wv medicaid clinical lab fee schedule effective january 1 ... fee...wv medicaid clinical lab fee...
TRANSCRIPT
WV Medicaid Clinical Lab Fee Schedule
Effective January 1, 2011
Code Mod Fee Effdate Termdate
36415 $3.00 2011-01-01 00:00:00 2078-12-31 00:00:00
36416 $3.00 2010-01-01 00:00:00 2078-12-31 00:00:00
80047 $10.72 2011-01-01 00:00:00 2078-12-31 00:00:00
80048 $10.72 2011-01-01 00:00:00 2078-12-31 00:00:00
80050 $45.12 1997-11-01 00:00:00 2078-12-31 00:00:00
80051 $7.47 2011-01-01 00:00:00 2078-12-31 00:00:00
80053 $13.38 2011-01-01 00:00:00 2078-12-31 00:00:00
80055 $55.35 1997-04-01 00:00:00 2078-12-31 00:00:00
80061 $16.97 2011-01-01 00:00:00 2078-12-31 00:00:00
80069 $11.00 2011-01-01 00:00:00 2078-12-31 00:00:00
80074 $57.64 2011-01-01 00:00:00 2078-12-31 00:00:00
80076 $10.34 2011-01-01 00:00:00 2078-12-31 00:00:00
80100 $11.12 2011-01-01 00:00:00 2078-12-31 00:00:00
80101 $17.75 2010-01-01 00:00:00 2078-12-31 00:00:00
80102 $16.78 2011-01-01 00:00:00 2078-12-31 00:00:00
80104 $11.12 2011-01-01 00:00:00 2078-12-31 00:00:00
80150 $19.09 2011-01-01 00:00:00 2078-12-31 00:00:00
80152 $22.67 2011-01-01 00:00:00 2078-12-31 00:00:00
80154 $23.43 2011-01-01 00:00:00 2078-12-31 00:00:00
80156 $18.44 2011-01-01 00:00:00 2078-12-31 00:00:00
80157 $16.79 2011-01-01 00:00:00 2078-12-31 00:00:00
80158 $22.86 2011-01-01 00:00:00 2078-12-31 00:00:00
80160 $21.80 2011-01-01 00:00:00 2078-12-31 00:00:00
80162 $16.82 2011-01-01 00:00:00 2078-12-31 00:00:00
80164 $11.08 2011-01-01 00:00:00 2078-12-31 00:00:00
80166 $19.64 2011-01-01 00:00:00 2078-12-31 00:00:00
80168 $20.70 2011-01-01 00:00:00 2078-12-31 00:00:00
80170 $20.76 2011-01-01 00:00:00 2078-12-31 00:00:00
80172 $20.64 2011-01-01 00:00:00 2078-12-31 00:00:00
80173 $18.44 2011-01-01 00:00:00 2078-12-31 00:00:00
80174 $21.80 2011-01-01 00:00:00 2078-12-31 00:00:00
80176 $18.60 2011-01-01 00:00:00 2078-12-31 00:00:00
80178 $8.37 2011-01-01 00:00:00 2078-12-31 00:00:00
80182 $11.08 2011-01-01 00:00:00 2078-12-31 00:00:00
80184 $11.07 2011-01-01 00:00:00 2078-12-31 00:00:00
80185 $16.79 2011-01-01 00:00:00 2078-12-31 00:00:00
80186 $17.43 2011-01-01 00:00:00 2078-12-31 00:00:00
80188 $21.02 2011-01-01 00:00:00 2078-12-31 00:00:00
80190 $21.21 2011-01-01 00:00:00 2078-12-31 00:00:00
80192 $21.21 2011-01-01 00:00:00 2078-12-31 00:00:00
80194 $18.49 2011-01-01 00:00:00 2078-12-31 00:00:00
80195 $17.39 2011-01-01 00:00:00 2078-12-31 00:00:00
80196 $8.98 2011-01-01 00:00:00 2078-12-31 00:00:00
80197 $17.39 2011-01-01 00:00:00 2078-12-31 00:00:00
Code Mod Fee Effdate Termdate
80198 $17.92 2011-01-01 00:00:00 2078-12-31 00:00:00
80200 $20.41 2011-01-01 00:00:00 2078-12-31 00:00:00
80201 $15.10 2011-01-01 00:00:00 2078-12-31 00:00:00
80202 $11.08 2011-01-01 00:00:00 2078-12-31 00:00:00
80299 $12.47 2011-01-01 00:00:00 2078-12-31 00:00:00
80400 $41.31 2011-01-01 00:00:00 2078-12-31 00:00:00
80402 $110.12 2011-01-01 00:00:00 2078-12-31 00:00:00
80406 $99.13 2011-01-01 00:00:00 2078-12-31 00:00:00
80408 $152.24 2011-01-01 00:00:00 2078-12-31 00:00:00
80410 $101.76 2011-01-01 00:00:00 2078-12-31 00:00:00
80412 $417.42 2011-01-01 00:00:00 2078-12-31 00:00:00
80414 $51.59 2011-01-01 00:00:00 2078-12-31 00:00:00
80415 $70.78 2011-01-01 00:00:00 2078-12-31 00:00:00
80416 $147.04 2011-01-01 00:00:00 2078-12-31 00:00:00
80417 $49.01 2011-01-01 00:00:00 2078-12-31 00:00:00
80418 $734.00 2011-01-01 00:00:00 2078-12-31 00:00:00
80420 $91.24 2011-01-01 00:00:00 2078-12-31 00:00:00
80422 $58.35 2011-01-01 00:00:00 2078-12-31 00:00:00
80424 $63.95 2011-01-01 00:00:00 2078-12-31 00:00:00
80426 $187.96 2011-01-01 00:00:00 2078-12-31 00:00:00
80428 $84.49 2011-01-01 00:00:00 2078-12-31 00:00:00
80430 $99.40 2011-01-01 00:00:00 2078-12-31 00:00:00
80432 $171.08 2011-01-01 00:00:00 2078-12-31 00:00:00
80434 $128.12 2011-01-01 00:00:00 2078-12-31 00:00:00
80435 $130.46 2011-01-01 00:00:00 2078-12-31 00:00:00
80436 $115.47 2011-01-01 00:00:00 2078-12-31 00:00:00
80438 $63.83 2011-01-01 00:00:00 2078-12-31 00:00:00
80439 $85.10 2011-01-01 00:00:00 2078-12-31 00:00:00
80440 $73.63 2011-01-01 00:00:00 2078-12-31 00:00:00
81000 $4.01 2011-01-01 00:00:00 2078-12-31 00:00:00
81001 $4.01 2011-01-01 00:00:00 2078-12-31 00:00:00
81002 $2.98 2011-01-01 00:00:00 2078-12-31 00:00:00
81003 $2.84 2011-01-01 00:00:00 2078-12-31 00:00:00
81005 $2.75 2011-01-01 00:00:00 2078-12-31 00:00:00
81007 $3.25 2011-01-01 00:00:00 2078-12-31 00:00:00
81015 $3.85 2011-01-01 00:00:00 2078-12-31 00:00:00
81020 $4.67 2011-01-01 00:00:00 2078-12-31 00:00:00
81025 $8.01 2011-01-01 00:00:00 2078-12-31 00:00:00
81050 $3.80 2011-01-01 00:00:00 2078-12-31 00:00:00
82000 $15.69 2011-01-01 00:00:00 2078-12-31 00:00:00
82003 $25.63 2011-01-01 00:00:00 2078-12-31 00:00:00
82009 $4.42 2011-01-01 00:00:00 2078-12-31 00:00:00
82010 $10.35 2011-01-01 00:00:00 2078-12-31 00:00:00
82013 $14.15 2011-01-01 00:00:00 2078-12-31 00:00:00
82016 $17.56 2011-01-01 00:00:00 2078-12-31 00:00:00
82017 $21.37 2011-01-01 00:00:00 2078-12-31 00:00:00
82024 $48.92 2011-01-01 00:00:00 2078-12-31 00:00:00
Code Mod Fee Effdate Termdate
82030 $32.67 2011-01-01 00:00:00 2078-12-31 00:00:00
82040 $6.26 2011-01-01 00:00:00 2078-12-31 00:00:00
82042 $6.55 2011-01-01 00:00:00 2078-12-31 00:00:00
82043 $7.33 2011-01-01 00:00:00 2078-12-31 00:00:00
82044 $5.80 2011-01-01 00:00:00 2078-12-31 00:00:00
82045 $42.99 2011-01-01 00:00:00 2078-12-31 00:00:00
82055 $12.53 2011-01-01 00:00:00 2078-12-31 00:00:00
82075 $15.26 2011-01-01 00:00:00 2078-12-31 00:00:00
82085 $12.29 2011-01-01 00:00:00 2078-12-31 00:00:00
82088 $51.62 2011-01-01 00:00:00 2078-12-31 00:00:00
82101 $10.26 2011-01-01 00:00:00 2078-12-31 00:00:00
82103 $17.02 2011-01-01 00:00:00 2078-12-31 00:00:00
82104 $18.32 2011-01-01 00:00:00 2078-12-31 00:00:00
82105 $21.25 2011-01-01 00:00:00 2078-12-31 00:00:00
82106 $21.25 2011-01-01 00:00:00 2078-12-31 00:00:00
82107 $81.58 2011-01-01 00:00:00 2078-12-31 00:00:00
82108 $32.27 2011-01-01 00:00:00 2078-12-31 00:00:00
82120 $4.76 2011-01-01 00:00:00 2078-12-31 00:00:00
82127 $17.56 2011-01-01 00:00:00 2078-12-31 00:00:00
82128 $17.56 2011-01-01 00:00:00 2078-12-31 00:00:00
82131 $21.37 2011-01-01 00:00:00 2078-12-31 00:00:00
82135 $20.84 2011-01-01 00:00:00 2078-12-31 00:00:00
82136 $21.37 2011-01-01 00:00:00 2078-12-31 00:00:00
82139 $21.37 2011-01-01 00:00:00 2078-12-31 00:00:00
82140 $18.46 2011-01-01 00:00:00 2078-12-31 00:00:00
82143 $8.70 2011-01-01 00:00:00 2078-12-31 00:00:00
82145 $19.68 2011-01-01 00:00:00 2078-12-31 00:00:00
82150 $8.21 2011-01-01 00:00:00 2078-12-31 00:00:00
82154 $36.51 2011-01-01 00:00:00 2078-12-31 00:00:00
82157 $37.08 2011-01-01 00:00:00 2078-12-31 00:00:00
82160 $31.67 2011-01-01 00:00:00 2078-12-31 00:00:00
82163 $25.99 2011-01-01 00:00:00 2078-12-31 00:00:00
82164 $18.49 2011-01-01 00:00:00 2078-12-31 00:00:00
82172 $19.63 2011-01-01 00:00:00 2078-12-31 00:00:00
82175 $21.33 2011-01-01 00:00:00 2078-12-31 00:00:00
82180 $12.52 2011-01-01 00:00:00 2078-12-31 00:00:00
82190 $18.88 2011-01-01 00:00:00 2078-12-31 00:00:00
82205 $11.07 2011-01-01 00:00:00 2078-12-31 00:00:00
82232 $18.39 2011-01-01 00:00:00 2078-12-31 00:00:00
82239 $21.70 2011-01-01 00:00:00 2078-12-31 00:00:00
82240 $33.66 2011-01-01 00:00:00 2078-12-31 00:00:00
82247 $5.10 2011-01-01 00:00:00 2078-12-31 00:00:00
82248 $5.10 2011-01-01 00:00:00 2078-12-31 00:00:00
82252 $5.76 2011-01-01 00:00:00 2078-12-31 00:00:00
82261 $21.37 2011-01-01 00:00:00 2078-12-31 00:00:00
82270 $4.12 2011-01-01 00:00:00 2078-12-31 00:00:00
