.96E2391 RR IN $1.87 R $1.90 $1.87 R $1.90 $1.80 R $1.90 $1.87 R $1.90 $1.80 R $1.90 $1.87 R $1.90 $1.87 R $1.90





Fee Schedule


Fee Schedule


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Fee Schedule


Fee Schedule



E2391 UE KE IN $15.19 R $15.39 $15.19 R $15.39 $14.66 R $15.39 $15.19 R $15.39 $14.65 R $15.39 $15.19 R $15.39 $15.19 R $15.39E2391 UE KU IN $14.65 $14.65 $14.65 $14.65 $14.65 $14.65 $14.65E2391 UE IN $14.01 R $14.21 $14.01 R $14.21 $13.48 R $14.21 $14.01 R $14.21 $13.47 R $14.21 $14.01 R $14.21 $14.01 R $14.21E2392 NU KE IN $51.75 R $51.75 $51.75 R $51.75 $49.57 R $51.75 $51.75 R $51.75 $50.13 R $51.75 $51.75 R $51.75 $51.75 R $51.75E2392 NU KU IN $51.33 $51.33 $51.33 $51.33 $51.33 $51.33 $51.33E2392 NU IN $47.64 R $47.64 $47.64 R $47.64 $45.46 R $47.64 $47.64 R $47.64 $46.02 R $47.64 $47.64 R $47.64 $47.64 R $47.64E2392 RR KE IN $5.19 R $5.19 $5.19 R $5.19 $4.97 R $5.19 $5.19 R $5.19 $5.02 R $5.19 $5.19 R $5.19 $5.19 R $5.19E2392 RR KU IN $5.16 $5.16 $5.16 $5.16 $5.16 $5.16 $5.16E2392 RR IN $4.78 R $4.78 $4.78 R $4.78 $4.56 R $4.78 $4.78 R $4.78 $4.62 R $4.78 $4.78 R $4.78 $4.78 R $4.78E2392 UE KE IN $38.82 R $38.82 $38.82 R $38.82 $37.18 R $38.82 $38.82 R $38.82 $37.61 R $38.82 $38.82 R $38.82 $38.82 R $38.82E2392 UE KU IN $38.51 $38.51 $38.51 $38.51 $38.51 $38.51 $38.51E2392 UE IN $35.74 R $35.74 $35.74 R $35.74 $34.10 R $35.74 $35.74 R $35.74 $34.52 R $35.74 $35.74 R $35.74 $35.74 R $35.74E2394 NU KE IN $71.38 R $72.89 $71.38 R $72.89 $70.22 R $72.89 $71.38 R $72.89 $70.34 R $72.89 $71.38 R $72.89 $71.38 R $72.89E2394 NU KU IN $73.15 $73.15 $73.15 $73.15 $73.15 $73.15 $73.15E2394 NU IN $65.53 R $67.03 $65.53 R $67.03 $64.37 R $67.03 $65.53 R $67.03 $64.49 R $67.03 $65.53 R $67.03 $65.53 R $67.03E2394 RR KE IN $7.14 R $7.29 $7.14 R $7.29 $7.03 R $7.29 $7.14 R $7.29 $7.04 R $7.29 $7.14 R $7.29 $7.14 R $7.29E2394 RR KU IN $7.33 $7.33 $7.33 $7.33 $7.33 $7.33 $7.33E2394 RR IN $6.56 R $6.71 $6.56 R $6.71 $6.44 R $6.71 $6.56 R $6.71 $6.46 R $6.71 $6.56 R $6.71 $6.56 R $6.71E2394 UE KE IN $53.53 R $54.66 $53.53 R $54.66 $52.66 R $54.66 $53.53 R $54.66 $52.75 R $54.66 $53.53 R $54.66 $53.53 R $54.66E2394 UE KU IN $54.86 $54.86 $54.86 $54.86 $54.86 $54.86 $54.86E2394 UE IN $49.15 R $50.28 $49.15 R $50.28 $48.28 R $50.28 $49.15 R $50.28 $48.37 R $50.28 $49.15 R $50.28 $49.15 R $50.28E2395 NU KE IN $52.37 R $52.80 $52.37 R $52.80 $50.79 R $52.80 $52.37 R $52.80 $51.43 R $52.80 $52.37 R $52.80 $52.37 R $52.80E2395 NU KU IN $51.97 $51.97 $51.97 $51.97 $51.97 $51.97 $51.97E2395 NU IN $48.21 R $48.63 $48.21 R $48.63 $46.63 R $48.63 $48.21 R $48.63 $47.27 R $48.63 $48.21 R $48.63 $48.21 R $48.63E2395 RR KE IN $5.24 R $5.28 $5.24 R $5.28 $5.08 R $5.28 $5.24 R $5.28 $5.15 R $5.28 $5.24 R $5.28 $5.24 R $5.28E2395 RR KU IN $5.21 $5.21 $5.21 $5.21 $5.21 $5.21 $5.21E2395 RR IN $4.83 R $4.87 $4.83 R $4.87 $4.67 R $4.87 $4.83 R $4.87 $4.73 R $4.87 $4.83 R $4.87 $4.83 R $4.87E2395 UE KE IN $39.29 R $39.61 $39.29 R $39.61 $38.11 R $39.61 $39.29 R $39.61 $38.59 R $39.61 $39.29 R $39.61 $39.29 R $39.61E2395 UE KU IN $38.99 $38.99 $38.99 $38.99 $38.99 $38.99 $38.99E2395 UE IN $36.16 R $36.48 $36.16 R $36.48 $34.98 R $36.48 $36.16 R $36.48 $35.46 R $36.48 $36.16 R $36.48 $36.16 R $36.48E2396 NU KE IN $61.76 R $64.08 $61.76 R $64.08 $56.08 R $58.56 $56.25 R $58.56 $59.54 R $62.38 $56.25 R $58.56 $61.76 R $64.08E2396 NU KU IN $63.37 $63.37 $53.86 $53.86 $60.44 $53.86 $63.37E2396 NU IN $56.68 R $59.00 $56.68 R $59.00 $51.77 R $53.86 $51.93 R $53.86 $54.70 R $57.53 $51.93 R $53.86 $56.68 R $59.00E2396 RR KE IN $6.44 R $6.68 $6.44 R $6.68 $5.84 R $6.08 $5.85 R $6.08 $5.94 R $6.23 $5.85 R $6.08 $6.44 R $6.68E2396 RR KU IN $6.78 $6.78 $5.76 $5.76 $6.04 $5.76 $6.78E2396 RR IN $5.89 R $6.12 $5.89 R $6.12 $5.37 R $5.61 $5.38 R $5.61 $5.47 R $5.75 $5.38 R $5.61 $5.89 R $6.12E2396 UE KE IN $46.33 R $48.06 $46.33 R $48.06 $42.07 R $43.93 $42.19 R $43.93 $44.67 R $46.79 $42.19 R $43.93 $46.33 R $48.06E2396 UE KU IN $47.54 $47.54 $40.41 $40.41 $45.34 $40.41 $47.54E2396 UE IN $42.52 R $44.26 $42.52 R $44.26 $38.83 R $40.41 $38.95 R $40.41 $41.03 R $43.15 $38.95 R $40.41 $42.52 R $44.26E2397 NU KU IN $457.83 $457.83 $457.83 $457.83 $457.83 $457.83 $457.83E2397 NU IN $448.51 R $457.83 $448.51 R $457.83 $433.58 R $457.83 $448.51 R $457.83 $447.19 R $457.83 $448.51 R $457.83 $448.51 R $457.83E2397 RR KU IN $45.79 $45.79 $45.79 $45.79 $45.79 $45.79 $45.79E2397 RR IN $44.85 R $45.79 $44.85 R $45.79 $43.36 R $45.79 $44.85 R $45.79 $44.72 R $45.79 $44.85 R $45.79 $44.85 R $45.79E2397 UE KU IN $343.35 $343.35 $343.35 $343.35 $343.35 $343.35 $343.35E2397 UE IN $336.37 R $343.35 $336.37 R $343.35 $325.17 R $343.35 $336.37 R $343.35 $335.38 R $343.35 $336.37 R $343.35 $336.37 R $343.35E2402 RR CR $1,144.33 R $1,173.60 $1,144.33 R $1,173.60 $1,168.41 R $1,173.60 $1,144.33 R $1,173.60 $1,144.77 R $1,173.60 $1,144.33 R $1,173.60 $1,144.33 R $1,173.60E2500 NU IN $432.30 $432.30 $432.30 $432.30 $432.30 $432.30 $432.30E2500 RR IN $43.24 $43.24 $43.24 $43.24 $43.24 $43.24 $43.24E2500 UE IN $324.23 $324.23 $324.23 $324.23 $324.23 $324.23 $324.23E2502 NU IN $1,321.96 $1,321.96 $1,321.96 $1,321.96 $1,321.96 $1,321.96 $1,321.96E2502 RR IN $132.20 $132.20 $132.20 $132.20 $132.20 $132.20 $132.20E2502 UE IN $991.49 $991.49 $991.49 $991.49 $991.49 $991.49 $991.49E2504 NU IN $1,743.84 $1,743.84 $1,743.84 $1,743.84 $1,743.84 $1,743.84 $1,743.84E2504 RR IN $174.41 $174.41 $174.41 $174.41 $174.41 $174.41 $174.41E2504 UE IN $1,307.88 $1,307.88 $1,307.88 $1,307.88 $1,307.88 $1,307.88 $1,307.88E2506 NU IN $2,557.00 $2,557.00 $2,557.00 $2,557.00 $2,557.00 $2,557.00 $2,557.00E2506 RR IN $255.68 $255.68 $255.68 $255.68 $255.68 $255.68 $255.68E2506 UE IN $1,917.71 $1,917.71 $1,917.71 $1,917.71 $1,917.71 $1,917.71 $1,917.71E2508 NU IN $3,953.96 $3,953.96 $3,953.96 $3,953.96 $3,953.96 $3,953.96 $3,953.96E2508 RR IN $395.39 $395.39 $395.39 $395.39 $395.39 $395.39 $395.39E2508 UE IN $2,965.48 $2,965.48 $2,965.48 $2,965.48 $2,965.48 $2,965.48 $2,965.48E2510 NU IN $7,482.35 $7,482.35 $7,482.35 $7,482.35 $7,482.35 $7,482.35 $7,482.35E2510 RR IN $748.24 $748.24 $748.24 $748.24 $748.24 $748.24 $748.24E2510 UE IN $5,611.76 $5,611.76 $5,611.76 $5,611.76 $5,611.76 $5,611.76 $5,611.76E2601 NU KE IN $52.58 R $54.26 $52.58 R $54.26 $53.22 R $54.26 $52.58 R $54.26 $52.50 R $54.26 $52.58 R $54.26 $52.58 R $54.26E2601 NU KU IN $58.27 $58.27 $58.27 $58.27 $58.27 $58.27 $58.27





Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule



E2601 NU IN $47.90 R $49.59 $47.90 R $49.59 $48.55 R $49.59 $47.90 R $49.59 $47.83 R $49.59 $47.90 R $49.59 $47.90 R $49.59E2601 RR KE IN $5.26 R $5.43 $5.26 R $5.43 $5.33 R $5.43 $5.26 R $5.43 $5.26 R $5.43 $5.26 R $5.43 $5.26 R $5.43E2601 RR KU IN $5.85 $5.85 $5.85 $5.85 $5.85 $5.85 $5.85E2601 RR IN $4.80 R $4.97 $4.80 R $4.97 $4.87 R $4.97 $4.80 R $4.97 $4.79 R $4.97 $4.80 R $4.97 $4.80 R $4.97E2601 UE KE IN $39.43 R $40.69 $39.43 R $40.69 $39.91 R $40.69 $39.43 R $40.69 $39.37 R $40.69 $39.43 R $40.69 $39.43 R $40.69E2601 UE KU IN $43.71 $43.71 $43.71 $43.71 $43.71 $43.71 $43.71E2601 UE IN $35.93 R $37.20 $35.93 R $37.20 $36.42 R $37.20 $35.93 R $37.20 $35.88 R $37.20 $35.93 R $37.20 $35.93 R $37.20E2602 NU KE IN $108.07 R $110.05 $108.07 R $110.05 $107.44 R $110.05 $108.07 R $110.05 $106.57 R $110.05 $108.07 R $110.05 $108.07 R $110.05E2602 NU KU IN $113.76 $113.76 $113.76 $113.76 $113.76 $113.76 $113.76E2602 NU IN $98.95 R $100.93 $98.95 R $100.93 $98.32 R $100.93 $98.95 R $100.93 $97.45 R $100.93 $98.95 R $100.93 $98.95 R $100.93E2602 RR KE IN $10.81 R $11.01 $10.81 R $11.01 $10.75 R $11.01 $10.81 R $11.01 $10.66 R $11.01 $10.81 R $11.01 $10.81 R $11.01E2602 RR KU IN $11.38 $11.38 $11.38 $11.38 $11.38 $11.38 $11.38E2602 RR IN $9.90 R $10.10 $9.90 R $10.10 $9.84 R $10.10 $9.90 R $10.10 $9.75 R $10.10 $9.90 R $10.10 $9.90 R $10.10E2602 UE KE IN $81.05 R $82.54 $81.05 R $82.54 $80.58 R $82.54 $81.05 R $82.54 $79.93 R $82.54 $81.05 R $82.54 $81.05 R $82.54E2602 UE KU IN $85.33 $85.33 $85.33 $85.33 $85.33 $85.33 $85.33E2602 UE IN $74.22 R $75.70 $74.22 R $75.70 $73.74 R $75.70 $74.22 R $75.70 $73.09 R $75.70 $74.22 R $75.70 $74.22 R $75.70E2603 NU KE IN $134.42 R $137.70 $134.42 R $137.70 $135.36 R $137.70 $134.42 R $137.70 $134.86 R $137.70 $134.42 R $137.70 $134.42 R $137.70E2603 NU KU IN $144.43 $144.43 $144.43 $144.43 $144.43 $144.43 $144.43E2603 NU IN $122.84 R $126.12 $122.84 R $126.12 $123.78 R $126.12 $122.84 R $126.12 $123.29 R $126.12 $122.84 R $126.12 $122.84 R $126.12E2603 RR KE IN $13.44 R $13.77 $13.44 R $13.77 $13.54 R $13.77 $13.44 R $13.77 $13.49 R $13.77 $13.44 R $13.77 $13.44 R $13.77E2603 RR KU IN $14.45 $14.45 $14.45 $14.45 $14.45 $14.45 $14.45E2603 RR IN $12.29 R $12.62 $12.29 R $12.62 $12.38 R $12.62 $12.29 R $12.62 $12.33 R $12.62 $12.29 R $12.62 $12.29 R $12.62E2603 UE KE IN $100.81 R $103.27 $100.81 R $103.27 $101.52 R $103.27 $100.81 R $103.27 $101.14 R $103.27 $100.81 R $103.27 $100.81 R $103.27E2603 UE KU IN $108.33 $108.33 $108.33 $108.33 $108.33 $108.33 $108.33E2603 UE IN $92.14 R $94.60 $92.14 R $94.60 $92.84 R $94.60 $92.14 R $94.60 $92.47 R $94.60 $92.14 R $94.60 $92.14 R $94.60E2604 NU KE IN $174.87 R $180.53 $174.87 R $180.53 $174.76 R $180.53 $174.87 R $180.53 $175.53 R $180.53 $174.87 R $180.53 $174.87 R $180.53E2604 NU KU IN $179.53 $179.53 $179.53 $179.53 $179.53 $179.53 $179.53E2604 NU IN $160.49 R $166.15 $160.49 R $166.15 $160.39 R $166.15 $160.49 R $166.15 $161.15 R $166.15 $160.49 R $166.15 $160.49 R $166.15E2604 RR KE IN $17.48 R $18.04 $17.48 R $18.04 $17.47 R $18.04 $17.48 R $18.04 $17.54 R $18.04 $17.48 R $18.04 $17.48 R $18.04E2604 RR KU IN $17.95 $17.95 $17.95 $17.95 $17.95 $17.95 $17.95E2604 RR IN $16.05 R $16.61 $16.05 R $16.61 $16.04 R $16.61 $16.05 R $16.61 $16.11 R $16.61 $16.05 R $16.61 $16.05 R $16.61E2604 UE KE IN $131.17 R $135.41 $131.17 R $135.41 $131.09 R $135.41 $131.17 R $135.41 $131.66 R $135.41 $131.17 R $135.41 $131.17 R $135.41E2604 UE KU IN $134.67 $134.67 $134.67 $134.67 $134.67 $134.67 $134.67E2604 UE IN $120.38 R $124.62 $120.38 R $124.62 $120.30 R $124.62 $120.38 R $124.62 $120.88 R $124.62 $120.38 R $124.62 $120.38 R $124.62E2605 NU KE IN $251.52 R $258.42 $251.52 R $258.42 $248.52 R $258.42 $251.52 R $258.42 $250.54 R $258.42 $251.52 R $258.42 $251.52 R $258.42E2605 NU KU IN $256.48 $256.48 $256.48 $256.48 $256.48 $256.48 $256.48E2605 NU IN $230.97 R $237.87 $230.97 R $237.87 $227.98 R $237.87 $230.97 R $237.87 $229.99 R $237.87 $230.97 R $237.87 $230.97 R $237.87E2605 RR KE IN $25.16 R $25.85 $25.16 R $25.85 $24.86 R $25.85 $25.16 R $25.85 $25.06 R $25.85 $25.16 R $25.85 $25.16 R $25.85E2605 RR KU IN $25.66 $25.66 $25.66 $25.66 $25.66 $25.66 $25.66E2605 RR IN $23.10 R $23.79 $23.10 R $23.79 $22.80 R $23.79 $23.10 R $23.79 $23.00 R $23.79 $23.10 R $23.79 $23.10 R $23.79E2605 UE KE IN $188.66 R $193.84 $188.66 R $193.84 $186.42 R $193.84 $188.66 R $193.84 $187.93 R $193.84 $188.66 R $193.84 $188.66 R $193.84E2605 UE KU IN $192.39 $192.39 $192.39 $192.39 $192.39 $192.39 $192.39E2605 UE IN $173.24 R $178.42 $173.24 R $178.42 $171.00 R $178.42 $173.24 R $178.42 $172.51 R $178.42 $173.24 R $178.42 $173.24 R $178.42E2606 NU KE IN $403.92 R $407.84 $403.92 R $407.84 $392.69 R $407.84 $403.92 R $407.84 $387.80 R $407.84 $403.92 R $407.84 $403.92 R $407.84E2606 NU KU IN $400.13 $400.13 $400.13 $400.13 $400.13 $400.13 $400.13E2606 NU IN $371.87 R $375.79 $371.87 R $375.79 $360.63 R $375.79 $371.87 R $375.79 $355.74 R $375.79 $371.87 R $375.79 $371.87 R $375.79E2606 RR KE IN $40.40 R $40.79 $40.40 R $40.79 $39.28 R $40.79 $40.40 R $40.79 $38.79 R $40.79 $40.40 R $40.79 $40.40 R $40.79E2606 RR KU IN $40.02 $40.02 $40.02 $40.02 $40.02 $40.02 $40.02E2606 RR IN $37.19 R $37.58 $37.19 R $37.58 $36.07 R $37.58 $37.19 R $37.58 $35.58 R $37.58 $37.19 R $37.58 $37.19 R $37.58E2606 UE KE IN $302.94 R $305.88 $302.94 R $305.88 $294.51 R $305.88 $302.94 R $305.88 $290.85 R $305.88 $302.94 R $305.88 $302.94 R $305.88E2606 UE KU IN $300.07 $300.07 $300.07 $300.07 $300.07 $300.07 $300.07E2606 UE IN $278.89 R $281.83 $278.89 R $281.83 $270.46 R $281.83 $278.89 R $281.83 $266.79 R $281.83 $278.89 R $281.83 $278.89 R $281.83E2607 NU KE IN $261.28 R $266.81 $261.28 R $266.81 $261.68 R $266.81 $261.28 R $266.81 $255.44 R $266.81 $261.28 R $266.81 $261.28 R $266.81E2607 NU KU IN $276.18 $276.18 $276.18 $276.18 $276.18 $276.18 $276.18E2607 NU IN $239.16 R $244.69 $239.16 R $244.69 $239.55 R $244.69 $239.16 R $244.69 $233.32 R $244.69 $239.16 R $244.69 $239.16 R $244.69E2607 RR KE IN $26.13 R $26.69 $26.13 R $26.69 $26.17 R $26.69 $26.13 R $26.69 $25.55 R $26.69 $26.13 R $26.69 $26.13 R $26.69E2607 RR KU IN $27.62 $27.62 $27.62 $27.62 $27.62 $27.62 $27.62E2607 RR IN $23.92 R $24.47 $23.92 R $24.47 $23.96 R $24.47 $23.92 R $24.47 $23.33 R $24.47 $23.92 R $24.47 $23.92 R $24.47E2607 UE KE IN $195.96 R $200.11 $195.96 R $200.11 $196.26 R $200.11 $195.96 R $200.11 $191.58 R $200.11 $195.96 R $200.11 $195.96 R $200.11E2607 UE KU IN $207.14 $207.14 $207.14 $207.14 $207.14 $207.14 $207.14E2607 UE IN $179.37 R $183.52 $179.37 R $183.52 $179.66 R $183.52 $179.37 R $183.52 $174.99 R $183.52 $179.37 R $183.52 $179.37 R $183.52E2608 NU KE IN $319.68 R $326.94 $319.68 R $326.94 $317.86 R $326.94 $319.68 R $326.94 $314.75 R $326.94 $319.68 R $326.94 $319.68 R $326.94E2608 NU KU IN $331.67 $331.67 $331.67 $331.67 $331.67 $331.67 $331.67E2608 NU IN $293.11 R $300.37 $293.11 R $300.37 $291.29 R $300.37 $293.11 R $300.37 $288.19 R $300.37 $293.11 R $300.37 $293.11 R $300.37E2608 RR KE IN $31.97 R $32.69 $31.97 R $32.69 $31.78 R $32.69 $31.97 R $32.69 $31.47 R $32.69 $31.97 R $32.69 $31.97 R $32.69E2608 RR KU IN $33.16 $33.16 $33.16 $33.16 $33.16 $33.16 $33.16





Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule



E2608 RR IN $29.31 R $30.03 $29.31 R $30.03 $29.12 R $30.03 $29.31 R $30.03 $28.81 R $30.03 $29.31 R $30.03 $29.31 R $30.03E2608 UE KE IN $239.76 R $245.21 $239.76 R $245.21 $238.40 R $245.21 $239.76 R $245.21 $236.07 R $245.21 $239.76 R $245.21 $239.76 R $245.21E2608 UE KU IN $248.75 $248.75 $248.75 $248.75 $248.75 $248.75 $248.75E2608 UE IN $219.83 R $225.28 $219.83 R $225.28 $218.47 R $225.28 $219.83 R $225.28 $216.14 R $225.28 $219.83 R $225.28 $219.83 R $225.28E2611 NU KE IN $246.14 R $256.25 $246.14 R $256.25 $254.74 R $256.25 $246.14 R $256.25 $247.91 R $256.25 $246.14 R $256.25 $246.14 R $256.25E2611 NU KU IN $297.62 $297.62 $297.62 $297.62 $297.62 $297.62 $297.62E2611 NU IN $222.31 R $232.42 $222.31 R $232.42 $230.90 R $232.42 $222.31 R $232.42 $224.08 R $232.42 $222.31 R $232.42 $222.31 R $232.42E2611 RR KE IN $24.62 R $25.63 $24.62 R $25.63 $25.48 R $25.63 $24.62 R $25.63 $24.79 R $25.63 $24.62 R $25.63 $24.62 R $25.63E2611 RR KU IN $29.75 $29.75 $29.75 $29.75 $29.75 $29.75 $29.75E2611 RR IN $22.23 R $23.24 $22.23 R $23.24 $23.08 R $23.24 $22.23 R $23.24 $22.40 R $23.24 $22.23 R $23.24 $22.23 R $23.24E2611 UE KE IN $184.62 R $192.21 $184.62 R $192.21 $191.07 R $192.21 $184.62 R $192.21 $185.95 R $192.21 $184.62 R $192.21 $184.62 R $192.21E2611 UE KU IN $223.24 $223.24 $223.24 $223.24 $223.24 $223.24 $223.24E2611 UE IN $166.74 R $174.33 $166.74 R $174.33 $173.19 R $174.33 $166.74 R $174.33 $168.07 R $174.33 $166.74 R $174.33 $166.74 R $174.33E2612 NU KE IN $382.35 R $393.59 $382.35 R $393.59 $385.26 R $393.59 $382.35 R $393.59 $383.69 R $393.59 $382.35 R $393.59 $382.35 R $393.59E2612 NU KU IN $402.61 $402.61 $402.61 $402.61 $402.61 $402.61 $402.61E2612 NU IN $350.09 R $361.33 $350.09 R $361.33 $353.00 R $361.33 $350.09 R $361.33 $351.43 R $361.33 $350.09 R $361.33 $350.09 R $361.33E2612 RR KE IN $38.23 R $39.35 $38.23 R $39.35 $38.52 R $39.35 $38.23 R $39.35 $38.36 R $39.35 $38.23 R $39.35 $38.23 R $39.35E2612 RR KU IN $40.26 $40.26 $40.26 $40.26 $40.26 $40.26 $40.26E2612 RR IN $35.01 R $36.13 $35.01 R $36.13 $35.30 R $36.13 $35.01 R $36.13 $35.14 R $36.13 $35.01 R $36.13 $35.01 R $36.13E2612 UE KE IN $286.75 R $295.18 $286.75 R $295.18 $288.93 R $295.18 $286.75 R $295.18 $287.76 R $295.18 $286.75 R $295.18 $286.75 R $295.18E2612 UE KU IN $301.96 $301.96 $301.96 $301.96 $301.96 $301.96 $301.96E2612 UE IN $262.56 R $271.00 $262.56 R $271.00 $264.75 R $271.00 $262.56 R $271.00 $263.57 R $271.00 $262.56 R $271.00 $262.56 R $271.00E2613 NU KE IN $367.91 R $378.42 $367.91 R $378.42 $365.88 R $378.42 $367.91 R $378.42 $367.73 R $378.42 $367.91 R $378.42 $367.91 R $378.42E2613 NU KU IN $374.51 $374.51 $374.51 $374.51 $374.51 $374.51 $374.51E2613 NU IN $337.91 R $348.42 $337.91 R $348.42 $335.87 R $348.42 $337.91 R $348.42 $337.73 R $348.42 $337.91 R $348.42 $337.91 R $348.42E2613 RR KE IN $36.80 R $37.85 $36.80 R $37.85 $36.60 R $37.85 $36.80 R $37.85 $36.79 R $37.85 $36.80 R $37.85 $36.80 R $37.85E2613 RR KU IN $37.46 $37.46 $37.46 $37.46 $37.46 $37.46 $37.46E2613 RR IN $33.80 R $34.85 $33.80 R $34.85 $33.59 R $34.85 $33.80 R $34.85 $33.78 R $34.85 $33.80 R $34.85 $33.80 R $34.85E2613 UE KE IN $275.93 R $283.81 $275.93 R $283.81 $274.41 R $283.81 $275.93 R $283.81 $275.80 R $283.81 $275.93 R $283.81 $275.93 R $283.81E2613 UE KU IN $280.88 $280.88 $280.88 $280.88 $280.88 $280.88 $280.88E2613 UE IN $253.43 R $261.31 $253.43 R $261.31 $251.91 R $261.31 $253.43 R $261.31 $253.30 R $261.31 $253.43 R $261.31 $253.43 R $261.31E2614 NU KE IN $533.31 R $538.38 $533.31 R $538.38 $514.63 R $538.38 $533.31 R $538.38 $510.92 R $538.38 $533.31 R $538.38 $533.31 R $538.38E2614 NU KU IN $518.29 $518.29 $518.29 $518.29 $518.29 $518.29 $518.29E2614 NU IN $491.79 R $496.87 $491.79 R $496.87 $473.12 R $496.87 $491.79 R $496.87 $469.41 R $496.87 $491.79 R $496.87 $491.79 R $496.87E2614 RR KE IN $53.33 R $53.84 $53.33 R $53.84 $51.47 R $53.84 $53.33 R $53.84 $51.10 R $53.84 $53.33 R $53.84 $53.33 R $53.84E2614 RR KU IN $51.83 $51.83 $51.83 $51.83 $51.83 $51.83 $51.83E2614 RR IN $49.18 R $49.69 $49.18 R $49.69 $47.31 R $49.69 $49.18 R $49.69 $46.94 R $49.69 $49.18 R $49.69 $49.18 R $49.69E2614 UE KE IN $400.00 R $403.80 $400.00 R $403.80 $385.99 R $403.80 $400.00 R $403.80 $383.21 R $403.80 $400.00 R $403.80 $400.00 R $403.80E2614 UE KU IN $388.73 $388.73 $388.73 $388.73 $388.73 $388.73 $388.73E2614 UE IN $368.85 R $372.66 $368.85 R $372.66 $354.85 R $372.66 $368.85 R $372.66 $352.06 R $372.66 $368.85 R $372.66 $368.85 R $372.66E2615 NU KE IN $419.70 R $434.22 $419.70 R $434.22 $419.11 R $434.22 $419.70 R $434.22 $420.21 R $434.22 $419.70 R $434.22 $419.70 R $434.22E2615 NU KU IN $430.98 $430.98 $430.98 $430.98 $430.98 $430.98 $430.98E2615 NU IN $385.16 R $399.68 $385.16 R $399.68 $384.57 R $399.68 $385.16 R $399.68 $385.67 R $399.68 $385.16 R $399.68 $385.16 R $399.68E2615 RR KE IN $41.97 R $43.42 $41.97 R $43.42 $41.91 R $43.42 $41.97 R $43.42 $42.02 R $43.42 $41.97 R $43.42 $41.97 R $43.42E2615 RR KU IN $43.11 $43.11 $43.11 $43.11 $43.11 $43.11 $43.11E2615 RR IN $38.52 R $39.97 $38.52 R $39.97 $38.46 R $39.97 $38.52 R $39.97 $38.57 R $39.97 $38.52 R $39.97 $38.52 R $39.97E2615 UE KE IN $314.75 R $325.65 $314.75 R $325.65 $314.31 R $325.65 $314.75 R $325.65 $315.14 R $325.65 $314.75 R $325.65 $314.75 R $325.65E2615 UE KU IN $323.23 $323.23 $323.23 $323.23 $323.23 $323.23 $323.23E2615 UE IN $288.87 R $299.76 $288.87 R $299.76 $288.42 R $299.76 $288.87 R $299.76 $289.25 R $299.76 $288.87 R $299.76 $288.87 R $299.76E2616 NU KE IN $571.82 R $583.34 $571.82 R $583.34 $561.61 R $583.34 $571.82 R $583.34 $561.87 R $583.34 $571.82 R $583.34 $571.82 R $583.34E2616 NU KU IN $579.88 $579.88 $579.88 $579.88 $579.88 $579.88 $579.88E2616 NU IN $525.37 R $536.89 $525.37 R $536.89 $515.16 R $536.89 $525.37 R $536.89 $515.41 R $536.89 $525.37 R $536.89 $525.37 R $536.89E2616 RR KE IN $57.18 R $58.33 $57.18 R $58.33 $56.16 R $58.33 $57.18 R $58.33 $56.19 R $58.33 $57.18 R $58.33 $57.18 R $58.33E2616 RR KU IN $57.99 $57.99 $57.99 $57.99 $57.99 $57.99 $57.99E2616 RR IN $52.54 R $53.69 $52.54 R $53.69 $51.52 R $53.69 $52.54 R $53.69 $51.54 R $53.69 $52.54 R $53.69 $52.54 R $53.69E2616 UE KE IN $428.87 R $437.51 $428.87 R $437.51 $421.21 R $437.51 $428.87 R $437.51 $421.41 R $437.51 $428.87 R $437.51 $428.87 R $437.51E2616 UE KU IN $434.92 $434.92 $434.92 $434.92 $434.92 $434.92 $434.92E2616 UE IN $394.03 R $402.67 $394.03 R $402.67 $386.37 R $402.67 $394.03 R $402.67 $386.57 R $402.67 $394.03 R $402.67 $394.03 R $402.67E2619 NU KE IN $51.03 $51.03 $51.03 $51.03 $51.03 $51.03 $51.03E2619 NU KU IN $48.89 $48.89 $48.89 $48.89 $48.89 $48.89 $48.89E2619 NU IN $47.11 $47.11 $47.11 $47.11 $47.11 $47.11 $47.11E2619 RR KE IN $5.10 $5.10 $5.10 $5.10 $5.10 $5.10 $5.10E2619 RR KU IN $4.89 $4.89 $4.89 $4.89 $4.89 $4.89 $4.89E2619 RR IN $4.71 $4.71 $4.71 $4.71 $4.71 $4.71 $4.71E2619 UE KE IN $38.29 $38.29 $38.29 $38.29 $38.29 $38.29 $38.29E2619 UE KU IN $36.70 $36.70 $36.70 $36.70 $36.70 $36.70 $36.70





Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule



E2619 UE IN $35.35 $35.35 $35.35 $35.35 $35.35 $35.35 $35.35E2620 NU KE IN $488.18 R $500.62 $488.18 R $500.62 $490.06 R $500.62 $488.18 R $500.62 $484.17 R $500.62 $488.18 R $500.62 $488.18 R $500.62E2620 NU KU IN $521.86 $521.86 $521.86 $521.86 $521.86 $521.86 $521.86E2620 NU IN $446.37 R $458.81 $446.37 R $458.81 $448.25 R $458.81 $446.37 R $458.81 $442.36 R $458.81 $446.37 R $458.81 $446.37 R $458.81E2620 RR KE IN $48.82 R $50.06 $48.82 R $50.06 $49.01 R $50.06 $48.82 R $50.06 $48.42 R $50.06 $48.82 R $50.06 $48.82 R $50.06E2620 RR KU IN $52.19 $52.19 $52.19 $52.19 $52.19 $52.19 $52.19E2620 RR IN $44.64 R $45.88 $44.64 R $45.88 $44.83 R $45.88 $44.64 R $45.88 $44.24 R $45.88 $44.64 R $45.88 $44.64 R $45.88E2620 UE KE IN $366.15 R $375.48 $366.15 R $375.48 $367.56 R $375.48 $366.15 R $375.48 $363.14 R $375.48 $366.15 R $375.48 $366.15 R $375.48E2620 UE KU IN $391.41 $391.41 $391.41 $391.41 $391.41 $391.41 $391.41E2620 UE IN $334.78 R $344.11 $334.78 R $344.11 $336.19 R $344.11 $334.78 R $344.11 $331.77 R $344.11 $334.78 R $344.11 $334.78 R $344.11E2621 NU KE IN $540.19 R $550.82 $540.19 R $550.82 $534.26 R $550.82 $540.19 R $550.82 $530.12 R $550.82 $540.19 R $550.82 $540.19 R $550.82E2621 NU KU IN $547.66 $547.66 $547.66 $547.66 $547.66 $547.66 $547.66E2621 NU IN $496.31 R $506.95 $496.31 R $506.95 $490.38 R $506.95 $496.31 R $506.95 $486.24 R $506.95 $496.31 R $506.95 $496.31 R $506.95E2621 RR KE IN $54.01 R $55.07 $54.01 R $55.07 $53.42 R $55.07 $54.01 R $55.07 $53.00 R $55.07 $54.01 R $55.07 $54.01 R $55.07E2621 RR KU IN $54.77 $54.77 $54.77 $54.77 $54.77 $54.77 $54.77E2621 RR IN $49.63 R $50.70 $49.63 R $50.70 $49.04 R $50.70 $49.63 R $50.70 $48.63 R $50.70 $49.63 R $50.70 $49.63 R $50.70E2621 UE KE IN $405.14 R $413.12 $405.14 R $413.12 $400.69 R $413.12 $405.14 R $413.12 $397.59 R $413.12 $405.14 R $413.12 $405.14 R $413.12E2621 UE KU IN $410.74 $410.74 $410.74 $410.74 $410.74 $410.74 $410.74E2621 UE IN $372.23 R $380.21 $372.23 R $380.21 $367.79 R $380.21 $372.23 R $380.21 $364.68 R $380.21 $372.23 R $380.21 $372.23 R $380.21E2622 NU KE IN $326.97 $326.97 $326.97 $326.97 $326.97 $326.97 $326.97E2622 NU KU IN $315.83 $315.83 $315.83 $315.83 $315.83 $315.83 $315.83E2622 NU IN $301.67 $301.67 $301.67 $301.67 $301.67 $301.67 $301.67E2622 RR KE IN $32.70 $32.70 $32.70 $32.70 $32.70 $32.70 $32.70E2622 RR KU IN $31.59 $31.59 $31.59 $31.59 $31.59 $31.59 $31.59E2622 RR IN $30.17 $30.17 $30.17 $30.17 $30.17 $30.17 $30.17E2622 UE KE IN $245.23 $245.23 $245.23 $245.23 $245.23 $245.23 $245.23E2622 UE KU IN $236.87 $236.87 $236.87 $236.87 $236.87 $236.87 $236.87E2622 UE IN $226.25 $226.25 $226.25 $226.25 $226.25 $226.25 $226.25E2623 NU KE IN $414.93 $414.93 $414.93 $414.93 $414.93 $414.93 $414.93E2623 NU KU IN $401.89 $401.89 $401.89 $401.89 $401.89 $401.89 $401.89E2623 NU IN $382.72 $382.72 $382.72 $382.72 $382.72 $382.72 $382.72E2623 RR KE IN $41.50 $41.50 $41.50 $41.50 $41.50 $41.50 $41.50E2623 RR KU IN $40.20 $40.20 $40.20 $40.20 $40.20 $40.20 $40.20E2623 RR IN $38.28 $38.28 $38.28 $38.28 $38.28 $38.28 $38.28E2623 UE KE IN $311.19 $311.19 $311.19 $311.19 $311.19 $311.19 $311.19E2623 UE KU IN $301.40 $301.40 $301.40 $301.40 $301.40 $301.40 $301.40E2623 UE IN $287.04 $287.04 $287.04 $287.04 $287.04 $287.04 $287.04E2624 NU KE IN $330.80 $330.80 $330.80 $330.80 $330.80 $330.80 $330.80E2624 NU KU IN $318.43 $318.43 $318.43 $318.43 $318.43 $318.43 $318.43E2624 NU IN $305.29 $305.29 $305.29 $305.29 $305.29 $305.29 $305.29E2624 RR KE IN $33.08 $33.08 $33.08 $33.08 $33.08 $33.08 $33.08E2624 RR KU IN $31.85 $31.85 $31.85 $31.85 $31.85 $31.85 $31.85E2624 RR IN $30.53 $30.53 $30.53 $30.53 $30.53 $30.53 $30.53E2624 UE KE IN $248.10 $248.10 $248.10 $248.10 $248.10 $248.10 $248.10E2624 UE KU IN $238.84 $238.84 $238.84 $238.84 $238.84 $238.84 $238.84E2624 UE IN $228.98 $228.98 $228.98 $228.98 $228.98 $228.98 $228.98E2625 NU KE IN $414.63 $414.63 $414.63 $414.63 $414.63 $414.63 $414.63E2625 NU KU IN $403.11 $403.11 $403.11 $403.11 $403.11 $403.11 $403.11E2625 NU IN $382.34 $382.34 $382.34 $382.34 $382.34 $382.34 $382.34E2625 RR KE IN $41.47 $41.47 $41.47 $41.47 $41.47 $41.47 $41.47E2625 RR KU IN $40.30 $40.30 $40.30 $40.30 $40.30 $40.30 $40.30E2625 RR IN $38.23 $38.23 $38.23 $38.23 $38.23 $38.23 $38.23E2625 UE KE IN $310.97 $310.97 $310.97 $310.97 $310.97 $310.97 $310.97E2625 UE KU IN $302.33 $302.33 $302.33 $302.33 $302.33 $302.33 $302.33E2625 UE IN $286.75 $286.75 $286.75 $286.75 $286.75 $286.75 $286.75E2626 NU KU IN $686.66 $583.66 $686.66 $686.66 $686.66 $677.13 $677.13E2626 NU IN $653.82 R $679.22 $583.67 R $583.67 $641.41 R $679.22 $653.82 R $679.22 $651.32 R $679.22 $649.06 R $674.46 $649.06 R $674.46E2626 RR KU IN $68.64 $58.34 $68.64 $68.64 $68.64 $67.72 $67.72E2626 RR IN $65.37 R $67.91 $58.35 R $58.35 $64.13 R $67.91 $65.37 R $67.91 $65.12 R $67.91 $64.91 R $67.45 $64.91 R $67.45E2626 UE KU IN $514.94 $437.70 $514.94 $514.94 $514.94 $507.82 $507.82E2626 UE IN $490.34 R $509.39 $437.70 R $437.70 $481.03 R $509.39 $490.34 R $509.39 $488.46 R $509.39 $486.78 R $505.83 $486.78 R $505.83E2627 NU KU IN $931.34 $931.34 $1,095.69 $1,095.69 $931.34 $931.34 $931.34E2627 NU IN $917.61 R $931.34 $917.61 R $931.34 $1,008.23 R $1,065.84 $999.79 R $1,065.84 $921.56 R $931.34 $917.61 R $931.34 $917.61 R $931.34E2627 RR KU IN $93.16 $93.16 $109.60 $109.60 $93.16 $93.16 $93.16E2627 RR IN $91.77 R $93.16 $91.77 R $93.16 $100.84 R $106.60 $99.99 R $106.60 $92.17 R $93.16 $91.77 R $93.16 $91.77 R $93.16E2627 UE KU IN $698.50 $698.50 $821.76 $821.76 $698.50 $698.50 $698.50





Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule



E2627 UE IN $688.20 R $698.49 $688.20 R $698.49 $756.17 R $799.38 $749.84 R $799.38 $691.17 R $698.49 $688.20 R $698.49 $688.20 R $698.49E2628 NU KU IN $825.43 $701.62 $730.46 $825.43 $820.17 $701.62 $701.62E2628 NU IN $770.50 R $815.27 $701.61 R $701.61 $725.89 R $730.46 $770.50 R $815.27 $769.31 R $812.64 $701.61 R $701.61 $701.61 R $701.61E2628 RR KU IN $82.54 $70.16 $73.05 $82.54 $82.02 $70.16 $70.16E2628 RR IN $77.05 R $81.53 $70.16 R $70.16 $72.59 R $73.05 $77.05 R $81.53 $76.93 R $81.27 $70.16 R $70.16 $70.16 R $70.16E2628 UE KU IN $619.06 $526.20 $547.84 $619.06 $615.14 $526.20 $526.20E2628 UE IN $577.87 R $611.45 $526.21 R $526.21 $544.42 R $547.84 $577.87 R $611.45 $576.99 R $609.49 $526.21 R $526.21 $526.21 R $526.21E2629 NU KU IN $1,044.56 $1,008.00 $1,015.31 $887.88 $1,013.73 $1,044.56 $1,008.00E2629 NU IN $998.89 R $1,029.58 $980.61 R $1,008.00 $965.04 R $1,014.96 $887.87 R $887.87 $961.10 R $1,013.73 $998.89 R $1,029.58 $980.61 R $1,008.00E2629 RR KU IN $104.44 $100.80 $101.53 $88.77 $101.37 $104.44 $100.80E2629 RR IN $99.88 R $102.95 $98.06 R $100.80 $96.51 R $101.50 $88.77 R $88.77 $96.11 R $101.37 $99.88 R $102.95 $98.06 R $100.80E2629 UE KU IN $783.41 $756.01 $761.47 $665.90 $760.29 $783.41 $756.01E2629 UE IN $749.16 R $772.19 $735.46 R $756.01 $723.78 R $761.21 $665.91 R $665.91 $720.82 R $760.29 $749.16 R $772.19 $735.46 R $756.01E2630 NU KU IN $730.46 $730.46 $730.46 $730.46 $663.65 $620.89 $730.46E2630 NU IN $679.34 R $708.73 $679.34 R $708.73 $672.76 R $708.73 $679.34 R $708.73 $635.54 R $663.65 $620.89 R $620.89 $679.34 R $708.73E2630 RR KU IN $73.05 $73.05 $73.05 $73.05 $66.36 $62.09 $73.05E2630 RR IN $67.94 R $70.87 $67.94 R $70.87 $67.28 R $70.87 $67.94 R $70.87 $63.55 R $66.36 $62.09 R $62.09 $67.94 R $70.87E2630 UE KU IN $547.84 $547.84 $547.84 $547.84 $497.71 $465.66 $547.84E2630 UE IN $509.50 R $531.54 $509.50 R $531.54 $504.57 R $531.54 $509.50 R $531.54 $476.64 R $497.71 $465.66 R $465.66 $509.50 R $531.54E2631 NU KU IN $292.20 $292.20 $292.20 $292.20 $248.37 $248.37 $292.20E2631 NU IN $275.77 R $287.96 $275.77 R $287.96 $278.89 R $287.96 $275.77 R $287.96 $247.24 R $248.36 $248.36 R $248.36 $275.77 R $287.96E2631 RR KU IN $29.22 $29.22 $29.22 $29.22 $24.84 $24.84 $29.22E2631 RR IN $27.58 R $28.80 $27.58 R $28.80 $27.89 R $28.80 $27.58 R $28.80 $24.73 R $24.84 $24.84 R $24.84 $27.58 R $28.80E2631 UE KU IN $219.14 $219.14 $219.14 $219.14 $186.27 $186.27 $219.14E2631 UE IN $206.82 R $215.97 $206.82 R $215.97 $209.16 R $215.97 $206.82 R $215.97 $185.43 R $186.27 $186.27 R $186.27 $206.82 R $215.97E2632 NU KU IN $185.79 $185.79 $185.79 $185.79 $168.08 $157.92 $172.39E2632 NU IN $174.45 R $182.43 $174.45 R $182.43 $172.87 R $182.43 $174.45 R $182.43 $162.57 R $168.08 $157.93 R $157.93 $167.75 R $172.39E2632 RR KU IN $18.58 $18.58 $18.58 $18.58 $16.79 $15.79 $17.22E2632 RR IN $17.44 R $18.24 $17.44 R $18.24 $17.29 R $18.24 $17.44 R $18.24 $16.25 R $16.79 $15.79 R $15.79 $16.77 R $17.22E2632 UE KU IN $139.34 $139.34 $139.34 $139.34 $126.05 $118.44 $129.28E2632 UE IN $130.84 R $136.82 $130.84 R $136.82 $129.65 R $136.82 $130.84 R $136.82 $121.93 R $126.05 $118.44 R $118.44 $125.81 R $129.28E2633 NU KU IN $157.59 $157.59 $148.58 $155.67 $133.95 $133.95 $133.95E2633 NU IN $145.76 R $152.64 $145.76 R $152.64 $139.59 R $148.14 $144.81 R $151.68 $131.81 R $133.95 $133.95 R $133.95 $133.95 R $133.95E2633 RR KU IN $15.77 $15.77 $14.88 $15.57 $13.40 $13.40 $13.40E2633 RR IN $14.58 R $15.27 $14.58 R $15.27 $13.97 R $14.82 $14.48 R $15.17 $13.19 R $13.41 $13.40 R $13.41 $13.40 R $13.41E2633 UE KU IN $118.20 $118.20 $111.46 $116.76 $100.47 $100.47 $100.47E2633 UE IN $109.33 R $114.48 $109.33 R $114.48 $104.71 R $111.11 $108.61 R $113.76 $98.86 R $100.47 $100.46 R $100.47 $100.46 R $100.47K0001 RR CR $41.33 R $41.93 $41.33 R $41.93 $39.98 R $40.04 $41.33 R $41.93 $39.54 R $40.39 $41.33 R $41.93 $41.23 R $41.83K0002 RR CR $65.64 R $66.71 $65.64 R $66.71 $66.71 R $66.71 $63.42 R $64.50 $57.73 R $60.76 $65.64 R $66.71 $58.85 R $59.93K0003 RR CR $67.35 R $68.38 $66.20 R $67.23 $60.95 R $60.95 $60.69 R $61.72 $66.88 R $67.46 $67.35 R $68.38 $60.89 R $61.92K0004 RR CR $95.06 R $97.27 $95.06 R $97.27 $95.50 R $95.50 $91.71 R $93.93 $84.66 R $86.19 $83.98 R $86.19 $94.45 R $96.66K0005 NU IN $2,043.83 $2,043.83 $2,043.83 $2,043.83 $2,043.83 $2,043.83 $2,043.83K0005 RR IN $204.36 $204.36 $204.36 $204.36 $204.36 $204.36 $204.36K0005 UE IN $1,532.83 $1,532.83 $1,532.83 $1,532.83 $1,532.83 $1,532.83 $1,532.83K0006 RR CR $90.18 R $93.02 $90.18 R $93.02 $96.04 R $96.04 $99.29 R $102.13 $87.51 R $93.02 $92.89 R $95.74 $100.34 R $103.18K0007 RR CR $142.74 R $146.40 $142.74 R $146.40 $146.40 R $146.40 $139.74 R $143.40 $138.03 R $146.40 $142.74 R $146.40 $142.74 R $146.40K0009 RR CR $82.20 $82.20 $82.20 $82.20 $82.20 $82.20 $82.20K0010 RR CR $470.93 $470.93 $400.29 $470.93 $400.29 $442.06 $470.93K0011 RR KF CR $628.76 $628.76 $628.76 $621.75 $628.76 $628.76 $628.76K0011 RR CR $566.33 $566.33 $566.33 $559.99 $566.33 $566.33 $566.33K0012 RR CR $359.21 $359.21 $359.21 $343.52 $359.21 $359.21 $359.21K0015 RR KE CR $17.21 R $17.39 $17.25 R $17.43 $16.82 R $17.43 $17.25 R $17.43 $17.01 R $17.43 $17.21 R $17.39 $17.25 R $17.43K0015 RR KU CR $17.24 $17.31 $17.31 $17.31 $17.31 $17.24 $17.31K0015 RR CR $15.81 R $16.00 $15.85 R $16.03 $15.42 R $16.03 $15.85 R $16.03 $15.61 R $16.03 $15.81 R $16.00 $15.85 R $16.03K0017 NU KE IN $50.07 $50.07 $50.07 $50.07 $50.07 $50.07 $50.07K0017 NU KU IN $48.69 $48.69 $48.69 $48.69 $48.69 $48.69 $48.69K0017 NU IN $46.16 $46.16 $46.16 $46.16 $46.16 $46.16 $46.16K0017 RR KE IN $5.00 $5.00 $5.00 $5.00 $5.00 $5.00 $5.00K0017 RR KU IN $4.87 $4.87 $4.87 $4.87 $4.87 $4.87 $4.87K0017 RR IN $4.62 $4.62 $4.62 $4.62 $4.62 $4.62 $4.62K0017 UE KE IN $37.56 $37.56 $37.56 $37.56 $37.56 $37.56 $37.56K0017 UE KU IN $36.52 $36.52 $36.52 $36.52 $36.52 $36.52 $36.52K0017 UE IN $34.62 $34.62 $34.62 $34.62 $34.62 $34.62 $34.62K0018 NU KE IN $28.11 $28.12 $28.12 $28.12 $28.12 $28.11 $28.12K0018 NU KU IN $27.19 $27.20 $27.20 $27.20 $27.20 $27.19 $27.20K0018 NU IN $25.93 $25.93 $25.93 $25.93 $25.93 $25.93 $25.93





Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule



K0018 RR KE IN $2.80 $2.80 $2.80 $2.80 $2.80 $2.80 $2.80K0018 RR KU IN $2.71 $2.71 $2.71 $2.71 $2.71 $2.71 $2.71K0018 RR IN $2.59 $2.59 $2.59 $2.59 $2.59 $2.59 $2.59K0018 UE KE IN $21.09 $21.09 $21.09 $21.09 $21.09 $21.09 $21.09K0018 UE KU IN $20.41 $20.41 $20.41 $20.41 $20.41 $20.41 $20.41K0018 UE IN $19.45 $19.45 $19.45 $19.45 $19.45 $19.45 $19.45K0019 NU KE IN $15.73 R $16.01 $16.19 R $16.47 $15.63 R $16.47 $16.09 R $16.37 $15.81 R $16.50 $15.73 R $16.01 $16.19 R $16.47K0019 NU KU IN $15.58 $16.37 $16.36 $16.20 $16.41 $15.58 $16.37K0019 NU IN $14.48 R $14.76 $14.87 R $15.16 $14.32 R $15.15 $14.79 R $15.07 $14.49 R $15.18 $14.48 R $14.76 $14.87 R $15.16K0019 RR KE IN $1.57 R $1.60 $1.61 R $1.64 $1.56 R $1.64 $1.61 R $1.64 $1.58 R $1.65 $1.57 R $1.60 $1.61 R $1.64K0019 RR KU IN $1.56 $1.63 $1.63 $1.62 $1.64 $1.56 $1.63K0019 RR IN $1.45 R $1.48 $1.49 R $1.51 $1.43 R $1.51 $1.48 R $1.51 $1.45 R $1.52 $1.45 R $1.48 $1.49 R $1.51K0019 UE KE IN $11.79 R $12.00 $12.13 R $12.34 $11.71 R $12.34 $12.08 R $12.29 $11.86 R $12.38 $11.79 R $12.00 $12.13 R $12.34K0019 UE KU IN $11.67 $12.28 $12.27 $12.17 $12.32 $11.67 $12.28K0019 UE IN $10.85 R $11.06 $11.16 R $11.37 $10.74 R $11.36 $11.10 R $11.31 $10.87 R $11.39 $10.85 R $11.06 $11.16 R $11.37K0020 NU KE IN $47.05 $47.05 $47.05 $47.05 $47.05 $47.05 $47.05K0020 NU KU IN $44.27 $44.27 $44.27 $44.27 $44.27 $44.27 $44.27K0020 NU IN $43.51 $43.51 $43.51 $43.51 $43.51 $43.51 $43.51K0020 RR KE IN $4.71 $4.71 $4.71 $4.71 $4.71 $4.71 $4.71K0020 RR KU IN $4.43 $4.43 $4.43 $4.43 $4.43 $4.43 $4.43K0020 RR IN $4.35 $4.35 $4.35 $4.35 $4.35 $4.35 $4.35K0020 UE KE IN $35.28 $35.28 $35.28 $35.28 $35.28 $35.28 $35.28K0020 UE KU IN $33.20 $33.20 $33.20 $33.20 $33.20 $33.20 $33.20K0020 UE IN $32.63 $32.63 $32.63 $32.63 $32.63 $32.63 $32.63K0037 NU KE IN $47.14 $47.14 $43.15 $43.15 $45.37 $43.15 $47.14K0037 NU KU IN $45.89 $45.89 $39.01 $39.01 $42.83 $39.01 $45.89K0037 NU IN $43.47 $43.47 $39.00 $39.00 $41.94 $39.00 $43.47K0037 RR KE IN $4.44 $4.44 $4.05 $4.05 $4.44 $4.05 $4.44K0037 RR KU IN $4.09 $4.09 $3.48 $3.48 $4.09 $3.48 $4.09K0037 RR IN $4.09 $4.09 $3.48 $3.48 $4.09 $3.48 $4.09K0037 UE KE IN $35.37 $35.37 $32.37 $32.37 $34.03 $32.37 $35.37K0037 UE KU IN $34.43 $34.43 $29.27 $29.27 $32.12 $29.27 $34.43K0037 UE IN $32.61 $32.61 $29.26 $29.26 $31.46 $29.26 $32.61K0038 NU KE IN $24.31 $24.31 $24.31 $24.31 $24.31 $24.31 $24.31K0038 NU KU IN $23.13 $23.13 $23.13 $23.13 $23.13 $23.13 $23.13K0038 NU IN $22.47 $22.47 $22.47 $22.47 $22.47 $22.47 $22.47K0038 RR KE IN $2.44 $2.44 $2.44 $2.44 $2.44 $2.44 $2.44K0038 RR KU IN $2.31 $2.31 $2.31 $2.31 $2.31 $2.31 $2.31K0038 RR IN $2.25 $2.25 $2.25 $2.25 $2.25 $2.25 $2.25K0038 UE KE IN $18.24 $18.24 $18.24 $18.24 $18.24 $18.24 $18.24K0038 UE KU IN $17.33 $17.33 $17.33 $17.33 $17.33 $17.33 $17.33K0038 UE IN $16.84 $16.84 $16.84 $16.84 $16.84 $16.84 $16.84K0039 NU KE IN $53.19 $53.19 $53.19 $53.19 $53.19 $53.19 $53.19K0039 NU KU IN $51.33 $51.33 $51.33 $51.33 $51.33 $51.33 $51.33K0039 NU IN $49.08 $49.08 $49.08 $49.08 $49.08 $49.08 $49.08K0039 RR KE IN $5.33 $5.33 $5.33 $5.33 $5.33 $5.33 $5.33K0039 RR KU IN $5.16 $5.16 $5.16 $5.16 $5.16 $5.16 $5.16K0039 RR IN $4.92 $4.92 $4.92 $4.92 $4.92 $4.92 $4.92K0039 UE KE IN $39.90 $39.90 $39.90 $39.90 $39.90 $39.90 $39.90K0039 UE KU IN $38.51 $38.51 $38.51 $38.51 $38.51 $38.51 $38.51K0039 UE IN $36.81 $36.81 $36.81 $36.81 $36.81 $36.81 $36.81K0040 NU KE IN $66.89 R $68.76 $66.89 R $68.76 $66.92 R $68.76 $66.89 R $68.76 $66.40 R $68.76 $66.89 R $68.76 $66.89 R $68.76K0040 NU KU IN $71.15 $71.15 $71.15 $71.15 $71.15 $71.15 $71.15K0040 NU IN $61.20 R $63.06 $61.20 R $63.06 $61.23 R $63.06 $61.20 R $63.06 $60.71 R $63.06 $61.20 R $63.06 $61.20 R $63.06K0040 RR KE IN $6.68 R $6.86 $6.68 R $6.86 $6.68 R $6.86 $6.68 R $6.86 $6.63 R $6.86 $6.68 R $6.86 $6.68 R $6.86K0040 RR KU IN $7.10 $7.10 $7.10 $7.10 $7.10 $7.10 $7.10K0040 RR IN $6.11 R $6.30 $6.11 R $6.30 $6.12 R $6.30 $6.11 R $6.30 $6.06 R $6.30 $6.11 R $6.30 $6.11 R $6.30K0040 UE KE IN $50.17 R $51.57 $50.17 R $51.57 $50.19 R $51.57 $50.17 R $51.57 $49.80 R $51.57 $50.17 R $51.57 $50.17 R $51.57K0040 UE KU IN $53.34 $53.34 $53.34 $53.34 $53.34 $53.34 $53.34K0040 UE IN $45.89 R $47.28 $45.89 R $47.28 $45.91 R $47.28 $45.89 R $47.28 $45.52 R $47.28 $45.89 R $47.28 $45.89 R $47.28K0041 NU KE IN $51.62 $51.62 $51.62 $51.62 $51.62 $51.62 $51.62K0041 NU KU IN $50.42 $50.42 $50.42 $50.42 $50.42 $50.42 $50.42K0041 NU IN $47.58 $47.58 $47.58 $47.58 $47.58 $47.58 $47.58K0041 RR KE IN $5.18 $5.18 $5.18 $5.18 $5.18 $5.18 $5.18K0041 RR KU IN $5.08 $5.08 $5.08 $5.08 $5.08 $5.08 $5.08K0041 RR IN $4.78 $4.78 $4.78 $4.78 $4.78 $4.78 $4.78





Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule



K0041 UE KE IN $38.72 $38.72 $38.72 $38.72 $38.72 $38.72 $38.72K0041 UE KU IN $37.81 $37.81 $37.81 $37.81 $37.81 $37.81 $37.81K0041 UE IN $35.69 $35.69 $35.69 $35.69 $35.69 $35.69 $35.69K0042 NU KE IN $34.50 $34.50 $32.93 $32.48 $34.50 $33.52 $34.50K0042 NU KU IN $34.72 $34.72 $32.00 $31.21 $34.72 $33.01 $34.72K0042 NU IN $31.73 $31.73 $30.37 $29.98 $31.73 $30.87 $31.73K0042 RR KE IN $3.44 $3.44 $3.31 $3.25 $3.44 $3.36 $3.44K0042 RR KU IN $3.47 $3.47 $3.23 $3.12 $3.47 $3.32 $3.47K0042 RR IN $3.17 $3.17 $3.05 $3.00 $3.17 $3.10 $3.17K0042 UE KE IN $25.88 $25.88 $24.69 $24.36 $25.88 $25.14 $25.88K0042 UE KU IN $26.03 $26.03 $24.00 $23.42 $26.03 $24.76 $26.03K0042 UE IN $23.79 $23.79 $22.78 $22.49 $23.79 $23.16 $23.79K0043 NU KE IN $19.67 $19.67 $19.67 $19.67 $19.67 $19.67 $19.67K0043 NU KU IN $18.60 $18.60 $18.60 $18.60 $18.60 $18.60 $18.60K0043 NU IN $18.17 $18.17 $18.17 $18.17 $18.17 $18.17 $18.17K0043 RR KE IN $1.97 $1.97 $1.97 $1.97 $1.97 $1.97 $1.97K0043 RR KU IN $1.85 $1.85 $1.85 $1.85 $1.85 $1.85 $1.85K0043 RR IN $1.81 $1.81 $1.81 $1.81 $1.81 $1.81 $1.81K0043 UE KE IN $14.75 $14.76 $14.76 $14.76 $14.76 $14.75 $14.76K0043 UE KU IN $13.96 $13.98 $13.98 $13.98 $13.98 $13.96 $13.98K0043 UE IN $13.64 $13.65 $13.65 $13.65 $13.65 $13.64 $13.65K0044 NU KE IN $16.91 $16.91 $16.91 $16.91 $16.91 $16.91 $16.91K0044 NU KU IN $15.86 $15.86 $15.86 $15.86 $15.86 $15.86 $15.86K0044 NU IN $15.65 $15.65 $15.65 $15.65 $15.65 $15.65 $15.65K0044 RR KE IN $1.69 $1.69 $1.69 $1.69 $1.69 $1.69 $1.69K0044 RR KU IN $1.59 $1.59 $1.59 $1.59 $1.59 $1.59 $1.59K0044 RR IN $1.57 $1.57 $1.57 $1.57 $1.57 $1.57 $1.57K0044 UE KE IN $12.69 $12.69 $12.69 $12.69 $12.69 $12.69 $12.69K0044 UE KU IN $11.89 $11.89 $11.89 $11.89 $11.89 $11.89 $11.89K0044 UE IN $11.73 $11.73 $11.73 $11.73 $11.73 $11.73 $11.73K0045 NU KE IN $56.69 $56.69 $56.69 $56.69 $56.69 $56.69 $56.69K0045 NU KU IN $53.95 $53.95 $53.95 $53.95 $53.95 $53.95 $53.95K0045 NU IN $52.36 $52.36 $52.36 $52.36 $52.36 $52.36 $52.36K0045 RR KE IN $5.67 $5.77 $5.77 $5.77 $5.77 $5.67 $5.77K0045 RR KU IN $5.39 $5.56 $5.56 $5.56 $5.56 $5.39 $5.56K0045 RR IN $5.23 $5.32 $5.32 $5.32 $5.32 $5.23 $5.32K0045 UE KE IN $42.52 $42.52 $42.52 $42.52 $42.52 $42.52 $42.52K0045 UE KU IN $40.47 $40.47 $40.47 $40.47 $40.47 $40.47 $40.47K0045 UE IN $39.28 $39.28 $39.28 $39.28 $39.28 $39.28 $39.28K0046 NU KE IN $19.73 $19.73 $19.73 $19.73 $19.73 $19.73 $19.73K0046 NU KU IN $18.60 $18.60 $18.60 $18.60 $18.60 $18.60 $18.60K0046 NU IN $18.23 $18.23 $18.23 $18.23 $18.23 $18.23 $18.23K0046 RR KE IN $1.97 $1.97 $1.97 $1.97 $1.97 $1.97 $1.97K0046 RR KU IN $1.85 $1.85 $1.85 $1.85 $1.85 $1.85 $1.85K0046 RR IN $1.82 $1.82 $1.82 $1.82 $1.82 $1.82 $1.82K0046 UE KE IN $14.80 $14.80 $14.80 $14.80 $14.80 $14.80 $14.80K0046 UE KU IN $13.98 $13.98 $13.98 $13.98 $13.98 $13.98 $13.98K0046 UE IN $13.69 $13.69 $13.69 $13.69 $13.69 $13.69 $13.69K0047 NU KE IN $73.83 $73.83 $73.83 $73.83 $73.83 $73.83 $73.83K0047 NU KU IN $72.87 $72.87 $72.87 $72.87 $72.87 $72.87 $72.87K0047 NU IN $67.99 $67.99 $67.99 $67.99 $67.99 $67.99 $67.99K0047 RR KE IN $7.39 $7.39 $7.39 $7.39 $7.39 $7.39 $7.39K0047 RR KU IN $7.31 $7.31 $7.31 $7.31 $7.31 $7.31 $7.31K0047 RR IN $6.81 $6.81 $6.81 $6.81 $6.81 $6.81 $6.81K0047 UE KE IN $55.36 $55.36 $55.36 $55.36 $55.36 $55.36 $55.36K0047 UE KU IN $54.63 $54.63 $54.63 $54.63 $54.63 $54.63 $54.63K0047 UE IN $50.98 $50.98 $50.98 $50.98 $50.98 $50.98 $50.98K0050 NU KE IN $32.61 $32.61 $32.61 $32.61 $32.61 $32.61 $32.61K0050 NU IN $30.12 $30.12 $30.12 $30.12 $30.12 $30.12 $30.12K0050 RR KE IN $3.26 $3.26 $3.26 $3.26 $3.26 $3.26 $3.26K0050 RR IN $3.01 $3.01 $3.01 $3.01 $3.01 $3.01 $3.01K0050 UE KE IN $24.46 $24.46 $24.46 $24.46 $24.46 $24.46 $24.46K0050 UE IN $22.60 $22.60 $22.60 $22.60 $22.60 $22.60 $22.60K0051 NU KE IN $52.23 $52.23 $52.23 $52.23 $52.23 $52.23 $52.23K0051 NU KU IN $50.12 $50.12 $50.12 $50.12 $50.12 $50.12 $50.12K0051 NU IN $48.22 $48.22 $48.22 $48.22 $48.22 $48.22 $48.22





Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule



K0051 RR KE IN $5.24 $5.24 $5.24 $5.24 $5.24 $5.24 $5.24K0051 RR KU IN $5.04 $5.04 $5.04 $5.04 $5.04 $5.04 $5.04K0051 RR IN $4.84 $4.84 $4.84 $4.84 $4.84 $4.84 $4.84K0051 UE KE IN $39.17 $39.17 $39.17 $39.17 $39.17 $39.17 $39.17K0051 UE KU IN $37.58 $37.58 $37.58 $37.58 $37.58 $37.58 $37.58K0051 UE IN $36.16 $36.16 $36.16 $36.16 $36.16 $36.16 $36.16K0052 NU KE IN $87.40 R $88.06 $87.40 R $88.06 $85.21 R $88.06 $87.40 R $88.06 $85.70 R $88.06 $87.40 R $88.06 $87.40 R $88.06K0052 NU KU IN $88.09 $88.09 $88.09 $88.09 $88.09 $88.09 $88.09K0052 NU IN $80.35 R $81.00 $80.35 R $81.00 $78.15 R $81.00 $80.35 R $81.00 $78.65 R $81.00 $80.35 R $81.00 $80.35 R $81.00K0052 RR KE IN $8.74 R $8.80 $8.74 R $8.80 $8.52 R $8.80 $8.74 R $8.80 $8.57 R $8.80 $8.74 R $8.80 $8.74 R $8.80K0052 RR KU IN $8.80 $8.80 $8.80 $8.80 $8.80 $8.80 $8.80K0052 RR IN $8.03 R $8.10 $8.03 R $8.10 $7.81 R $8.10 $8.03 R $8.10 $7.86 R $8.10 $8.03 R $8.10 $8.03 R $8.10K0052 UE KE IN $65.56 R $66.05 $65.56 R $66.05 $63.91 R $66.05 $65.56 R $66.05 $64.28 R $66.05 $65.56 R $66.05 $65.56 R $66.05K0052 UE KU IN $66.04 $66.04 $66.04 $66.04 $66.04 $66.04 $66.04K0052 UE IN $60.26 R $60.74 $60.26 R $60.74 $58.61 R $60.74 $60.26 R $60.74 $58.98 R $60.74 $60.26 R $60.74 $60.26 R $60.74K0053 NU KE IN $97.73 R $100.68 $97.73 R $100.68 $96.40 R $100.68 $97.73 R $100.68 $96.30 R $100.68 $97.73 R $100.68 $97.73 R $100.68K0053 NU KU IN $97.20 $97.20 $97.20 $97.20 $97.20 $97.20 $97.20K0053 NU IN $89.95 R $92.90 $89.95 R $92.90 $88.61 R $92.90 $89.95 R $92.90 $88.52 R $92.90 $89.95 R $92.90 $89.95 R $92.90K0053 RR KE IN $9.77 R $10.07 $9.77 R $10.07 $9.64 R $10.07 $9.77 R $10.07 $9.63 R $10.07 $9.77 R $10.07 $9.77 R $10.07K0053 RR KU IN $9.71 $9.71 $9.71 $9.71 $9.71 $9.71 $9.71K0053 RR IN $8.99 R $9.29 $8.99 R $9.29 $8.86 R $9.29 $8.99 R $9.29 $8.85 R $9.29 $8.99 R $9.29 $8.99 R $9.29K0053 UE KE IN $73.31 R $75.52 $73.31 R $75.52 $72.31 R $75.52 $73.31 R $75.52 $72.24 R $75.52 $73.31 R $75.52 $73.31 R $75.52K0053 UE KU IN $72.90 $72.90 $72.90 $72.90 $72.90 $72.90 $72.90K0053 UE IN $67.46 R $69.67 $67.46 R $69.67 $66.46 R $69.67 $67.46 R $69.67 $66.39 R $69.67 $67.46 R $69.67 $67.46 R $69.67K0056 NU KU IN $105.14 $105.14 $105.14 $105.14 $105.14 $105.14 $105.14K0056 NU IN $98.37 R $101.38 $98.37 R $101.38 $97.86 R $101.38 $98.37 R $101.38 $96.53 R $101.38 $98.37 R $101.38 $98.37 R $101.38K0056 RR KU IN $10.52 $10.52 $10.52 $10.52 $10.52 $10.52 $10.52K0056 RR IN $9.84 R $10.14 $9.84 R $10.14 $9.79 R $10.14 $9.84 R $10.14 $9.66 R $10.14 $9.84 R $10.14 $9.84 R $10.14K0056 UE KU IN $78.87 $78.87 $78.87 $78.87 $78.87 $78.87 $78.87K0056 UE IN $73.79 R $76.04 $73.79 R $76.04 $73.41 R $76.04 $73.79 R $76.04 $72.41 R $76.04 $73.79 R $76.04 $73.79 R $76.04K0065 NU KU IN $49.14 $49.14 $49.14 $49.14 $49.14 $49.14 $49.14K0065 NU IN $47.82 R $48.86 $47.82 R $48.86 $46.06 R $48.86 $47.82 R $48.86 $46.92 R $48.86 $47.82 R $48.86 $47.82 R $48.86K0065 RR KU IN $4.92 $4.92 $4.92 $4.92 $4.92 $4.92 $4.92K0065 RR IN $4.79 R $4.89 $4.79 R $4.89 $4.61 R $4.89 $4.79 R $4.89 $4.70 R $4.89 $4.79 R $4.89 $4.79 R $4.89K0065 UE KU IN $36.86 $36.86 $36.86 $36.86 $36.86 $36.86 $36.86K0065 UE IN $35.87 R $36.65 $35.87 R $36.65 $34.55 R $36.65 $35.87 R $36.65 $35.19 R $36.65 $35.87 R $36.65 $35.87 R $36.65K0069 NU KU IN $110.48 $110.48 $110.48 $110.48 $110.48 $110.48 $110.48K0069 NU IN $102.42 R $104.80 $102.42 R $104.80 $100.32 R $104.80 $102.42 R $104.80 $100.14 R $104.80 $102.42 R $104.80 $102.42 R $104.80K0069 RR KU IN $11.50 $11.50 $11.50 $11.50 $11.50 $11.50 $11.50K0069 RR IN $10.47 R $10.71 $10.47 R $10.71 $10.26 R $10.71 $10.47 R $10.71 $10.24 R $10.71 $10.47 R $10.71 $10.47 R $10.71K0069 UE KU IN $82.85 $82.85 $82.85 $82.85 $82.85 $82.85 $82.85K0069 UE IN $76.81 R $78.59 $76.81 R $78.59 $75.23 R $78.59 $76.81 R $78.59 $75.10 R $78.59 $76.81 R $78.59 $76.81 R $78.59K0070 RR KU CR $20.27 $20.27 $20.27 $20.27 $20.27 $20.27 $20.27K0070 RR CR $17.98 R $18.45 $17.98 R $18.45 $18.09 R $18.45 $17.98 R $18.45 $17.81 R $18.45 $17.98 R $18.45 $17.98 R $18.45K0071 NU KU IN $120.77 $120.77 $120.77 $120.77 $120.77 $120.77 $120.77K0071 NU IN $115.26 R $117.65 $115.26 R $117.65 $111.55 R $117.65 $115.26 R $117.65 $114.31 R $117.65 $115.26 R $117.65 $115.26 R $117.65K0071 RR KU IN $12.09 $12.09 $12.09 $12.09 $12.09 $12.09 $12.09K0071 RR IN $11.53 R $11.77 $11.53 R $11.77 $11.16 R $11.77 $11.53 R $11.77 $11.44 R $11.77 $11.53 R $11.77 $11.53 R $11.77K0071 UE KU IN $90.56 $90.56 $90.56 $90.56 $90.56 $90.56 $90.56K0071 UE IN $86.43 R $88.23 $86.43 R $88.23 $83.65 R $88.23 $86.43 R $88.23 $85.72 R $88.23 $86.43 R $88.23 $86.43 R $88.23K0072 NU KU IN $72.71 $72.71 $72.71 $72.71 $72.71 $72.71 $72.71K0072 NU IN $69.87 R $71.81 $69.87 R $71.81 $68.32 R $71.81 $69.87 R $71.81 $68.36 R $71.81 $69.87 R $71.81 $69.87 R $71.81K0072 RR KU IN $7.27 $7.27 $7.27 $7.27 $7.27 $7.27 $7.27K0072 RR IN $6.99 R $7.18 $6.99 R $7.18 $6.83 R $7.18 $6.99 R $7.18 $6.84 R $7.18 $6.99 R $7.18 $6.99 R $7.18K0072 UE KU IN $54.52 $54.52 $54.52 $54.52 $54.52 $54.52 $54.52K0072 UE IN $52.40 R $53.86 $52.40 R $53.86 $51.23 R $53.86 $52.40 R $53.86 $51.26 R $53.86 $52.40 R $53.86 $52.40 R $53.86K0073 NU KU IN $36.99 $38.48 $38.48 $38.48 $38.48 $36.99 $38.48K0073 NU IN $36.17 R $36.99 $36.91 R $37.80 $35.96 R $37.80 $36.91 R $37.80 $36.24 R $37.80 $36.17 R $36.99 $36.91 R $37.80K0073 RR KU IN $3.74 $3.85 $3.85 $3.85 $3.85 $3.74 $3.85K0073 RR IN $3.64 R $3.72 $3.69 R $3.78 $3.60 R $3.78 $3.69 R $3.78 $3.63 R $3.78 $3.64 R $3.72 $3.69 R $3.78K0073 UE KU IN $27.73 $28.85 $28.85 $28.85 $28.85 $27.73 $28.85K0073 UE IN $27.12 R $27.73 $27.68 R $28.35 $26.97 R $28.35 $27.68 R $28.35 $27.18 R $28.35 $27.12 R $27.73 $27.68 R $28.35K0077 NU KU IN $65.07 $65.07 $65.07 $65.07 $65.07 $65.07 $65.07K0077 NU IN $59.10 R $60.58 $59.10 R $60.58 $58.58 R $60.58 $59.10 R $60.58 $58.40 R $60.58 $59.10 R $60.58 $59.10 R $60.58K0077 RR KU IN $6.49 $6.49 $6.49 $6.49 $6.49 $6.49 $6.49K0077 RR IN $5.90 R $6.05 $5.90 R $6.05 $5.85 R $6.05 $5.90 R $6.05 $5.83 R $6.05 $5.90 R $6.05 $5.90 R $6.05





Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule



K0077 UE KU IN $48.78 $48.78 $48.78 $48.78 $48.78 $48.78 $48.78K0077 UE IN $44.32 R $45.43 $44.32 R $45.43 $43.93 R $45.43 $44.32 R $45.43 $43.79 R $45.43 $44.32 R $45.43 $44.32 R $45.43K0098 NU KE IN $26.52 R $27.07 $26.95 R $27.50 $26.21 R $27.50 $26.83 R $27.38 $26.62 R $27.50 $26.52 R $27.07 $26.95 R $27.50K0098 NU KU IN $25.17 $25.93 $25.93 $25.73 $25.93 $25.17 $25.93K0098 NU IN $24.50 R $25.05 $24.88 R $25.43 $24.13 R $25.43 $24.78 R $25.33 $24.55 R $25.43 $24.50 R $25.05 $24.88 R $25.43K0098 RR KE IN $2.66 R $2.71 $2.70 R $2.75 $2.62 R $2.75 $2.69 R $2.75 $2.66 R $2.75 $2.66 R $2.71 $2.70 R $2.75K0098 RR KU IN $2.53 $2.60 $2.60 $2.59 $2.60 $2.53 $2.60K0098 RR IN $2.46 R $2.51 $2.49 R $2.55 $2.42 R $2.55 $2.49 R $2.54 $2.46 R $2.55 $2.46 R $2.51 $2.49 R $2.55K0098 UE KE IN $19.89 R $20.30 $20.21 R $20.62 $19.65 R $20.62 $20.15 R $20.56 $19.96 R $20.62 $19.89 R $20.30 $20.21 R $20.62K0098 UE KU IN $18.87 $19.42 $19.42 $19.32 $19.42 $18.87 $19.42K0098 UE IN $18.38 R $18.79 $18.65 R $19.06 $18.09 R $19.06 $18.60 R $19.01 $18.40 R $19.06 $18.38 R $18.79 $18.65 R $19.06K0105 NU KU IN $109.92 $109.92 $109.92 $109.92 $109.92 $109.92 $109.92K0105 NU IN $105.11 R $107.20 $105.11 R $107.20 $102.12 R $107.20 $105.11 R $107.20 $103.38 R $107.20 $105.11 R $107.20 $105.11 R $107.20K0105 RR KU IN $10.99 $10.99 $10.99 $10.99 $10.99 $10.99 $10.99K0105 RR IN $10.51 R $10.72 $10.51 R $10.72 $10.21 R $10.72 $10.51 R $10.72 $10.33 R $10.72 $10.51 R $10.72 $10.51 R $10.72K0105 UE KU IN $82.44 $82.44 $82.44 $82.44 $82.44 $82.44 $82.44K0105 UE IN $78.83 R $80.40 $78.83 R $80.40 $76.59 R $80.40 $78.83 R $80.40 $77.54 R $80.40 $78.83 R $80.40 $78.83 R $80.40K0195 RR KE CR $16.89 R $17.41 $16.89 R $17.41 $17.08 R $17.41 $16.64 R $17.17 $17.00 R $17.41 $16.89 R $17.41 $16.89 R $17.41K0195 RR CR $15.28 R $15.81 $15.28 R $15.81 $15.47 R $15.81 $15.07 R $15.59 $15.40 R $15.81 $15.28 R $15.81 $15.28 R $15.81K0455 RR FS $292.81 $292.81 $292.81 $289.03 $292.81 $292.81 $292.81K0552 SU $2.75 $2.77 $2.77 $2.77 $2.77 $2.75 $2.77K0601 NU IN $1.20 $1.20 $1.20 $1.20 $1.20 $1.20 $1.20K0602 NU IN $6.84 $6.84 $6.84 $6.84 $6.84 $6.84 $6.84K0603 NU IN $0.61 $0.61 $0.61 $0.61 $0.61 $0.61 $0.61K0604 NU IN $6.57 $6.57 $6.57 $6.57 $6.57 $6.57 $6.57K0605 NU IN $15.74 $15.74 $15.74 $15.74 $15.74 $15.74 $15.74K0606 RR KF CR $2,783.98 $2,783.98 $2,783.98 $2,783.98 $2,783.98 $2,783.98 $2,783.98K0607 RR KF CR $23.84 $23.84 $23.84 $23.84 $23.84 $23.84 $23.84K0607 RR CR $21.48 $21.48 $21.48 $21.48 $21.48 $21.48 $21.48K0608 NU KF IN $148.79 $148.79 $148.79 $148.79 $148.79 $148.79 $148.79K0608 NU IN $133.99 $133.99 $133.99 $133.99 $133.99 $133.99 $133.99K0608 RR KF IN $14.90 $14.90 $14.90 $14.90 $14.90 $14.90 $14.90K0608 RR IN $13.43 $13.43 $13.43 $13.43 $13.43 $13.43 $13.43K0608 UE KF IN $111.58 $111.58 $111.58 $111.58 $111.58 $111.58 $111.58K0608 UE IN $100.50 $100.50 $100.50 $100.50 $100.50 $100.50 $100.50K0609 KF SU $989.39 $989.39 $989.39 $989.39 $989.39 $989.39 $989.39K0609 SU $891.13 $891.13 $891.13 $891.13 $891.13 $891.13 $891.13K0672 PO $80.85 $80.85 $81.28 $80.85 $80.85 $80.85 $80.85K0730 RR CR $190.59 $190.59 $190.59 $190.59 $190.59 $190.59 $190.59K0733 NU KE IN $30.56 R $31.55 $30.56 R $31.55 $30.00 R $31.55 $30.56 R $31.55 $30.20 R $31.55 $30.56 R $31.55 $30.56 R $31.55K0733 NU KU IN $28.78 $28.78 $28.78 $28.78 $28.78 $28.78 $28.78K0733 NU IN $28.24 R $28.78 $28.24 R $28.78 $27.68 R $28.78 $28.24 R $28.78 $27.89 R $28.78 $28.24 R $28.78 $28.24 R $28.78K0733 RR KE IN $3.07 R $3.17 $3.07 R $3.17 $3.01 R $3.17 $3.07 R $3.17 $3.03 R $3.17 $3.07 R $3.17 $3.07 R $3.17K0733 RR KU IN $2.90 $2.90 $2.90 $2.90 $2.90 $2.90 $2.90K0733 RR IN $2.83 R $2.90 $2.83 R $2.90 $2.78 R $2.90 $2.83 R $2.90 $2.80 R $2.90 $2.83 R $2.90 $2.83 R $2.90K0733 UE KE IN $22.92 R $23.66 $22.92 R $23.66 $22.50 R $23.66 $22.92 R $23.66 $22.65 R $23.66 $22.92 R $23.66 $22.92 R $23.66K0733 UE KU IN $21.60 $21.60 $21.60 $21.60 $21.60 $21.60 $21.60K0733 UE IN $21.19 R $21.60 $21.19 R $21.60 $20.77 R $21.60 $21.19 R $21.60 $20.92 R $21.60 $21.19 R $21.60 $21.19 R $21.60K0738 RR OX $44.02 R $46.90 $44.02 R $46.90 $44.71 R $46.90 $44.02 R $46.90 $45.47 R $46.90 $44.02 R $46.90 $44.02 R $46.90K0800 NU IN $1,017.87 R $1,058.65 $1,017.87 R $1,058.65 $1,031.00 R $1,058.65 $1,017.87 R $1,058.65 $1,014.36 R $1,058.65 $1,017.87 R $1,058.65 $1,017.87 R $1,058.65K0800 RR IN $101.79 R $105.87 $101.79 R $105.87 $103.11 R $105.87 $101.79 R $105.87 $101.44 R $105.87 $101.79 R $105.87 $101.79 R $105.87K0800 UE IN $763.41 R $793.99 $763.41 R $793.99 $773.25 R $793.99 $763.41 R $793.99 $760.77 R $793.99 $763.41 R $793.99 $763.41 R $793.99K0801 NU IN $1,722.56 R $1,801.60 $1,722.56 R $1,801.60 $1,738.27 R $1,801.60 $1,722.56 R $1,801.60 $1,734.60 R $1,801.60 $1,722.56 R $1,801.60 $1,722.56 R $1,801.60K0801 RR IN $172.24 R $180.15 $172.24 R $180.15 $173.81 R $180.15 $172.24 R $180.15 $173.45 R $180.15 $172.24 R $180.15 $172.24 R $180.15K0801 UE IN $1,291.92 R $1,351.20 $1,291.92 R $1,351.20 $1,303.71 R $1,351.20 $1,291.92 R $1,351.20 $1,300.95 R $1,351.20 $1,291.92 R $1,351.20 $1,291.92 R $1,351.20K0802 NU IN $2,119.24 R $2,190.53 $2,119.24 R $2,190.53 $2,098.31 R $2,190.53 $2,119.24 R $2,190.53 $2,071.59 R $2,190.53 $2,119.24 R $2,190.53 $2,119.24 R $2,190.53K0802 RR IN $211.92 R $219.05 $211.92 R $219.05 $209.83 R $219.05 $211.92 R $219.05 $207.16 R $219.05 $211.92 R $219.05 $211.92 R $219.05K0802 UE IN $1,589.43 R $1,642.90 $1,589.43 R $1,642.90 $1,573.73 R $1,642.90 $1,589.43 R $1,642.90 $1,553.70 R $1,642.90 $1,589.43 R $1,642.90 $1,589.43 R $1,642.90K0806 NU IN $1,391.75 $1,391.75 $1,391.75 $1,391.75 $1,391.75 $1,391.75 $1,391.75K0806 RR IN $139.17 $139.17 $139.17 $139.17 $139.17 $139.17 $139.17K0806 UE IN $1,043.82 $1,043.82 $1,043.82 $1,043.82 $1,043.82 $1,043.82 $1,043.82K0807 NU IN $2,132.76 $2,132.76 $2,132.76 $2,132.76 $2,132.76 $2,132.76 $2,132.76K0807 RR IN $213.28 $213.28 $213.28 $213.28 $213.28 $213.28 $213.28K0807 UE IN $1,599.58 $1,599.58 $1,599.58 $1,599.58 $1,599.58 $1,599.58 $1,599.58K0808 NU IN $3,298.44 $3,298.44 $3,298.44 $3,298.44 $3,298.44 $3,298.44 $3,298.44K0808 RR IN $329.84 $329.84 $329.84 $329.84 $329.84 $329.84 $329.84





Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule



K0808 UE IN $2,473.83 $2,473.83 $2,473.83 $2,473.83 $2,473.83 $2,473.83 $2,473.83K0813 RR CR $298.38 R $310.79 $298.38 R $310.79 $298.42 R $310.79 $298.38 R $310.79 $301.35 R $310.79 $298.38 R $310.79 $298.38 R $310.79K0814 RR CR $352.10 R $366.34 $352.10 R $366.34 $355.31 R $366.34 $352.10 R $366.34 $361.36 R $366.34 $352.10 R $366.34 $352.10 R $366.34K0815 RR CR $380.40 R $393.89 $380.40 R $393.89 $381.08 R $393.89 $380.40 R $393.89 $387.92 R $393.89 $380.40 R $393.89 $380.40 R $393.89K0816 RR CR $378.58 R $389.97 $378.58 R $389.97 $380.43 R $389.97 $378.58 R $389.97 $382.14 R $389.97 $378.58 R $389.97 $378.58 R $389.97K0820 RR CR $313.26 R $326.76 $313.26 R $326.76 $313.94 R $326.76 $313.26 R $326.76 $320.78 R $326.76 $313.26 R $326.76 $313.26 R $326.76K0821 RR CR $375.63 R $385.98 $375.63 R $385.98 $376.35 R $385.98 $375.63 R $385.98 $377.87 R $385.98 $375.63 R $385.98 $375.63 R $385.98K0822 RR CR $431.30 R $445.73 $431.30 R $445.73 $435.17 R $445.73 $431.30 R $445.73 $438.44 R $445.73 $431.30 R $445.73 $431.30 R $445.73K0823 RR CR $426.96 R $437.40 $426.96 R $437.40 $428.08 R $437.40 $426.96 R $437.40 $429.05 R $437.40 $426.96 R $437.40 $426.96 R $437.40K0824 RR CR $553.15 R $574.86 $553.15 R $574.86 $561.53 R $574.86 $553.15 R $574.86 $568.94 R $574.86 $553.15 R $574.86 $553.15 R $574.86K0825 RR CR $504.98 R $528.40 $504.98 R $528.40 $512.68 R $528.40 $504.98 R $528.40 $516.79 R $528.40 $504.98 R $528.40 $504.98 R $528.40K0826 RR CR $821.98 R $830.07 $821.98 R $830.07 $800.24 R $830.07 $821.98 R $830.07 $817.28 R $830.07 $821.98 R $830.07 $821.98 R $830.07K0827 RR CR $701.97 R $713.72 $701.97 R $713.72 $690.30 R $713.72 $701.97 R $713.72 $701.70 R $713.72 $701.97 R $713.72 $701.97 R $713.72K0828 RR CR $943.92 R $963.75 $943.92 R $963.75 $902.50 R $963.75 $943.92 R $963.75 $930.97 R $963.75 $943.92 R $963.75 $943.92 R $963.75K0829 RR CR $877.28 R $906.70 $877.28 R $906.70 $861.73 R $906.70 $877.28 R $906.70 $873.11 R $906.70 $877.28 R $906.70 $877.28 R $906.70K0835 RR CR $456.11 $456.11 $456.11 $456.11 $456.11 $456.11 $456.11K0836 RR CR $473.04 $473.04 $473.04 $473.04 $473.04 $473.04 $473.04K0837 RR CR $559.19 $559.19 $559.19 $559.19 $559.19 $559.19 $559.19K0838 RR CR $498.48 $498.48 $498.48 $498.48 $498.48 $498.48 $498.48K0839 RR CR $731.13 $731.13 $731.13 $731.13 $731.13 $731.13 $731.13K0840 RR CR $1,113.40 $1,113.40 $1,113.40 $1,113.40 $1,113.40 $1,113.40 $1,113.40K0841 RR CR $495.88 $495.88 $495.88 $495.88 $495.88 $495.88 $495.88K0842 RR CR $495.60 $495.60 $495.60 $495.60 $495.60 $495.60 $495.60K0843 RR CR $593.54 $593.54 $593.54 $593.54 $593.54 $593.54 $593.54K0848 RR CR $755.28 $755.28 $755.28 $755.28 $755.28 $755.28 $755.28K0849 RR CR $726.16 $726.16 $726.16 $726.16 $726.16 $726.16 $726.16K0850 RR CR $876.10 $876.10 $876.10 $876.10 $876.10 $876.10 $876.10K0851 RR CR $842.37 $842.37 $842.37 $842.37 $842.37 $842.37 $842.37K0852 RR CR $1,012.27 $1,012.27 $1,012.27 $1,012.27 $1,012.27 $1,012.27 $1,012.27K0853 RR CR $1,039.86 $1,039.86 $1,039.86 $1,039.86 $1,039.86 $1,039.86 $1,039.86K0854 RR CR $1,377.59 $1,377.59 $1,377.59 $1,377.59 $1,377.59 $1,377.59 $1,377.59K0855 RR CR $1,301.34 $1,301.34 $1,301.34 $1,301.34 $1,301.34 $1,301.34 $1,301.34K0856 RR CR $810.71 $810.71 $810.71 $810.71 $810.71 $810.71 $810.71K0857 RR CR $826.96 $826.96 $826.96 $826.96 $826.96 $826.96 $826.96K0858 RR CR $1,005.86 $1,005.86 $1,005.86 $1,005.86 $1,005.86 $1,005.86 $1,005.86K0859 RR CR $959.28 $959.28 $959.28 $959.28 $959.28 $959.28 $959.28K0860 RR CR $1,436.99 $1,436.99 $1,436.99 $1,436.99 $1,436.99 $1,436.99 $1,436.99K0861 RR KF CR $1,045.98 $1,045.98 $1,045.98 $1,045.98 $1,045.98 $1,045.98 $1,045.98K0861 RR CR $812.01 $812.01 $812.01 $812.01 $812.01 $812.01 $812.01K0862 RR CR $1,005.86 $1,005.86 $1,005.86 $1,005.86 $1,005.86 $1,005.86 $1,005.86K0863 RR CR $1,436.99 $1,436.99 $1,436.99 $1,436.99 $1,436.99 $1,436.99 $1,436.99K0864 RR CR $1,710.03 $1,710.03 $1,710.03 $1,710.03 $1,710.03 $1,710.03 $1,710.03K0901 PO $855.38 $855.38 $860.01 $855.38 $855.38 $855.38 $855.38K0902 PO $798.57 $798.57 $897.78 $798.57 $798.57 $798.57 $798.57L0112 PO $1,334.29 $1,334.29 $1,341.53 $1,334.29 $1,334.29 $1,334.29 $1,334.29L0113 PO $271.87 $271.87 $273.35 $271.87 $271.87 $271.87 $271.87L0120 PO $25.21 $25.21 $26.81 $25.21 $25.21 $25.21 $25.21L0130 PO $145.52 $145.52 $193.91 $145.52 $145.52 $145.52 $145.52L0140 PO $57.06 $57.06 $66.91 $57.06 $57.06 $57.06 $57.06L0150 PO $102.05 $102.05 $111.58 $102.05 $102.05 $102.05 $102.05L0160 PO $149.00 $149.00 $158.87 $149.00 $149.00 $149.00 $149.00L0170 PO $766.50 $766.50 $672.28 $766.50 $766.50 $766.50 $766.50L0172 PO $135.01 $135.01 $136.31 $135.01 $135.01 $135.01 $135.01L0174 PO $265.48 $265.48 $244.87 $265.48 $265.48 $265.48 $265.48L0180 PO $430.11 $430.11 $333.02 $430.11 $430.11 $430.11 $430.11L0190 PO $507.25 $507.25 $501.32 $507.25 $507.25 $507.25 $507.25L0200 PO $588.36 $588.36 $460.32 $588.36 $588.36 $588.36 $588.36L0220 PO $123.17 $123.17 $109.17 $123.17 $123.17 $123.17 $123.17L0450 PO $154.92 $154.92 $180.23 $154.92 $154.92 $154.92 $154.92L0454 PO $330.64 $330.64 $332.42 $330.64 $330.64 $330.64 $330.64L0455 PO $330.64 $330.64 $332.42 $330.64 $330.64 $330.64 $330.64L0456 PO $948.16 $948.16 $953.30 $948.16 $948.16 $948.16 $948.16L0457 PO $948.16 $948.16 $953.30 $948.16 $948.16 $948.16 $948.16L0458 PO $850.23 $850.23 $854.82 $850.23 $850.23 $850.23 $850.23L0460 PO $956.99 $956.99 $962.18 $956.99 $956.99 $956.99 $956.99L0462 PO $1,190.32 $1,190.32 $1,196.77 $1,190.32 $1,190.32 $1,190.32 $1,190.32





Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule



L0464 PO $1,417.07 $1,417.07 $1,424.74 $1,417.07 $1,417.07 $1,417.07 $1,417.07L0466 PO $361.70 $361.70 $366.36 $361.70 $361.70 $361.70 $361.70L0467 PO $361.70 $361.70 $366.36 $361.70 $361.70 $361.70 $361.70L0468 PO $453.29 $453.29 $459.32 $453.29 $453.29 $453.29 $453.29L0469 PO $453.29 $453.29 $459.32 $453.29 $453.29 $453.29 $453.29L0470 PO $627.24 $627.24 $653.94 $627.24 $627.24 $627.24 $627.24L0472 PO $385.96 $385.96 $410.48 $385.96 $385.96 $385.96 $385.96L0480 PO $1,439.95 $1,439.95 $1,269.29 $1,439.95 $1,439.95 $1,439.95 $1,439.95L0482 PO $1,608.44 $1,608.44 $1,455.08 $1,608.44 $1,608.44 $1,608.44 $1,608.44L0484 PO $1,737.06 $1,737.06 $1,696.59 $1,737.06 $1,737.06 $1,737.06 $1,737.06L0486 PO $1,950.77 $1,950.77 $1,680.68 $1,950.77 $1,950.77 $1,950.77 $1,950.77L0488 PO $956.99 $956.99 $962.18 $956.99 $956.99 $956.99 $956.99L0490 PO $269.67 $269.67 $271.13 $269.67 $269.67 $269.67 $269.67L0491 PO $732.15 $732.15 $736.10 $732.15 $732.15 $732.15 $732.15L0492 PO $476.76 $476.76 $477.07 $476.76 $476.76 $476.76 $476.76L0621 PO $82.20 $82.20 $85.47 $82.20 $82.20 $82.20 $82.20L0622 PO $254.81 $254.81 $231.75 $254.81 $254.81 $254.81 $254.81L0625 PO $52.52 $52.52 $52.82 $52.52 $52.52 $52.52 $52.52L0626 PO $74.31 $74.31 $74.72 $74.31 $74.31 $74.31 $74.31L0627 PO $391.84 $391.84 $394.01 $391.84 $391.84 $391.84 $391.84L0628 PO $79.96 $79.96 $80.39 $79.96 $79.96 $79.96 $79.96L0630 PO $154.41 $154.41 $155.21 $154.41 $154.41 $154.41 $154.41L0631 PO $978.65 $978.65 $983.97 $978.65 $978.65 $978.65 $978.65L0633 PO $273.38 $273.38 $274.86 $273.38 $273.38 $273.38 $273.38L0635 PO $952.59 $952.59 $1,019.23 $952.59 $952.59 $952.59 $952.59L0636 PO $1,292.50 $1,292.50 $1,503.93 $1,292.50 $1,292.50 $1,292.50 $1,292.50L0637 PO $1,235.04 $1,235.04 $1,304.86 $1,235.04 $1,235.04 $1,235.04 $1,235.04L0638 PO $1,257.37 $1,257.37 $1,264.17 $1,257.37 $1,257.37 $1,257.37 $1,257.37L0639 PO $1,235.04 $1,235.04 $1,304.86 $1,235.04 $1,235.04 $1,235.04 $1,235.04L0640 PO $997.55 $997.55 $1,002.97 $997.55 $997.55 $997.55 $997.55L0641 PO $74.31 $74.31 $74.72 $74.31 $74.31 $74.31 $74.31L0642 PO $391.84 $391.84 $394.01 $391.84 $391.84 $391.84 $391.84L0643 PO $154.41 $154.41 $155.21 $154.41 $154.41 $154.41 $154.41L0648 PO $978.65 $978.65 $983.97 $978.65 $978.65 $978.65 $978.65L0649 PO $273.38 $273.38 $274.86 $273.38 $273.38 $273.38 $273.38L0650 PO $1,235.04 $1,235.04 $1,304.86 $1,235.04 $1,235.04 $1,235.04 $1,235.04L0651 PO $1,235.04 $1,235.04 $1,304.86 $1,235.04 $1,235.04 $1,235.04 $1,235.04L0700 PO $1,897.85 $1,897.85 $2,063.66 $1,897.85 $1,897.85 $1,897.85 $1,897.85L0710 PO $2,086.25 $2,086.25 $2,252.62 $2,086.25 $2,086.25 $2,086.25 $2,086.25L0810 PO $2,548.15 $2,548.15 $2,393.08 $2,548.15 $2,548.15 $2,548.15 $2,548.15L0820 PO $2,004.48 $2,004.48 $1,935.90 $2,004.48 $2,004.48 $2,004.48 $2,004.48L0830 PO $3,067.14 $3,067.14 $2,795.23 $3,067.14 $3,067.14 $3,067.14 $3,067.14L0859 PO $1,085.93 $1,085.93 $1,085.93 $1,085.93 $1,085.93 $1,085.93 $1,085.93L0861 PO $205.48 $205.48 $206.59 $205.48 $205.48 $205.48 $205.48L0970 PO $101.88 $101.88 $101.88 $101.88 $101.88 $101.88 $101.88L0972 PO $92.73 $92.73 $104.14 $92.73 $92.73 $92.73 $92.73L0974 PO $166.59 $166.59 $212.79 $166.59 $166.59 $166.59 $166.59L0976 PO $142.53 $142.53 $190.04 $142.53 $142.53 $142.53 $142.53L0978 PO $179.39 $179.39 $171.59 $179.39 $179.39 $179.39 $179.39L0980 PO $16.30 $16.30 $15.57 $16.30 $16.30 $16.30 $16.30L0982 PO $14.91 $14.91 $16.96 $14.91 $14.91 $14.91 $14.91L0984 PO $64.52 $64.52 $54.12 $64.52 $64.52 $64.52 $64.52L1000 PO $1,933.14 $1,933.14 $1,809.74 $1,933.14 $1,933.14 $1,933.14 $1,933.14L1005 PO $3,051.26 $3,051.26 $3,067.82 $3,051.26 $3,051.26 $3,051.26 $3,051.26L1010 PO $79.76 $79.76 $72.88 $79.76 $79.76 $79.76 $79.76L1020 PO $102.73 $102.73 $99.58 $102.73 $102.73 $102.73 $102.73L1025 PO $148.21 $148.21 $113.18 $148.21 $148.21 $148.21 $148.21L1030 PO $74.64 $74.64 $75.60 $74.64 $74.64 $74.64 $74.64L1040 PO $84.52 $84.52 $91.00 $84.52 $84.52 $84.52 $84.52L1050 PO $95.65 $95.65 $78.79 $95.65 $95.65 $95.65 $95.65L1060 PO $103.25 $103.25 $88.88 $103.25 $103.25 $103.25 $103.25L1070 PO $106.95 $106.95 $90.87 $106.95 $106.95 $106.95 $106.95L1080 PO $49.88 $49.88 $62.97 $49.88 $49.88 $49.88 $49.88L1085 PO $166.98 $166.98 $174.92 $166.98 $166.98 $166.98 $166.98L1090 PO $95.93 $95.93 $81.71 $95.93 $95.93 $95.93 $95.93L1100 PO $181.04 $181.04 $144.23 $181.04 $181.04 $181.04 $181.04





Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule



L1110 PO $303.55 $303.55 $244.30 $303.55 $303.55 $303.55 $303.55L1120 PO $36.26 $36.26 $38.92 $36.26 $36.26 $36.26 $36.26L1200 PO $1,706.00 $1,706.00 $1,549.14 $1,706.00 $1,706.00 $1,706.00 $1,706.00L1210 PO $233.24 $233.24 $233.24 $233.24 $233.24 $233.24 $233.24L1220 PO $227.02 $227.02 $197.48 $227.02 $227.02 $227.02 $227.02L1230 PO $635.99 $635.99 $506.72 $635.99 $635.99 $635.99 $635.99L1240 PO $86.70 $86.70 $87.20 $86.70 $86.70 $86.70 $86.70L1250 PO $75.38 $75.38 $85.87 $75.38 $75.38 $75.38 $75.38L1260 PO $89.91 $89.91 $88.24 $89.91 $89.91 $89.91 $89.91L1270 PO $79.01 $79.01 $88.14 $79.01 $79.01 $79.01 $79.01L1280 PO $83.30 $83.30 $78.56 $83.30 $83.30 $83.30 $83.30L1290 PO $74.08 $74.08 $89.07 $74.08 $74.08 $74.08 $74.08L1300 PO $1,643.04 $1,643.04 $1,489.02 $1,643.04 $1,643.04 $1,643.04 $1,643.04L1310 PO $1,711.35 $1,711.35 $1,532.20 $1,711.35 $1,711.35 $1,711.35 $1,711.35L1600 PO $122.84 $122.84 $114.87 $122.84 $122.84 $122.84 $122.84L1610 PO $52.18 $52.18 $39.13 $52.18 $52.18 $52.18 $52.18L1620 PO $149.80 $149.80 $128.86 $149.80 $149.80 $149.80 $149.80L1630 PO $201.40 $201.40 $153.78 $201.40 $201.40 $201.40 $201.40L1640 PO $451.29 $451.29 $411.32 $451.29 $451.29 $451.29 $451.29L1650 PO $235.10 $235.10 $218.13 $235.10 $235.10 $235.10 $235.10L1652 PO $339.83 $339.83 $341.69 $339.83 $339.83 $339.83 $339.83L1660 PO $172.28 $172.28 $152.55 $172.28 $172.28 $172.28 $172.28L1680 PO $1,086.10 $1,086.10 $1,254.18 $1,086.10 $1,086.10 $1,086.10 $1,086.10L1685 PO $1,060.30 $1,060.30 $1,323.38 $1,060.30 $1,060.30 $1,060.30 $1,060.30L1686 PO $893.29 $893.29 $887.81 $893.29 $893.29 $893.29 $893.29L1690 PO $1,843.51 $1,843.51 $1,853.50 $1,843.51 $1,843.51 $1,843.51 $1,843.51L1700 PO $1,483.22 $1,483.22 $1,541.99 $1,483.22 $1,483.22 $1,483.22 $1,483.22L1710 PO $1,888.71 $1,888.71 $1,812.51 $1,888.71 $1,888.71 $1,888.71 $1,888.71L1720 PO $1,406.33 $1,406.33 $1,338.91 $1,406.33 $1,406.33 $1,406.33 $1,406.33L1730 PO $1,187.25 $1,187.25 $1,010.17 $1,187.25 $1,187.25 $1,187.25 $1,187.25L1755 PO $1,706.93 $1,706.93 $1,470.33 $1,706.93 $1,706.93 $1,706.93 $1,706.93L1810 PO $98.13 $98.13 $116.04 $98.13 $98.13 $98.13 $98.13L1812 PO $98.13 $98.13 $116.04 $98.13 $98.13 $98.13 $98.13L1820 PO $135.49 $135.49 $115.58 $135.49 $135.49 $135.49 $135.49L1830 PO $79.30 $79.30 $96.68 $79.30 $79.30 $79.30 $79.30L1831 PO $280.58 $280.58 $282.09 $280.58 $280.58 $280.58 $280.58L1832 PO $656.65 $656.65 $722.59 $656.65 $656.65 $656.65 $656.65L1833 PO $656.65 $656.65 $722.59 $656.65 $656.65 $656.65 $656.65L1834 PO $691.96 $691.96 $850.11 $691.96 $691.96 $691.96 $691.96L1836 PO $127.19 $127.19 $127.88 $127.19 $127.19 $127.19 $127.19L1840 PO $896.52 $896.52 $893.61 $896.52 $896.52 $896.52 $896.52L1843 PO $855.38 $855.38 $860.01 $855.38 $855.38 $855.38 $855.38L1844 PO $1,451.77 $1,451.77 $1,490.21 $1,451.77 $1,451.77 $1,451.77 $1,451.77L1845 PO $798.57 $798.57 $897.78 $798.57 $798.57 $798.57 $798.57L1846 PO $1,115.42 $1,115.42 $1,139.13 $1,115.42 $1,115.42 $1,115.42 $1,115.42L1847 PO $548.33 $548.33 $551.31 $548.33 $548.33 $548.33 $548.33L1848 PO $548.33 $548.33 $551.31 $548.33 $548.33 $548.33 $548.33L1850 PO $271.59 $271.59 $256.58 $271.59 $271.59 $271.59 $271.59L1860 PO $1,188.78 $1,188.78 $995.18 $1,188.78 $1,188.78 $1,188.78 $1,188.78L1900 PO $271.99 $271.99 $269.60 $271.99 $271.99 $271.99 $271.99L1902 PO $71.16 $71.16 $73.23 $71.16 $71.16 $71.16 $71.16L1904 PO $430.30 $430.30 $419.17 $430.30 $430.30 $430.30 $430.30L1906 PO $107.20 $107.20 $122.49 $107.20 $107.20 $107.20 $107.20L1907 PO $536.44 $536.44 $539.33 $536.44 $536.44 $536.44 $536.44L1910 PO $267.35 $267.35 $238.38 $267.35 $267.35 $267.35 $267.35L1920 PO $391.63 $391.63 $311.63 $391.63 $391.63 $391.63 $391.63L1930 PO $240.18 $240.18 $210.87 $240.18 $240.18 $240.18 $240.18L1932 PO $850.70 $850.70 $855.32 $850.70 $850.70 $850.70 $850.70L1940 PO $464.25 $464.25 $476.54 $464.25 $464.25 $464.25 $464.25L1945 PO $1,070.09 $1,070.09 $875.13 $1,070.09 $1,070.09 $1,070.09 $1,070.09L1950 PO $733.17 $733.17 $663.95 $733.17 $733.17 $733.17 $733.17L1951 PO $800.62 $800.62 $804.97 $800.62 $800.62 $800.62 $800.62L1960 PO $590.94 $590.94 $494.09 $590.94 $590.94 $590.94 $590.94L1970 PO $659.83 $659.83 $730.79 $659.83 $659.83 $659.83 $659.83L1971 PO $446.88 $446.88 $449.27 $446.88 $446.88 $446.88 $446.88L1980 PO $384.93 $384.93 $327.15 $384.93 $384.93 $384.93 $384.93





Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule



L1990 PO $445.50 $445.50 $420.34 $445.50 $445.50 $445.50 $445.50L2000 PO $1,066.46 $1,066.46 $904.13 $1,066.46 $1,066.46 $1,066.46 $1,066.46L2005 PO $3,906.47 $3,906.47 $3,927.66 $3,906.47 $3,906.47 $3,906.47 $3,906.47L2010 PO $831.83 $831.83 $824.20 $831.83 $831.83 $831.83 $831.83L2020 PO $1,050.57 $1,050.57 $1,040.84 $1,050.57 $1,050.57 $1,050.57 $1,050.57L2030 PO $1,032.63 $1,032.63 $903.03 $1,032.63 $1,032.63 $1,032.63 $1,032.63L2034 PO $1,936.66 $1,936.66 $1,968.09 $1,936.66 $1,936.66 $1,936.66 $1,936.66L2035 PO $165.15 $165.15 $166.04 $165.15 $165.15 $165.15 $165.15L2036 PO $1,767.42 $1,767.42 $1,653.83 $1,767.42 $1,767.42 $1,767.42 $1,767.42L2037 PO $1,580.93 $1,580.93 $1,524.10 $1,580.93 $1,580.93 $1,580.93 $1,580.93L2038 PO $1,274.46 $1,274.46 $1,274.46 $1,274.46 $1,274.46 $1,274.46 $1,274.46L2040 PO $192.85 $192.85 $162.80 $192.85 $192.85 $192.85 $192.85L2050 PO $464.56 $464.56 $433.54 $464.56 $464.56 $464.56 $464.56L2060 PO $581.07 $581.07 $556.42 $581.07 $581.07 $581.07 $581.07L2070 PO $147.96 $147.96 $159.84 $147.96 $147.96 $147.96 $147.96L2080 PO $355.77 $355.77 $340.87 $355.77 $355.77 $355.77 $355.77L2090 PO $474.01 $474.01 $420.16 $474.01 $474.01 $474.01 $474.01L2106 PO $751.43 $751.43 $606.08 $751.43 $751.43 $751.43 $751.43L2108 PO $1,095.99 $1,095.99 $952.42 $1,095.99 $1,095.99 $1,095.99 $1,095.99L2112 PO $480.95 $480.95 $452.22 $480.95 $480.95 $480.95 $480.95L2114 PO $602.41 $602.41 $517.40 $602.41 $602.41 $602.41 $602.41L2116 PO $734.77 $734.77 $681.68 $734.77 $734.77 $734.77 $734.77L2126 PO $1,217.30 $1,217.30 $1,212.89 $1,217.30 $1,217.30 $1,217.30 $1,217.30L2128 PO $1,528.51 $1,528.51 $1,528.51 $1,528.51 $1,528.51 $1,528.51 $1,528.51L2132 PO $927.78 $927.78 $719.07 $927.78 $927.78 $927.78 $927.78L2134 PO $1,098.61 $1,098.61 $862.14 $1,098.61 $1,098.61 $1,098.61 $1,098.61L2136 PO $1,202.26 $1,202.26 $1,054.17 $1,202.26 $1,202.26 $1,202.26 $1,202.26L2180 PO $126.39 $126.39 $104.39 $126.39 $126.39 $126.39 $126.39L2182 PO $108.94 $108.94 $81.70 $108.94 $108.94 $108.94 $108.94L2184 PO $110.42 $110.42 $147.23 $110.42 $110.42 $110.42 $110.42L2186 PO $146.84 $146.84 $163.15 $146.84 $146.84 $146.84 $146.84L2188 PO $266.96 $266.96 $355.95 $266.96 $266.96 $266.96 $266.96L2190 PO $81.32 $81.32 $92.46 $81.32 $81.32 $81.32 $81.32L2192 PO $317.83 $317.83 $317.83 $317.83 $317.83 $317.83 $317.83L2200 PO $47.90 $47.90 $42.38 $47.90 $47.90 $47.90 $47.90L2210 PO $59.92 $59.92 $68.77 $59.92 $59.92 $59.92 $59.92L2220 PO $77.14 $77.14 $78.96 $77.14 $77.14 $77.14 $77.14L2230 PO $91.19 $91.19 $68.39 $91.19 $91.19 $91.19 $91.19L2232 PO $92.60 $92.60 $92.60 $92.60 $92.60 $92.60 $92.60L2240 PO $90.76 $90.76 $74.55 $90.76 $90.76 $90.76 $90.76L2250 PO $318.43 $318.43 $316.74 $318.43 $318.43 $318.43 $318.43L2260 PO $178.69 $178.69 $178.69 $178.69 $178.69 $178.69 $178.69L2265 PO $128.15 $128.15 $104.98 $128.15 $128.15 $128.15 $128.15L2270 PO $58.76 $58.76 $47.87 $58.76 $58.76 $58.76 $58.76L2275 PO $124.27 $124.27 $116.48 $124.27 $124.27 $124.27 $124.27L2280 PO $538.18 $538.18 $432.72 $538.18 $538.18 $538.18 $538.18L2300 PO $240.00 $240.00 $244.26 $240.00 $240.00 $240.00 $240.00L2310 PO $109.66 $109.66 $109.66 $109.66 $109.66 $109.66 $109.66L2320 PO $183.89 $183.89 $183.41 $183.89 $183.89 $183.89 $183.89L2330 PO $350.02 $350.02 $350.02 $350.02 $350.02 $350.02 $350.02L2335 PO $267.98 $267.98 $205.91 $267.98 $267.98 $267.98 $267.98L2340 PO $398.40 $398.40 $485.89 $398.40 $398.40 $398.40 $398.40L2350 PO $794.28 $794.28 $794.28 $794.28 $794.28 $794.28 $794.28L2360 PO $49.17 $49.17 $46.12 $49.17 $49.17 $49.17 $49.17L2370 PO $305.10 $305.10 $228.83 $305.10 $305.10 $305.10 $305.10L2375 PO $117.30 $117.30 $100.72 $117.30 $117.30 $117.30 $117.30L2380 PO $123.03 $123.03 $109.74 $123.03 $123.03 $123.03 $123.03L2385 PO $140.09 $140.09 $119.40 $140.09 $140.09 $140.09 $140.09L2387 PO $181.99 $181.99 $162.04 $181.99 $181.99 $181.99 $181.99L2390 PO $97.58 $97.58 $97.58 $97.58 $97.58 $97.58 $97.58L2395 PO $139.47 $139.47 $148.98 $139.47 $139.47 $139.47 $139.47L2397 PO $116.37 $116.37 $104.47 $116.37 $116.37 $116.37 $116.37L2405 PO $83.12 $83.12 $83.57 $83.12 $83.12 $83.12 $83.12L2415 PO $115.82 $115.82 $116.44 $115.82 $115.82 $115.82 $115.82L2425 PO $136.66 $136.66 $137.39 $136.66 $136.66 $136.66 $136.66L2430 PO $136.66 $136.66 $137.39 $136.66 $136.66 $136.66 $136.66





Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule



L2492 PO $111.81 $111.81 $90.90 $111.81 $111.81 $111.81 $111.81L2500 PO $298.32 $298.32 $281.21 $298.32 $298.32 $298.32 $298.32L2510 PO $768.87 $768.87 $752.92 $768.87 $768.87 $768.87 $768.87L2520 PO $512.41 $512.41 $410.64 $512.41 $512.41 $512.41 $512.41L2525 PO $1,086.60 $1,086.60 $1,408.84 $1,086.60 $1,086.60 $1,086.60 $1,086.60L2526 PO $610.56 $610.56 $759.38 $610.56 $610.56 $610.56 $610.56L2530 PO $228.64 $228.64 $209.44 $228.64 $228.64 $228.64 $228.64L2540 PO $432.62 $432.62 $376.87 $432.62 $432.62 $432.62 $432.62L2550 PO $324.37 $324.37 $256.01 $324.37 $324.37 $324.37 $324.37L2570 PO $424.58 $424.58 $566.11 $424.58 $424.58 $424.58 $424.58L2580 PO $413.70 $413.70 $536.63 $413.70 $413.70 $413.70 $413.70L2600 PO $203.33 $203.33 $183.07 $203.33 $203.33 $203.33 $203.33L2610 PO $224.68 $224.68 $216.48 $224.68 $224.68 $224.68 $224.68L2620 PO $238.34 $238.34 $238.34 $238.34 $238.34 $238.34 $238.34L2622 PO $303.36 $303.36 $273.36 $303.36 $303.36 $303.36 $303.36L2624 PO $371.98 $371.98 $371.62 $371.98 $371.98 $371.98 $371.98L2627 PO $2,037.49 $2,037.49 $1,531.05 $2,037.49 $2,037.49 $2,037.49 $2,037.49L2628 PO $1,493.44 $1,493.44 $1,798.50 $1,493.44 $1,493.44 $1,493.44 $1,493.44L2630 PO $220.73 $220.73 $220.73 $220.73 $220.73 $220.73 $220.73L2640 PO $299.56 $299.56 $299.56 $299.56 $299.56 $299.56 $299.56L2650 PO $131.92 $131.92 $106.97 $131.92 $131.92 $131.92 $131.92L2660 PO $170.81 $170.81 $166.14 $170.81 $170.81 $170.81 $170.81L2670 PO $152.06 $152.06 $152.06 $152.06 $152.06 $152.06 $152.06L2680 PO $139.49 $139.49 $139.49 $139.49 $139.49 $139.49 $139.49L2750 PO $74.51 $74.51 $74.51 $74.51 $74.51 $74.51 $74.51L2755 PO $124.56 $124.56 $125.27 $124.56 $124.56 $124.56 $124.56L2760 PO $54.16 $54.16 $54.16 $54.16 $54.16 $54.16 $54.16L2768 PO $124.20 $124.20 $124.90 $124.20 $124.20 $124.20 $124.20L2780 PO $60.33 $60.33 $64.07 $60.33 $60.33 $60.33 $60.33L2785 PO $28.25 $28.25 $37.67 $28.25 $28.25 $28.25 $28.25L2795 PO $78.18 $78.18 $75.74 $78.18 $78.18 $78.18 $78.18L2800 PO $96.01 $96.01 $95.08 $96.01 $96.01 $96.01 $96.01L2810 PO $77.86 $77.86 $69.62 $77.86 $77.86 $77.86 $77.86L2820 PO $77.41 $77.41 $77.41 $77.41 $77.41 $77.41 $77.41L2830 PO $83.74 $83.74 $87.05 $83.74 $83.74 $83.74 $83.74L2840 PO $41.11 $41.11 $48.58 $41.11 $41.11 $41.11 $41.11L2850 PO $57.67 $57.67 $55.19 $57.67 $57.67 $57.67 $57.67L3000 PO $299.47 $299.47 $301.10 $299.47 $299.47 $299.47 $299.47L3001 PO $126.10 $126.10 $126.76 $126.10 $126.10 $126.10 $126.10L3002 PO $153.96 $153.96 $154.81 $153.96 $153.96 $153.96 $153.96L3003 PO $166.09 $166.09 $167.00 $166.09 $166.09 $166.09 $166.09L3010 PO $166.09 $166.09 $167.00 $166.09 $166.09 $166.09 $166.09L3020 PO $189.14 $189.14 $190.17 $189.14 $189.14 $189.14 $189.14L3030 PO $72.74 $72.74 $73.16 $72.74 $72.74 $72.74 $72.74L3031 PO $116.76 $116.76 $117.38 $116.76 $116.76 $116.76 $116.76L3040 PO $44.88 $44.88 $45.11 $44.88 $44.88 $44.88 $44.88L3050 PO $44.88 $44.88 $45.11 $44.88 $44.88 $44.88 $44.88L3060 PO $70.31 $70.31 $70.70 $70.31 $70.31 $70.31 $70.31L3070 PO $30.31 $30.31 $30.48 $30.31 $30.31 $30.31 $30.31L3080 PO $30.31 $30.31 $30.48 $30.31 $30.31 $30.31 $30.31L3090 PO $38.81 $38.81 $39.02 $38.81 $38.81 $38.81 $38.81L3100 PO $41.23 $41.23 $41.42 $41.23 $41.23 $41.23 $41.23L3140 PO $84.87 $84.87 $85.34 $84.87 $84.87 $84.87 $84.87L3150 PO $77.61 $77.61 $78.03 $77.61 $77.61 $77.61 $77.61L3170 PO $48.49 $48.49 $48.77 $48.49 $48.49 $48.49 $48.49L3224 PO $64.42 $64.42 $52.42 $64.42 $64.42 $64.42 $64.42L3225 PO $70.36 $70.36 $60.30 $70.36 $70.36 $70.36 $70.36L3300 PO $49.72 $49.72 $49.97 $49.72 $49.72 $49.72 $49.72L3310 PO $77.61 $77.61 $78.03 $77.61 $77.61 $77.61 $77.61L3330 PO $539.52 $539.52 $542.44 $539.52 $539.52 $539.52 $539.52L3332 PO $70.31 $70.31 $70.70 $70.31 $70.31 $70.31 $70.31L3334 PO $36.36 $36.36 $36.56 $36.36 $36.36 $36.36 $36.36L3340 PO $81.26 $81.26 $81.70 $81.26 $81.26 $81.26 $81.26L3350 PO $21.81 $21.81 $21.92 $21.81 $21.81 $21.81 $21.81L3360 PO $33.94 $33.94 $34.13 $33.94 $33.94 $33.94 $33.94L3370 PO $47.29 $47.29 $47.55 $47.29 $47.29 $47.29 $47.29





Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule



L3380 PO $47.29 $47.29 $47.55 $47.29 $47.29 $47.29 $47.29L3390 PO $47.29 $47.29 $47.55 $47.29 $47.29 $47.29 $47.29L3400 PO $38.81 $38.81 $39.02 $38.81 $38.81 $38.81 $38.81L3410 PO $88.50 $88.50 $89.01 $88.50 $88.50 $88.50 $88.50L3420 PO $52.14 $52.14 $52.40 $52.14 $52.14 $52.14 $52.14L3430 PO $152.77 $152.77 $153.59 $152.77 $152.77 $152.77 $152.77L3440 PO $72.74 $72.74 $73.16 $72.74 $72.74 $72.74 $72.74L3450 PO $100.61 $100.61 $101.15 $100.61 $100.61 $100.61 $100.61L3455 PO $38.81 $38.81 $39.02 $38.81 $38.81 $38.81 $38.81L3460 PO $32.75 $32.75 $32.90 $32.75 $32.75 $32.75 $32.75L3465 PO $55.80 $55.80 $56.07 $55.80 $55.80 $55.80 $55.80L3470 PO $59.39 $59.39 $59.71 $59.39 $59.39 $59.39 $59.39L3480 PO $59.39 $59.39 $59.71 $59.39 $59.39 $59.39 $59.39L3500 PO $27.87 $27.87 $28.06 $27.87 $27.87 $27.87 $27.87L3510 PO $27.87 $27.87 $28.06 $27.87 $27.87 $27.87 $27.87L3520 PO $30.31 $30.31 $30.48 $30.31 $30.31 $30.31 $30.31L3530 PO $30.31 $30.31 $30.48 $30.31 $30.31 $30.31 $30.31L3540 PO $48.49 $48.49 $48.77 $48.49 $48.49 $48.49 $48.49L3550 PO $8.52 $8.52 $8.55 $8.52 $8.52 $8.52 $8.52L3560 PO $21.81 $21.81 $21.92 $21.81 $21.81 $21.81 $21.81L3570 PO $81.26 $81.26 $81.70 $81.26 $81.26 $81.26 $81.26L3580 PO $61.84 $61.84 $62.16 $61.84 $61.84 $61.84 $61.84L3590 PO $50.93 $50.93 $51.20 $50.93 $50.93 $50.93 $50.93L3595 PO $39.99 $39.99 $40.22 $39.99 $39.99 $39.99 $39.99L3600 PO $72.74 $72.74 $73.16 $72.74 $72.74 $72.74 $72.74L3610 PO $95.79 $95.79 $96.30 $95.79 $95.79 $95.79 $95.79L3620 PO $72.74 $72.74 $73.16 $72.74 $72.74 $72.74 $72.74L3630 PO $95.79 $95.79 $96.30 $95.79 $95.79 $95.79 $95.79L3640 PO $41.23 $41.23 $41.42 $41.23 $41.23 $41.23 $41.23L3650 PO $62.52 $62.52 $52.21 $62.52 $62.52 $62.52 $62.52L3660 PO $89.65 $89.65 $89.65 $89.65 $89.65 $89.65 $89.65L3670 PO $98.64 $98.64 $124.96 $98.64 $98.64 $98.64 $98.64L3671 PO $781.76 $781.76 $785.99 $781.76 $781.76 $781.76 $781.76L3674 PO $1,025.55 $1,025.55 $1,031.11 $1,025.55 $1,025.55 $1,025.55 $1,025.55L3675 PO $152.27 $152.27 $153.09 $152.27 $152.27 $152.27 $152.27L3702 PO $250.53 $250.53 $251.89 $250.53 $250.53 $250.53 $250.53L3710 PO $123.89 $123.89 $126.47 $123.89 $123.89 $123.89 $123.89L3720 PO $592.81 $592.81 $630.98 $592.81 $592.81 $592.81 $592.81L3730 PO $786.31 $786.31 $830.60 $786.31 $786.31 $786.31 $786.31L3740 PO $932.24 $932.24 $933.47 $932.24 $932.24 $932.24 $932.24L3760 PO $433.90 $433.90 $436.23 $433.90 $433.90 $433.90 $433.90L3762 PO $93.29 $93.29 $93.80 $93.29 $93.29 $93.29 $93.29L3763 PO $649.28 $649.28 $692.57 $649.28 $649.28 $649.28 $649.28L3764 PO $679.47 $679.47 $690.70 $679.47 $679.47 $679.47 $679.47L3765 PO $1,112.50 $1,112.50 $1,118.52 $1,112.50 $1,112.50 $1,112.50 $1,112.50L3766 PO $1,178.06 $1,178.06 $1,184.44 $1,178.06 $1,178.06 $1,178.06 $1,178.06L3806 PO $394.09 $394.09 $396.24 $394.09 $394.09 $394.09 $394.09L3807 PO $216.94 $216.94 $218.13 $216.94 $216.94 $216.94 $216.94L3808 PO $309.06 $309.06 $291.36 $309.06 $309.06 $309.06 $309.06L3809 PO $216.94 $216.94 $218.13 $216.94 $216.94 $216.94 $216.94L3900 PO $1,405.49 $1,405.49 $1,362.71 $1,405.49 $1,405.49 $1,405.49 $1,405.49L3901 PO $1,841.97 $1,841.97 $1,527.95 $1,841.97 $1,841.97 $1,841.97 $1,841.97L3904 PO $2,928.53 $2,928.53 $3,110.49 $2,928.53 $2,928.53 $2,928.53 $2,928.53L3905 PO $860.40 $860.40 $865.07 $860.40 $860.40 $860.40 $860.40L3906 PO $439.68 $439.68 $367.98 $439.68 $439.68 $439.68 $439.68L3908 PO $63.61 $63.61 $52.26 $63.61 $63.61 $63.61 $63.61L3912 PO $91.41 $91.41 $83.83 $91.41 $91.41 $91.41 $91.41L3913 PO $234.98 $234.98 $236.27 $234.98 $234.98 $234.98 $234.98L3915 PO $461.20 $461.20 $463.70 $461.20 $461.20 $461.20 $461.20L3916 PO $461.20 $461.20 $463.70 $461.20 $461.20 $461.20 $461.20L3917 PO $91.62 $91.62 $92.15 $91.62 $91.62 $91.62 $91.62L3918 PO $91.62 $91.62 $92.15 $91.62 $91.62 $91.62 $91.62L3919 PO $234.98 $234.98 $236.27 $234.98 $234.98 $234.98 $234.98L3921 PO $278.69 $278.69 $280.17 $278.69 $278.69 $278.69 $278.69L3923 PO $83.80 $83.80 $75.88 $83.80 $83.80 $83.80 $83.80L3924 PO $83.80 $83.80 $75.88 $83.80 $83.80 $83.80 $83.80





Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule



L3925 PO $57.00 $57.00 $46.08 $57.00 $57.00 $57.00 $57.00L3927 PO $30.38 $30.38 $30.53 $30.38 $30.38 $30.38 $30.38L3929 PO $79.24 $79.24 $73.44 $79.24 $79.24 $79.24 $79.24L3930 PO $79.24 $79.24 $73.44 $79.24 $79.24 $79.24 $79.24L3931 PO $180.89 $180.89 $177.65 $180.89 $180.89 $180.89 $180.89L3933 PO $185.12 $185.12 $186.13 $185.12 $185.12 $185.12 $185.12L3935 PO $191.67 $191.67 $192.74 $191.67 $191.67 $191.67 $191.67L3960 PO $691.99 $691.99 $719.03 $691.99 $691.99 $691.99 $691.99L3961 PO $1,457.72 $1,457.72 $1,465.59 $1,457.72 $1,457.72 $1,457.72 $1,457.72L3962 PO $625.86 $625.86 $748.67 $625.86 $625.86 $625.86 $625.86L3967 PO $1,721.04 $1,721.04 $1,730.36 $1,721.04 $1,721.04 $1,721.04 $1,721.04L3971 PO $1,633.67 $1,633.67 $1,642.49 $1,633.67 $1,633.67 $1,633.67 $1,633.67L3973 PO $1,721.04 $1,721.04 $1,730.36 $1,721.04 $1,721.04 $1,721.04 $1,721.04L3975 PO $1,457.72 $1,457.72 $1,465.59 $1,457.72 $1,457.72 $1,457.72 $1,457.72L3976 PO $1,457.72 $1,457.72 $1,465.59 $1,457.72 $1,457.72 $1,457.72 $1,457.72L3977 PO $1,633.67 $1,633.67 $1,642.49 $1,633.67 $1,633.67 $1,633.67 $1,633.67L3978 PO $1,721.04 $1,721.04 $1,730.36 $1,721.04 $1,721.04 $1,721.04 $1,721.04L3980 PO $335.64 $335.64 $269.66 $335.64 $335.64 $335.64 $335.64L3981 PO $873.31 $873.31 $878.03 $873.31 $873.31 $873.31 $873.31L3982 PO $340.81 $340.81 $333.16 $340.81 $340.81 $340.81 $340.81L3984 PO $300.23 $300.23 $355.62 $300.23 $300.23 $300.23 $300.23L3995 PO $35.64 $35.64 $29.84 $35.64 $35.64 $35.64 $35.64L4000 PO $1,259.74 $1,259.74 $1,162.86 $1,259.74 $1,259.74 $1,259.74 $1,259.74L4010 PO $765.69 $765.69 $654.39 $765.69 $765.69 $765.69 $765.69L4020 PO $919.80 $919.80 $817.39 $919.80 $919.80 $919.80 $919.80L4030 PO $584.51 $584.51 $450.05 $584.51 $584.51 $584.51 $584.51L4040 PO $395.84 $395.84 $363.86 $395.84 $395.84 $395.84 $395.84L4045 PO $292.41 $292.41 $292.41 $292.41 $292.41 $292.41 $292.41L4050 PO $392.05 $392.05 $368.01 $392.05 $392.05 $392.05 $392.05L4055 PO $238.30 $238.30 $238.30 $238.30 $238.30 $238.30 $238.30L4060 PO $309.77 $309.77 $283.29 $309.77 $309.77 $309.77 $309.77L4070 PO $250.86 $250.86 $270.27 $250.86 $250.86 $250.86 $250.86L4080 PO $94.70 $94.70 $95.28 $94.70 $94.70 $94.70 $94.70L4090 PO $80.57 $80.57 $84.34 $80.57 $80.57 $80.57 $80.57L4100 PO $96.81 $96.81 $95.12 $96.81 $96.81 $96.81 $96.81L4110 PO $75.59 $75.59 $75.59 $75.59 $75.59 $75.59 $75.59L4130 PO $456.94 $456.94 $520.27 $456.94 $456.94 $456.94 $456.94L4350 PO $92.25 $92.25 $93.73 $92.25 $92.25 $92.25 $92.25L4360 PO $246.82 $246.82 $262.24 $246.82 $246.82 $246.82 $246.82L4361 PO $246.82 $246.82 $262.24 $246.82 $246.82 $246.82 $246.82L4370 PO $224.38 $224.38 $168.28 $224.38 $224.38 $224.38 $224.38L4386 PO $151.15 $151.15 $151.97 $151.15 $151.15 $151.15 $151.15L4387 PO $151.15 $151.15 $151.97 $151.15 $151.15 $151.15 $151.15L4392 PO $22.42 $22.42 $22.57 $22.42 $22.42 $22.42 $22.42L4394 PO $16.38 $16.38 $16.47 $16.38 $16.38 $16.38 $16.38L4396 PO $159.98 $159.98 $160.88 $159.98 $159.98 $159.98 $159.98L4397 PO $159.98 $159.98 $160.88 $159.98 $159.98 $159.98 $159.98L4398 PO $73.64 $73.64 $74.04 $73.64 $73.64 $73.64 $73.64L4631 PO $1,405.35 $1,405.35 $1,430.38 $1,405.35 $1,405.35 $1,405.35 $1,405.35L5000 PO $547.43 $547.43 $502.58 $547.43 $547.43 $547.43 $547.43L5010 PO $1,529.58 $1,529.58 $1,213.86 $1,529.58 $1,529.58 $1,529.58 $1,529.58L5020 PO $2,396.37 $2,396.37 $2,061.41 $2,396.37 $2,396.37 $2,396.37 $2,396.37L5050 PO $2,617.28 $2,617.28 $2,280.29 $2,617.28 $2,617.28 $2,617.28 $2,617.28L5060 PO $3,226.35 $3,226.35 $2,623.01 $3,226.35 $3,226.35 $3,226.35 $3,226.35L5100 PO $2,606.08 $2,606.08 $2,285.33 $2,606.08 $2,606.08 $2,606.08 $2,606.08L5105 PO $3,677.75 $3,677.75 $3,299.12 $3,677.75 $3,677.75 $3,677.75 $3,677.75L5150 PO $4,088.78 $4,088.78 $3,334.95 $4,088.78 $4,088.78 $4,088.78 $4,088.78L5160 PO $4,489.28 $4,489.28 $3,627.36 $4,489.28 $4,489.28 $4,489.28 $4,489.28L5200 PO $3,472.13 $3,472.13 $3,473.71 $3,472.13 $3,472.13 $3,472.13 $3,472.13L5210 PO $2,756.87 $2,756.87 $2,304.46 $2,756.87 $2,756.87 $2,756.87 $2,756.87L5220 PO $3,036.88 $3,036.88 $2,619.44 $3,036.88 $3,036.88 $3,036.88 $3,036.88L5230 PO $4,554.86 $4,554.86 $3,612.72 $4,554.86 $4,554.86 $4,554.86 $4,554.86L5250 PO $5,340.69 $5,340.69 $4,927.43 $5,340.69 $5,340.69 $5,340.69 $5,340.69L5270 PO $5,950.57 $5,950.57 $4,905.56 $5,950.57 $5,950.57 $5,950.57 $5,950.57L5280 PO $5,784.17 $5,784.17 $4,868.00 $5,784.17 $5,784.17 $5,784.17 $5,784.17L5301 PO $2,559.11 $2,559.11 $2,612.27 $2,559.11 $2,559.11 $2,559.11 $2,559.11





Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule



L5312 PO $4,032.07 $4,032.07 $3,739.29 $4,032.07 $4,032.07 $4,032.07 $4,032.07L5321 PO $3,412.48 $3,412.48 $3,786.56 $3,412.48 $3,412.48 $3,412.48 $3,412.48L5331 PO $4,998.07 $4,998.07 $4,824.84 $4,998.07 $4,998.07 $4,998.07 $4,998.07L5341 PO $5,312.87 $5,312.87 $5,022.68 $5,312.87 $5,312.87 $5,312.87 $5,312.87L5400 PO $1,523.96 $1,523.96 $1,293.30 $1,523.96 $1,523.96 $1,523.96 $1,523.96L5410 PO $421.02 $421.02 $396.79 $421.02 $421.02 $421.02 $421.02L5420 PO $1,924.69 $1,924.69 $1,584.89 $1,924.69 $1,924.69 $1,924.69 $1,924.69L5430 PO $522.44 $522.44 $477.89 $522.44 $522.44 $522.44 $522.44L5450 PO $451.75 $451.75 $388.78 $451.75 $451.75 $451.75 $451.75L5460 PO $592.51 $592.51 $517.98 $592.51 $592.51 $592.51 $592.51L5500 PO $1,408.59 $1,408.59 $1,219.69 $1,408.59 $1,408.59 $1,408.59 $1,408.59L5505 PO $1,981.49 $1,981.49 $1,686.87 $1,981.49 $1,981.49 $1,981.49 $1,981.49L5510 PO $1,682.08 $1,682.08 $1,382.60 $1,682.08 $1,682.08 $1,682.08 $1,682.08L5520 PO $1,507.79 $1,507.79 $1,365.68 $1,507.79 $1,507.79 $1,507.79 $1,507.79L5530 PO $1,982.08 $1,982.08 $1,640.31 $1,982.08 $1,982.08 $1,982.08 $1,982.08L5535 PO $1,847.72 $1,847.72 $1,610.46 $1,847.72 $1,847.72 $1,847.72 $1,847.72L5540 PO $1,957.01 $1,957.01 $1,718.87 $1,957.01 $1,957.01 $1,957.01 $1,957.01L5560 PO $2,229.90 $2,229.90 $1,845.77 $2,229.90 $2,229.90 $2,229.90 $2,229.90L5570 PO $2,164.19 $2,164.19 $1,918.95 $2,164.19 $2,164.19 $2,164.19 $2,164.19L5580 PO $2,686.08 $2,686.08 $2,240.24 $2,686.08 $2,686.08 $2,686.08 $2,686.08L5585 PO $3,145.62 $3,145.62 $2,756.97 $3,145.62 $3,145.62 $3,145.62 $3,145.62L5590 PO $2,800.51 $2,800.51 $2,282.95 $2,800.51 $2,800.51 $2,800.51 $2,800.51L5595 PO $4,376.47 $4,376.47 $4,033.14 $4,376.47 $4,376.47 $4,376.47 $4,376.47L5600 PO $4,981.06 $4,981.06 $4,335.44 $4,981.06 $4,981.06 $4,981.06 $4,981.06L5610 PO $2,402.34 $2,402.34 $1,966.19 $2,402.34 $2,402.34 $2,402.34 $2,402.34L5611 PO $1,530.09 $1,530.09 $1,530.09 $1,530.09 $1,530.09 $1,530.09 $1,530.09L5613 PO $2,327.36 $2,327.36 $2,392.24 $2,327.36 $2,327.36 $2,327.36 $2,327.36L5614 PO $1,611.86 $1,611.86 $1,620.58 $1,611.86 $1,611.86 $1,611.86 $1,611.86L5616 PO $1,403.34 $1,403.34 $1,292.75 $1,403.34 $1,403.34 $1,403.34 $1,403.34L5617 PO $534.44 $534.44 $537.33 $534.44 $534.44 $534.44 $534.44L5618 PO $319.16 $319.16 $284.26 $319.16 $319.16 $319.16 $319.16L5620 PO $283.16 $283.16 $264.02 $283.16 $283.16 $283.16 $283.16L5622 PO $381.49 $381.49 $344.28 $381.49 $381.49 $381.49 $381.49L5624 PO $381.35 $381.35 $345.26 $381.35 $381.35 $381.35 $381.35L5626 PO $603.72 $603.72 $452.79 $603.72 $603.72 $603.72 $603.72L5628 PO $611.35 $611.35 $484.15 $611.35 $611.35 $611.35 $611.35L5629 PO $301.80 $301.80 $301.80 $301.80 $301.80 $301.80 $301.80L5630 PO $524.39 $524.39 $426.21 $524.39 $524.39 $524.39 $524.39L5631 PO $417.27 $417.27 $417.27 $417.27 $417.27 $417.27 $417.27L5632 PO $257.19 $257.19 $232.88 $257.19 $257.19 $257.19 $257.19L5634 PO $321.63 $321.63 $288.88 $321.63 $321.63 $321.63 $321.63L5636 PO $245.84 $245.84 $241.98 $245.84 $245.84 $245.84 $245.84L5637 PO $365.80 $365.80 $274.35 $365.80 $365.80 $365.80 $365.80L5638 PO $616.23 $616.23 $477.91 $616.23 $616.23 $616.23 $616.23L5639 PO $1,064.76 $1,064.76 $1,064.76 $1,064.76 $1,064.76 $1,064.76 $1,064.76L5640 PO $699.87 $699.87 $607.25 $699.87 $699.87 $699.87 $699.87L5642 PO $648.75 $648.75 $588.38 $648.75 $648.75 $648.75 $648.75L5643 PO $1,913.48 $1,913.48 $1,478.11 $1,913.48 $1,913.48 $1,913.48 $1,913.48L5644 PO $560.92 $560.92 $560.92 $560.92 $560.92 $560.92 $560.92L5645 PO $930.53 $930.53 $757.74 $930.53 $930.53 $930.53 $930.53L5646 PO $589.69 $589.69 $520.33 $589.69 $589.69 $589.69 $589.69L5647 PO $755.42 $755.42 $755.42 $755.42 $755.42 $755.42 $755.42L5648 PO $696.77 $696.77 $625.24 $696.77 $696.77 $696.77 $696.77L5649 PO $2,341.23 $2,341.23 $2,265.60 $2,341.23 $2,341.23 $2,341.23 $2,341.23L5650 PO $463.62 $463.62 $463.62 $463.62 $463.62 $463.62 $463.62L5651 PO $1,358.34 $1,358.34 $1,140.48 $1,358.34 $1,358.34 $1,358.34 $1,358.34L5652 PO $414.04 $414.04 $414.04 $414.04 $414.04 $414.04 $414.04L5653 PO $646.01 $646.01 $552.71 $646.01 $646.01 $646.01 $646.01L5654 PO $374.49 $374.49 $314.95 $374.49 $374.49 $374.49 $374.49L5655 PO $270.39 $270.39 $266.90 $270.39 $270.39 $270.39 $270.39L5656 PO $410.77 $410.77 $358.04 $410.77 $410.77 $410.77 $410.77L5658 PO $433.59 $433.59 $345.30 $433.59 $433.59 $433.59 $433.59L5661 PO $622.09 $622.09 $577.92 $622.09 $622.09 $622.09 $622.09L5665 PO $553.07 $553.07 $486.25 $553.07 $553.07 $553.07 $553.07L5666 PO $73.24 $73.24 $66.48 $73.24 $73.24 $73.24 $73.24L5668 PO $109.09 $109.09 $107.22 $109.09 $109.09 $109.09 $109.09





Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule



L5670 PO $257.69 $257.69 $257.69 $257.69 $257.69 $257.69 $257.69L5671 PO $472.38 $472.38 $546.08 $472.38 $472.38 $472.38 $472.38L5672 PO $341.00 $341.00 $283.18 $341.00 $341.00 $341.00 $341.00L5673 PO $750.74 $750.74 $675.27 $750.74 $750.74 $750.74 $750.74L5676 PO $344.13 $344.13 $344.13 $344.13 $344.13 $344.13 $344.13L5677 PO $527.05 $527.05 $468.24 $527.05 $527.05 $527.05 $527.05L5678 PO $37.71 $37.71 $37.71 $37.71 $37.71 $37.71 $37.71L5679 PO $625.62 $625.62 $562.70 $625.62 $625.62 $625.62 $625.62L5680 PO $289.06 $289.06 $314.77 $289.06 $289.06 $289.06 $289.06L5681 PO $1,256.46 $1,256.46 $1,263.27 $1,256.46 $1,256.46 $1,256.46 $1,256.46L5682 PO $593.91 $593.91 $593.91 $593.91 $593.91 $593.91 $593.91L5683 PO $1,256.46 $1,256.46 $1,263.27 $1,256.46 $1,256.46 $1,256.46 $1,256.46L5684 PO $45.71 $45.71 $45.71 $45.71 $45.71 $45.71 $45.71L5685 PO $122.35 $122.35 $123.01 $122.35 $122.35 $122.35 $122.35L5686 PO $54.97 $54.97 $48.52 $54.97 $54.97 $54.97 $54.97L5688 PO $58.38 $58.38 $58.01 $58.38 $58.38 $58.38 $58.38L5690 PO $119.19 $119.19 $92.93 $119.19 $119.19 $119.19 $119.19L5692 PO $126.19 $126.19 $126.19 $126.19 $126.19 $126.19 $126.19L5694 PO $172.28 $172.28 $172.28 $172.28 $172.28 $172.28 $172.28L5695 PO $154.88 $154.88 $159.05 $154.88 $154.88 $154.88 $154.88L5696 PO $187.09 $187.09 $175.71 $187.09 $187.09 $187.09 $187.09L5697 PO $88.85 $88.85 $76.24 $88.85 $88.85 $88.85 $88.85L5698 PO $113.97 $113.97 $124.67 $113.97 $113.97 $113.97 $113.97L5699 PO $194.79 $194.79 $224.58 $194.79 $194.79 $194.79 $194.79L5700 PO $2,929.88 $2,929.88 $2,720.99 $2,929.88 $2,929.88 $2,929.88 $2,929.88L5701 PO $3,634.80 $3,634.80 $3,267.71 $3,634.80 $3,634.80 $3,634.80 $3,634.80L5702 PO $4,581.10 $4,581.10 $4,134.13 $4,581.10 $4,581.10 $4,581.10 $4,581.10L5703 PO $2,409.79 $2,409.79 $2,139.45 $2,409.79 $2,409.79 $2,409.79 $2,409.79L5704 PO $597.38 $597.38 $509.04 $597.38 $597.38 $597.38 $597.38L5705 PO $1,095.23 $1,095.23 $909.56 $1,095.23 $1,095.23 $1,095.23 $1,095.23L5706 PO $1,068.27 $1,068.27 $891.60 $1,068.27 $1,068.27 $1,068.27 $1,068.27L5707 PO $1,435.24 $1,435.24 $1,175.44 $1,435.24 $1,435.24 $1,435.24 $1,435.24L5710 PO $341.56 $341.56 $355.16 $341.56 $341.56 $341.56 $341.56L5711 PO $573.25 $573.25 $496.38 $573.25 $573.25 $573.25 $573.25L5712 PO $409.21 $409.21 $415.91 $409.21 $409.21 $409.21 $409.21L5714 PO $416.38 $416.38 $427.21 $416.38 $416.38 $416.38 $416.38L5716 PO $823.32 $823.32 $692.16 $823.32 $823.32 $823.32 $823.32L5718 PO $880.39 $880.39 $865.13 $880.39 $880.39 $880.39 $880.39L5722 PO $1,070.61 $1,070.61 $913.97 $1,070.61 $1,070.61 $1,070.61 $1,070.61L5724 PO $1,650.16 $1,650.16 $1,433.45 $1,650.16 $1,650.16 $1,650.16 $1,650.16L5726 PO $1,964.60 $1,964.60 $1,652.02 $1,964.60 $1,964.60 $1,964.60 $1,964.60L5728 PO $2,302.28 $2,302.28 $2,259.74 $2,302.28 $2,302.28 $2,302.28 $2,302.28L5780 PO $1,267.59 $1,267.59 $1,087.29 $1,267.59 $1,267.59 $1,267.59 $1,267.59L5781 PO $3,821.90 $3,821.90 $3,842.59 $3,821.90 $3,821.90 $3,821.90 $3,821.90L5782 PO $4,029.13 $4,029.13 $4,050.97 $4,029.13 $4,029.13 $4,029.13 $4,029.13L5785 PO $493.41 $493.41 $611.19 $493.41 $493.41 $493.41 $493.41L5790 PO $712.12 $712.12 $682.84 $712.12 $712.12 $712.12 $712.12L5795 PO $1,019.65 $1,019.65 $1,359.54 $1,019.65 $1,019.65 $1,019.65 $1,019.65L5810 PO $543.27 $543.27 $462.36 $543.27 $543.27 $543.27 $543.27L5811 PO $749.71 $749.71 $692.61 $749.71 $749.71 $749.71 $749.71L5812 PO $564.18 $564.18 $536.85 $564.18 $564.18 $564.18 $564.18L5814 PO $3,547.46 $3,547.46 $3,566.67 $3,547.46 $3,547.46 $3,547.46 $3,547.46L5816 PO $807.65 $807.65 $812.51 $807.65 $807.65 $807.65 $807.65L5818 PO $911.99 $911.99 $911.99 $911.99 $911.99 $911.99 $911.99L5822 PO $1,673.03 $1,673.03 $1,617.20 $1,673.03 $1,673.03 $1,673.03 $1,673.03L5824 PO $1,581.51 $1,581.51 $1,456.38 $1,581.51 $1,581.51 $1,581.51 $1,581.51L5826 PO $2,982.97 $2,982.97 $2,999.11 $2,982.97 $2,982.97 $2,982.97 $2,982.97L5828 PO $2,814.69 $2,814.69 $2,681.82 $2,814.69 $2,814.69 $2,814.69 $2,814.69L5830 PO $1,897.85 $1,897.85 $1,802.04 $1,897.85 $1,897.85 $1,897.85 $1,897.85L5840 PO $3,724.98 $3,724.98 $3,331.98 $3,724.98 $3,724.98 $3,724.98 $3,724.98L5845 PO $1,712.05 $1,712.05 $1,721.35 $1,712.05 $1,712.05 $1,712.05 $1,712.05L5848 PO $1,027.14 $1,027.14 $1,032.68 $1,027.14 $1,027.14 $1,027.14 $1,027.14L5850 PO $121.49 $121.49 $121.49 $121.49 $121.49 $121.49 $121.49L5855 PO $293.29 $293.29 $326.44 $293.29 $293.29 $293.29 $293.29L5856 PO $22,930.12 $22,930.12 $23,054.39 $22,930.12 $22,930.12 $22,930.12 $22,930.12L5857 PO $8,136.46 $8,136.46 $8,180.54 $8,136.46 $8,136.46 $8,136.46 $8,136.46





Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule



L5858 PO $17,752.39 $17,752.39 $17,848.59 $17,752.39 $17,752.39 $17,752.39 $17,752.39L5859 PO $13,859.12 $13,859.12 $13,934.25 $13,859.12 $13,859.12 $13,859.12 $13,859.12L5910 PO $343.95 $343.95 $343.95 $343.95 $343.95 $343.95 $343.95L5920 PO $503.89 $503.89 $503.89 $503.89 $503.89 $503.89 $503.89L5925 PO $319.10 $319.10 $425.46 $319.10 $319.10 $319.10 $319.10L5930 PO $3,215.09 $3,215.09 $3,232.48 $3,215.09 $3,215.09 $3,215.09 $3,215.09L5940 PO $476.36 $476.36 $476.36 $476.36 $476.36 $476.36 $476.36L5950 PO $738.86 $738.86 $744.83 $738.86 $738.86 $738.86 $738.86L5960 PO $1,104.77 $1,104.77 $915.52 $1,104.77 $1,104.77 $1,104.77 $1,104.77L5961 PO $4,559.38 $4,559.38 $4,365.59 $4,559.38 $4,559.38 $4,559.38 $4,559.38L5962 PO $558.21 $558.21 $602.51 $558.21 $558.21 $558.21 $558.21L5964 PO $1,070.75 $1,070.75 $889.39 $1,070.75 $1,070.75 $1,070.75 $1,070.75L5966 PO $1,379.31 $1,379.31 $1,133.30 $1,379.31 $1,379.31 $1,379.31 $1,379.31L5968 PO $3,471.04 $3,471.04 $3,489.90 $3,471.04 $3,471.04 $3,471.04 $3,471.04L5970 PO $207.48 $207.48 $192.87 $207.48 $207.48 $207.48 $207.48L5971 PO $207.48 $207.48 $192.87 $207.48 $207.48 $207.48 $207.48L5972 PO $377.95 $377.95 $360.26 $377.95 $377.95 $377.95 $377.95L5973 PO $16,863.78 $16,863.78 $16,522.78 $16,863.78 $16,863.78 $16,863.78 $16,863.78L5974 PO $221.30 $221.30 $221.30 $221.30 $221.30 $221.30 $221.30L5975 PO $442.82 $442.82 $445.24 $442.82 $442.82 $442.82 $442.82L5976 PO $561.34 $561.34 $531.84 $561.34 $561.34 $561.34 $561.34L5978 PO $297.45 $297.45 $277.14 $297.45 $297.45 $297.45 $297.45L5979 PO $2,381.54 $2,381.54 $2,166.92 $2,381.54 $2,381.54 $2,381.54 $2,381.54L5980 PO $3,628.50 $3,628.50 $3,521.11 $3,628.50 $3,628.50 $3,628.50 $3,628.50L5981 PO $3,259.28 $3,259.28 $2,844.58 $3,259.28 $3,259.28 $3,259.28 $3,259.28L5982 PO $612.27 $612.27 $549.02 $612.27 $612.27 $612.27 $612.27L5984 PO $614.18 $614.18 $541.00 $614.18 $614.18 $614.18 $614.18L5985 PO $269.72 $269.72 $271.19 $269.72 $269.72 $269.72 $269.72L5986 PO $740.86 $740.86 $601.79 $740.86 $740.86 $740.86 $740.86L5987 PO $6,871.42 $6,871.42 $6,908.62 $6,871.42 $6,871.42 $6,871.42 $6,871.42L5988 PO $1,908.17 $1,908.17 $1,918.52 $1,908.17 $1,908.17 $1,908.17 $1,908.17L5990 PO $1,732.86 $1,732.86 $1,742.30 $1,732.86 $1,732.86 $1,732.86 $1,732.86L6000 PO $1,682.43 $1,682.43 $1,261.82 $1,682.43 $1,682.43 $1,682.43 $1,682.43L6010 PO $1,872.27 $1,872.27 $1,404.20 $1,872.27 $1,872.27 $1,872.27 $1,872.27L6020 PO $1,745.59 $1,745.59 $1,309.20 $1,745.59 $1,745.59 $1,745.59 $1,745.59L6026 PO $4,154.96 $4,154.96 $4,747.34 $4,154.96 $4,154.96 $4,154.96 $4,154.96L6050 PO $2,374.35 $2,374.35 $1,804.01 $2,374.35 $2,374.35 $2,374.35 $2,374.35L6055 PO $3,028.61 $3,028.61 $2,514.34 $3,028.61 $3,028.61 $3,028.61 $3,028.61L6100 PO $2,402.77 $2,402.77 $1,827.75 $2,402.77 $2,402.77 $2,402.77 $2,402.77L6110 PO $2,541.97 $2,541.97 $1,938.63 $2,541.97 $2,541.97 $2,541.97 $2,541.97L6120 PO $2,874.98 $2,874.98 $2,259.20 $2,874.98 $2,874.98 $2,874.98 $2,874.98L6130 PO $3,033.17 $3,033.17 $2,458.43 $3,033.17 $3,033.17 $3,033.17 $3,033.17L6200 PO $3,124.51 $3,124.51 $2,590.79 $3,124.51 $3,124.51 $3,124.51 $3,124.51L6205 PO $4,310.20 $4,310.20 $3,458.29 $4,310.20 $4,310.20 $4,310.20 $4,310.20L6250 PO $3,073.97 $3,073.97 $2,714.55 $3,073.97 $3,073.97 $3,073.97 $3,073.97L6300 PO $4,239.86 $4,239.86 $3,538.13 $4,239.86 $4,239.86 $4,239.86 $4,239.86L6310 PO $3,842.51 $3,842.51 $3,055.01 $3,842.51 $3,842.51 $3,842.51 $3,842.51L6320 PO $2,002.60 $2,002.60 $1,668.88 $2,002.60 $2,002.60 $2,002.60 $2,002.60L6350 PO $4,645.57 $4,645.57 $3,719.80 $4,645.57 $4,645.57 $4,645.57 $4,645.57L6360 PO $4,033.17 $4,033.17 $3,345.37 $4,033.17 $4,033.17 $4,033.17 $4,033.17L6370 PO $2,338.96 $2,338.96 $2,001.77 $2,338.96 $2,338.96 $2,338.96 $2,338.96L6380 PO $1,352.79 $1,352.79 $1,159.98 $1,352.79 $1,352.79 $1,352.79 $1,352.79L6382 PO $1,610.44 $1,610.44 $1,745.13 $1,610.44 $1,610.44 $1,610.44 $1,610.44L6384 PO $2,037.29 $2,037.29 $2,414.21 $2,037.29 $2,037.29 $2,037.29 $2,037.29L6386 PO $446.57 $446.57 $381.37 $446.57 $446.57 $446.57 $446.57L6388 PO $491.80 $491.80 $417.50 $491.80 $491.80 $491.80 $491.80L6400 PO $2,599.20 $2,599.20 $2,203.62 $2,599.20 $2,599.20 $2,599.20 $2,599.20L6450 PO $3,397.01 $3,397.01 $2,943.97 $3,397.01 $3,397.01 $3,397.01 $3,397.01L6500 PO $3,335.79 $3,335.79 $3,080.01 $3,335.79 $3,335.79 $3,335.79 $3,335.79L6550 PO $4,320.54 $4,320.54 $3,702.22 $4,320.54 $4,320.54 $4,320.54 $4,320.54L6570 PO $4,823.31 $4,823.31 $4,156.60 $4,823.31 $4,823.31 $4,823.31 $4,823.31L6580 PO $1,928.47 $1,928.47 $1,586.90 $1,928.47 $1,928.47 $1,928.47 $1,928.47L6582 PO $1,619.65 $1,619.65 $1,437.31 $1,619.65 $1,619.65 $1,619.65 $1,619.65L6584 PO $2,398.26 $2,398.26 $2,254.07 $2,398.26 $2,398.26 $2,398.26 $2,398.26L6586 PO $2,137.01 $2,137.01 $2,109.45 $2,137.01 $2,137.01 $2,137.01 $2,137.01L6588 PO $3,403.47 $3,403.47 $2,771.77 $3,403.47 $3,403.47 $3,403.47 $3,403.47





Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule



L6590 PO $2,966.25 $2,966.25 $2,632.74 $2,966.25 $2,966.25 $2,966.25 $2,966.25L6600 PO $216.65 $216.65 $178.13 $216.65 $216.65 $216.65 $216.65L6605 PO $223.00 $223.00 $175.89 $223.00 $223.00 $223.00 $223.00L6610 PO $210.81 $210.81 $168.91 $210.81 $210.81 $210.81 $210.81L6611 PO $393.26 $393.26 $395.38 $393.26 $393.26 $393.26 $393.26L6615 PO $204.64 $204.64 $182.00 $204.64 $204.64 $204.64 $204.64L6616 PO $61.60 $61.60 $67.44 $61.60 $61.60 $61.60 $61.60L6620 PO $357.75 $357.75 $291.18 $357.75 $357.75 $357.75 $357.75L6621 PO $2,184.82 $2,184.82 $2,196.61 $2,184.82 $2,184.82 $2,184.82 $2,184.82L6623 PO $681.49 $681.49 $812.24 $681.49 $681.49 $681.49 $681.49L6624 PO $3,597.32 $3,597.32 $3,616.79 $3,597.32 $3,597.32 $3,597.32 $3,597.32L6625 PO $505.08 $505.08 $577.11 $505.08 $505.08 $505.08 $505.08L6628 PO $543.67 $543.67 $454.94 $543.67 $543.67 $543.67 $543.67L6629 PO $185.25 $185.25 $138.94 $185.25 $185.25 $185.25 $185.25L6630 PO $272.90 $272.90 $204.67 $272.90 $272.90 $272.90 $272.90L6632 PO $61.70 $61.70 $71.08 $61.70 $61.70 $61.70 $61.70L6635 PO $197.24 $197.24 $167.27 $197.24 $197.24 $197.24 $197.24L6637 PO $386.15 $386.15 $356.77 $386.15 $386.15 $386.15 $386.15L6638 PO $2,388.68 $2,388.68 $2,401.61 $2,388.68 $2,388.68 $2,388.68 $2,388.68L6640 PO $321.60 $321.60 $316.95 $321.60 $321.60 $321.60 $321.60L6641 PO $187.27 $187.27 $152.35 $187.27 $187.27 $187.27 $187.27L6642 PO $275.34 $275.34 $206.50 $275.34 $275.34 $275.34 $275.34L6645 PO $347.80 $347.80 $381.17 $347.80 $347.80 $347.80 $347.80L6646 PO $3,012.67 $3,012.67 $3,028.99 $3,012.67 $3,012.67 $3,012.67 $3,012.67L6647 PO $496.00 $496.00 $498.66 $496.00 $496.00 $496.00 $496.00L6648 PO $3,107.13 $3,107.13 $3,123.95 $3,107.13 $3,107.13 $3,107.13 $3,107.13L6650 PO $377.22 $377.22 $395.75 $377.22 $377.22 $377.22 $377.22L6655 PO $73.18 $73.18 $77.78 $73.18 $73.18 $73.18 $73.18L6660 PO $97.92 $97.92 $87.17 $97.92 $97.92 $97.92 $97.92L6665 PO $43.74 $43.74 $43.74 $43.74 $43.74 $43.74 $43.74L6670 PO $45.54 $45.54 $48.36 $45.54 $45.54 $45.54 $45.54L6672 PO $209.01 $209.01 $191.91 $209.01 $209.01 $209.01 $209.01L6675 PO $114.05 $114.05 $114.05 $114.05 $114.05 $114.05 $114.05L6676 PO $119.32 $119.32 $131.83 $119.32 $119.32 $119.32 $119.32L6677 PO $283.34 $283.34 $284.93 $283.34 $283.34 $283.34 $283.34L6680 PO $293.77 $293.77 $220.33 $293.77 $293.77 $293.77 $293.77L6682 PO $324.81 $324.81 $243.61 $324.81 $324.81 $324.81 $324.81L6684 PO $441.37 $441.37 $331.03 $441.37 $441.37 $441.37 $441.37L6686 PO $654.94 $654.94 $747.54 $654.94 $654.94 $654.94 $654.94L6687 PO $547.78 $547.78 $547.78 $547.78 $547.78 $547.78 $547.78L6688 PO $606.25 $606.25 $544.48 $606.25 $606.25 $606.25 $606.25L6689 PO $722.54 $722.54 $652.35 $722.54 $722.54 $722.54 $722.54L6690 PO $850.69 $850.69 $710.88 $850.69 $850.69 $850.69 $850.69L6691 PO $335.79 $335.79 $329.03 $335.79 $335.79 $335.79 $335.79L6692 PO $610.89 $610.89 $531.08 $610.89 $610.89 $610.89 $610.89L6693 PO $2,711.79 $2,711.79 $2,726.45 $2,711.79 $2,711.79 $2,711.79 $2,711.79L6694 PO $750.74 $750.74 $675.27 $750.74 $750.74 $750.74 $750.74L6695 PO $625.62 $625.62 $562.70 $625.62 $625.62 $625.62 $625.62L6696 PO $1,256.46 $1,256.46 $1,263.27 $1,256.46 $1,256.46 $1,256.46 $1,256.46L6697 PO $1,256.46 $1,256.46 $1,263.27 $1,256.46 $1,256.46 $1,256.46 $1,256.46L6698 PO $472.38 $472.38 $546.08 $472.38 $472.38 $472.38 $472.38L6703 PO $334.10 $334.10 $345.24 $334.10 $334.10 $334.10 $334.10L6704 PO $644.91 $644.91 $556.16 $644.91 $644.91 $644.91 $644.91L6706 PO $400.21 $400.21 $331.36 $400.21 $400.21 $400.21 $400.21L6707 PO $1,415.71 $1,415.71 $1,221.34 $1,415.71 $1,415.71 $1,415.71 $1,415.71L6708 PO $935.84 $935.84 $798.43 $935.84 $935.84 $935.84 $935.84L6709 PO $1,328.20 $1,328.20 $1,150.56 $1,328.20 $1,328.20 $1,328.20 $1,328.20L6711 PO $642.17 $642.17 $645.66 $642.17 $642.17 $642.17 $642.17L6712 PO $1,182.41 $1,182.41 $1,188.81 $1,182.41 $1,182.41 $1,182.41 $1,182.41L6713 PO $1,492.28 $1,492.28 $1,500.36 $1,492.28 $1,492.28 $1,492.28 $1,492.28L6714 PO $1,263.95 $1,263.95 $1,270.83 $1,263.95 $1,263.95 $1,263.95 $1,263.95L6715 PO $3,015.69 $3,015.69 $3,032.02 $3,015.69 $3,015.69 $3,015.69 $3,015.69L6721 PO $2,246.58 $2,246.58 $2,258.76 $2,246.58 $2,246.58 $2,246.58 $2,246.58L6722 PO $1,936.70 $1,936.70 $1,947.20 $1,936.70 $1,936.70 $1,936.70 $1,936.70L6805 PO $366.35 $366.35 $323.11 $366.35 $366.35 $366.35 $366.35L6810 PO $194.75 $194.75 $183.14 $194.75 $194.75 $194.75 $194.75





Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule



L6880 PO $22,821.85 $22,821.85 $22,945.54 $22,821.85 $22,821.85 $22,821.85 $22,821.85L6881 PO $3,905.06 $3,905.06 $3,926.19 $3,905.06 $3,905.06 $3,905.06 $3,905.06L6882 PO $2,962.17 $2,962.17 $2,978.23 $2,962.17 $2,962.17 $2,962.17 $2,962.17L6883 PO $1,897.45 $1,897.45 $1,507.02 $1,897.45 $1,897.45 $1,897.45 $1,897.45L6884 PO $2,596.16 $2,596.16 $2,236.73 $2,596.16 $2,596.16 $2,596.16 $2,596.16L6885 PO $4,033.17 $4,033.17 $3,345.37 $4,033.17 $4,033.17 $4,033.17 $4,033.17L6890 PO $190.77 $190.77 $161.53 $190.77 $190.77 $190.77 $190.77L6895 PO $637.88 $637.88 $594.22 $637.88 $637.88 $637.88 $637.88L6900 PO $1,852.40 $1,852.40 $1,695.75 $1,852.40 $1,852.40 $1,852.40 $1,852.40L6905 PO $1,833.37 $1,833.37 $1,686.11 $1,833.37 $1,833.37 $1,833.37 $1,833.37L6910 PO $1,802.32 $1,802.32 $1,441.79 $1,802.32 $1,802.32 $1,802.32 $1,802.32L6915 PO $774.38 $774.38 $726.93 $774.38 $774.38 $774.38 $774.38L6920 PO $8,001.57 $8,001.57 $6,337.86 $8,001.57 $8,001.57 $8,001.57 $8,001.57L6925 PO $8,548.32 $8,548.32 $8,531.86 $8,548.32 $8,548.32 $8,548.32 $8,548.32L6930 PO $7,706.60 $7,706.60 $6,377.16 $7,706.60 $7,706.60 $7,706.60 $7,706.60L6935 PO $8,508.16 $8,508.16 $8,664.26 $8,508.16 $8,508.16 $8,508.16 $8,508.16L6940 PO $9,951.77 $9,951.77 $8,332.17 $9,951.77 $9,951.77 $9,951.77 $9,951.77L6945 PO $11,102.50 $11,102.50 $10,180.92 $11,102.50 $11,102.50 $11,102.50 $11,102.50L6950 PO $9,933.32 $9,933.32 $9,470.69 $9,933.32 $9,933.32 $9,933.32 $9,933.32L6955 PO $11,519.53 $11,519.53 $11,342.44 $11,519.53 $11,519.53 $11,519.53 $11,519.53L6960 PO $12,118.10 $12,118.10 $12,848.16 $12,118.10 $12,118.10 $12,118.10 $12,118.10L6965 PO $14,355.77 $14,355.77 $13,703.03 $14,355.77 $14,355.77 $14,355.77 $14,355.77L6970 PO $15,366.26 $15,366.26 $14,278.78 $15,366.26 $15,366.26 $15,366.26 $15,366.26L6975 PO $16,937.24 $16,937.24 $15,616.38 $16,937.24 $16,937.24 $16,937.24 $16,937.24L7007 PO $3,488.84 $3,488.84 $3,267.89 $3,488.84 $3,488.84 $3,488.84 $3,488.84L7008 PO $5,410.15 $5,410.15 $5,143.31 $5,410.15 $5,410.15 $5,410.15 $5,410.15L7009 PO $3,569.50 $3,569.50 $3,334.28 $3,569.50 $3,569.50 $3,569.50 $3,569.50L7040 PO $2,905.34 $2,905.34 $2,677.30 $2,905.34 $2,905.34 $2,905.34 $2,905.34L7045 PO $1,534.98 $1,534.98 $1,534.98 $1,534.98 $1,534.98 $1,534.98 $1,534.98L7170 PO $5,745.66 $5,745.66 $7,067.66 $5,745.66 $5,745.66 $5,745.66 $5,745.66L7180 PO $37,172.51 $37,172.51 $31,023.06 $37,172.51 $37,172.51 $37,172.51 $37,172.51L7181 PO $38,272.61 $38,272.61 $38,479.94 $38,272.61 $38,272.61 $38,272.61 $38,272.61L7185 PO $6,040.56 $6,040.56 $6,979.40 $6,040.56 $6,040.56 $6,040.56 $6,040.56L7186 PO $10,155.02 $10,155.02 $8,400.38 $10,155.02 $10,155.02 $10,155.02 $10,155.02L7190 PO $8,015.25 $8,015.25 $7,330.75 $8,015.25 $8,015.25 $8,015.25 $8,015.25L7191 PO $10,681.48 $10,681.48 $8,777.90 $10,681.48 $10,681.48 $10,681.48 $10,681.48L7259 PO $3,914.60 $3,914.60 $3,035.08 $3,914.60 $3,914.60 $3,914.60 $3,914.60L7360 PO $252.69 $252.69 $226.60 $252.69 $252.69 $252.69 $252.69L7362 PO $276.06 $276.06 $237.93 $276.06 $276.06 $276.06 $276.06L7364 PO $488.45 $488.45 $378.42 $488.45 $488.45 $488.45 $488.45L7366 PO $671.76 $671.76 $509.75 $671.76 $671.76 $671.76 $671.76L7367 PO $371.89 $371.89 $373.88 $371.89 $371.89 $371.89 $371.89L7368 PO $482.08 $482.08 $484.69 $482.08 $482.08 $482.08 $482.08L7400 PO $292.75 $292.75 $294.35 $292.75 $292.75 $292.75 $292.75L7401 PO $327.71 $327.71 $329.52 $327.71 $327.71 $327.71 $327.71L7402 PO $353.93 $353.93 $355.82 $353.93 $353.93 $353.93 $353.93L7403 PO $351.77 $351.77 $353.68 $351.77 $351.77 $351.77 $351.77L7404 PO $530.93 $530.93 $533.76 $530.93 $530.93 $530.93 $530.93L7405 PO $694.32 $694.32 $698.10 $694.32 $694.32 $694.32 $694.32L8000 PO $40.44 $40.44 $41.77 $40.44 $40.44 $40.44 $40.44L8001 PO $119.83 $119.83 $120.46 $119.83 $119.83 $119.83 $119.83L8002 PO $157.59 $157.59 $158.45 $157.59 $157.59 $157.59 $157.59L8015 PO $57.26 $57.26 $57.56 $57.26 $57.26 $57.26 $57.26L8020 PO $215.97 $215.97 $216.50 $215.97 $215.97 $215.97 $215.97L8030 PO $333.86 $333.86 $313.17 $333.86 $333.86 $333.86 $333.86L8031 PO $333.86 $333.86 $313.17 $333.86 $333.86 $333.86 $333.86L8032 PO $37.41 $37.41 $37.62 $37.41 $37.41 $37.41 $37.41L8035 PO $3,499.44 $3,499.44 $3,518.42 $3,499.44 $3,499.44 $3,499.44 $3,499.44L8040 KM PO $2,249.66 $2,249.66 $2,205.30 $2,249.66 $2,249.66 $2,249.66 $2,249.66L8040 KN PO $947.22 $947.22 $928.56 $947.22 $947.22 $947.22 $947.22L8040 PO $2,368.06 $2,368.06 $2,321.37 $2,368.06 $2,368.06 $2,368.06 $2,368.06L8041 KM PO $2,711.30 $2,711.30 $2,658.06 $2,711.30 $2,711.30 $2,711.30 $2,711.30L8041 KN PO $1,141.62 $1,141.62 $1,119.20 $1,141.62 $1,141.62 $1,141.62 $1,141.62L8041 PO $2,854.03 $2,854.03 $2,797.97 $2,854.03 $2,854.03 $2,854.03 $2,854.03L8042 KM PO $3,046.44 $3,046.44 $2,986.58 $3,046.44 $3,046.44 $3,046.44 $3,046.44L8042 KN PO $1,282.72 $1,282.72 $1,257.50 $1,282.72 $1,282.72 $1,282.72 $1,282.72





Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule



L8042 PO $3,206.76 $3,206.76 $3,143.77 $3,206.76 $3,206.76 $3,206.76 $3,206.76L8043 KM PO $3,412.03 $3,412.03 $3,344.96 $3,412.03 $3,412.03 $3,412.03 $3,412.03L8043 KN PO $1,436.65 $1,436.65 $1,408.40 $1,436.65 $1,436.65 $1,436.65 $1,436.65L8043 PO $3,591.60 $3,591.60 $3,521.03 $3,591.60 $3,591.60 $3,591.60 $3,591.60L8044 KM PO $3,777.57 $3,777.57 $3,703.38 $3,777.57 $3,777.57 $3,777.57 $3,777.57L8044 KN PO $1,590.56 $1,590.56 $1,559.33 $1,590.56 $1,590.56 $1,590.56 $1,590.56L8044 PO $3,976.40 $3,976.40 $3,898.27 $3,976.40 $3,976.40 $3,976.40 $3,976.40L8045 KM PO $2,958.10 $2,958.10 $2,319.14 $2,958.10 $2,958.10 $2,958.10 $2,958.10L8045 KN PO $1,245.51 $1,245.51 $976.48 $1,245.51 $1,245.51 $1,245.51 $1,245.51L8045 PO $3,113.79 $3,113.79 $2,441.21 $3,113.79 $3,113.79 $3,113.79 $3,113.79L8046 KM PO $2,437.16 $2,437.16 $2,389.26 $2,437.16 $2,437.16 $2,437.16 $2,437.16L8046 KN PO $1,026.18 $1,026.18 $1,005.99 $1,026.18 $1,026.18 $1,026.18 $1,026.18L8046 PO $2,565.44 $2,565.44 $2,515.02 $2,565.44 $2,565.44 $2,565.44 $2,565.44L8047 KM PO $1,249.03 $1,249.03 $1,224.49 $1,249.03 $1,249.03 $1,249.03 $1,249.03L8047 KN PO $525.93 $525.93 $515.58 $525.93 $525.93 $525.93 $525.93L8047 PO $1,314.79 $1,314.79 $1,288.93 $1,314.79 $1,314.79 $1,314.79 $1,314.79L8300 PO $80.11 $80.11 $92.49 $80.11 $80.11 $80.11 $80.11L8310 PO $141.93 $141.93 $142.21 $141.93 $141.93 $141.93 $141.93L8320 PO $58.89 $58.89 $62.12 $58.89 $58.89 $58.89 $58.89L8330 PO $46.88 $46.88 $61.57 $46.88 $46.88 $46.88 $46.88L8400 PO $14.95 $14.95 $18.00 $14.95 $14.95 $14.95 $14.95L8410 PO $19.67 $19.67 $20.48 $19.67 $19.67 $19.67 $19.67L8415 PO $20.36 $20.36 $20.36 $20.36 $20.36 $20.36 $20.36L8417 PO $71.84 $71.84 $72.21 $71.84 $71.84 $71.84 $71.84L8420 PO $19.92 $19.92 $23.80 $19.92 $19.92 $19.92 $19.92L8430 PO $22.56 $22.56 $26.17 $22.56 $22.56 $22.56 $22.56L8435 PO $21.44 $21.44 $23.49 $21.44 $21.44 $21.44 $21.44L8440 PO $44.53 $44.53 $49.79 $44.53 $44.53 $44.53 $44.53L8460 PO $63.29 $63.29 $69.29 $63.29 $63.29 $63.29 $63.29L8465 PO $58.50 $58.50 $61.76 $58.50 $58.50 $58.50 $58.50L8470 PO $6.34 $6.34 $6.34 $6.34 $6.34 $6.34 $6.34L8480 PO $8.74 $8.74 $8.74 $8.74 $8.74 $8.74 $8.74L8485 PO $11.77 $11.77 $10.56 $11.77 $11.77 $11.77 $11.77L8500 PO $628.58 $628.58 $626.75 $628.58 $628.58 $628.58 $628.58L8501 PO $114.72 $114.72 $139.20 $114.72 $114.72 $114.72 $114.72L8507 PO $40.00 $40.00 $40.23 $40.00 $40.00 $40.00 $40.00L8510 PO $241.39 $241.39 $242.70 $241.39 $241.39 $241.39 $241.39L8511 PO $69.45 $69.45 $69.85 $69.45 $69.45 $69.45 $69.45L8512 PO $2.09 $2.09 $2.11 $2.09 $2.09 $2.09 $2.09L8513 PO $4.96 $4.96 $5.00 $4.96 $4.96 $4.96 $4.96L8514 PO $90.08 $90.08 $90.57 $90.08 $90.08 $90.08 $90.08L8515 PO $60.29 $60.29 $60.61 $60.29 $60.29 $60.29 $60.29V2020 PO $71.44 $71.44 $76.54 $71.44 $71.44 $71.44 $71.44V2100 PO $44.16 $44.16 $37.20 $44.16 $44.16 $44.16 $44.16V2101 PO $42.42 $42.42 $39.20 $42.42 $42.42 $42.42 $42.42V2102 PO $73.36 $73.36 $55.59 $73.36 $73.36 $73.36 $73.36V2103 PO $37.16 $37.16 $32.30 $37.16 $37.16 $37.16 $37.16V2104 PO $38.31 $38.31 $35.77 $38.31 $38.31 $38.31 $38.31V2105 PO $45.56 $45.56 $43.79 $45.56 $45.56 $45.56 $45.56V2106 PO $50.48 $50.48 $44.45 $50.48 $50.48 $50.48 $50.48V2107 PO $44.96 $44.96 $46.71 $44.96 $44.96 $44.96 $44.96V2108 PO $45.07 $45.07 $45.31 $45.07 $45.07 $45.07 $45.07V2109 PO $62.78 $62.78 $52.08 $62.78 $62.78 $62.78 $62.78V2110 PO $50.70 $50.70 $60.79 $50.70 $50.70 $50.70 $50.70V2111 PO $61.44 $61.44 $53.58 $61.44 $61.44 $61.44 $61.44V2112 PO $69.40 $69.40 $52.87 $69.40 $69.40 $69.40 $69.40V2113 PO $70.19 $70.19 $73.05 $70.19 $70.19 $70.19 $70.19V2114 PO $83.17 $83.17 $64.61 $83.17 $83.17 $83.17 $83.17V2115 PO $83.82 $83.82 $70.25 $83.82 $83.82 $83.82 $83.82V2118 PO $91.21 $91.21 $69.64 $91.21 $91.21 $91.21 $91.21V2121 PO $82.25 $82.25 $71.90 $82.25 $82.25 $82.25 $82.25V2200 PO $49.72 $49.72 $48.69 $49.72 $49.72 $49.72 $49.72V2201 PO $53.27 $53.27 $53.06 $53.27 $53.27 $53.27 $53.27V2202 PO $66.03 $66.03 $62.44 $66.03 $66.03 $66.03 $66.03V2203 PO $51.20 $51.20 $49.12 $51.20 $51.20 $51.20 $51.20V2204 PO $52.70 $52.70 $53.26 $52.70 $52.70 $52.70 $52.70





Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule



V2205 PO $58.41 $58.41 $58.43 $58.41 $58.41 $58.41 $58.41V2206 PO $68.58 $68.58 $71.14 $68.58 $68.58 $68.58 $68.58V2207 PO $57.96 $57.96 $59.38 $57.96 $57.96 $57.96 $57.96V2208 PO $56.95 $56.95 $60.11 $56.95 $56.95 $56.95 $56.95V2209 PO $66.85 $66.85 $66.12 $66.85 $66.85 $66.85 $66.85V2210 PO $72.04 $72.04 $85.07 $72.04 $72.04 $72.04 $72.04V2211 PO $70.13 $70.13 $72.54 $70.13 $70.13 $70.13 $70.13V2212 PO $73.42 $73.42 $78.94 $73.42 $73.42 $73.42 $73.42V2213 PO $77.19 $77.19 $80.94 $77.19 $77.19 $77.19 $77.19V2214 PO $80.68 $80.68 $86.77 $80.68 $80.68 $80.68 $80.68V2215 PO $100.72 $100.72 $93.89 $100.72 $100.72 $100.72 $100.72V2218 PO $102.65 $102.65 $96.06 $102.65 $102.65 $102.65 $102.65V2219 PO $47.36 $47.36 $42.29 $47.36 $47.36 $47.36 $47.36V2220 PO $42.06 $42.06 $34.29 $42.06 $42.06 $42.06 $42.06V2221 PO $83.88 $83.88 $91.62 $83.88 $83.88 $83.88 $83.88V2300 PO $67.97 $67.97 $63.23 $67.97 $67.97 $67.97 $67.97V2301 PO $83.36 $83.36 $73.33 $83.36 $83.36 $83.36 $83.36V2302 PO $77.88 $77.88 $80.33 $77.88 $77.88 $77.88 $77.88V2303 PO $65.43 $65.43 $66.55 $65.43 $65.43 $65.43 $65.43V2304 PO $66.20 $66.20 $69.64 $66.20 $66.20 $66.20 $66.20V2305 PO $73.94 $73.94 $85.40 $73.94 $73.94 $73.94 $73.94V2306 PO $76.13 $76.13 $79.63 $76.13 $76.13 $76.13 $76.13V2307 PO $72.49 $72.49 $78.96 $72.49 $72.49 $72.49 $72.49V2308 PO $79.07 $79.07 $84.26 $79.07 $79.07 $79.07 $79.07V2309 PO $82.74 $82.74 $98.57 $82.74 $82.74 $82.74 $82.74V2310 PO $86.43 $86.43 $108.42 $86.43 $86.43 $86.43 $86.43V2311 PO $99.78 $99.78 $103.26 $99.78 $99.78 $99.78 $99.78V2312 PO $91.48 $91.48 $91.02 $91.48 $91.48 $91.48 $91.48V2313 PO $99.85 $99.85 $124.24 $99.85 $99.85 $99.85 $99.85V2314 PO $102.07 $102.07 $136.09 $102.07 $102.07 $102.07 $102.07V2315 PO $113.31 $113.31 $151.09 $113.31 $113.31 $113.31 $113.31V2318 PO $139.31 $139.31 $139.31 $139.31 $139.31 $139.31 $139.31V2319 PO $62.88 $62.88 $47.16 $62.88 $62.88 $62.88 $62.88V2320 PO $66.34 $66.34 $49.75 $66.34 $66.34 $66.34 $66.34V2321 PO $111.69 $111.69 $148.92 $111.69 $111.69 $111.69 $111.69V2410 PO $97.65 $97.65 $85.16 $97.65 $97.65 $97.65 $97.65V2430 PO $103.37 $103.37 $110.85 $103.37 $103.37 $103.37 $103.37V2500 PO $87.38 $87.38 $77.19 $87.38 $87.38 $87.38 $87.38V2501 PO $124.00 $124.00 $117.58 $124.00 $124.00 $124.00 $124.00V2502 PO $168.02 $168.02 $144.85 $168.02 $168.02 $168.02 $168.02V2503 PO $162.27 $162.27 $138.59 $162.27 $162.27 $162.27 $162.27V2510 PO $116.51 $116.51 $105.37 $116.51 $116.51 $116.51 $116.51V2511 PO $172.70 $172.70 $151.40 $172.70 $172.70 $172.70 $172.70V2512 PO $198.79 $198.79 $178.90 $198.79 $198.79 $198.79 $198.79V2513 PO $200.26 $200.26 $150.19 $200.26 $200.26 $200.26 $200.26V2520 PO $116.10 $116.10 $99.04 $116.10 $116.10 $116.10 $116.10V2521 PO $229.91 $229.91 $172.43 $229.91 $229.91 $229.91 $229.91V2522 PO $168.25 $168.25 $167.81 $168.25 $168.25 $168.25 $168.25V2523 PO $176.63 $176.63 $143.00 $176.63 $176.63 $176.63 $176.63V2530 PO $282.41 $282.41 $211.81 $282.41 $282.41 $282.41 $282.41V2531 PO $517.18 $517.18 $519.99 $517.18 $517.18 $517.18 $517.18V2623 PO $895.51 $895.51 $852.46 $895.51 $895.51 $895.51 $895.51V2624 PO $57.82 $57.82 $57.82 $57.82 $57.82 $57.82 $57.82V2625 PO $457.87 $457.87 $374.48 $457.87 $457.87 $457.87 $457.87V2626 PO $189.47 $189.47 $237.59 $189.47 $189.47 $189.47 $189.47V2627 PO $1,358.33 $1,358.33 $1,360.18 $1,358.33 $1,358.33 $1,358.33 $1,358.33V2628 PO $288.94 $288.94 $310.99 $288.94 $288.94 $288.94 $288.94V2700 PO $42.58 $42.58 $41.60 $42.58 $42.58 $42.58 $42.58V2710 PO $69.82 $69.82 $60.89 $69.82 $69.82 $69.82 $69.82V2715 PO $13.68 $13.68 $11.04 $13.68 $13.68 $13.68 $13.68V2718 PO $29.55 $29.55 $27.11 $29.55 $29.55 $29.55 $29.55V2730 PO $24.76 $24.76 $20.03 $24.76 $24.76 $24.76 $24.76V2744 PO $16.92 $16.92 $20.77 $16.92 $16.92 $16.92 $16.92V2745 PO $9.75 $9.75 $11.78 $9.75 $9.75 $9.75 $9.75V2750 PO $19.01 $19.01 $24.17 $19.01 $19.01 $19.01 $19.01V2755 PO $15.92 $15.92 $17.47 $15.92 $15.92 $15.92 $15.92





Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule


Fee Schedule



V2760 PO $15.69 $15.69 $15.21 $15.69 $15.69 $15.69 $15.69V2762 PO $56.94 $56.94 $57.26 $56.94 $56.94 $56.94 $56.94V2770 PO $18.53 $18.53 $19.64 $18.53 $18.53 $18.53 $18.53V2780 PO $11.90 $11.90 $15.87 $11.90 $11.90 $11.90 $11.90V2782 PO $61.49 $61.49 $61.82 $61.49 $61.49 $61.49 $61.49V2783 PO $69.34 $69.34 $69.71 $69.34 $69.34 $69.34 $69.34V2784 PO $45.09 $45.09 $45.33 $45.09 $45.09 $45.09 $45.09

Illinois – 4th Quarter 2016 Rural Zip Codes

© Copyright 2017 CGS Administrators, LLC. Page 1

Zip Code

Effective Date

Expiration Date

60113 20160101 60420 20160101 60460 20160101 60470 20160101 60518 20160101 60530 20160101 60531 20160101 60549 20160101 60551 20160101 60553 20160101 60557 20160101 60911 20160101 60912 20160101 60918 20160101 60920 20160101 60921 20160101 60924 20160101 60926 20160101 60927 20160101 60928 20160101 60929 20160101 60930 20160101 60931 20160101 60934 20160101 60938 20160101 60939 20160101 60945 20160101 60948 20160101 60951 20160101 60953 20160101 60955 20160101 60956 20160101 60966 20160101 60967 20160101 60968 20160101 60970 20160101 60973 20160101 60974 20160101 61001 20160101 61006 20160101 61007 20160101 61010 20160101 61013 20160101 61014 20160101

Zip Code

Effective Date

Expiration Date

61015 20160101 61018 20160101 61019 20160101 61020 20160101 61021 20160101 61025 20160101 61027 20160101 61028 20160101 61030 20160101 61031 20160101 61032 20160101 61036 20160101 61037 20160101 61039 20160101 61041 20160101 61042 20160101 61043 20160101 61044 20160101 61046 20160101 61047 20160101 61048 20160101 61049 20160101 61050 20160101 61051 20160101 61052 20160101 61053 20160101 61054 20160101 61057 20160101 61059 20160101 61060 20160101 61061 20160101 61062 20160101 61064 20160101 61067 20160101 61068 20160101 61070 20160101 61071 20160101 61074 20160101 61075 20160101 61078 20160101 61081 20160101 61084 20160101 61085 20160101 61087 20160101

Zip Code

Effective Date

Expiration Date

61089 20160101 61091 20160101 61230 20160101 61243 20160101 61250 20160101 61251 20160101 61252 20160101 61261 20160101 61270 20160101 61277 20160101 61283 20160101 61285 20160101 61301 20160101 61310 20160101 61311 20160101 61312 20160101 61313 20160101 61314 20160101 61315 20160101 61316 20160101 61317 20160101 61318 20160101 61319 20160101 61320 20160101 61321 20160101 61322 20160101 61323 20160101 61324 20160101 61325 20160101 61326 20160101 61327 20160101 61328 20160101 61329 20160101 61330 20160101 61331 20160101 61332 20160101 61333 20160101 61334 20160101 61335 20160101 61336 20160101 61337 20160101 61338 20160101 61340 20160101 61341 20160101

Zip Code

Effective Date

Expiration Date

61342 20160101 61344 20160101 61345 20160101 61346 20160101 61348 20160101 61349 20160101 61350 20160101 61353 20160101 61354 20160101 61356 20160101 61358 20160101 61359 20160101 61360 20160101 61361 20160101 61362 20160101 61363 20160101 61364 20160101 61367 20160101 61368 20160101 61370 20160101 61371 20160101 61372 20160101 61373 20160101 61374 20160101 61376 20160101 61378 20160101 61379 20160101 61401 20160101 61402 20160101 61410 20160101 61411 20160101 61414 20160101 61415 20160101 61416 20160101 61417 20160101 61418 20160101 61420 20160101 61422 20160101 61423 20160101 61425 20160101 61427 20160101 61428 20160101 61430 20160101 61431 20160101

Zip Code

Effective Date

Expiration Date

61432 20160101 61433 20160101 61435 20160101 61436 20160101 61437 20160101 61438 20160101 61439 20160101 61440 20160101 61441 20160101 61447 20160101 61448 20160101 61450 20160101 61452 20160101 61453 20160101 61454 20160101 61455 20160101 61458 20160101 61459 20160101 61460 20160101 61462 20160101 61467 20160101 61469 20160101 61470 20160101 61471 20160101 61472 20160101 61473 20160101 61474 20160101 61475 20160101 61477 20160101 61478 20160101 61480 20160101 61482 20160101 61484 20160101 61485 20160101 61488 20160101 61489 20160101 61501 20160101 61519 20160101 61520 20160101 61524 20160101 61531 20160101 61532 20160101 61542 20160101 61543 20160101



Zip Code

Effective Date

Expiration Date

61544 20160101 61546 20160101 61553 20160101 61560 20160101 61563 20160101 61567 20160101 61572 20160101 61723 20160101 61739 20160101 61740 20160101 61741 20160101 61743 20160101 61751 20160101 61764 20160101 61769 20160101 61775 20160101 61910 20160101 61911 20160101 61912 20160101 61914 20160101 61917 20160101 61919 20160101 61920 20160101 61924 20160101 61925 20160101 61928 20160101 61930 20160101 61931 20160101 61932 20160101 61933 20160101 61937 20160101 61938 20160101 61940 20160101 61941 20160101 61942 20160101 61943 20160101 61944 20160101 61949 20160101 61951 20160101 61953 20160101 61955 20160101 61956 20160101 61957 20160101 62006 20160101

Zip Code

Effective Date

Expiration Date

62011 20160101 62013 20160101 62015 20160101 62016 20160101 62017 20160101 62027 20160101 62032 20160101 62036 20160101 62044 20160101 62045 20160101 62047 20160101 62049 20160101 62050 20160101 62051 20160101 62053 20160101 62054 20160101 62056 20160101 62065 20160101 62070 20160101 62075 20160101 62076 20160101 62077 20160101 62078 20160101 62080 20160101 62081 20160101 62082 20160101 62083 20160101 62089 20160101 62091 20160101 62092 20160101 62094 20160101 62098 20160101 62214 20160101 62217 20160101 62233 20160101 62237 20160101 62238 20160101 62241 20160101 62242 20160101 62247 20160101 62259 20160101 62261 20160101 62263 20160101 62268 20160101

