wv medicaid clinical lab fee schedule effective january 1 ... fee...wv medicaid clinical lab fee...

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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

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Page 1: WV Medicaid Clinical Lab Fee Schedule Effective January 1 ... fee...WV Medicaid Clinical Lab Fee Schedule Effective January 1, 2011 Code Mod Fee Effdate Termdate 36415 $3.00 2011-01-01

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

Page 2: WV Medicaid Clinical Lab Fee Schedule Effective January 1 ... fee...WV Medicaid Clinical Lab Fee Schedule Effective January 1, 2011 Code Mod Fee Effdate Termdate 36415 $3.00 2011-01-01

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

Page 3: WV Medicaid Clinical Lab Fee Schedule Effective January 1 ... fee...WV Medicaid Clinical Lab Fee Schedule Effective January 1, 2011 Code Mod Fee Effdate Termdate 36415 $3.00 2011-01-01

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

Page 4: WV Medicaid Clinical Lab Fee Schedule Effective January 1 ... fee...WV Medicaid Clinical Lab Fee Schedule Effective January 1, 2011 Code Mod Fee Effdate Termdate 36415 $3.00 2011-01-01

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

Page 5: WV Medicaid Clinical Lab Fee Schedule Effective January 1 ... fee...WV Medicaid Clinical Lab Fee Schedule Effective January 1, 2011 Code Mod Fee Effdate Termdate 36415 $3.00 2011-01-01

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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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.