82271 $4.12 2011-01-01 00:00:00 2078-12-31 00:00:00
Code Mod Fee Effdate Termdate
82272 $4.12 2011-01-01 00:00:00 2078-12-31 00:00:00
82274 $20.14 2011-01-01 00:00:00 2078-12-31 00:00:00
82286 $8.72 2011-01-01 00:00:00 2078-12-31 00:00:00
82300 $29.31 2011-01-01 00:00:00 2078-12-31 00:00:00
82306 $37.49 2011-01-01 00:00:00 2078-12-31 00:00:00
82308 $33.92 2011-01-01 00:00:00 2078-12-31 00:00:00
82310 $6.53 2011-01-01 00:00:00 2078-12-31 00:00:00
82330 $17.31 2011-01-01 00:00:00 2078-12-31 00:00:00
82331 $6.55 2011-01-01 00:00:00 2078-12-31 00:00:00
82340 $7.64 2011-01-01 00:00:00 2078-12-31 00:00:00
82355 $11.08 2011-01-01 00:00:00 2078-12-31 00:00:00
82360 $14.74 2011-01-01 00:00:00 2078-12-31 00:00:00
82365 $16.33 2011-01-01 00:00:00 2078-12-31 00:00:00
82370 $14.74 2011-01-01 00:00:00 2078-12-31 00:00:00
82373 $22.87 2011-01-01 00:00:00 2078-12-31 00:00:00
82374 $6.19 2011-01-01 00:00:00 2078-12-31 00:00:00
82375 $10.73 2011-01-01 00:00:00 2078-12-31 00:00:00
82376 $7.60 2011-01-01 00:00:00 2078-12-31 00:00:00
82378 $24.03 2011-01-01 00:00:00 2078-12-31 00:00:00
82379 $21.37 2011-01-01 00:00:00 2078-12-31 00:00:00
82380 $11.68 2011-01-01 00:00:00 2078-12-31 00:00:00
82382 $21.78 2011-01-01 00:00:00 2078-12-31 00:00:00
82383 $31.73 2011-01-01 00:00:00 2078-12-31 00:00:00
82384 $31.98 2011-01-01 00:00:00 2078-12-31 00:00:00
82387 $26.35 2011-01-01 00:00:00 2078-12-31 00:00:00
82390 $13.61 2011-01-01 00:00:00 2078-12-31 00:00:00
82397 $17.89 2011-01-01 00:00:00 2078-12-31 00:00:00
82415 $16.05 2011-01-01 00:00:00 2078-12-31 00:00:00
82435 $5.82 2011-01-01 00:00:00 2078-12-31 00:00:00
82436 $6.36 2011-01-01 00:00:00 2078-12-31 00:00:00
82438 $6.19 2011-01-01 00:00:00 2078-12-31 00:00:00
82441 $7.61 2011-01-01 00:00:00 2078-12-31 00:00:00
82465 $5.52 2011-01-01 00:00:00 2078-12-31 00:00:00
82480 $9.98 2011-01-01 00:00:00 2078-12-31 00:00:00
82482 $9.73 2011-01-01 00:00:00 2078-12-31 00:00:00
82485 $26.15 2011-01-01 00:00:00 2078-12-31 00:00:00
82486 $22.87 2011-01-01 00:00:00 2078-12-31 00:00:00
82487 $20.22 2011-01-01 00:00:00 2078-12-31 00:00:00
82488 $27.06 2011-01-01 00:00:00 2078-12-31 00:00:00
82489 $23.43 2011-01-01 00:00:00 2078-12-31 00:00:00
82491 $22.87 2011-01-01 00:00:00 2078-12-31 00:00:00
82492 $22.87 2011-01-01 00:00:00 2078-12-31 00:00:00
82495 $25.69 2011-01-01 00:00:00 2078-12-31 00:00:00
82507 $35.22 2011-01-01 00:00:00 2078-12-31 00:00:00
82520 $19.20 2011-01-01 00:00:00 2078-12-31 00:00:00
82523 $23.68 2011-01-01 00:00:00 2078-12-31 00:00:00
82525 $15.71 2011-01-01 00:00:00 2078-12-31 00:00:00
Code Mod Fee Effdate Termdate
82528 $28.51 2011-01-01 00:00:00 2078-12-31 00:00:00
82530 $21.17 2011-01-01 00:00:00 2078-12-31 00:00:00
82533 $20.66 2011-01-01 00:00:00 2078-12-31 00:00:00
82540 $5.87 2011-01-01 00:00:00 2078-12-31 00:00:00
82541 $22.87 2011-01-01 00:00:00 2078-12-31 00:00:00
82542 $22.87 2011-01-01 00:00:00 2078-12-31 00:00:00
82543 $22.87 2011-01-01 00:00:00 2078-12-31 00:00:00
82544 $22.87 2011-01-01 00:00:00 2078-12-31 00:00:00
82550 $8.25 2011-01-01 00:00:00 2078-12-31 00:00:00
82552 $16.97 2011-01-01 00:00:00 2078-12-31 00:00:00
82553 $11.52 2011-01-01 00:00:00 2078-12-31 00:00:00
82554 $15.03 2011-01-01 00:00:00 2078-12-31 00:00:00
82565 $6.50 2011-01-01 00:00:00 2078-12-31 00:00:00
82570 $6.55 2011-01-01 00:00:00 2078-12-31 00:00:00
82575 $11.97 2011-01-01 00:00:00 2078-12-31 00:00:00
82585 $5.07 2011-01-01 00:00:00 2078-12-31 00:00:00
82595 $5.44 2011-01-01 00:00:00 2078-12-31 00:00:00
82600 $24.57 2011-01-01 00:00:00 2078-12-31 00:00:00
82607 $19.09 2011-01-01 00:00:00 2078-12-31 00:00:00
82608 $18.14 2011-01-01 00:00:00 2078-12-31 00:00:00
82610 $17.22 2011-01-01 00:00:00 2078-12-31 00:00:00
82615 $9.41 2011-01-01 00:00:00 2078-12-31 00:00:00
82626 $32.00 2011-01-01 00:00:00 2078-12-31 00:00:00
82627 $28.16 2011-01-01 00:00:00 2078-12-31 00:00:00
82633 $39.23 2011-01-01 00:00:00 2078-12-31 00:00:00
82634 $37.08 2011-01-01 00:00:00 2078-12-31 00:00:00
82638 $15.51 2011-01-01 00:00:00 2078-12-31 00:00:00
82646 $26.15 2011-01-01 00:00:00 2078-12-31 00:00:00
82649 $32.55 2011-01-01 00:00:00 2078-12-31 00:00:00
82651 $32.70 2011-01-01 00:00:00 2078-12-31 00:00:00
82652 $48.76 2011-01-01 00:00:00 2078-12-31 00:00:00
82654 $17.53 2011-01-01 00:00:00 2078-12-31 00:00:00
82656 $14.62 2011-01-01 00:00:00 2078-12-31 00:00:00
82657 $22.87 2011-01-01 00:00:00 2078-12-31 00:00:00
82658 $22.87 2011-01-01 00:00:00 2078-12-31 00:00:00
82664 $43.52 2011-01-01 00:00:00 2078-12-31 00:00:00
82666 $26.62 2011-01-01 00:00:00 2078-12-31 00:00:00
82668 $23.81 2011-01-01 00:00:00 2078-12-31 00:00:00
82670 $35.39 2011-01-01 00:00:00 2078-12-31 00:00:00
82671 $40.91 2011-01-01 00:00:00 2078-12-31 00:00:00
82672 $27.48 2011-01-01 00:00:00 2078-12-31 00:00:00
82677 $30.63 2011-01-01 00:00:00 2078-12-31 00:00:00
82679 $25.79 2011-01-01 00:00:00 2078-12-31 00:00:00
82690 $20.57 2011-01-01 00:00:00 2078-12-31 00:00:00
82693 $18.86 2011-01-01 00:00:00 2078-12-31 00:00:00
82696 $29.87 2011-01-01 00:00:00 2078-12-31 00:00:00
82705 $2.12 2011-01-01 00:00:00 2078-12-31 00:00:00
Code Mod Fee Effdate Termdate
82710 $21.28 2011-01-01 00:00:00 2078-12-31 00:00:00
82715 $21.80 2011-01-01 00:00:00 2078-12-31 00:00:00
82725 $16.87 2011-01-01 00:00:00 2078-12-31 00:00:00
82726 $22.87 2011-01-01 00:00:00 2078-12-31 00:00:00
82728 $17.25 2011-01-01 00:00:00 2078-12-31 00:00:00
82731 $81.58 2011-01-01 00:00:00 2078-12-31 00:00:00
82735 $23.48 2011-01-01 00:00:00 2078-12-31 00:00:00
82742 $25.07 2011-01-01 00:00:00 2078-12-31 00:00:00
82746 $18.62 2011-01-01 00:00:00 2078-12-31 00:00:00
82747 $21.94 2011-01-01 00:00:00 2078-12-31 00:00:00
82757 $2.97 2011-01-01 00:00:00 2078-12-31 00:00:00
82759 $16.00 2011-01-01 00:00:00 2078-12-31 00:00:00
82760 $14.18 2011-01-01 00:00:00 2078-12-31 00:00:00
82775 $26.68 2011-01-01 00:00:00 2078-12-31 00:00:00
82776 $10.62 2011-01-01 00:00:00 2078-12-31 00:00:00
82784 $11.78 2011-01-01 00:00:00 2078-12-31 00:00:00
82785 $20.86 2011-01-01 00:00:00 2078-12-31 00:00:00
82787 $10.16 2011-01-01 00:00:00 2078-12-31 00:00:00
82800 $10.72 2011-01-01 00:00:00 2078-12-31 00:00:00
82803 $24.50 2011-01-01 00:00:00 2078-12-31 00:00:00
82805 $35.95 2011-01-01 00:00:00 2078-12-31 00:00:00
82810 $11.05 2011-01-01 00:00:00 2078-12-31 00:00:00
82820 $11.62 2011-01-01 00:00:00 2078-12-31 00:00:00
82930 $6.90 2011-01-01 00:00:00 2078-12-31 00:00:00
82938 $22.41 2011-01-01 00:00:00 2078-12-31 00:00:00
82941 $22.34 2011-01-01 00:00:00 2078-12-31 00:00:00
82943 $18.10 2011-01-01 00:00:00 2078-12-31 00:00:00
82945 $4.97 2011-01-01 00:00:00 2078-12-31 00:00:00
82946 $16.00 2011-01-01 00:00:00 2078-12-31 00:00:00
82947 $4.97 2011-01-01 00:00:00 2078-12-31 00:00:00
82948 $4.01 2011-01-01 00:00:00 2078-12-31 00:00:00
82950 $6.01 2011-01-01 00:00:00 2078-12-31 00:00:00
82951 $16.31 2011-01-01 00:00:00 2078-12-31 00:00:00
82952 $4.96 2011-01-01 00:00:00 2078-12-31 00:00:00
82953 $19.19 2011-01-01 00:00:00 2078-12-31 00:00:00
82955 $6.24 2011-01-01 00:00:00 2078-12-31 00:00:00
82960 $7.67 2011-01-01 00:00:00 2078-12-31 00:00:00
82962 $2.96 2011-01-01 00:00:00 2078-12-31 00:00:00
82963 $6.24 2011-01-01 00:00:00 2078-12-31 00:00:00
82965 $6.24 2011-01-01 00:00:00 2078-12-31 00:00:00
82975 $20.06 2011-01-01 00:00:00 2078-12-31 00:00:00
82977 $9.12 2011-01-01 00:00:00 2078-12-31 00:00:00
82978 $15.69 2011-01-01 00:00:00 2078-12-31 00:00:00
82979 $8.72 2011-01-01 00:00:00 2078-12-31 00:00:00
82980 $23.20 2011-01-01 00:00:00 2078-12-31 00:00:00
82985 $12.74 2011-01-01 00:00:00 2078-12-31 00:00:00
83001 $23.54 2011-01-01 00:00:00 2078-12-31 00:00:00