Zip Code

Effective Date

Expiration Date

62271 20160101 62272 20160101 62274 20160101 62277 20160101 62278 20160101 62280 20160101 62286 20160101 62288 20160101 62292 20160101 62297 20160101 62301 20160101 62305 20160101 62306 20160101 62311 20160101 62312 20160101 62313 20160101 62314 20160101 62316 20160101 62319 20160101 62320 20160101 62321 20160101 62323 20160101 62324 20160101 62325 20160101 62326 20160101 62329 20160101 62330 20160101 62334 20160101 62336 20160101 62338 20160101 62339 20160101 62340 20160101 62341 20160101 62343 20160101 62344 20160101 62345 20160101 62346 20160101 62347 20160101 62348 20160101 62349 20160101 62351 20160101 62352 20160101 62353 20160101 62354 20160101

Zip Code

Effective Date

Expiration Date

62355 20160101 62356 20160101 62357 20160101 62358 20160101 62359 20160101 62360 20160101 62361 20160101 62362 20160101 62363 20160101 62365 20160101 62366 20160101 62367 20160101 62370 20160101 62373 20160101 62374 20160101 62375 20160101 62376 20160101 62378 20160101 62379 20160101 62380 20160101 62401 20160101 62410 20160101 62411 20160101 62413 20160101 62414 20160101 62417 20160101 62418 20160101 62419 20160101 62420 20160101 62421 20160101 62422 20160101 62423 20160101 62424 20160101 62425 20160101 62426 20160101 62427 20160101 62428 20160101 62431 20160101 62432 20160101 62433 20160101 62434 20160101 62435 20160101 62436 20160101 62438 20160101

Zip Code

Effective Date

Expiration Date

62439 20160101 62440 20160101 62441 20160101 62442 20160101 62443 20160101 62444 20160101 62445 20160101 62446 20160101 62447 20160101 62448 20160101 62449 20160101 62450 20160101 62451 20160101 62452 20160101 62454 20160101 62458 20160101 62459 20160101 62460 20160101 62461 20160101 62462 20160101 62463 20160101 62464 20160101 62465 20160101 62466 20160101 62467 20160101 62468 20160101 62469 20160101 62471 20160101 62473 20160101 62474 20160101 62475 20160101 62476 20160101 62477 20160101 62478 20160101 62479 20160101 62480 20160101 62481 20160101 62510 20160101 62512 20160101 62517 20160101 62518 20160101 62519 20160101 62531 20160101 62533 20160101



Zip Code

Effective Date

Expiration Date

62534 20160101 62538 20160101 62540 20160101 62541 20160101 62543 20160101 62546 20160101 62547 20160101 62548 20160101 62550 20160101 62553 20160101 62555 20160101 62556 20160101 62557 20160101 62560 20160101 62565 20160101 62567 20160101 62568 20160101 62570 20160101 62571 20160101 62601 20160101 62610 20160101 62611 20160101 62612 20160101 62617 20160101 62618 20160101 62621 20160101 62622 20160101 62624 20160101 62627 20160101 62628 20160101 62631 20160101 62633 20160101 62634 20160101 62635 20160101 62638 20160101 62639 20160101 62643 20160101 62644 20160101 62650 20160101 62651 20160101 62655 20160101 62656 20160101 62660 20160101 62663 20160101

Zip Code

Effective Date

Expiration Date

62664 20160101 62665 20160101 62666 20160101 62668 20160101 62671 20160101 62681 20160101 62682 20160101 62691 20160101 62692 20160101 62694 20160101 62695 20160101 62801 20160101 62803 20160101 62806 20160101 62807 20160101 62808 20160101 62809 20160101 62810 20160101 62811 20160101 62812 20160101 62814 20160101 62815 20160101 62816 20160101 62817 20160101 62818 20160101 62819 20160101 62820 20160101 62821 20160101 62822 20160101 62823 20160101 62824 20160101 62825 20160101 62827 20160101 62828 20160101 62829 20160101 62830 20160101 62831 20160101 62832 20160101 62833 20160101 62834 20160101 62835 20160101 62836 20160101 62837 20160101 62838 20160101

Zip Code

Effective Date

Expiration Date

62839 20160101 62840 20160101 62842 20160101 62843 20160101 62844 20160101 62846 20160101 62848 20160101 62849 20160101 62850 20160101 62851 20160101 62852 20160101 62853 20160101 62854 20160101 62855 20160101 62856 20160101 62858 20160101 62859 20160101 62860 20160101 62861 20160101 62862 20160101 62863 20160101 62864 20160101 62865 20160101 62866 20160101 62867 20160101 62868 20160101 62869 20160101 62870 20160101 62871 20160101 62872 20160101 62874 20160101 62875 20160101 62876 20160101 62877 20160101 62878 20160101 62879 20160101 62880 20160101 62881 20160101 62882 20160101 62883 20160101 62884 20160101 62885 20160101 62886 20160101 62887 20160101

Zip Code

Effective Date

Expiration Date

62888 20160101 62889 20160101 62890 20160101 62891 20160101 62892 20160101 62893 20160101 62894 20160101 62895 20160101 62896 20160101 62897 20160101 62898 20160101 62899 20160101 62905 20160101 62906 20160101 62908 20160101 62909 20160101 62910 20160101 62912 20160101 62917 20160101 62919 20160101 62920 20160101 62923 20160101 62926 20160101 62928 20160101 62930 20160101 62931 20160101 62934 20160101 62935 20160101 62938 20160101 62939 20160101 62941 20160101 62943 20160101 62946 20160101 62947 20160101 62952 20160101 62953 20160101 62954 20160101 62955 20160101 62956 20160101 62957 20160101 62960 20160101 62961 20160101 62963 20160101 62964 20160101

Zip Code

Effective Date

Expiration Date

62965 20160101 62967 20160101 62970 20160101 62972 20160101 62973 20160101 62976 20160101 62977 20160101 62979 20160101 62982 20160101 62983 20160101 62984 20160101 62985 20160101 62987 20160101 62992 20160101 62995 20160101 62996 20160101 62997 20160101 62998 20160101 62999 20160101

Indiana – 4th Quarter 2016 Rural Zip Codes


Zip Code

Effective Date

Expiration Date

46001 20160101 20160630 46011 20160101 20160630 46012 20160101 20160630 46013 20160101 20160630 46014 20160101 20160630 46015 20160101 20160630 46016 20160101 20160630 46017 20160101 20160630 46018 20160101 20160630 46035 20160101 46036 20160101 20160630 46039 20160101 46041 20160101 46044 20160101 20160630 46045 20160101 46047 20160101 46048 20160101 20160630 46049 20160101 46050 20160101 46051 20160101 20160630 46056 20160101 20160630 46057 20160101 46058 20160101 46063 20160101 20160630 46064 20160101 20160630 46065 20160101 46067 20160101 46068 20160101 46070 20160101 20160630 46072 20160101 46076 20160101 46104 20160101 46115 20160101 46127 20160101 46133 20160101 46146 20160101 46148 20160101 46150 20160101 46155 20160101 46156 20160101 46160 20160101 46164 20160101 46173 20160101 46366 20160101

Zip Code

Effective Date

Expiration Date

46374 20160101 46501 20160101 46502 20160101 46504 20160101 46506 20160101 46508 20160101 46510 20160101 46511 20160101 46513 20160101 46524 20160101 46531 20160101 46532 20160101 46534 20160101 46537 20160101 46538 20160101 46539 20160101 46542 20160101 46555 20160101 46562 20160101 46563 20160101 46565 20160101 46567 20160101 46570 20160101 46571 20160101 46572 20160101 46580 20160101 46581 20160101 46582 20160101 46590 20160101 46701 20160101 46702 20160101 46703 20160101 46705 20160101 46706 20160101 46710 20160101 46711 20160101 46713 20160101 46721 20160101 46730 20160101 46732 20160101 46733 20160101 46737 20160101 46738 20160101 46740 20160101

Zip Code

Effective Date

Expiration Date

46742 20160101 46746 20160101 46747 20160101 46750 20160101 46755 20160101 46760 20160101 46761 20160101 46763 20160101 46767 20160101 46769 20160101 46771 20160101 46772 20160101 46776 20160101 46779 20160101 46780 20160101 46782 20160101 46783 20160101 46784 20160101 46785 20160101 46786 20160101 46789 20160101 46792 20160101 46793 20160101 46794 20160101 46795 20160101 46796 20160101 46910 20160101 46911 20160101 46912 20160101 46914 20160101 46919 20160101 46921 20160101 46922 20160101 46926 20160101 46928 20160101 46930 20160101 46931 20160101 46932 20160101 46933 20160101 46935 20160101 46938 20160101 46939 20160101 46940 20160101 46941 20160101

Zip Code

Effective Date

Expiration Date

46942 20160101 46943 20160101 46945 20160101 46946 20160101 46947 20160101 46950 20160101 46951 20160101 46952 20160101 46953 20160101 46957 20160101 46958 20160101 46959 20160101 46960 20160101 46961 20160101 46962 20160101 46967 20160101 46968 20160101 46970 20160101 46971 20160101 46974 20160101 46975 20160101 46978 20160101 46980 20160101 46982 20160101 46984 20160101 46985 20160101 46986 20160101 46987 20160101 46988 20160101 46989 20160101 46990 20160101 46991 20160101 46992 20160101 46994 20160101 46996 20160101 46998 20160101 47011 20160101 47017 20160101 47019 20160101 47020 20160101 47021 20160101 47023 20160101 47031 20160101 47033 20160101

Zip Code

Effective Date

Expiration Date

47034 20160101 47037 20160101 47038 20160101 47039 20160101 47040 20160101 47042 20160101 47043 20160101 47102 20160101 20160630 47116 20160101 47118 20160101 47123 20160101 47125 20160101 47137 20160101 47138 20160101 47140 20160101 47145 20160101 47147 20160101 20160630 47170 20160101 20160630 47174 20160101 47175 20160101 47177 20160101 20160630 47220 20160101 47223 20160101 47224 20160101 47225 20160101 47227 20160101 47228 20160101 47229 20160101 47230 20160101 47231 20160101 47235 20160101 47240 20160101 47243 20160101 47245 20160101 47249 20160101 47250 20160101 47260 20160101 47261 20160101 47263 20160101 47264 20160101 47265 20160101 47270 20160101 47272 20160101 47273 20160101

Indiana – 4th Quarter 2016 Rural Zip Codes


Zip Code

Effective Date

Expiration Date

47274 20160101 47281 20160101 47282 20160101 47283 20160101 47322 20160101 47324 20160101 47325 20160101 47326 20160101 47327 20160101 47330 20160101 47331 20160101 47335 20160101 47336 20160101 47337 20160101 47339 20160101 47340 20160101 47341 20160101 47344 20160101 47345 20160101 47346 20160101 47348 20160101 47351 20160101 47352 20160101 47353 20160101 47354 20160101 47355 20160101 47356 20160101 47357 20160101 47358 20160101 47359 20160101 47360 20160101 47361 20160101 47362 20160101 47366 20160101 47368 20160101 47369 20160101 47370 20160101 47371 20160101 47373 20160101 47374 20160101 47375 20160101 47380 20160101 47381 20160101 47382 20160101

Zip Code

Effective Date

Expiration Date

47384 20160101 47385 20160101 47386 20160101 47387 20160101 47388 20160101 47390 20160101 47392 20160101 47393 20160101 47394 20160101 47420 20160101 47421 20160101 47424 20160101 47432 20160101 47435 20160101 47436 20160101 47437 20160101 47438 20160101 47439 20160101 47441 20160101 47443 20160101 47445 20160101 47446 20160101 47448 20160101 47449 20160101 47451 20160101 47452 20160101 47453 20160101 47454 20160101 47457 20160101 47459 20160101 47462 20160101 47465 20160101 47467 20160101 47469 20160101 47470 20160101 47471 20160101 47501 20160101 47512 20160101 47513 20160101 47514 20160101 47515 20160101 47516 20160101 47519 20160101 47520 20160101

Zip Code

Effective Date

Expiration Date

47521 20160101 47522 20160101 47523 20160101 47524 20160101 47525 20160101 47527 20160101 47528 20160101 47529 20160101 47531 20160101 47532 20160101 47535 20160101 47536 20160101 47537 20160101 47541 20160101 47542 20160101 47545 20160101 47546 20160101 47547 20160101 47549 20160101 47550 20160101 47551 20160101 47552 20160101 47553 20160101 47556 20160101 47557 20160101 47558 20160101 47561 20160101 47562 20160101 47564 20160101 47567 20160101 47568 20160101 47573 20160101 47574 20160101 47575 20160101 47576 20160101 47577 20160101 47578 20160101 47579 20160101 47580 20160101 47581 20160101 47584 20160101 47585 20160101 47586 20160101 47588 20160101

Zip Code

Effective Date

Expiration Date

47590 20160101 47591 20160101 47596 20160101 47597 20160101 47598 20160101 47611 20160101 47615 20160101 47617 20160101 47634 20160101 47635 20160101 47639 20160101 47640 20160101 47647 20160101 47648 20160101 47649 20160101 47654 20160101 47660 20160101 47665 20160101 47666 20160101 47670 20160101 47683 20160101 47830 20160101 47832 20160101 47836 20160101 47837 20160101 47859 20160101 47860 20160101 47862 20160101 47872 20160101 47916 20160101 47918 20160101 47923 20160101 47925 20160101 47926 20160101 47929 20160101 47932 20160101 47933 20160101 47940 20160101 47946 20160101 47949 20160101 47950 20160101 47952 20160101 47954 20160101 47955 20160101

Zip Code

Effective Date

Expiration Date

47957 20160101 47958 20160101 47959 20160101 47960 20160101 47965 20160101 47967 20160101 47968 20160101 47969 20160101 47975 20160101 47980 20160101 47982 20160101 47987 20160101 47988 20160101 47989 20160101 47990 20160101 47991 20160101 47993 20160101 47994 20160101 47995 20160101

Kentucky – 4th Quarter 2016 Rural Zip Codes


Zip Code

Effective Date

Expiration Date

40006 20160101 40009 20160101 40033 20160101 40037 20160101 40040 20160101 40045 20160101 40049 20160101 40060 20160101 40061 20160101 40062 20160101 40063 20160101 40069 20160101 40078 20160101 40111 20160101 40115 20160101 40119 20160101 40140 20160101 40143 20160101 40144 20160101 40145 20160101 40146 20160101 40152 20160101 40153 20160101 40170 20160101 40176 20160101 40178 20160101 40310 20160101 40311 20160101 40312 20160101 40313 20160101 40316 20160101 40317 20160101 40319 20160101 40322 20160101 40328 20160101 40330 20160101 40334 20160101 40336 20160101 40337 20160101 40342 20160101 40346 20160101 40350 20160101 40351 20160101 40353 20160101

Zip Code

Effective Date

Expiration Date

40355 20160101 40358 20160101 40359 20160101 40360 20160101 40363 20160101 40366 20160101 40370 20160101 40371 20160101 40372 20160101 40374 20160101 40376 20160101 40380 20160101 40385 20160101 40387 20160101 40402 20160101 40403 20160101 40404 20160101 40405 20160101 40409 20160101 40410 20160101 40419 20160101 40422 20160101 40423 20160101 40434 20160101 40437 20160101 40440 20160101 40442 20160101 40444 20160101 40445 20160101 40446 20160101 20160630 40447 20160101 40448 20160101 40452 20160101 40456 20160101 40460 20160101 40461 20160101 40464 20160101 40468 20160101 40472 20160101 40473 20160101 40475 20160101 40476 20160101 40481 20160101 40484 20160101

Zip Code

Effective Date

Expiration Date

40486 20160101 40488 20160101 40489 20160101 40492 20160101 40601 20160101 40602 20160101 40603 20160101 40604 20160101 40618 20160101 40619 20160101 40620 20160101 40621 20160101 40622 20160101 40701 20160101 40702 20160101 40724 20160101 40729 20160101 40730 20160101 40734 20160101 40737 20160101 40740 20160101 40741 20160101 40742 20160101 40743 20160101 40744 20160101 40745 20160101 40750 20160101 40755 20160101 40759 20160101 40763 20160101 40769 20160101 40771 20160101 40801 20160101 40803 20160101 40806 20160101 40807 20160101 40808 20160101 40810 20160101 40813 20160101 40815 20160101 40816 20160101 40818 20160101 40819 20160101 40820 20160101

Zip Code

Effective Date

Expiration Date

40823 20160101 40824 20160101 40826 20160101 40827 20160101 40828 20160101 40829 20160101 40830 20160101 40831 20160101 40840 20160101 40843 20160101 40844 20160101 40845 20160101 40847 20160101 40849 20160101 40854 20160101 40855 20160101 40856 20160101 40858 20160101 40862 20160101 40863 20160101 40865 20160101 40868 20160101 40870 20160101 40873 20160101 40874 20160101 40902 20160101 40903 20160101 40906 20160101 40913 20160101 40914 20160101 40915 20160101 40921 20160101 40923 20160101 40927 20160101 40930 20160101 40932 20160101 40935 20160101 40939 20160101 40940 20160101 40941 20160101 40943 20160101 40944 20160101 40946 20160101 40949 20160101

Zip Code

Effective Date

Expiration Date

40951 20160101 40953 20160101 40955 20160101 40958 20160101 40962 20160101 40964 20160101 40965 20160101 40972 20160101 40977 20160101 40979 20160101 40981 20160101 40982 20160101 40983 20160101 40988 20160101 40995 20160101 40997 20160101 41002 20160101 41003 20160101 41004 20160101 41006 20160101 41008 20160101 41031 20160101 41033 20160101 41034 20160101 41037 20160101 41039 20160101 41040 20160101 41041 20160101 41043 20160101 41044 20160101 41045 20160101 41049 20160101 41055 20160101 41056 20160101 41061 20160101 41062 20160101 41064 20160101 41065 20160101 41081 20160101 41083 20160101 41086 20160101 41093 20160101 41095 20160101 41096 20160101



Zip Code

Effective Date

Expiration Date

41098 20160101 41101 20160701 41102 20160701 41105 20160701 41114 20160701 41121 20160701 41124 20160101 41128 20160101 41129 20160701 41132 20160101 41135 20160101 41139 20160701 41141 20160101 41142 20160101 41143 20160101 41144 20160701 41146 20160101 41149 20160101 41159 20160101 41160 20160101 41164 20160101 41166 20160101 41168 20160701 41169 20160701 41171 20160101 41173 20160101 41174 20160701 41175 20160701 41179 20160101 41180 20160101 41181 20160101 41183 20160701 41189 20160101 41201 20160101 41203 20160101 41204 20160101 41214 20160101 41216 20160101 41219 20160101 41222 20160101 41224 20160101 41226 20160101 41230 20160101 41231 20160101

Zip Code

Effective Date

Expiration Date

41232 20160101 41234 20160101 41238 20160101 41240 20160101 41250 20160101 41254 20160101 41255 20160101 41256 20160101 41257 20160101 41260 20160101 41262 20160101 41263 20160101 41264 20160101 41265 20160101 41267 20160101 41268 20160101 41271 20160101 41274 20160101 41301 20160101 41310 20160101 41311 20160101 41314 20160101 41317 20160101 41332 20160101 41339 20160101 41347 20160101 41348 20160101 41351 20160101 41352 20160101 41360 20160101 41364 20160101 41365 20160101 41366 20160101 41367 20160101 41368 20160101 41385 20160101 41386 20160101 41390 20160101 41397 20160101 41408 20160101 41413 20160101 41421 20160101 41425 20160101 41426 20160101

Zip Code

Effective Date

Expiration Date

41451 20160101 41464 20160101 41465 20160101 41472 20160101 41477 20160101 41501 20160101 41502 20160101 41503 20160101 41512 20160101 41513 20160101 41514 20160101 41517 20160101 41519 20160101 41520 20160101 41522 20160101 41524 20160101 41526 20160101 41527 20160101 41528 20160101 41531 20160101 41534 20160101 41535 20160101 41537 20160101 41538 20160101 41539 20160101 41540 20160101 41542 20160101 41543 20160101 41544 20160101 41547 20160101 41548 20160101 41549 20160101 41553 20160101 41554 20160101 41555 20160101 41557 20160101 41558 20160101 41559 20160101 41560 20160101 41561 20160101 41562 20160101 41563 20160101 41564 20160101 41566 20160101

Zip Code

Effective Date

Expiration Date

41567 20160101 41568 20160101 41571 20160101 41572 20160101 41601 20160101 41602 20160101 41603 20160101 41604 20160101 41605 20160101 41606 20160101 41607 20160101 41612 20160101 41615 20160101 41616 20160101 41619 20160101 41621 20160101 41622 20160101 41630 20160101 41631 20160101 41632 20160101 41635 20160101 41636 20160101 41640 20160101 41642 20160101 41643 20160101 41645 20160101 41647 20160101 41649 20160101 41650 20160101 41651 20160101 41653 20160101 41655 20160101 41659 20160101 41660 20160101 41663 20160101 41666 20160101 41667 20160101 41669 20160101 41701 20160101 41702 20160101 41712 20160101 41713 20160101 41714 20160101 41719 20160101

Zip Code

Effective Date

Expiration Date

41721 20160101 41722 20160101 41723 20160101 41725 20160101 41727 20160101 41729 20160101 41731 20160101 41735 20160101 41736 20160101 41739 20160101 41740 20160101 41743 20160101 41745 20160101 41746 20160101 41749 20160101 41751 20160101 41754 20160101 41759 20160101 41760 20160101 41762 20160101 41763 20160101 41764 20160101 41766 20160101 41772 20160101 41773 20160101 41774 20160101 41775 20160101 41776 20160101 41777 20160101 41778 20160101 41804 20160101 41810 20160101 41812 20160101 41815 20160101 41817 20160101 41819 20160101 41821 20160101 41822 20160101 41824 20160101 41825 20160101 41826 20160101 41828 20160101 41831 20160101 41832 20160101



Zip Code

Effective Date

Expiration Date

41833 20160101 41834 20160101 41835 20160101 41836 20160101 41837 20160101 41838 20160101 41839 20160101 41840 20160101 41843 20160101 41844 20160101 41845 20160101 41847 20160101 41848 20160101 41849 20160101 41855 20160101 41858 20160101 41859 20160101 41861 20160101 41862 20160101 42001 20160101 42002 20160101 42003 20160101 42020 20160101 42021 20160101 42022 20160101 42023 20160101 42024 20160101 42025 20160101 42027 20160101 42028 20160101 42029 20160101 42031 20160101 42032 20160101 42033 20160101 42035 20160101 42036 20160101 42037 20160101 42038 20160101 42039 20160101 42040 20160101 42041 20160101 42044 20160101 42045 20160101 42047 20160101

Zip Code

Effective Date

Expiration Date

42048 20160101 42049 20160101 42050 20160101 42051 20160101 42053 20160101 42054 20160101 42055 20160101 42056 20160101 42058 20160101 42060 20160101 42061 20160101 42063 20160101 42064 20160101 42066 20160101 42069 20160101 42070 20160101 42071 20160101 42076 20160101 42078 20160101 42079 20160101 42081 20160101 42082 20160101 42083 20160101 42085 20160101 42086 20160101 42087 20160101 42088 20160101 42123 20160101 42124 20160101 42127 20160101 42129 20160101 42130 20160101 42131 20160101 42133 20160101 42134 20160101 42135 20160101 42140 20160101 42141 20160101 42142 20160101 42151 20160101 42152 20160101 42154 20160101 42156 20160101 42157 20160101

Zip Code

Effective Date

Expiration Date

42160 20160101 42166 20160101 42167 20160101 42202 20160101 42204 20160101 42206 20160101 42214 20160101 42216 20160101 42220 20160101 42234 20160101 42256 20160101 42265 20160101 42276 20160101 42280 20160101 42286 20160101 42320 20160101 42321 20160101 42323 20160101 42324 20160101 42325 20160101 42326 20160101 42328 20160101 42330 20160101 42332 20160101 42333 20160101 42337 20160101 42338 20160101 42339 20160101 42343 20160101 42344 20160101 42345 20160101 42347 20160101 42349 20160101 42354 20160101 42361 20160101 42367 20160101 42369 20160101 42370 20160101 42374 20160101 42404 20160101 42408 20160101 42409 20160101 42410 20160101 42411 20160101

Zip Code

Effective Date

Expiration Date

42413 20160101 42431 20160101 42436 20160101 42437 20160101 42440 20160101 42441 20160101 42442 20160101 42444 20160101 42445 20160101 42450 20160101 42453 20160101 42455 20160101 42456 20160101 42459 20160101 42460 20160101 42461 20160101 42462 20160101 42463 20160101 42464 20160101 42501 20160101 42502 20160101 42503 20160101 42516 20160101 42518 20160101 42519 20160101 42528 20160101 42533 20160101 42539 20160101 42541 20160101 42544 20160101 42553 20160101 42558 20160101 42564 20160101 42565 20160101 42566 20160101 42567 20160101 42602 20160101 42603 20160101 42629 20160101 42631 20160101 42633 20160101 42634 20160101 42635 20160101 42638 20160101

Zip Code

Effective Date

Expiration Date

42642 20160101 42647 20160101 42649 20160101 42653 20160101 42712 20160101 42713 20160101 42715 20160101 42717 20160101 42718 20160101 42719 20160101 42720 20160101 42721 20160101 42722 20160101 42726 20160101 42728 20160101 42729 20160101 42733 20160101 42741 20160101 42742 20160101 42743 20160101 42746 20160101 42749 20160101 42753 20160101 42754 20160101 42755 20160101 42757 20160101 42758 20160101 42759 20160101 42762 20160101 42764 20160101 42765 20160101 42782 20160101

Michigan – 4th Quarter 2016 Rural Zip Codes


Zip Code

Effective Date

Expiration Date

48401 20160101 48410 20160101 48413 20160101 48414 20160101 48416 20160101 48418 20160101 48419 20160101 48422 20160101 48426 20160101 48427 20160101 48429 20160101 48432 20160101 48434 20160101 48435 20160101 48441 20160101 48445 20160101 48449 20160101 48450 20160101 48453 20160101 48454 20160101 48456 20160101 48460 20160101 48465 20160101 48466 20160101 48467 20160101 48468 20160101 48469 20160101 48470 20160101 48471 20160101 48472 20160101 48475 20160101 48476 20160101 48610 20160101 48612 20160101 48615 20160101 48617 20160101 48619 20160101 48621 20160101 48622 20160101 48624 20160101 48625 20160101 48627 20160101 48629 20160101 48630 20160101

Zip Code

Effective Date

Expiration Date

48632 20160101 48633 20160101 48635 20160101 48636 20160101 48647 20160101 48651 20160101 48652 20160101 48653 20160101 48654 20160101 48656 20160101 48658 20160101 48659 20160101 48661 20160101 48662 20160101 48701 20160101 48703 20160101 48705 20160101 48720 20160101 48721 20160101 48723 20160101 48725 20160101 48726 20160101 48728 20160101 48729 20160101 48730 20160101 48731 20160101 48733 20160101 48735 20160101 48737 20160101 48738 20160101 48739 20160101 48740 20160101 48741 20160101 48742 20160101 48743 20160101 48744 20160101 48745 20160101 48746 20160101 48748 20160101 48749 20160101 48750 20160101 48754 20160101 48755 20160101 48756 20160101

Zip Code

Effective Date

Expiration Date

48757 20160101 48758 20160101 48759 20160101 48760 20160101 48761 20160101 48762 20160101 48763 20160101 48764 20160101 48765 20160101 48766 20160101 48767 20160101 48768 20160101 48770 20160101 48801 20160101 48804 20160101 48806 20160101 48807 20160101 48811 20160101 20160630 48812 20160101 20160630 48817 20160101 48818 20160101 20160630 48829 20160101 20160630 48830 20160101 48832 20160101 48834 20160101 20160630 48838 20160101 20160630 48841 20160101 48847 20160101 48848 20160101 48850 20160101 20160630 48852 20160101 20160630 48856 20160101 48857 20160101 48858 20160101 48859 20160101 48862 20160101 48867 20160101 48871 20160101 48872 20160101 48874 20160101 48877 20160101 48878 20160101 48880 20160101 48882 20160101

Zip Code

Effective Date

Expiration Date

48883 20160101 48884 20160101 20160630 48885 20160101 20160630 48886 20160101 20160630 48888 20160101 20160630 48889 20160101 48890 20160101 20160630 48891 20160101 20160630 48893 20160101 48896 20160101 49010 20160101 49028 20160101 49030 20160101 49032 20160101 49036 20160101 49040 20160101 49042 20160101 49066 20160101 49070 20160101 49072 20160101 49075 20160101 49078 20160101 49080 20160101 49082 20160101 49089 20160101 49091 20160101 49093 20160101 49094 20160101 49099 20160101 49220 20160101 49221 20160101 49227 20160101 49228 20160101 49229 20160101 49232 20160101 49233 20160101 49235 20160101 49236 20160101 49238 20160101 49239 20160101 49242 20160101 49247 20160101 49248 20160101 49249 20160101

Zip Code

Effective Date

Expiration Date

49250 20160101 49252 20160101 49253 20160101 49255 20160101 49256 20160101 49257 20160101 49258 20160101 49262 20160101 49265 20160101 49266 20160101 49268 20160101 49271 20160101 49274 20160101 49276 20160101 49279 20160101 49281 20160101 49282 20160101 49286 20160101 49287 20160101 49288 20160101 49289 20160101 49304 20160101 49305 20160101 49307 20160101 49310 20160101 49311 20160101 49314 20160101 49320 20160101 49322 20160101 20160630 49323 20160101 49328 20160101 49329 20160101 20160630 49332 20160101 49335 20160101 49336 20160101 49338 20160101 49339 20160101 20160630 49340 20160101 49342 20160101 49346 20160101 49347 20160101 20160630 49348 20160101 49401 20160101 20160630 49402 20160101



Zip Code

Effective Date

Expiration Date

49403 20160101 20160630 49404 20160101 20160630 49405 20160101 49406 20160101 49408 20160101 49409 20160101 20160630 49410 20160101 49411 20160101 49416 20160101 49417 20160101 20160630 49419 20160101 49420 20160101 49421 20160101 49422 20160101 20160630 49423 20160101 20160630 49424 20160101 20160630 49426 20160101 20160630 49427 20160101 20160630 49428 20160101 20160630 49429 20160101 20160630 49430 20160101 20160630 49431 20160101 49434 20160101 20160630 49435 20160101 20160630 49436 20160101 49446 20160101 49448 20160101 20160630 49449 20160101 49450 20160101 49452 20160101 49453 20160101 49454 20160101 49455 20160101 49456 20160101 20160630 49458 20160101 49459 20160101 49460 20160101 20160630 49464 20160101 20160630 49601 20160101 49610 20160101 49611 20160101 49612 20160101 49613 20160101 49614 20160101

Zip Code

Effective Date

Expiration Date

49615 20160101 49616 20160101 49617 20160101 49618 20160101 49619 20160101 49620 20160101 49621 20160101 49622 20160101 49623 20160101 49625 20160101 49626 20160101 49627 20160101 49628 20160101 49629 20160101 49630 20160101 49631 20160101 49632 20160101 49633 20160101 49634 20160101 49635 20160101 49636 20160101 49637 20160101 49638 20160101 49639 20160101 49640 20160101 49642 20160101 49643 20160101 49644 20160101 49645 20160101 49646 20160101 49648 20160101 49649 20160101 49650 20160101 49651 20160101 49653 20160101 49654 20160101 49655 20160101 49656 20160101 49657 20160101 49659 20160101 49660 20160101 49663 20160101 49664 20160101 49665 20160101

Zip Code

Effective Date

Expiration Date

49666 20160101 49667 20160101 49668 20160101 49670 20160101 49673 20160101 49674 20160101 49675 20160101 49676 20160101 49677 20160101 49679 20160101 49680 20160101 49682 20160101 49683 20160101 49684 20160101 49685 20160101 49686 20160101 49688 20160101 49689 20160101 49690 20160101 49696 20160101 49701 20160101 49705 20160101 49706 20160101 49707 20160101 49709 20160101 49710 20160101 49711 20160101 49712 20160101 49713 20160101 49715 20160101 49716 20160101 49717 20160101 49718 20160101 49719 20160101 49720 20160101 49721 20160101 49722 20160101 49723 20160101 49724 20160101 49725 20160101 49726 20160101 49727 20160101 49728 20160101 49729 20160101