Code Mod Fee Effdate Termdate
83002 $23.45 2011-01-01 00:00:00 2078-12-31 00:00:00
83003 $21.12 2011-01-01 00:00:00 2078-12-31 00:00:00
83008 $21.26 2011-01-01 00:00:00 2078-12-31 00:00:00
83009 $85.31 2011-01-01 00:00:00 2078-12-31 00:00:00
83010 $15.93 2011-01-01 00:00:00 2078-12-31 00:00:00
83012 $19.08 2011-01-01 00:00:00 2078-12-31 00:00:00
83013 $85.31 2011-01-01 00:00:00 2078-12-31 00:00:00
83014 $9.95 2011-01-01 00:00:00 2078-12-31 00:00:00
83015 $16.15 2011-01-01 00:00:00 2078-12-31 00:00:00
83018 $27.82 2011-01-01 00:00:00 2078-12-31 00:00:00
83020 $16.31 2011-01-01 00:00:00 2078-12-31 00:00:00
83021 $22.87 2011-01-01 00:00:00 2078-12-31 00:00:00
83026 $2.99 2011-01-01 00:00:00 2078-12-31 00:00:00
83030 $10.48 2011-01-01 00:00:00 2078-12-31 00:00:00
83033 $7.55 2011-01-01 00:00:00 2078-12-31 00:00:00
83036 $12.29 2011-01-01 00:00:00 2078-12-31 00:00:00
83037 $12.29 2011-01-01 00:00:00 2078-12-31 00:00:00
83045 $6.27 2011-01-01 00:00:00 2078-12-31 00:00:00
83050 $9.28 2011-01-01 00:00:00 2078-12-31 00:00:00
83051 $9.26 2011-01-01 00:00:00 2078-12-31 00:00:00
83055 $6.24 2011-01-01 00:00:00 2078-12-31 00:00:00
83060 $10.48 2011-01-01 00:00:00 2078-12-31 00:00:00
83065 $8.72 2011-01-01 00:00:00 2078-12-31 00:00:00
83068 $10.72 2011-01-01 00:00:00 2078-12-31 00:00:00
83069 $5.00 2011-01-01 00:00:00 2078-12-31 00:00:00
83070 $4.24 2011-01-01 00:00:00 2078-12-31 00:00:00
83071 $8.70 2011-01-01 00:00:00 2078-12-31 00:00:00
83080 $21.37 2011-01-01 00:00:00 2078-12-31 00:00:00
83088 $37.40 2011-01-01 00:00:00 2078-12-31 00:00:00
83090 $21.37 2011-01-01 00:00:00 2078-12-31 00:00:00
83150 $24.50 2011-01-01 00:00:00 2078-12-31 00:00:00
83491 $22.19 2011-01-01 00:00:00 2078-12-31 00:00:00
83497 $16.33 2011-01-01 00:00:00 2078-12-31 00:00:00
83498 $34.41 2011-01-01 00:00:00 2078-12-31 00:00:00
83499 $31.93 2011-01-01 00:00:00 2078-12-31 00:00:00
83500 $24.22 2011-01-01 00:00:00 2078-12-31 00:00:00
83505 $23.37 2011-01-01 00:00:00 2078-12-31 00:00:00
83516 $14.62 2011-01-01 00:00:00 2078-12-31 00:00:00
83518 $10.74 2011-01-01 00:00:00 2078-12-31 00:00:00
83519 $17.11 2011-01-01 00:00:00 2078-12-31 00:00:00
83520 $16.40 2011-01-01 00:00:00 2078-12-31 00:00:00
83525 $14.48 2011-01-01 00:00:00 2078-12-31 00:00:00
83527 $16.41 2011-01-01 00:00:00 2078-12-31 00:00:00
83528 $20.14 2011-01-01 00:00:00 2078-12-31 00:00:00
83540 $8.21 2011-01-01 00:00:00 2078-12-31 00:00:00
83550 $11.07 2011-01-01 00:00:00 2078-12-31 00:00:00
83570 $11.21 2011-01-01 00:00:00 2078-12-31 00:00:00
Code Mod Fee Effdate Termdate
83582 $17.95 2011-01-01 00:00:00 2078-12-31 00:00:00
83586 $16.22 2011-01-01 00:00:00 2078-12-31 00:00:00
83593 $30.85 2011-01-01 00:00:00 2078-12-31 00:00:00
83605 $13.53 2011-01-01 00:00:00 2078-12-31 00:00:00
83615 $7.65 2011-01-01 00:00:00 2078-12-31 00:00:00
83625 $16.21 2011-01-01 00:00:00 2078-12-31 00:00:00
83630 $24.86 2011-01-01 00:00:00 2078-12-31 00:00:00
83631 $24.86 2011-01-01 00:00:00 2078-12-31 00:00:00
83632 $25.61 2011-01-01 00:00:00 2078-12-31 00:00:00
83633 $6.97 2011-01-01 00:00:00 2078-12-31 00:00:00
83634 $9.41 2011-01-01 00:00:00 2078-12-31 00:00:00
83655 $15.33 2011-01-01 00:00:00 2078-12-31 00:00:00
83661 $27.85 2011-01-01 00:00:00 2078-12-31 00:00:00
83662 $19.21 2011-01-01 00:00:00 2078-12-31 00:00:00
83663 $19.21 2011-01-01 00:00:00 2078-12-31 00:00:00
83664 $19.21 2011-01-01 00:00:00 2078-12-31 00:00:00
83670 $11.61 2011-01-01 00:00:00 2078-12-31 00:00:00
83690 $8.72 2011-01-01 00:00:00 2078-12-31 00:00:00
83695 $16.40 2011-01-01 00:00:00 2078-12-31 00:00:00
83698 $42.99 2011-01-01 00:00:00 2078-12-31 00:00:00
83700 $13.20 2011-01-01 00:00:00 2078-12-31 00:00:00
83701 $31.44 2011-01-01 00:00:00 2078-12-31 00:00:00
83704 $39.96 2011-01-01 00:00:00 2078-12-31 00:00:00
83718 $10.37 2011-01-01 00:00:00 2078-12-31 00:00:00
83719 $14.74 2011-01-01 00:00:00 2078-12-31 00:00:00
83721 $12.08 2011-01-01 00:00:00 2078-12-31 00:00:00
83727 $21.78 2011-01-01 00:00:00 2078-12-31 00:00:00
83735 $8.49 2011-01-01 00:00:00 2078-12-31 00:00:00
83775 $9.33 2011-01-01 00:00:00 2078-12-31 00:00:00
83785 $31.15 2011-01-01 00:00:00 2078-12-31 00:00:00
83788 $22.87 2011-01-01 00:00:00 2078-12-31 00:00:00
83789 $22.87 2011-01-01 00:00:00 2078-12-31 00:00:00
83805 $22.32 2011-01-01 00:00:00 2078-12-31 00:00:00
83825 $20.59 2011-01-01 00:00:00 2078-12-31 00:00:00
83835 $21.46 2011-01-01 00:00:00 2078-12-31 00:00:00
83840 $7.79 2011-01-01 00:00:00 2078-12-31 00:00:00
83857 $13.61 2011-01-01 00:00:00 2078-12-31 00:00:00
83858 $18.77 2011-01-01 00:00:00 2078-12-31 00:00:00
83861 $21.22 2011-01-01 00:00:00 2078-12-31 00:00:00
83864 $12.74 2011-01-01 00:00:00 2078-12-31 00:00:00
83866 $12.48 2011-01-01 00:00:00 2078-12-31 00:00:00
83872 $7.43 2011-01-01 00:00:00 2078-12-31 00:00:00
83873 $21.79 2011-01-01 00:00:00 2078-12-31 00:00:00
83874 $16.35 2011-01-01 00:00:00 2078-12-31 00:00:00
83876 $42.99 2011-01-01 00:00:00 2078-12-31 00:00:00
83880 $42.99 2011-01-01 00:00:00 2078-12-31 00:00:00
83883 $17.22 2011-01-01 00:00:00 2078-12-31 00:00:00
Code Mod Fee Effdate Termdate
83885 $31.03 2011-01-01 00:00:00 2078-12-31 00:00:00
83887 $21.79 2011-01-01 00:00:00 2078-12-31 00:00:00
83890 $5.08 2011-01-01 00:00:00 2078-12-31 00:00:00
83891 $5.08 2011-01-01 00:00:00 2078-12-31 00:00:00
83892 $5.08 2011-01-01 00:00:00 2078-12-31 00:00:00
83893 $5.08 2011-01-01 00:00:00 2078-12-31 00:00:00
83894 $5.08 2011-01-01 00:00:00 2078-12-31 00:00:00
83896 $5.08 2011-01-01 00:00:00 2078-12-31 00:00:00
83897 $5.08 2011-01-01 00:00:00 2078-12-31 00:00:00
83898 $21.22 2011-01-01 00:00:00 2078-12-31 00:00:00
83900 $42.46 2011-01-01 00:00:00 2078-12-31 00:00:00
83901 $21.22 2011-01-01 00:00:00 2078-12-31 00:00:00
83902 $17.97 2011-01-01 00:00:00 2078-12-31 00:00:00
83903 $21.22 2011-01-01 00:00:00 2078-12-31 00:00:00
83904 $21.22 2011-01-01 00:00:00 2078-12-31 00:00:00
83905 $21.22 2011-01-01 00:00:00 2078-12-31 00:00:00
83906 $21.22 2011-01-01 00:00:00 2078-12-31 00:00:00
83907 $16.92 2011-01-01 00:00:00 2078-12-31 00:00:00
83908 $21.22 2011-01-01 00:00:00 2078-12-31 00:00:00
83909 $21.22 2011-01-01 00:00:00 2078-12-31 00:00:00
83912 $5.08 2011-01-01 00:00:00 2078-12-31 00:00:00
83913 $16.92 2011-01-01 00:00:00 2078-12-31 00:00:00
83914 $21.22 2011-01-01 00:00:00 2078-12-31 00:00:00
83915 $14.13 2011-01-01 00:00:00 2078-12-31 00:00:00
83916 $25.47 2011-01-01 00:00:00 2078-12-31 00:00:00
83918 $20.84 2011-01-01 00:00:00 2078-12-31 00:00:00
83919 $20.84 2011-01-01 00:00:00 2078-12-31 00:00:00
83921 $20.84 2011-01-01 00:00:00 2078-12-31 00:00:00
83925 $20.48 2011-01-01 00:00:00 2078-12-31 00:00:00
83930 $8.37 2011-01-01 00:00:00 2078-12-31 00:00:00
83935 $8.63 2011-01-01 00:00:00 2078-12-31 00:00:00
83937 $37.81 2011-01-01 00:00:00 2078-12-31 00:00:00
83945 $16.31 2011-01-01 00:00:00 2078-12-31 00:00:00
83950 $81.58 2011-01-01 00:00:00 2078-12-31 00:00:00
83951 $81.58 2011-01-01 00:00:00 2078-12-31 00:00:00
83970 $52.27 2011-01-01 00:00:00 2078-12-31 00:00:00
83986 $4.54 2011-01-01 00:00:00 2078-12-31 00:00:00
83987 $20.12 2011-01-01 00:00:00 2078-12-31 00:00:00
83992 $18.61 2011-01-01 00:00:00 2078-12-31 00:00:00
83993 $24.86 2011-01-01 00:00:00 2078-12-31 00:00:00
84022 $19.73 2011-01-01 00:00:00 2078-12-31 00:00:00
84030 $6.97 2011-01-01 00:00:00 2078-12-31 00:00:00
84035 $3.18 2011-01-01 00:00:00 2078-12-31 00:00:00
84060 $9.35 2011-01-01 00:00:00 2078-12-31 00:00:00
84061 $10.02 2011-01-01 00:00:00 2078-12-31 00:00:00
84066 $12.23 2011-01-01 00:00:00 2078-12-31 00:00:00
84075 $6.55 2011-01-01 00:00:00 2078-12-31 00:00:00
Code Mod Fee Effdate Termdate
84078 $9.24 2011-01-01 00:00:00 2078-12-31 00:00:00
84080 $18.74 2011-01-01 00:00:00 2078-12-31 00:00:00
84081 $20.93 2011-01-01 00:00:00 2078-12-31 00:00:00
84085 $8.54 2011-01-01 00:00:00 2078-12-31 00:00:00
84087 $13.08 2011-01-01 00:00:00 2078-12-31 00:00:00
84100 $6.00 2011-01-01 00:00:00 2078-12-31 00:00:00
84105 $6.55 2011-01-01 00:00:00 2078-12-31 00:00:00
84106 $5.42 2011-01-01 00:00:00 2078-12-31 00:00:00
84110 $10.69 2011-01-01 00:00:00 2078-12-31 00:00:00
84112 $81.58 2011-01-01 00:00:00 2078-12-31 00:00:00
84119 $10.73 2011-01-01 00:00:00 2078-12-31 00:00:00
84120 $18.63 2011-01-01 00:00:00 2078-12-31 00:00:00
84126 $32.27 2011-01-01 00:00:00 2078-12-31 00:00:00
84127 $14.76 2011-01-01 00:00:00 2078-12-31 00:00:00
84132 $5.82 2011-01-01 00:00:00 2078-12-31 00:00:00
84133 $5.45 2011-01-01 00:00:00 2078-12-31 00:00:00
84134 $18.47 2011-01-01 00:00:00 2078-12-31 00:00:00
84135 $21.33 2011-01-01 00:00:00 2078-12-31 00:00:00
84138 $23.99 2011-01-01 00:00:00 2078-12-31 00:00:00
84140 $26.19 2011-01-01 00:00:00 2078-12-31 00:00:00
84143 $28.91 2011-01-01 00:00:00 2078-12-31 00:00:00
84144 $26.42 2011-01-01 00:00:00 2078-12-31 00:00:00
84145 $33.92 2011-01-01 00:00:00 2078-12-31 00:00:00
84146 $24.54 2011-01-01 00:00:00 2078-12-31 00:00:00
84150 $31.61 2011-01-01 00:00:00 2078-12-31 00:00:00
84152 $23.30 2011-01-01 00:00:00 2078-12-31 00:00:00
84153 $23.30 2011-01-01 00:00:00 2078-12-31 00:00:00
84154 $23.30 2011-01-01 00:00:00 2078-12-31 00:00:00
84155 $4.64 2011-01-01 00:00:00 2078-12-31 00:00:00
84156 $4.64 2011-01-01 00:00:00 2078-12-31 00:00:00
84157 $4.64 2011-01-01 00:00:00 2078-12-31 00:00:00
84160 $6.55 2011-01-01 00:00:00 2078-12-31 00:00:00
84163 $19.07 2011-01-01 00:00:00 2078-12-31 00:00:00
84165 $13.61 2011-01-01 00:00:00 2078-12-31 00:00:00
84166 $22.58 2011-01-01 00:00:00 2078-12-31 00:00:00
84181 $19.36 2011-01-01 00:00:00 2078-12-31 00:00:00
84182 $22.80 2011-01-01 00:00:00 2078-12-31 00:00:00
84202 $18.17 2011-01-01 00:00:00 2078-12-31 00:00:00
84203 $10.90 2011-01-01 00:00:00 2078-12-31 00:00:00
84206 $22.56 2011-01-01 00:00:00 2078-12-31 00:00:00
84207 $35.59 2011-01-01 00:00:00 2078-12-31 00:00:00
84210 $13.74 2011-01-01 00:00:00 2078-12-31 00:00:00
84220 $11.95 2011-01-01 00:00:00 2078-12-31 00:00:00
84228 $7.79 2011-01-01 00:00:00 2078-12-31 00:00:00
84233 $81.58 2011-01-01 00:00:00 2078-12-31 00:00:00
84234 $82.16 2011-01-01 00:00:00 2078-12-31 00:00:00
84235 $66.29 2011-01-01 00:00:00 2078-12-31 00:00:00
Code Mod Fee Effdate Termdate
84238 $46.31 2011-01-01 00:00:00 2078-12-31 00:00:00
84244 $24.51 2011-01-01 00:00:00 2078-12-31 00:00:00
84252 $25.63 2011-01-01 00:00:00 2078-12-31 00:00:00
84255 $32.34 2011-01-01 00:00:00 2078-12-31 00:00:00
84260 $39.23 2011-01-01 00:00:00 2078-12-31 00:00:00
84270 $26.75 2011-01-01 00:00:00 2078-12-31 00:00:00
84275 $17.02 2011-01-01 00:00:00 2078-12-31 00:00:00
84285 $29.83 2011-01-01 00:00:00 2078-12-31 00:00:00
84295 $6.09 2011-01-01 00:00:00 2078-12-31 00:00:00
84300 $6.17 2011-01-01 00:00:00 2078-12-31 00:00:00
84302 $6.17 2011-01-01 00:00:00 2078-12-31 00:00:00
84305 $26.93 2011-01-01 00:00:00 2078-12-31 00:00:00
84307 $23.16 2011-01-01 00:00:00 2078-12-31 00:00:00
84311 $8.85 2011-01-01 00:00:00 2078-12-31 00:00:00
84315 $3.18 2011-01-01 00:00:00 2078-12-31 00:00:00
84375 $24.83 2011-01-01 00:00:00 2078-12-31 00:00:00
84376 $6.97 2011-01-01 00:00:00 2078-12-31 00:00:00
84377 $6.97 2011-01-01 00:00:00 2078-12-31 00:00:00
84378 $9.41 2011-01-01 00:00:00 2078-12-31 00:00:00
84379 $9.41 2011-01-01 00:00:00 2078-12-31 00:00:00
84392 $6.01 2011-01-01 00:00:00 2078-12-31 00:00:00
84402 $32.26 2011-01-01 00:00:00 2078-12-31 00:00:00
84403 $25.79 2011-01-01 00:00:00 2078-12-31 00:00:00
84425 $26.89 2011-01-01 00:00:00 2078-12-31 00:00:00
84430 $10.73 2011-01-01 00:00:00 2078-12-31 00:00:00
84431 $21.28 2011-01-01 00:00:00 2078-12-31 00:00:00
84432 $20.35 2011-01-01 00:00:00 2078-12-31 00:00:00
84436 $8.70 2011-01-01 00:00:00 2078-12-31 00:00:00
84437 $8.20 2011-01-01 00:00:00 2078-12-31 00:00:00
84439 $11.42 2011-01-01 00:00:00 2078-12-31 00:00:00
84442 $18.74 2011-01-01 00:00:00 2078-12-31 00:00:00
84443 $21.28 2011-01-01 00:00:00 2078-12-31 00:00:00
84445 $64.40 2011-01-01 00:00:00 2078-12-31 00:00:00
84446 $17.96 2011-01-01 00:00:00 2078-12-31 00:00:00
84449 $22.80 2011-01-01 00:00:00 2078-12-31 00:00:00
84450 $6.55 2011-01-01 00:00:00 2078-12-31 00:00:00
84460 $6.70 2011-01-01 00:00:00 2078-12-31 00:00:00
84466 $15.35 2011-01-01 00:00:00 2078-12-31 00:00:00
84478 $7.29 2011-01-01 00:00:00 2078-12-31 00:00:00
84479 $8.20 2011-01-01 00:00:00 2078-12-31 00:00:00
84480 $17.96 2011-01-01 00:00:00 2078-12-31 00:00:00
84481 $21.46 2011-01-01 00:00:00 2078-12-31 00:00:00
84482 $19.96 2011-01-01 00:00:00 2078-12-31 00:00:00
84484 $12.47 2011-01-01 00:00:00 2078-12-31 00:00:00
84485 $9.51 2011-01-01 00:00:00 2078-12-31 00:00:00
84488 $9.24 2011-01-01 00:00:00 2078-12-31 00:00:00
84490 $9.64 2011-01-01 00:00:00 2078-12-31 00:00:00
Code Mod Fee Effdate Termdate
84510 $13.18 2011-01-01 00:00:00 2078-12-31 00:00:00
84512 $9.16 2011-01-01 00:00:00 2078-12-31 00:00:00
84520 $5.00 2011-01-01 00:00:00 2078-12-31 00:00:00
84525 $4.76 2011-01-01 00:00:00 2078-12-31 00:00:00
84540 $6.01 2011-01-01 00:00:00 2078-12-31 00:00:00
84545 $8.36 2011-01-01 00:00:00 2078-12-31 00:00:00
84550 $5.72 2011-01-01 00:00:00 2078-12-31 00:00:00
84560 $6.01 2011-01-01 00:00:00 2078-12-31 00:00:00
84577 $15.80 2011-01-01 00:00:00 2078-12-31 00:00:00
84578 $4.11 2011-01-01 00:00:00 2078-12-31 00:00:00
84580 $8.98 2011-01-01 00:00:00 2078-12-31 00:00:00
84583 $3.65 2011-01-01 00:00:00 2078-12-31 00:00:00
84585 $19.64 2011-01-01 00:00:00 2078-12-31 00:00:00
84586 $44.75 2011-01-01 00:00:00 2078-12-31 00:00:00
84588 $42.99 2011-01-01 00:00:00 2078-12-31 00:00:00
84590 $14.69 2011-01-01 00:00:00 2078-12-31 00:00:00
84591 $14.69 2011-01-01 00:00:00 2078-12-31 00:00:00
84597 $17.36 2011-01-01 00:00:00 2078-12-31 00:00:00
84600 $20.36 2011-01-01 00:00:00 2078-12-31 00:00:00
84620 $15.00 2011-01-01 00:00:00 2078-12-31 00:00:00
84630 $14.42 2011-01-01 00:00:00 2078-12-31 00:00:00
84681 $26.35 2011-01-01 00:00:00 2078-12-31 00:00:00
84702 $19.07 2011-01-01 00:00:00 2078-12-31 00:00:00
84703 $9.51 2011-01-01 00:00:00 2078-12-31 00:00:00
84704 $19.07 2011-01-01 00:00:00 2078-12-31 00:00:00
84830 $12.71 2011-01-01 00:00:00 2078-12-31 00:00:00
85002 $4.24 2011-01-01 00:00:00 2078-12-31 00:00:00
85004 $8.20 2011-01-01 00:00:00 2078-12-31 00:00:00
85007 $4.36 2011-01-01 00:00:00 2078-12-31 00:00:00
85008 $2.12 2011-01-01 00:00:00 2078-12-31 00:00:00
85009 $4.37 2011-01-01 00:00:00 2078-12-31 00:00:00
85013 $3.00 2011-01-01 00:00:00 2078-12-31 00:00:00
85014 $3.00 2011-01-01 00:00:00 2078-12-31 00:00:00
85018 $3.00 2011-01-01 00:00:00 2078-12-31 00:00:00
85025 $9.85 2011-01-01 00:00:00 2078-12-31 00:00:00
85027 $8.20 2011-01-01 00:00:00 2078-12-31 00:00:00
85032 $5.45 2011-01-01 00:00:00 2078-12-31 00:00:00
85041 $3.82 2011-01-01 00:00:00 2078-12-31 00:00:00
85044 $5.45 2011-01-01 00:00:00 2078-12-31 00:00:00
85045 $5.07 2011-01-01 00:00:00 2078-12-31 00:00:00
85046 $7.07 2011-01-01 00:00:00 2078-12-31 00:00:00
85048 $3.21 2011-01-01 00:00:00 2078-12-31 00:00:00
85049 $5.66 2011-01-01 00:00:00 2078-12-31 00:00:00
85055 $33.90 2011-01-01 00:00:00 2078-12-31 00:00:00
85130 $15.07 2011-01-01 00:00:00 2078-12-31 00:00:00
85170 $2.12 2011-01-01 00:00:00 2078-12-31 00:00:00
85175 $5.76 2011-01-01 00:00:00 2078-12-31 00:00:00