Zip Code

Effective Date

Expiration Date

49730 20160101 49733 20160101 49734 20160101 49735 20160101 49736 20160101 49737 20160101 49738 20160101 49739 20160101 49740 20160101 49743 20160101 49744 20160101 49745 20160101 49746 20160101 49747 20160101 49748 20160101 49749 20160101 49751 20160101 49752 20160101 49753 20160101 49755 20160101 49756 20160101 49757 20160101 49759 20160101 49760 20160101 49761 20160101 49762 20160101 49764 20160101 49765 20160101 49766 20160101 49768 20160101 49769 20160101 49770 20160101 49774 20160101 49775 20160101 49776 20160101 49777 20160101 49779 20160101 49780 20160101 49781 20160101 49782 20160101 49783 20160101 49784 20160101 49785 20160101 49786 20160101

Zip Code

Effective Date

Expiration Date

49788 20160101 49791 20160101 49792 20160101 49793 20160101 49795 20160101 49796 20160101 49797 20160101 49799 20160101 49801 20160101 49802 20160101 49805 20160101 49806 20160101 49807 20160101 49808 20160101 49812 20160101 49814 20160101 49815 20160101 49816 20160101 49817 20160101 49818 20160101 49819 20160101 49820 20160101 49821 20160101 49822 20160101 49825 20160101 49826 20160101 49827 20160101 49829 20160101 49831 20160101 49833 20160101 49834 20160101 49835 20160101 49836 20160101 49837 20160101 49838 20160101 49839 20160101 49840 20160101 49841 20160101 49845 20160101 49847 20160101 49848 20160101 49849 20160101 49852 20160101 49853 20160101



Zip Code

Effective Date

Expiration Date

49854 20160101 49855 20160101 49858 20160101 49861 20160101 49862 20160101 49863 20160101 49864 20160101 49865 20160101 49866 20160101 49868 20160101 49870 20160101 49871 20160101 49872 20160101 49873 20160101 49874 20160101 49876 20160101 49877 20160101 49878 20160101 49879 20160101 49880 20160101 49881 20160101 49883 20160101 49884 20160101 49885 20160101 49886 20160101 49887 20160101 49891 20160101 49892 20160101 49893 20160101 49894 20160101 49895 20160101 49896 20160101 49901 20160101 49902 20160101 49903 20160101 49905 20160101 49908 20160101 49910 20160101 49911 20160101 49912 20160101 49913 20160101 49915 20160101 49916 20160101 49917 20160101

Zip Code

Effective Date

Expiration Date

49918 20160101 49919 20160101 49920 20160101 49921 20160101 49922 20160101 49925 20160101 49927 20160101 49929 20160101 49930 20160101 49931 20160101 49934 20160101 49935 20160101 49938 20160101 49942 20160101 49945 20160101 49946 20160101 49947 20160101 49948 20160101 49950 20160101 49952 20160101 49953 20160101 49955 20160101 49958 20160101 49959 20160101 49960 20160101 49961 20160101 49962 20160101 49963 20160101 49964 20160101 49965 20160101 49967 20160101 49968 20160101 49969 20160101 49970 20160101 49971 20160101

Minnesota – 4th Quarter 2016 Rural Zip Codes


Zip Code

Effective Date

Expiration Date

55007 20160101 55009 20160101 55018 20160101 55019 20160101 55021 20160101 55026 20160101 55027 20160101 55030 20160101 55036 20160101 55037 20160101 55046 20160101 55049 20160101 55051 20160101 55052 20160101 55053 20160101 55057 20160101 55060 20160101 55063 20160101 55066 20160101 55067 20160101 55072 20160101 55087 20160101 55088 20160101 55089 20160101 55307 20160101 55310 20160101 55312 20160101 55314 20160101 55324 20160101 55325 20160101 55329 20160101 55332 20160101 55333 20160101 55334 20160101 55335 20160101 55336 20160101 55338 20160101 55342 20160101 55350 20160101 55354 20160101 55355 20160101 55366 20160101 55370 20160101 55371 20160101

Zip Code

Effective Date

Expiration Date

55381 20160101 55385 20160101 55389 20160101 55395 20160101 55396 20160101 55601 20160101 55603 20160101 55604 20160101 55605 20160101 55606 20160101 55607 20160101 55609 20160101 55612 20160101 55613 20160101 55614 20160101 55615 20160101 55616 20160101 55704 20160101 55709 20160101 55712 20160101 55716 20160101 55721 20160101 55722 20160101 55730 20160101 55735 20160101 55742 20160101 55744 20160101 55745 20160101 55748 20160101 55752 20160101 55753 20160101 55756 20160101 55760 20160101 55764 20160101 55769 20160101 55772 20160101 55775 20160101 55783 20160101 55784 20160101 55785 20160101 55786 20160101 55787 20160101 55793 20160101 55795 20160101

Zip Code

Effective Date

Expiration Date

55909 20160101 55910 20160101 55912 20160101 55917 20160101 55918 20160101 55922 20160101 20160331 55925 20160101 55926 20160101 55933 20160101 55936 20160101 55942 20160101 55946 20160101 55950 20160101 55951 20160101 55952 20160101 55953 20160101 55959 20160101 55963 20160101 55967 20160101 55969 20160101 55970 20160101 55972 20160101 55973 20160101 55977 20160101 55979 20160101 55982 20160101 55983 20160101 55987 20160101 55988 20160101 55992 20160101 56007 20160101 56009 20160101 56013 20160101 56014 20160101 56016 20160101 56017 20160101 56019 20160101 56020 20160101 56022 20160101 56023 20160101 56025 20160101 56026 20160101 56027 20160101 56028 20160101

Zip Code

Effective Date

Expiration Date

56029 20160101 56030 20160101 56031 20160101 56032 20160101 56033 20160101 56035 20160101 56036 20160101 56039 20160101 56041 20160101 56042 20160101 56043 20160101 56044 20160101 56045 20160101 56046 20160101 56047 20160101 56048 20160101 56050 20160101 56051 20160101 56052 20160101 56056 20160101 56057 20160101 56058 20160101 56060 20160101 56062 20160101 56068 20160101 56069 20160101 56072 20160101 56073 20160101 56075 20160101 56078 20160101 56081 20160101 56083 20160101 56084 20160101 56085 20160101 56087 20160101 56088 20160101 56089 20160101 56091 20160101 56093 20160101 56096 20160101 56097 20160101 56098 20160101 56101 20160101 56110 20160101

Zip Code

Effective Date

Expiration Date

56111 20160101 56113 20160101 56114 20160101 56115 20160101 56116 20160101 56117 20160101 56118 20160101 56119 20160101 56120 20160101 56121 20160101 56122 20160101 56123 20160101 56125 20160101 56127 20160101 56128 20160101 56129 20160101 56131 20160101 56132 20160101 56134 20160101 56136 20160101 56137 20160101 56138 20160101 56139 20160101 56140 20160101 56141 20160101 56142 20160101 56143 20160101 56144 20160101 56145 20160101 56146 20160101 56147 20160101 56149 20160101 56150 20160101 56151 20160101 56152 20160101 56153 20160101 56155 20160101 56156 20160101 56157 20160101 56158 20160101 56159 20160101 56160 20160101 56161 20160101 56162 20160101



Zip Code

Effective Date

Expiration Date

56164 20160101 56165 20160101 56166 20160101 56167 20160101 56168 20160101 56169 20160101 56170 20160101 56171 20160101 56172 20160101 56173 20160101 56174 20160101 56175 20160101 56176 20160101 56177 20160101 20160331 56178 20160101 56180 20160101 56181 20160101 56183 20160101 56185 20160101 56186 20160101 56187 20160101 56201 20160101 56207 20160101 56208 20160101 56209 20160101 56210 20160101 56211 20160101 56212 20160101 56214 20160101 56215 20160101 56216 20160101 56218 20160101 56219 20160101 56220 20160101 56221 20160101 56222 20160101 56223 20160101 56224 20160101 56225 20160101 56226 20160101 56227 20160101 56228 20160101 56229 20160101 56230 20160101

Zip Code

Effective Date

Expiration Date

56231 20160101 56232 20160101 56235 20160101 56236 20160101 56237 20160101 56239 20160101 56240 20160101 56241 20160101 56243 20160101 56244 20160101 56245 20160101 56248 20160101 56249 20160101 56251 20160101 56252 20160101 56253 20160101 56255 20160101 56256 20160101 56257 20160101 56258 20160101 56260 20160101 56262 20160101 56263 20160101 56264 20160101 56265 20160101 56266 20160101 56267 20160101 56270 20160101 56271 20160101 56273 20160101 56274 20160101 56276 20160101 56277 20160101 56278 20160101 56279 20160101 56280 20160101 56281 20160101 56282 20160101 56283 20160101 56284 20160101 56285 20160101 56287 20160101 56288 20160101 56289 20160101

Zip Code

Effective Date

Expiration Date

56291 20160101 56292 20160101 56293 20160101 56294 20160101 56295 20160101 56296 20160101 56297 20160101 56308 20160101 56309 20160101 56311 20160101 56313 20160101 56314 20160101 56315 20160101 56317 20160101 56318 20160101 56319 20160101 56323 20160101 56324 20160101 56326 20160101 56327 20160101 56328 20160101 56330 20160101 56332 20160101 56334 20160101 56336 20160101 56338 20160101 56339 20160101 56341 20160101 56342 20160101 56343 20160101 56344 20160101 56345 20160101 56347 20160101 56349 20160101 56350 20160101 56353 20160101 56354 20160101 56355 20160101 56358 20160101 56359 20160101 56360 20160101 56361 20160101 56363 20160101 56364 20160101

Zip Code

Effective Date

Expiration Date

56373 20160101 56381 20160101 56382 20160101 56384 20160101 56385 20160101 56386 20160101 56389 20160101 56401 20160101 56425 20160101 56430 20160101 56431 20160101 56433 20160101 56434 20160101 56435 20160101 56436 20160101 56437 20160101 56438 20160101 56440 20160101 56441 20160101 56442 20160101 56443 20160101 56444 20160101 56446 20160101 56447 20160101 56448 20160101 56449 20160101 56450 20160101 56452 20160101 56453 20160101 56455 20160101 56456 20160101 56458 20160101 56459 20160101 56461 20160101 56464 20160101 56465 20160101 56466 20160101 56467 20160101 56468 20160101 56469 20160101 56470 20160101 56472 20160101 56473 20160101 56474 20160101

Zip Code

Effective Date

Expiration Date

56475 20160101 56477 20160101 56478 20160101 20160331 56479 20160101 56481 20160101 56482 20160101 56484 20160101 56501 20160101 56502 20160101 56510 20160101 56511 20160101 56515 20160101 56516 20160101 56518 20160101 56519 20160101 56520 20160101 56521 20160101 56522 20160101 56524 20160101 56527 20160101 56528 20160101 56531 20160101 56533 20160101 56534 20160101 56537 20160101 56538 20160101 56541 20160101 56543 20160101 56544 20160101 56545 20160101 56548 20160101 56550 20160101 56551 20160101 56553 20160101 56554 20160101 56557 20160101 56565 20160101 56566 20160101 56567 20160101 56569 20160101 56570 20160101 56571 20160101 56572 20160101 56573 20160101



Zip Code

Effective Date

Expiration Date

56574 20160101 56575 20160101 56576 20160101 56577 20160101 56578 20160101 56579 20160101 56581 20160101 56583 20160101 56584 20160101 56586 20160101 56587 20160101 56588 20160101 56589 20160101 56590 20160101 56591 20160101 56593 20160101 56594 20160101 56601 20160101 56619 20160101 56621 20160101 56623 20160101 56626 20160101 56627 20160101 56628 20160101 56629 20160101 56630 20160101 56631 20160101 56633 20160101 56634 20160101 56636 20160101 56637 20160101 56639 20160101 56641 20160101 56644 20160101 56647 20160101 56649 20160101 56650 20160101 56651 20160101 56652 20160101 56653 20160101 56654 20160101 56655 20160101 56657 20160101 56658 20160101

Zip Code

Effective Date

Expiration Date

56659 20160101 56660 20160101 56661 20160101 56662 20160101 56663 20160101 56666 20160101 56667 20160101 56668 20160101 56669 20160101 56670 20160101 56671 20160101 56672 20160101 56673 20160101 56676 20160101 56678 20160101 56679 20160101 56680 20160101 56681 20160101 56682 20160101 56683 20160101 56684 20160101 56685 20160101 56686 20160101 56687 20160101 56688 20160101 56701 20160101 56710 20160101 56711 20160101 56713 20160101 56714 20160101 56715 20160101 56720 20160101 56724 20160101 56725 20160101 56726 20160101 56727 20160101 56728 20160101 56729 20160101 56731 20160101 56732 20160101 56733 20160101 56734 20160101 56735 20160101 56737 20160101

Zip Code

Effective Date

Expiration Date

56738 20160101 56740 20160101 56741 20160101 56742 20160101 56744 20160101 56748 20160101 56750 20160101 56751 20160101 56754 20160101 56755 20160101 56756 20160101 56757 20160101 56758 20160101 56759 20160101 56760 20160101 56761 20160101 56762 20160101 56763 20160101

Ohio – 4th Quarter 2016 Rural Zip Codes


Zip Code

Effective Date

Expiration Date

43005 20160101 43006 20160101 43009 20160101 43011 20160101 43014 20160101 43019 20160101 43022 20160101 43028 20160101 43037 20160101 43044 20160101 43047 20160101 43048 20160101 43050 20160101 43060 20160101 20160630 43070 20160101 43072 20160101 43076 20160101 20160630 43078 20160101 43083 20160101 43084 20160101 43101 20160101 43106 20160101 43111 20160101 20160630 43115 20160101 43127 20160101 20160630 43128 20160101 43135 20160101 20160630 43138 20160101 20160630 43142 20160101 43144 20160101 20160630 43145 20160101 20160630 43149 20160101 20160630 43152 20160101 20160630 43158 20160101 20160630 43160 20160101 43301 20160101 43302 20160101 43310 20160101 43311 20160101 43314 20160101 43316 20160101 43318 20160101 43319 20160101 43322 20160101

Zip Code

Effective Date

Expiration Date

43323 20160101 43324 20160101 43326 20160101 43330 20160101 43331 20160101 43332 20160101 43333 20160101 43335 20160101 43336 20160101 43337 20160101 43340 20160101 43341 20160101 43342 20160101 43343 20160101 43345 20160101 43346 20160101 43347 20160101 43348 20160101 43351 20160101 43356 20160101 43357 20160101 43358 20160101 43359 20160101 43360 20160101 43407 20160101 43410 20160101 43420 20160101 43431 20160101 43435 20160101 43438 20160101 43442 20160101 43464 20160101 43469 20160101 43501 20160101 43505 20160101 43506 20160101 43510 20160101 43512 20160101 43516 20160101 43517 20160101 43518 20160101 43519 20160101 43520 20160101 43523 20160101

Zip Code

Effective Date

Expiration Date

43524 20160101 43526 20160101 43527 20160101 43530 20160101 43531 20160101 43532 20160101 43534 20160101 43535 20160101 43536 20160101 43543 20160101 43545 20160101 43548 20160101 43549 20160101 43550 20160101 43554 20160101 43555 20160101 43556 20160101 43557 20160101 43570 20160101 43701 20160101 43702 20160101 43711 20160101 43716 20160101 43717 20160101 43720 20160101 43722 20160101 43723 20160101 43724 20160101 43725 20160101 43727 20160101 43728 20160101 43730 20160101 20160630 43731 20160101 20160630 43732 20160101 43733 20160101 43734 20160101 43735 20160101 43736 20160101 43738 20160101 43739 20160101 20160630 43746 20160101 43747 20160101 43748 20160101 20160630 43749 20160101

Zip Code

Effective Date

Expiration Date

43750 20160101 43752 20160101 43754 20160101 43755 20160101 43756 20160101 43757 20160101 43758 20160101 43760 20160101 20160630 43761 20160101 20160630 43762 20160101 43764 20160101 20160630 43766 20160101 20160630 43767 20160101 43768 20160101 43771 20160101 43772 20160101 43773 20160101 43777 20160101 43778 20160101 43779 20160101 43780 20160101 43782 20160101 20160630 43783 20160101 20160630 43786 20160101 43787 20160101 43788 20160101 43791 20160101 43793 20160101 43802 20160101 43803 20160101 43804 20160101 43805 20160101 43811 20160101 43812 20160101 43821 20160101 43822 20160101 43824 20160101 43828 20160101 43830 20160101 43832 20160101 43836 20160101 43837 20160101 43840 20160101 43842 20160101

Zip Code

Effective Date

Expiration Date

43843 20160101 43844 20160101 43845 20160101 43907 20160101 43914 20160101 43915 20160101 43920 20160101 43931 20160101 43945 20160101 43946 20160101 43962 20160101 43968 20160101 43973 20160101 43974 20160101 43976 20160101 43981 20160101 43984 20160101 43986 20160101 43988 20160101 44003 20160101 44004 20160101 44005 20160101 44010 20160101 44030 20160101 44032 20160101 44041 20160101 44047 20160101 44048 20160101 44068 20160101 44076 20160101 44082 20160101 44084 20160101 44085 20160101 44088 20160101 44089 20160101 44093 20160101 44099 20160101 44214 20160101 44217 20160101 44230 20160101 44270 20160101 44276 20160101 44287 20160101 44408 20160101



Zip Code

Effective Date

Expiration Date

44413 20160101 44415 20160101 44423 20160101 44427 20160101 44431 20160101 44432 20160101 44441 20160101 44445 20160101 44455 20160101 44460 20160101 44490 20160101 44492 20160101 44493 20160101 44606 20160101 44610 20160101 44611 20160101 44612 20160101 44617 20160101 44618 20160101 44621 20160101 44622 20160101 44624 20160101 44625 20160101 44627 20160101 44628 20160101 44629 20160101 44633 20160101 44634 20160101 44636 20160101 44637 20160101 44638 20160101 44645 20160101 44653 20160101 44654 20160101 44656 20160101 44659 20160101 44660 20160101 44661 20160101 44663 20160101 44665 20160101 44667 20160101 44671 20160101 44676 20160101 44677 20160101

Zip Code

Effective Date

Expiration Date

44678 20160101 44679 20160101 44680 20160101 44681 20160101 44682 20160101 44683 20160101 44687 20160101 44689 20160101 44690 20160101 44691 20160101 44693 20160101 44695 20160101 44697 20160101 44699 20160101 44802 20160101 44804 20160101 44805 20160101 44807 20160101 44809 20160101 44811 20160101 44814 20160101 44815 20160101 44816 20160101 44818 20160101 44820 20160101 44824 20160101 44825 20160101 44826 20160101 44827 20160101 44828 20160101 44830 20160101 44833 20160101 44836 20160101 44837 20160101 44838 20160101 44839 20160101 44840 20160101 44841 20160101 44842 20160101 44844 20160101 44845 20160101 44846 20160101 44847 20160101 44848 20160101

Zip Code

Effective Date

Expiration Date

44849 20160101 44850 20160101 44851 20160101 44853 20160101 44854 20160101 44855 20160101 44856 20160101 44857 20160101 44859 20160101 44860 20160101 44861 20160101 44864 20160101 44865 20161001 44866 20160101 44867 20160101 44870 20160101 44871 20160101 44874 20160101 44880 20160101 44881 20160101 44882 20160101 44883 20160101 44887 20160101 44888 20160101 44889 20160101 44890 20160101 45105 20160101 45107 20160101 45113 20160101 45114 20160101 45123 20160101 45132 20160101 45133 20160101 45135 20160101 45142 20160101 45144 20160101 45146 20160101 45148 20160101 45155 20160101 45159 20160101 45164 20160101 45166 20160101 45169 20160101 45172 20160101

Zip Code

Effective Date

Expiration Date

45177 20160101 45302 20160101 45303 20160101 45304 20160101 45306 20160101 45308 20160101 45310 20160101 45317 20160101 45328 20160101 45331 20160101 45332 20160101 45333 20160101 45334 20160101 45336 20160101 45340 20160101 45346 20160101 45348 20160101 45350 20160101 45351 20160101 45352 20160101 45353 20160101 45358 20160101 45360 20160101 45362 20160101 45363 20160101 45365 20160101 45367 20160101 45380 20160101 45388 20160101 45389 20160101 45390 20160101 45601 20160101 45612 20160101 45613 20160101 45614 20160101 45616 20160101 45617 20160101 45618 20160101 45619 20160701 45620 20160101 45621 20160101 45622 20160101 45623 20160101 45624 20160101

Zip Code

Effective Date

Expiration Date

45628 20160101 45629 20160101 45630 20160101 45631 20160101 45633 20160101 45634 20160101 45636 20160101 45638 20160701 45640 20160101 45642 20160101 45643 20160101 45644 20160101 45645 20160701 45646 20160101 45647 20160101 45648 20160101 45650 20160101 45651 20160101 45652 20160101 45653 20160101 45654 20160101 45656 20160101 45657 20160101 45658 20160101 45659 20160701 45660 20160101 45661 20160101 45662 20160101 45663 20160101 45669 20160701 45671 20160101 45672 20160101 45673 20160101 45674 20160101 45675 20160701 45677 20160101 45678 20160701 45679 20160101 45680 20160701 45681 20160101 45682 20160101 45683 20160101 45684 20160101 45685 20160101



Zip Code

Effective Date

Expiration Date

45686 20160101 45687 20160101 45688 20160701 45690 20160101 45692 20160101 45693 20160101 45694 20160101 45695 20160101 45696 20160701 45697 20160101 45698 20160101 45699 20160101 45701 20160101 45710 20160101 45711 20160101 45712 20160101 45713 20160101 45714 20160101 45715 20160101 45716 20160101 45717 20160101 45719 20160101 45720 20160101 45721 20160101 45723 20160101 45724 20160101 45727 20160101 45729 20160101 45732 20160101 45734 20160101 45735 20160101 45739 20160101 45740 20160101 45741 20160101 45742 20160101 45743 20160101 45744 20160101 45745 20160101 45746 20160101 45750 20160101 45760 20160101 45761 20160101 45764 20160101 45766 20160101

Zip Code

Effective Date

Expiration Date

45767 20160101 45768 20160101 45769 20160101 45770 20160101 45771 20160101 45772 20160101 45773 20160101 45775 20160101 45776 20160101 45777 20160101 45778 20160101 45779 20160101 45780 20160101 45782 20160101 45783 20160101 45784 20160101 45786 20160101 45787 20160101 45788 20160101 45789 20160101 45810 20160101 45812 20160101 45813 20160101 45814 20160101 45815 20160101 45816 20160101 45819 20160101 45821 20160101 45822 20160101 45826 20160101 45827 20160101 45828 20160101 45830 20160101 45831 20160101 45832 20160101 45835 20160101 45836 20160101 45837 20160101 45838 20160101 45839 20160101 45840 20160101 45841 20160101 45843 20160101 45844 20160101

Zip Code

Effective Date

Expiration Date

45845 20160101 45846 20160101 45848 20160101 45849 20160101 45851 20160101 45853 20160101 45855 20160101 45856 20160101 45858 20160101 45859 20160101 45860 20160101 45861 20160101 45862 20160101 45863 20160101 45864 20160101 45865 20160101 45866 20160101 45867 20160101 45868 20160101 45869 20160101 45870 20160101 45871 20160101 45873 20160101 45874 20160101 45875 20160101 45876 20160101 45877 20160101 45879 20160101 45880 20160101 45881 20160101 45882 20160101 45883 20160101 45884 20160101 45885 20160101 45886 20160101 45888 20160101 45889 20160101 45890 20160101 45891 20160101 45893 20160101 45894 20160101 45895 20160101 45896 20160101 45897 20160101

Zip Code

Effective Date

Expiration Date

45898 20160101 45899 20160101

Wisconsin – 4th Quarter 2016 Rural Zip Codes


Zip Code

Effective Date

Expiration Date

53003 20160101 53006 20160101 53015 20160101 53016 20160101 53032 20160101 53034 20160101 53035 20160101 53036 20160101 53038 20160101 53039 20160101 53042 20160101 53047 20160101 53048 20160101 53050 20160101 53059 20160101 53063 20160101 53078 20160101 53091 20160101 53094 20160101 53098 20160101 53099 20160101 53114 20160101 53115 20160101 53120 20160101 53121 20160101 53125 20160101 53128 20160101 53137 20160101 53138 20160101 53147 20160101 53148 20160101 53156 20160101 53157 20160101 53176 20160101 53178 20160101 53184 20160101 53190 20160101 53191 20160101 53195 20160101 53504 20160101 53510 20160101 53516 20160101 53518 20160101 53530 20160101

Zip Code

Effective Date

Expiration Date

53538 20160101 53540 20160101 53541 20160101 53549 20160101 53551 20160101 53554 20160101 53556 20160101 53557 20160101 53561 20160101 53569 20160101 53573 20160101 53577 20160101 53578 20160101 53579 20160101 53581 20160101 53583 20160101 53584 20160101 53585 20160101 53586 20160101 53587 20160101 53588 20160101 53594 20160101 53599 20160101 53801 20160101 53802 20160101 53803 20160101 53804 20160101 53805 20160101 53806 20160101 53807 20160101 53808 20160101 53809 20160101 53810 20160101 53811 20160101 53812 20160101 53813 20160101 53816 20160101 53817 20160101 53818 20160101 53820 20160101 53821 20160101 53824 20160101 53825 20160101 53826 20160101

Zip Code

Effective Date

Expiration Date

53827 20160101 53910 20160101 53913 20160101 53916 20160101 53920 20160101 53922 20160101 53924 20160101 53926 20160101 53927 20160101 53929 20160101 53930 20160101 53933 20160101 53934 20160101 53936 20160101 53937 20160101 53939 20160101 53940 20160101 53941 20160101 53942 20160101 53943 20160101 53944 20160101 53946 20160101 53947 20160101 53948 20160101 53949 20160101 53950 20160101 53951 20160101 53952 20160101 53953 20160101 53956 20160101 53958 20160101 53959 20160101 53961 20160101 53962 20160101 53963 20160401 53964 20160101 53965 20160101 53968 20160101 54001 20160101 54004 20160101 54005 20160101 54006 20160101 54009 20160101 54020 20160101

Zip Code

Effective Date

Expiration Date

54024 20160101 54026 20160101 54102 20160101 54103 20160101 54104 20160101 54107 20160101 54111 20160101 54112 20160101 54114 20160101 54119 20160101 54120 20160101 54121 20160101 54125 20160101 54127 20160101 54128 20160101 54135 20160101 54137 20160101 54143 20160101 54150 20160101 54151 20160101 54156 20160101 54157 20160101 54159 20160101 54161 20160101 54166 20160101 54177 20160101 54182 20160101 54202 20160101 54204 20160101 54207 20160101 54209 20160101 54210 20160101 54211 20160101 54212 20160101 54213 20160101 54214 20160101 54215 20160101 54220 20160101 54221 20160101 54226 20160101 54227 20160101 54228 20160101 54230 20160101 54232 20160101

Zip Code

Effective Date

Expiration Date

54234 20160101 54235 20160101 54240 20160101 54241 20160101 54245 20160101 54246 20160101 54247 20160101 54404 20160101 54405 20160101 54406 20160101 54407 20160101 54409 20160101 54410 20160101 54412 20160101 54413 20160101 54414 20160101 54415 20160101 54416 20160101 54418 20160101 54420 20160101 54421 20160101 54422 20160101 54423 20160101 54424 20160101 54425 20160101 54428 20160101 54430 20160101 54433 20160101 54434 20160101 54435 20160101 54436 20160101 54437 20160101 54439 20160101 54441 20160101 54442 20160101 54443 20160101 54446 20160101 54447 20160101 54449 20160101 54450 20160101 54451 20160101 54452 20160101 54454 20160101 54456 20160101



Zip Code

Effective Date

Expiration Date

54457 20160101 54458 20160101 54459 20160101 54460 20160101 54462 20160101 54463 20160101 54464 20160101 54465 20160101 54466 20160101 54467 20160101 54469 20160101 54470 20160101 54472 20160101 54473 20160101 54475 20160101 54480 20160101 54481 20160101 54482 20160101 54485 20160101 54486 20160101 54487 20160101 54488 20160101 54489 20160101 54490 20160101 54491 20160101 54492 20160101 54493 20160101 54494 20160101 54495 20160101 54498 20160101 54499 20160101 54501 20160101 54511 20160101 54512 20160101 54513 20160101 54514 20160101 54515 20160101 54517 20160101 54519 20160101 54520 20160101 54521 20160101 54524 20160101 54525 20160101 54526 20160101

Zip Code

Effective Date

Expiration Date

54527 20160101 54529 20160101 54530 20160101 54531 20160101 54532 20160101 54534 20160101 54536 20160101 54537 20160101 54538 20160101 54539 20160101 54540 20160101 54541 20160101 54542 20160101 54543 20160101 54545 20160101 54546 20160101 54547 20160101 54548 20160101 54550 20160101 54552 20160101 54554 20160101 54555 20160101 54556 20160101 54557 20160101 54558 20160101 54559 20160101 54560 20160101 54561 20160101 54562 20160101 54563 20160101 54564 20160101 54565 20160101 54566 20160101 54568 20160101 54610 20160101 54611 20160101 54612 20160101 54613 20160101 54615 20160101 54616 20160101 54618 20160101 54619 20160101 54620 20160101 54621 20160101

Zip Code

Effective Date

Expiration Date

54622 20160101 54623 20160101 54624 20160101 54625 20160101 54626 20160101 54627 20160101 54628 20160101 54629 20160101 54630 20160101 54631 20160101 54632 20160101 54634 20160101 54635 20160101 54637 20160101 54638 20160101 54639 20160101 54640 20160101 54641 20160101 54642 20160101 54643 20160101 54645 20160101 54646 20160101 54648 20160101 54649 20160101 54651 20160101 54652 20160101 54654 20160101 54655 20160101 54656 20160101 54657 20160101 54658 20160101 54659 20160101 54660 20160101 54661 20160101 54662 20160101 54664 20160101 54665 20160101 54666 20160101 54667 20160101 54670 20160101 54721 20160101 54725 20160101 54728 20160101 54730 20160101

Zip Code

Effective Date

Expiration Date

54731 20160101 54733 20160101 54734 20160101 54735 20160101 54736 20160101 54737 20160101 54739 20160101 54743 20160101 54746 20160101 54747 20160101 54749 20160101 54751 20160101 54754 20160101 54755 20160101 54756 20160101 54758 20160101 54759 20160101 54760 20160101 54762 20160101 54763 20160101 54764 20160101 54765 20160101 54766 20160101 54769 20160101 54770 20160101 54771 20160101 54772 20160101 54773 20160101 54801 20160101 54805 20160101 54806 20160101 54810 20160101 54812 20160101 54813 20160101 54814 20160101 54816 20160101 54817 20160101 54818 20160101 54819 20160101 54821 20160101 54822 20160101 54824 20160101 54826 20160101 54827 20160101

Zip Code

Effective Date

Expiration Date

54828 20160101 54829 20160101 54830 20160101 54832 20160101 54834 20160101 54835 20160101 54837 20160101 54839 20160101 54840 20160101 54841 20160101 54843 20160101 54844 20160101 54845 20160101 54846 20160101 54847 20160101 54848 20160101 54850 20160101 54853 20160101 54855 20160101 54856 20160101 54857 20160101 54858 20160101 54859 20160101 54861 20160101 54862 20160101 54865 20160101 54867 20160101 54868 20160101 54870 20160101 54871 20160101 54872 20160101 54875 20160101 54876 20160101 54888 20160101 54889 20160101 54891 20160101 54893 20160101 54895 20160101 54896 20160101 54909 20160101 54921 20160101 54923 20160101 54926 20160101 54928 20160101



Zip Code

Effective Date

Expiration Date

54929 20160101 54930 20160101 54933 20160101 54940 20160101 54941 20160101 54943 20160101 54945 20160101 54946 20160101 54948 20160101 54949 20160101 54950 20160101 54960 20160101 54961 20160101 54962 20160101 54965 20160101 54966 20160101 54967 20160101 54968 20160101 54969 20160101 54970 20160101 54976 20160101 54977 20160101 54978 20160101 54981 20160101 54982 20160101 54983 20160101 54984 20160101 54990 20160101

fourth quarter 2016 dmepos/pen fee schedule revised ... · fourth quarter 2016 dmepos/pen fee...

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