Code Mod Fee Effdate Termdate
85210 $6.36 2011-01-01 00:00:00 2078-12-31 00:00:00
85220 $6.36 2011-01-01 00:00:00 2078-12-31 00:00:00
85230 $6.36 2011-01-01 00:00:00 2078-12-31 00:00:00
85240 $6.36 2011-01-01 00:00:00 2078-12-31 00:00:00
85244 $6.36 2011-01-01 00:00:00 2078-12-31 00:00:00
85245 $29.06 2011-01-01 00:00:00 2078-12-31 00:00:00
85246 $29.06 2011-01-01 00:00:00 2078-12-31 00:00:00
85247 $29.06 2011-01-01 00:00:00 2078-12-31 00:00:00
85250 $6.36 2011-01-01 00:00:00 2078-12-31 00:00:00
85260 $6.36 2011-01-01 00:00:00 2078-12-31 00:00:00
85270 $6.36 2011-01-01 00:00:00 2078-12-31 00:00:00
85280 $6.36 2011-01-01 00:00:00 2078-12-31 00:00:00
85290 $12.74 2011-01-01 00:00:00 2078-12-31 00:00:00
85291 $11.26 2011-01-01 00:00:00 2078-12-31 00:00:00
85292 $23.99 2011-01-01 00:00:00 2078-12-31 00:00:00
85293 $23.99 2011-01-01 00:00:00 2078-12-31 00:00:00
85300 $15.01 2011-01-01 00:00:00 2078-12-31 00:00:00
85301 $13.69 2011-01-01 00:00:00 2078-12-31 00:00:00
85302 $15.23 2011-01-01 00:00:00 2078-12-31 00:00:00
85303 $17.51 2011-01-01 00:00:00 2078-12-31 00:00:00
85305 $14.69 2011-01-01 00:00:00 2078-12-31 00:00:00
85306 $19.40 2011-01-01 00:00:00 2078-12-31 00:00:00
85307 $19.40 2011-01-01 00:00:00 2078-12-31 00:00:00
85335 $16.31 2011-01-01 00:00:00 2078-12-31 00:00:00
85337 $13.20 2011-01-01 00:00:00 2078-12-31 00:00:00
85345 $5.45 2011-01-01 00:00:00 2078-12-31 00:00:00
85347 $5.39 2011-01-01 00:00:00 2078-12-31 00:00:00
85348 $4.24 2011-01-01 00:00:00 2078-12-31 00:00:00
85360 $10.65 2011-01-01 00:00:00 2078-12-31 00:00:00
85362 $8.72 2011-01-01 00:00:00 2078-12-31 00:00:00
85366 $10.91 2011-01-01 00:00:00 2078-12-31 00:00:00
85370 $14.38 2011-01-01 00:00:00 2078-12-31 00:00:00
85378 $9.03 2011-01-01 00:00:00 2078-12-31 00:00:00
85379 $12.89 2011-01-01 00:00:00 2078-12-31 00:00:00
85380 $12.89 2011-01-01 00:00:00 2078-12-31 00:00:00
85384 $10.76 2011-01-01 00:00:00 2078-12-31 00:00:00
85385 $10.76 2011-01-01 00:00:00 2078-12-31 00:00:00
85390 $6.54 2011-01-01 00:00:00 2078-12-31 00:00:00
85397 $29.06 2011-01-01 00:00:00 2078-12-31 00:00:00
85400 $10.73 2011-01-01 00:00:00 2078-12-31 00:00:00
85410 $9.77 2011-01-01 00:00:00 2078-12-31 00:00:00
85415 $12.74 2011-01-01 00:00:00 2078-12-31 00:00:00
85420 $8.28 2011-01-01 00:00:00 2078-12-31 00:00:00
85421 $10.73 2011-01-01 00:00:00 2078-12-31 00:00:00
85441 $4.24 2011-01-01 00:00:00 2078-12-31 00:00:00
85445 $8.63 2011-01-01 00:00:00 2078-12-31 00:00:00
85460 $9.80 2011-01-01 00:00:00 2078-12-31 00:00:00
Code Mod Fee Effdate Termdate
85461 $7.65 2011-01-01 00:00:00 2078-12-31 00:00:00
85475 $11.23 2011-01-01 00:00:00 2078-12-31 00:00:00
85520 $16.59 2011-01-01 00:00:00 2078-12-31 00:00:00
85525 $11.62 2011-01-01 00:00:00 2078-12-31 00:00:00
85530 $17.96 2011-01-01 00:00:00 2078-12-31 00:00:00
85536 $8.20 2011-01-01 00:00:00 2078-12-31 00:00:00
85540 $10.90 2011-01-01 00:00:00 2078-12-31 00:00:00
85547 $10.90 2011-01-01 00:00:00 2078-12-31 00:00:00
85549 $23.76 2011-01-01 00:00:00 2078-12-31 00:00:00
85555 $8.47 2011-01-01 00:00:00 2078-12-31 00:00:00
85557 $16.00 2011-01-01 00:00:00 2078-12-31 00:00:00
85576 $13.91 2011-01-01 00:00:00 2078-12-31 00:00:00
85597 $22.77 2011-01-01 00:00:00 2078-12-31 00:00:00
85598 $22.77 2011-01-01 00:00:00 2078-12-31 00:00:00
85610 $4.98 2011-01-01 00:00:00 2078-12-31 00:00:00
85611 $4.99 2011-01-01 00:00:00 2078-12-31 00:00:00
85612 $8.13 2011-01-01 00:00:00 2078-12-31 00:00:00
85613 $8.13 2011-01-01 00:00:00 2078-12-31 00:00:00
85635 $8.13 2011-01-01 00:00:00 2078-12-31 00:00:00
85651 $4.50 2011-01-01 00:00:00 2078-12-31 00:00:00
85652 $3.42 2011-01-01 00:00:00 2078-12-31 00:00:00
85660 $6.98 2011-01-01 00:00:00 2078-12-31 00:00:00
85670 $4.24 2011-01-01 00:00:00 2078-12-31 00:00:00
85675 $8.68 2011-01-01 00:00:00 2078-12-31 00:00:00
85705 $12.20 2011-01-01 00:00:00 2078-12-31 00:00:00
85730 $7.61 2011-01-01 00:00:00 2078-12-31 00:00:00
85732 $8.20 2011-01-01 00:00:00 2078-12-31 00:00:00
85810 $14.79 2011-01-01 00:00:00 2078-12-31 00:00:00
86000 $6.36 2011-01-01 00:00:00 2078-12-31 00:00:00
86001 $6.61 2011-01-01 00:00:00 2078-12-31 00:00:00
86003 $6.61 2011-01-01 00:00:00 2078-12-31 00:00:00
86005 $9.58 2011-01-01 00:00:00 2078-12-31 00:00:00
86021 $19.07 2011-01-01 00:00:00 2078-12-31 00:00:00
86022 $23.27 2011-01-01 00:00:00 2078-12-31 00:00:00
86023 $15.78 2011-01-01 00:00:00 2078-12-31 00:00:00
86038 $15.31 2011-01-01 00:00:00 2078-12-31 00:00:00
86039 $14.14 2011-01-01 00:00:00 2078-12-31 00:00:00
86060 $9.24 2011-01-01 00:00:00 2078-12-31 00:00:00
86063 $7.32 2011-01-01 00:00:00 2078-12-31 00:00:00
86140 $6.55 2011-01-01 00:00:00 2078-12-31 00:00:00
86141 $16.40 2011-01-01 00:00:00 2078-12-31 00:00:00
86146 $30.19 2011-01-01 00:00:00 2078-12-31 00:00:00
86147 $30.19 2011-01-01 00:00:00 2078-12-31 00:00:00
86148 $20.35 2011-01-01 00:00:00 2078-12-31 00:00:00
86155 $20.24 2011-01-01 00:00:00 2078-12-31 00:00:00
86156 $7.26 2011-01-01 00:00:00 2078-12-31 00:00:00
86157 $10.22 2011-01-01 00:00:00 2078-12-31 00:00:00
Code Mod Fee Effdate Termdate
86160 $15.20 2011-01-01 00:00:00 2078-12-31 00:00:00
86161 $15.20 2011-01-01 00:00:00 2078-12-31 00:00:00
86162 $25.73 2011-01-01 00:00:00 2078-12-31 00:00:00
86171 $12.69 2011-01-01 00:00:00 2078-12-31 00:00:00
86185 $11.33 2011-01-01 00:00:00 2078-12-31 00:00:00
86200 $16.40 2011-01-01 00:00:00 2078-12-31 00:00:00
86215 $16.79 2011-01-01 00:00:00 2078-12-31 00:00:00
86225 $17.40 2011-01-01 00:00:00 2078-12-31 00:00:00
86226 $15.34 2011-01-01 00:00:00 2078-12-31 00:00:00
86235 $22.71 2011-01-01 00:00:00 2078-12-31 00:00:00
86243 $24.51 2011-01-01 00:00:00 2078-12-31 00:00:00
86255 $15.26 2011-01-01 00:00:00 2078-12-31 00:00:00
86256 $15.26 2011-01-01 00:00:00 2078-12-31 00:00:00
86277 $19.94 2011-01-01 00:00:00 2078-12-31 00:00:00
86280 $10.37 2011-01-01 00:00:00 2078-12-31 00:00:00
86294 $24.85 2011-01-01 00:00:00 2078-12-31 00:00:00
86300 $26.36 2011-01-01 00:00:00 2078-12-31 00:00:00
86301 $26.36 2011-01-01 00:00:00 2078-12-31 00:00:00
86304 $26.36 2011-01-01 00:00:00 2078-12-31 00:00:00
86305 $26.36 2011-01-01 00:00:00 2078-12-31 00:00:00
86308 $6.55 2011-01-01 00:00:00 2078-12-31 00:00:00
86309 $8.20 2011-01-01 00:00:00 2078-12-31 00:00:00
86310 $9.33 2011-01-01 00:00:00 2078-12-31 00:00:00
86316 $26.36 2011-01-01 00:00:00 2078-12-31 00:00:00
86317 $18.99 2011-01-01 00:00:00 2078-12-31 00:00:00
86318 $16.40 2011-01-01 00:00:00 2078-12-31 00:00:00
86320 $25.89 2011-01-01 00:00:00 2078-12-31 00:00:00
86325 $25.79 2011-01-01 00:00:00 2078-12-31 00:00:00
86327 $25.79 2011-01-01 00:00:00 2078-12-31 00:00:00
86329 $17.79 2011-01-01 00:00:00 2078-12-31 00:00:00
86331 $15.17 2011-01-01 00:00:00 2078-12-31 00:00:00
86332 $30.87 2011-01-01 00:00:00 2078-12-31 00:00:00
86334 $28.30 2011-01-01 00:00:00 2078-12-31 00:00:00
86335 $37.17 2011-01-01 00:00:00 2078-12-31 00:00:00
86336 $19.74 2011-01-01 00:00:00 2078-12-31 00:00:00
86337 $27.12 2011-01-01 00:00:00 2078-12-31 00:00:00
86340 $19.09 2011-01-01 00:00:00 2078-12-31 00:00:00
86341 $22.64 2011-01-01 00:00:00 2078-12-31 00:00:00
86343 $15.79 2011-01-01 00:00:00 2078-12-31 00:00:00
86344 $10.12 2011-01-01 00:00:00 2078-12-31 00:00:00
86352 $172.07 2011-01-01 00:00:00 2078-12-31 00:00:00
86353 $62.09 2011-01-01 00:00:00 2078-12-31 00:00:00
86355 $47.77 2011-01-01 00:00:00 2078-12-31 00:00:00
86356 $33.90 2011-01-01 00:00:00 2078-12-31 00:00:00
86357 $47.77 2011-01-01 00:00:00 2078-12-31 00:00:00
86359 $47.77 2011-01-01 00:00:00 2078-12-31 00:00:00
86360 $59.51 2011-01-01 00:00:00 2078-12-31 00:00:00
Code Mod Fee Effdate Termdate
86361 $33.90 2011-01-01 00:00:00 2078-12-31 00:00:00
86367 $47.77 2011-01-01 00:00:00 2078-12-31 00:00:00
86376 $18.43 2011-01-01 00:00:00 2078-12-31 00:00:00
86378 $16.85 2011-01-01 00:00:00 2078-12-31 00:00:00
86382 $21.42 2011-01-01 00:00:00 2078-12-31 00:00:00
86384 $14.42 2011-01-01 00:00:00 2078-12-31 00:00:00
86403 $12.91 2011-01-01 00:00:00 2078-12-31 00:00:00
86406 $7.65 2011-01-01 00:00:00 2078-12-31 00:00:00
86430 $7.18 2011-01-01 00:00:00 2078-12-31 00:00:00
86431 $7.18 2011-01-01 00:00:00 2078-12-31 00:00:00
86480 $78.50 2011-01-01 00:00:00 2078-12-31 00:00:00
86481 $78.50 2011-01-01 00:00:00 2078-12-31 00:00:00
86485 $5.56 1994-05-01 00:00:00 2078-12-31 00:00:00
86590 $13.98 2011-01-01 00:00:00 2078-12-31 00:00:00
86592 $5.41 2011-01-01 00:00:00 2078-12-31 00:00:00
86593 $5.57 2011-01-01 00:00:00 2078-12-31 00:00:00
86602 $12.89 2011-01-01 00:00:00 2078-12-31 00:00:00
86603 $16.30 2011-01-01 00:00:00 2078-12-31 00:00:00
86606 $17.42 2011-01-01 00:00:00 2078-12-31 00:00:00
86609 $16.32 2011-01-01 00:00:00 2078-12-31 00:00:00
86611 $12.89 2011-01-01 00:00:00 2078-12-31 00:00:00
86612 $16.34 2011-01-01 00:00:00 2078-12-31 00:00:00
86615 $16.70 2011-01-01 00:00:00 2078-12-31 00:00:00
86617 $19.62 2011-01-01 00:00:00 2078-12-31 00:00:00
86618 $21.57 2011-01-01 00:00:00 2078-12-31 00:00:00
86619 $16.95 2011-01-01 00:00:00 2078-12-31 00:00:00
86622 $11.31 2011-01-01 00:00:00 2078-12-31 00:00:00
86625 $16.61 2011-01-01 00:00:00 2078-12-31 00:00:00
86628 $15.21 2011-01-01 00:00:00 2078-12-31 00:00:00
86631 $14.98 2011-01-01 00:00:00 2078-12-31 00:00:00
86632 $16.07 2011-01-01 00:00:00 2078-12-31 00:00:00
86635 $14.54 2011-01-01 00:00:00 2078-12-31 00:00:00
86638 $15.35 2011-01-01 00:00:00 2078-12-31 00:00:00
86641 $17.42 2011-01-01 00:00:00 2078-12-31 00:00:00
86644 $18.23 2011-01-01 00:00:00 2078-12-31 00:00:00
86645 $21.33 2011-01-01 00:00:00 2078-12-31 00:00:00
86648 $17.42 2011-01-01 00:00:00 2078-12-31 00:00:00
86651 $16.70 2011-01-01 00:00:00 2078-12-31 00:00:00
86652 $16.70 2011-01-01 00:00:00 2078-12-31 00:00:00
86653 $16.70 2011-01-01 00:00:00 2078-12-31 00:00:00
86654 $16.70 2011-01-01 00:00:00 2078-12-31 00:00:00
86658 $16.51 2011-01-01 00:00:00 2078-12-31 00:00:00
86663 $16.61 2011-01-01 00:00:00 2078-12-31 00:00:00
86664 $17.42 2011-01-01 00:00:00 2078-12-31 00:00:00
86665 $17.42 2011-01-01 00:00:00 2078-12-31 00:00:00
86666 $12.89 2011-01-01 00:00:00 2078-12-31 00:00:00
86668 $13.18 2011-01-01 00:00:00 2078-12-31 00:00:00
Code Mod Fee Effdate Termdate
86671 $15.53 2011-01-01 00:00:00 2078-12-31 00:00:00
86674 $18.65 2011-01-01 00:00:00 2078-12-31 00:00:00
86677 $18.38 2011-01-01 00:00:00 2078-12-31 00:00:00
86682 $16.48 2011-01-01 00:00:00 2078-12-31 00:00:00
86684 $20.07 2011-01-01 00:00:00 2078-12-31 00:00:00
86687 $10.63 2011-01-01 00:00:00 2078-12-31 00:00:00
86688 $17.74 2011-01-01 00:00:00 2078-12-31 00:00:00
86689 $24.51 2011-01-01 00:00:00 2078-12-31 00:00:00
86692 $21.74 2011-01-01 00:00:00 2078-12-31 00:00:00
86694 $18.23 2011-01-01 00:00:00 2078-12-31 00:00:00
86695 $16.70 2011-01-01 00:00:00 2078-12-31 00:00:00
86696 $24.51 2011-01-01 00:00:00 2078-12-31 00:00:00
86698 $15.83 2011-01-01 00:00:00 2078-12-31 00:00:00
86701 $11.25 2011-01-01 00:00:00 2078-12-31 00:00:00
86702 $17.13 2011-01-01 00:00:00 2078-12-31 00:00:00
86703 $17.37 2011-01-01 00:00:00 2078-12-31 00:00:00
86704 $15.26 2011-01-01 00:00:00 2078-12-31 00:00:00
86705 $14.90 2011-01-01 00:00:00 2078-12-31 00:00:00
86706 $13.61 2011-01-01 00:00:00 2078-12-31 00:00:00
86707 $14.65 2011-01-01 00:00:00 2078-12-31 00:00:00
86708 $15.69 2011-01-01 00:00:00 2078-12-31 00:00:00
86709 $14.26 2011-01-01 00:00:00 2078-12-31 00:00:00
86710 $17.17 2011-01-01 00:00:00 2078-12-31 00:00:00
86713 $19.38 2011-01-01 00:00:00 2078-12-31 00:00:00
86717 $15.52 2011-01-01 00:00:00 2078-12-31 00:00:00
86720 $16.70 2011-01-01 00:00:00 2078-12-31 00:00:00
86723 $16.70 2011-01-01 00:00:00 2078-12-31 00:00:00
86727 $16.30 2011-01-01 00:00:00 2078-12-31 00:00:00
86729 $15.13 2011-01-01 00:00:00 2078-12-31 00:00:00
86732 $16.70 2011-01-01 00:00:00 2078-12-31 00:00:00
86735 $16.53 2011-01-01 00:00:00 2078-12-31 00:00:00
86738 $16.78 2011-01-01 00:00:00 2078-12-31 00:00:00
86741 $16.70 2011-01-01 00:00:00 2078-12-31 00:00:00
86744 $16.70 2011-01-01 00:00:00 2078-12-31 00:00:00
86747 $19.04 2011-01-01 00:00:00 2078-12-31 00:00:00
86750 $16.70 2011-01-01 00:00:00 2078-12-31 00:00:00
86753 $15.69 2011-01-01 00:00:00 2078-12-31 00:00:00
86756 $16.33 2011-01-01 00:00:00 2078-12-31 00:00:00
86757 $24.51 2011-01-01 00:00:00 2078-12-31 00:00:00
86759 $16.70 2011-01-01 00:00:00 2078-12-31 00:00:00
86762 $18.23 2011-01-01 00:00:00 2078-12-31 00:00:00
86765 $16.32 2011-01-01 00:00:00 2078-12-31 00:00:00
86768 $16.70 2011-01-01 00:00:00 2078-12-31 00:00:00
86771 $16.70 2011-01-01 00:00:00 2078-12-31 00:00:00
86774 $18.74 2011-01-01 00:00:00 2078-12-31 00:00:00
86777 $18.23 2011-01-01 00:00:00 2078-12-31 00:00:00
86778 $18.24 2011-01-01 00:00:00 2078-12-31 00:00:00
Code Mod Fee Effdate Termdate
86780 $16.77 2011-01-01 00:00:00 2078-12-31 00:00:00
86784 $15.91 2011-01-01 00:00:00 2078-12-31 00:00:00
86787 $16.32 2011-01-01 00:00:00 2078-12-31 00:00:00
86788 $21.33 2011-01-01 00:00:00 2078-12-31 00:00:00
86789 $18.23 2011-01-01 00:00:00 2078-12-31 00:00:00
86790 $16.32 2011-01-01 00:00:00 2078-12-31 00:00:00
86793 $16.70 2011-01-01 00:00:00 2078-12-31 00:00:00
86800 $20.14 2011-01-01 00:00:00 2078-12-31 00:00:00
86803 $16.69 2011-01-01 00:00:00 2078-12-31 00:00:00
86804 $19.62 2011-01-01 00:00:00 2078-12-31 00:00:00
86805 $66.22 2011-01-01 00:00:00 2078-12-31 00:00:00
86806 $60.27 2011-01-01 00:00:00 2078-12-31 00:00:00
86807 $50.12 2011-01-01 00:00:00 2078-12-31 00:00:00
86808 $37.59 2011-01-01 00:00:00 2078-12-31 00:00:00
86812 $32.69 2011-01-01 00:00:00 2078-12-31 00:00:00
86813 $73.45 2011-01-01 00:00:00 2078-12-31 00:00:00
86816 $35.29 2011-01-01 00:00:00 2078-12-31 00:00:00
86817 $81.55 2011-01-01 00:00:00 2078-12-31 00:00:00
86821 $44.78 2011-01-01 00:00:00 2078-12-31 00:00:00
86822 $44.78 2011-01-01 00:00:00 2078-12-31 00:00:00
86825 $101.73 2011-01-01 00:00:00 2078-12-31 00:00:00
86826 $33.90 2011-01-01 00:00:00 2078-12-31 00:00:00
86850 $10.66 1998-01-01 00:00:00 2078-12-31 00:00:00
86860 $26.96 1998-01-01 00:00:00 2078-12-31 00:00:00
86870 $22.58 1998-01-01 00:00:00 2078-12-31 00:00:00
86880 $6.80 2011-01-01 00:00:00 2078-12-31 00:00:00
86885 $7.25 2011-01-01 00:00:00 2078-12-31 00:00:00
86886 $5.89 2011-01-01 00:00:00 2078-12-31 00:00:00
86900 $3.78 2011-01-01 00:00:00 2078-12-31 00:00:00
86901 $3.78 2011-01-01 00:00:00 2078-12-31 00:00:00
86902 $4.84 2011-01-01 00:00:00 2078-12-31 00:00:00
86904 $12.04 2011-01-01 00:00:00 2078-12-31 00:00:00
86905 $4.84 2011-01-01 00:00:00 2078-12-31 00:00:00
86906 $9.82 2011-01-01 00:00:00 2078-12-31 00:00:00
86920 $21.45 1998-01-01 00:00:00 2078-12-31 00:00:00
86921 $21.45 1998-01-01 00:00:00 2078-12-31 00:00:00
86922 $21.45 1998-01-01 00:00:00 2078-12-31 00:00:00
86923 $11.62 2006-01-01 00:00:00 2078-12-31 00:00:00
86927 $8.78 1998-01-01 00:00:00 2078-12-31 00:00:00
86930 $21.45 1998-01-01 00:00:00 2078-12-31 00:00:00
86931 $32.36 1998-01-01 00:00:00 2078-12-31 00:00:00
86932 $42.89 1998-01-01 00:00:00 2078-12-31 00:00:00
86940 $10.39 2011-01-01 00:00:00 2078-12-31 00:00:00
86941 $15.34 2011-01-01 00:00:00 2078-12-31 00:00:00
86945 $10.54 1998-01-01 00:00:00 2078-12-31 00:00:00
86950 $28.58 1998-01-01 00:00:00 2078-12-31 00:00:00
86960 $11.62 2006-01-01 00:00:00 2078-12-31 00:00:00
Code Mod Fee Effdate Termdate
86965 $16.88 1994-05-01 00:00:00 2078-12-31 00:00:00
86970 $14.43 1998-01-01 00:00:00 2078-12-31 00:00:00
86971 $14.43 1998-01-01 00:00:00 2078-12-31 00:00:00
86972 $17.56 1998-01-01 00:00:00 2078-12-31 00:00:00
86975 $14.43 1998-01-01 00:00:00 2078-12-31 00:00:00
86976 $14.43 1998-01-01 00:00:00 2078-12-31 00:00:00
86977 $14.43 1998-01-01 00:00:00 2078-12-31 00:00:00
86978 $17.56 1998-01-01 00:00:00 2078-12-31 00:00:00
86985 $22.13 1997-04-01 00:00:00 2078-12-31 00:00:00
87001 $16.74 2011-01-01 00:00:00 2078-12-31 00:00:00
87003 $21.32 2011-01-01 00:00:00 2078-12-31 00:00:00
87015 $8.46 2011-01-01 00:00:00 2078-12-31 00:00:00
87040 $13.08 2011-01-01 00:00:00 2078-12-31 00:00:00
87045 $11.95 2011-01-01 00:00:00 2078-12-31 00:00:00
87046 $11.95 2011-01-01 00:00:00 2078-12-31 00:00:00
87070 $10.91 2011-01-01 00:00:00 2078-12-31 00:00:00
87071 $11.95 2011-01-01 00:00:00 2078-12-31 00:00:00
87073 $11.95 2011-01-01 00:00:00 2078-12-31 00:00:00
87075 $11.98 2011-01-01 00:00:00 2078-12-31 00:00:00
87076 $10.23 2011-01-01 00:00:00 2078-12-31 00:00:00
87077 $10.23 2011-01-01 00:00:00 2078-12-31 00:00:00
87081 $8.40 2011-01-01 00:00:00 2078-12-31 00:00:00
87084 $10.91 2011-01-01 00:00:00 2078-12-31 00:00:00
87086 $10.22 2011-01-01 00:00:00 2078-12-31 00:00:00
87088 $10.26 2011-01-01 00:00:00 2078-12-31 00:00:00
87101 $9.77 2011-01-01 00:00:00 2078-12-31 00:00:00
87102 $10.65 2011-01-01 00:00:00 2078-12-31 00:00:00
87103 $11.42 2011-01-01 00:00:00 2078-12-31 00:00:00
87106 $8.13 2011-01-01 00:00:00 2078-12-31 00:00:00
87107 $8.13 2011-01-01 00:00:00 2078-12-31 00:00:00
87109 $18.39 2011-01-01 00:00:00 2078-12-31 00:00:00
87110 $24.81 2011-01-01 00:00:00 2078-12-31 00:00:00
87116 $13.69 2011-01-01 00:00:00 2078-12-31 00:00:00
87118 $13.86 2011-01-01 00:00:00 2078-12-31 00:00:00
87140 $7.06 2011-01-01 00:00:00 2078-12-31 00:00:00
87143 $15.87 2011-01-01 00:00:00 2078-12-31 00:00:00
87147 $6.36 2011-01-01 00:00:00 2078-12-31 00:00:00
87149 $25.40 2011-01-01 00:00:00 2078-12-31 00:00:00
87150 $44.45 2011-01-01 00:00:00 2078-12-31 00:00:00
87152 $6.62 2011-01-01 00:00:00 2078-12-31 00:00:00
87153 $146.10 2011-01-01 00:00:00 2078-12-31 00:00:00
87158 $6.62 2011-01-01 00:00:00 2078-12-31 00:00:00
87164 $13.61 2011-01-01 00:00:00 2078-12-31 00:00:00
87166 $14.31 2011-01-01 00:00:00 2078-12-31 00:00:00
87168 $5.20 2011-01-01 00:00:00 2078-12-31 00:00:00
87169 $5.20 2011-01-01 00:00:00 2078-12-31 00:00:00
87172 $5.20 2011-01-01 00:00:00 2078-12-31 00:00:00
Code Mod Fee Effdate Termdate
87176 $7.45 2011-01-01 00:00:00 2078-12-31 00:00:00
87177 $11.27 2011-01-01 00:00:00 2078-12-31 00:00:00
87181 $1.06 2011-01-01 00:00:00 2078-12-31 00:00:00
87184 $8.74 2011-01-01 00:00:00 2078-12-31 00:00:00
87185 $1.06 2011-01-01 00:00:00 2078-12-31 00:00:00
87186 $10.95 2011-01-01 00:00:00 2078-12-31 00:00:00
87187 $13.13 2011-01-01 00:00:00 2078-12-31 00:00:00
87188 $8.41 2011-01-01 00:00:00 2078-12-31 00:00:00
87190 $7.16 2011-01-01 00:00:00 2078-12-31 00:00:00
87197 $19.03 2011-01-01 00:00:00 2078-12-31 00:00:00
87205 $4.37 2011-01-01 00:00:00 2078-12-31 00:00:00
87206 $6.80 2011-01-01 00:00:00 2078-12-31 00:00:00
87207 $4.37 2011-01-01 00:00:00 2078-12-31 00:00:00
87209 $13.13 2011-01-01 00:00:00 2078-12-31 00:00:00
87210 $5.20 2011-01-01 00:00:00 2078-12-31 00:00:00
87220 $3.65 2011-01-01 00:00:00 2078-12-31 00:00:00
87230 $25.01 2011-01-01 00:00:00 2078-12-31 00:00:00
87250 $24.77 2011-01-01 00:00:00 2078-12-31 00:00:00
87252 $33.01 2011-01-01 00:00:00 2078-12-31 00:00:00
87253 $25.58 2011-01-01 00:00:00 2078-12-31 00:00:00
87254 $24.77 2011-01-01 00:00:00 2078-12-31 00:00:00
87255 $42.89 2011-01-01 00:00:00 2078-12-31 00:00:00
87260 $15.19 2011-01-01 00:00:00 2078-12-31 00:00:00
87265 $15.19 2011-01-01 00:00:00 2078-12-31 00:00:00
87267 $15.19 2011-01-01 00:00:00 2078-12-31 00:00:00
87269 $15.19 2011-01-01 00:00:00 2078-12-31 00:00:00
87270 $15.19 2011-01-01 00:00:00 2078-12-31 00:00:00
87271 $15.19 2011-01-01 00:00:00 2078-12-31 00:00:00
87272 $15.19 2011-01-01 00:00:00 2078-12-31 00:00:00
87273 $15.19 2011-01-01 00:00:00 2078-12-31 00:00:00
87274 $15.19 2011-01-01 00:00:00 2078-12-31 00:00:00
87275 $15.19 2011-01-01 00:00:00 2078-12-31 00:00:00
87276 $15.19 2011-01-01 00:00:00 2078-12-31 00:00:00
87277 $15.19 2011-01-01 00:00:00 2078-12-31 00:00:00
87278 $15.19 2011-01-01 00:00:00 2078-12-31 00:00:00
87279 $15.19 2011-01-01 00:00:00 2078-12-31 00:00:00
87280 $15.19 2011-01-01 00:00:00 2078-12-31 00:00:00
87281 $15.19 2011-01-01 00:00:00 2078-12-31 00:00:00
87283 $15.19 2011-01-01 00:00:00 2078-12-31 00:00:00
87285 $15.19 2011-01-01 00:00:00 2078-12-31 00:00:00
87290 $15.19 2011-01-01 00:00:00 2078-12-31 00:00:00
87299 $15.19 2011-01-01 00:00:00 2078-12-31 00:00:00
87300 $15.19 2011-01-01 00:00:00 2078-12-31 00:00:00
87301 $15.19 2011-01-01 00:00:00 2078-12-31 00:00:00
87305 $15.19 2011-01-01 00:00:00 2078-12-31 00:00:00
87320 $15.19 2011-01-01 00:00:00 2078-12-31 00:00:00
87324 $15.19 2011-01-01 00:00:00 2078-12-31 00:00:00
Code Mod Fee Effdate Termdate
87327 $15.19 2011-01-01 00:00:00 2078-12-31 00:00:00
87328 $15.19 2011-01-01 00:00:00 2078-12-31 00:00:00
87329 $15.19 2011-01-01 00:00:00 2078-12-31 00:00:00
87332 $15.19 2011-01-01 00:00:00 2078-12-31 00:00:00
87335 $15.19 2011-01-01 00:00:00 2078-12-31 00:00:00
87336 $15.19 2011-01-01 00:00:00 2078-12-31 00:00:00
87337 $15.19 2011-01-01 00:00:00 2078-12-31 00:00:00
87338 $18.22 2011-01-01 00:00:00 2078-12-31 00:00:00
87339 $15.19 2011-01-01 00:00:00 2078-12-31 00:00:00
87340 $11.79 2011-01-01 00:00:00 2078-12-31 00:00:00
87341 $11.79 2011-01-01 00:00:00 2078-12-31 00:00:00
87350 $14.60 2011-01-01 00:00:00 2078-12-31 00:00:00
87380 $20.79 2011-01-01 00:00:00 2078-12-31 00:00:00
87385 $15.19 2011-01-01 00:00:00 2078-12-31 00:00:00
87390 $14.15 2011-01-01 00:00:00 2078-12-31 00:00:00
87391 $14.15 2011-01-01 00:00:00 2078-12-31 00:00:00
87400 $15.19 2011-01-01 00:00:00 2078-12-31 00:00:00
87420 $15.19 2011-01-01 00:00:00 2078-12-31 00:00:00
87425 $15.19 2011-01-01 00:00:00 2078-12-31 00:00:00
87427 $15.19 2011-01-01 00:00:00 2078-12-31 00:00:00
87430 $15.19 2011-01-01 00:00:00 2078-12-31 00:00:00
87449 $15.19 2011-01-01 00:00:00 2078-12-31 00:00:00
87450 $12.14 2011-01-01 00:00:00 2078-12-31 00:00:00
87451 $12.14 2011-01-01 00:00:00 2078-12-31 00:00:00
87470 $25.40 2011-01-01 00:00:00 2078-12-31 00:00:00
87471 $44.45 2011-01-01 00:00:00 2078-12-31 00:00:00
87472 $54.25 2011-01-01 00:00:00 2078-12-31 00:00:00
87475 $25.40 2011-01-01 00:00:00 2078-12-31 00:00:00
87476 $44.45 2011-01-01 00:00:00 2078-12-31 00:00:00
87477 $54.25 2011-01-01 00:00:00 2078-12-31 00:00:00
87480 $25.40 2011-01-01 00:00:00 2078-12-31 00:00:00
87481 $44.45 2011-01-01 00:00:00 2078-12-31 00:00:00
87482 $52.88 2011-01-01 00:00:00 2078-12-31 00:00:00
87485 $25.40 2011-01-01 00:00:00 2078-12-31 00:00:00
87486 $44.45 2011-01-01 00:00:00 2078-12-31 00:00:00
87487 $54.25 2011-01-01 00:00:00 2078-12-31 00:00:00
87490 $25.40 2011-01-01 00:00:00 2078-12-31 00:00:00
87491 $44.45 2011-01-01 00:00:00 2078-12-31 00:00:00
87492 $18.33 2011-01-01 00:00:00 2078-12-31 00:00:00
87493 $44.45 2011-01-01 00:00:00 2078-12-31 00:00:00
87495 $25.40 2011-01-01 00:00:00 2078-12-31 00:00:00
87496 $44.45 2011-01-01 00:00:00 2078-12-31 00:00:00
87497 $54.25 2011-01-01 00:00:00 2078-12-31 00:00:00
87498 $44.45 2011-01-01 00:00:00 2078-12-31 00:00:00
87500 $44.45 2011-01-01 00:00:00 2078-12-31 00:00:00
87501 $65.00 2011-01-01 00:00:00 2078-12-31 00:00:00
87502 $107.78 2011-01-01 00:00:00 2078-12-31 00:00:00
Code Mod Fee Effdate Termdate
87503 $26.30 2011-01-01 00:00:00 2078-12-31 00:00:00
87510 $25.40 2011-01-01 00:00:00 2078-12-31 00:00:00
87511 $44.45 2011-01-01 00:00:00 2078-12-31 00:00:00
87512 $52.88 2011-01-01 00:00:00 2078-12-31 00:00:00
87515 $25.40 2011-01-01 00:00:00 2078-12-31 00:00:00
87516 $44.45 2011-01-01 00:00:00 2078-12-31 00:00:00
87517 $54.25 2011-01-01 00:00:00 2078-12-31 00:00:00
87520 $25.40 2011-01-01 00:00:00 2078-12-31 00:00:00
87521 $44.45 2011-01-01 00:00:00 2078-12-31 00:00:00
87522 $54.25 2011-01-01 00:00:00 2078-12-31 00:00:00
87525 $25.40 2011-01-01 00:00:00 2078-12-31 00:00:00
87526 $44.45 2011-01-01 00:00:00 2078-12-31 00:00:00
87527 $52.88 2011-01-01 00:00:00 2078-12-31 00:00:00
87528 $25.40 2011-01-01 00:00:00 2078-12-31 00:00:00
87529 $44.45 2011-01-01 00:00:00 2078-12-31 00:00:00
87530 $54.25 2011-01-01 00:00:00 2078-12-31 00:00:00
87531 $25.40 2011-01-01 00:00:00 2078-12-31 00:00:00
87532 $44.45 2011-01-01 00:00:00 2078-12-31 00:00:00
87533 $52.88 2011-01-01 00:00:00 2078-12-31 00:00:00
87534 $25.40 2011-01-01 00:00:00 2078-12-31 00:00:00
87535 $44.45 2011-01-01 00:00:00 2078-12-31 00:00:00
87536 $107.78 2011-01-01 00:00:00 2078-12-31 00:00:00
87537 $25.40 2011-01-01 00:00:00 2078-12-31 00:00:00
87538 $44.45 2011-01-01 00:00:00 2078-12-31 00:00:00
87539 $54.25 2011-01-01 00:00:00 2078-12-31 00:00:00
87540 $25.40 2011-01-01 00:00:00 2078-12-31 00:00:00
87541 $44.45 2011-01-01 00:00:00 2078-12-31 00:00:00
87542 $52.88 2011-01-01 00:00:00 2078-12-31 00:00:00
87550 $25.40 2011-01-01 00:00:00 2078-12-31 00:00:00
87551 $44.45 2011-01-01 00:00:00 2078-12-31 00:00:00
87552 $54.25 2011-01-01 00:00:00 2078-12-31 00:00:00
87555 $25.40 2011-01-01 00:00:00 2078-12-31 00:00:00
87556 $44.45 2011-01-01 00:00:00 2078-12-31 00:00:00
87557 $54.25 2011-01-01 00:00:00 2078-12-31 00:00:00
87560 $25.40 2011-01-01 00:00:00 2078-12-31 00:00:00
87561 $44.45 2011-01-01 00:00:00 2078-12-31 00:00:00
87562 $54.25 2011-01-01 00:00:00 2078-12-31 00:00:00
87580 $25.40 2011-01-01 00:00:00 2078-12-31 00:00:00
87581 $44.45 2011-01-01 00:00:00 2078-12-31 00:00:00
87582 $52.88 2011-01-01 00:00:00 2078-12-31 00:00:00
87590 $25.40 2011-01-01 00:00:00 2078-12-31 00:00:00
87591 $44.45 2011-01-01 00:00:00 2078-12-31 00:00:00
87592 $18.33 2011-01-01 00:00:00 2078-12-31 00:00:00
87620 $25.40 2011-01-01 00:00:00 2078-12-31 00:00:00
87621 $44.45 2011-01-01 00:00:00 2078-12-31 00:00:00
87622 $52.88 2011-01-01 00:00:00 2078-12-31 00:00:00
87640 $44.45 2011-01-01 00:00:00 2078-12-31 00:00:00
Code Mod Fee Effdate Termdate
87641 $44.45 2011-01-01 00:00:00 2078-12-31 00:00:00
87650 $25.40 2011-01-01 00:00:00 2078-12-31 00:00:00
87651 $44.45 2011-01-01 00:00:00 2078-12-31 00:00:00
87652 $52.88 2011-01-01 00:00:00 2078-12-31 00:00:00
87653 $44.45 2011-01-01 00:00:00 2078-12-31 00:00:00
87660 $25.40 2011-01-01 00:00:00 2078-12-31 00:00:00
87797 $25.40 2011-01-01 00:00:00 2078-12-31 00:00:00
87798 $44.45 2011-01-01 00:00:00 2078-12-31 00:00:00
87799 $54.25 2011-01-01 00:00:00 2078-12-31 00:00:00
87800 $50.80 2011-01-01 00:00:00 2078-12-31 00:00:00
87801 $88.90 2011-01-01 00:00:00 2078-12-31 00:00:00
87802 $15.19 2011-01-01 00:00:00 2078-12-31 00:00:00
87803 $15.19 2011-01-01 00:00:00 2078-12-31 00:00:00
87804 $15.19 2011-01-01 00:00:00 2078-12-31 00:00:00
87807 $15.19 2011-01-01 00:00:00 2078-12-31 00:00:00
87808 $15.19 2011-01-01 00:00:00 2078-12-31 00:00:00
87809 $15.19 2011-01-01 00:00:00 2078-12-31 00:00:00
87810 $15.19 2011-01-01 00:00:00 2078-12-31 00:00:00
87850 $15.19 2011-01-01 00:00:00 2078-12-31 00:00:00
87880 $15.19 2011-01-01 00:00:00 2078-12-31 00:00:00
87899 $15.19 2011-01-01 00:00:00 2078-12-31 00:00:00
87900 $165.08 2011-01-01 00:00:00 2078-12-31 00:00:00
87901 $326.05 2011-01-01 00:00:00 2078-12-31 00:00:00
87902 $326.05 2011-01-01 00:00:00 2078-12-31 00:00:00
87903 $618.87 2011-01-01 00:00:00 2078-12-31 00:00:00
87904 $33.01 2011-01-01 00:00:00 2078-12-31 00:00:00
87905 $15.48 2011-01-01 00:00:00 2078-12-31 00:00:00
87906 $163.03 2011-01-01 00:00:00 2078-12-31 00:00:00
88130 $19.06 2011-01-01 00:00:00 2078-12-31 00:00:00
88140 $10.13 2011-01-01 00:00:00 2078-12-31 00:00:00
88142 $25.06 2011-01-01 00:00:00 2078-12-31 00:00:00
88143 $25.06 2011-01-01 00:00:00 2078-12-31 00:00:00
88147 $13.38 2011-01-01 00:00:00 2078-12-31 00:00:00
88148 $13.38 2011-01-01 00:00:00 2078-12-31 00:00:00
88150 $13.38 2011-01-01 00:00:00 2078-12-31 00:00:00
88152 $13.38 2011-01-01 00:00:00 2078-12-31 00:00:00
88153 $13.38 2011-01-01 00:00:00 2078-12-31 00:00:00
88154 $13.38 2011-01-01 00:00:00 2078-12-31 00:00:00
88155 $7.60 2011-01-01 00:00:00 2078-12-31 00:00:00
88164 $13.38 2011-01-01 00:00:00 2078-12-31 00:00:00
88165 $13.38 2011-01-01 00:00:00 2078-12-31 00:00:00
88166 $13.38 2011-01-01 00:00:00 2078-12-31 00:00:00
88167 $13.38 2011-01-01 00:00:00 2078-12-31 00:00:00
88174 $25.74 2011-01-01 00:00:00 2078-12-31 00:00:00
88175 $28.75 2011-01-01 00:00:00 2078-12-31 00:00:00
88230 $147.55 2011-01-01 00:00:00 2078-12-31 00:00:00
88233 $178.24 2011-01-01 00:00:00 2078-12-31 00:00:00
Code Mod Fee Effdate Termdate
88235 $186.50 2011-01-01 00:00:00 2078-12-31 00:00:00
88237 $159.97 2011-01-01 00:00:00 2078-12-31 00:00:00
88239 $186.84 2011-01-01 00:00:00 2078-12-31 00:00:00
88240 $12.80 2011-01-01 00:00:00 2078-12-31 00:00:00
88241 $12.80 2011-01-01 00:00:00 2078-12-31 00:00:00
88245 $188.54 2011-01-01 00:00:00 2078-12-31 00:00:00
88248 $219.33 2011-01-01 00:00:00 2078-12-31 00:00:00
88249 $219.33 2011-01-01 00:00:00 2078-12-31 00:00:00
88261 $223.84 2011-01-01 00:00:00 2078-12-31 00:00:00
88262 $157.86 2011-01-01 00:00:00 2078-12-31 00:00:00
88263 $190.33 2011-01-01 00:00:00 2078-12-31 00:00:00
88267 $227.68 2011-01-01 00:00:00 2078-12-31 00:00:00
88269 $210.65 2011-01-01 00:00:00 2078-12-31 00:00:00
88271 $27.13 2011-01-01 00:00:00 2078-12-31 00:00:00
88272 $33.90 2011-01-01 00:00:00 2078-12-31 00:00:00
88273 $40.69 2011-01-01 00:00:00 2078-12-31 00:00:00
88274 $44.09 2011-01-01 00:00:00 2078-12-31 00:00:00
88275 $50.86 2011-01-01 00:00:00 2078-12-31 00:00:00
88280 $31.79 2011-01-01 00:00:00 2078-12-31 00:00:00
88283 $86.88 2011-01-01 00:00:00 2078-12-31 00:00:00
88285 $24.07 2011-01-01 00:00:00 2078-12-31 00:00:00
88289 $43.61 2011-01-01 00:00:00 2078-12-31 00:00:00
88720 $5.10 2011-01-01 00:00:00 2078-12-31 00:00:00
88738 $5.10 2011-01-01 00:00:00 2078-12-31 00:00:00
88740 $5.10 2011-01-01 00:00:00 2078-12-31 00:00:00
88741 $5.10 2011-01-01 00:00:00 2078-12-31 00:00:00
89050 $4.24 2011-01-01 00:00:00 2078-12-31 00:00:00
89051 $6.98 2011-01-01 00:00:00 2078-12-31 00:00:00
89055 $4.37 2011-01-01 00:00:00 2078-12-31 00:00:00
89060 $9.05 2011-01-01 00:00:00 2078-12-31 00:00:00
89125 $5.47 2011-01-01 00:00:00 2078-12-31 00:00:00
89160 $2.12 2011-01-01 00:00:00 2078-12-31 00:00:00
89190 $4.37 2011-01-01 00:00:00 2078-12-31 00:00:00
89300 $11.30 2011-01-01 00:00:00 2078-12-31 00:00:00
89310 $9.88 2011-01-01 00:00:00 2078-12-31 00:00:00
89320 $15.26 2011-01-01 00:00:00 2078-12-31 00:00:00
89321 $15.26 2011-01-01 00:00:00 2078-12-31 00:00:00
89322 $19.64 2011-01-01 00:00:00 2078-12-31 00:00:00
89325 $6.36 2011-01-01 00:00:00 2078-12-31 00:00:00
89329 $26.55 2011-01-01 00:00:00 2078-12-31 00:00:00
89330 $12.54 2011-01-01 00:00:00 2078-12-31 00:00:00
89331 $24.81 2011-01-01 00:00:00 2078-12-31 00:00:00
Disclaimer: Indication or presence of fee in the table above does not guarantee coverage
or reimbursement of service. Please refer to the Clinical Lab provider manual at www.dhhr.wv.gov/bms
for additional coverage information.