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DVA FEES FOR MEDICAL SERVICE PROVIDERS - DEFINITIONS

DVA pay Medical service items not listed or otherwise described in the MBS. See the 'DVA Medical' worksheet.

The Medicare threshold ($558.30) applies to items number 51300, 51303, 51800 & 51803.

Telemonitoring items UP20 and UP21 for registered providers are listed on the Telemonitoring worksheet.

MBS DERIVED FEE ROUNDING RULESDerived Fees are rounded up or down to the nearest five cents. Quarter cents round down (0.075 rounds down to 0.05)

DVA ROUNDING RULESREI 10% is applied to MBS fee and rounded up or down. REI is calculated prior to the LMO fee increase.

LMO incentive is 115% of the MBS fee.The DVA LMO 115% is added after MBS derived fee rounding.

LMO fees have been rounded up to the nearest five cents.RMFS fees have been rounded up to the nearest five cents.

RMFS Group Attendance item fees will round up or down to the nearest five cents. Quarter cents round down.

RECENT DOCUMENT HISTORY

Issues have been identified with Item 11219 and 11220. A further update will follow.

Veterans' Access Payment items 10990-10992, 64991-64992, 74991-74992 for LMOs are paid at 100% of the MBS

Rural Incentive Loading (REI) applies to registered providers claiming hospital visit items 4, 24, 37 or 47.

Telehealth Supporting Practitioner consultations are paid at 115% of the MBS fee to LMO's and Specialists. See the Telehealth worksheet.

MBS Optometrical Consultations 10900-10948 (except 10944 is paid at 100% of the MBS) are paid at the DVA fee.

MBS Allied Health items 10951, 10953-10954 and 10958-10970 are not payable by DVA. Refer to the DVA Allied Health schedules.

RVG 20100-25020 items are paid at $32.70 per unit.

Diagnostic Imaging items 55005-64991 and Pathology items 65060-74999 are paid at 100% of the MBS.

Aboriginal & Torres Strait Islander Health items 81300 & 81325, Midwife items 82100-82152 and Nurse Practitioner items 82200-82225 are paid at 100% of the MBS.

The Coordinated Veterans' Care (CVC) items UP01-UP04 for GPs are listed on the DVA Medical worksheet.

1 February 2018 - Removed end-dated items 73053, 73055, 73057, 730691 December 2017 - Added new items 73070, 73071, 73072, 73073, 73074, 73075, 73076. Removed end-dated items 69418, 69419.

16 November 2017 - Added new item 31591.1 November 2017 - Added new items 111, 117, 120, 6080, 6081, 12320, 12322, 16407, 16408, 16530, 16531, 16533, 16534, 35414, 38276, 38495, 40701, 40702, 40704, 40705, 40707, 40708, 73296, 73297, 80001, 80011, 80021. Amended fees for items 16515, 16520, 16527, 16528, 16590, 30475. Removed end-dated items 12309, 12318, 12323, 16525, 16633, 16636, 30009, 30013, 30041, 30048, 30067, 30074, 30102, 30106,

30110, 30265, 30282, 30476, 30487, 30493, 30620, 30634, 30638, 30675, 35512, 35516, 35526, 35617, 35639, 35676, 35683, 35687, 35712, 35716, 36658, 36660, 36662, 37622, 41665, 41788, 41792, 41796, 41800, 41819, 41820, 61616.

1 September 2017 - Added new item 73343.1 July 2017 - Amended fee for items 10990, 10991, 10992.

1 May 2017 - Added new items 30642, 35730, 41618, 42705, 73069. Removed end dated items 12025, 12026, 12027.1 February 2017 - Added new item 73295.

1 November 2016 - Removed end-dated items 12015, 12018, 30653, 30656, 30659, 30660, 31200, 31205, 31210, 31215, 31230, 31235, 31240, 31255, 31256, 31257, 31258, 31260, 31261, 31262, 31263, 31265, 31266, 31267, 31268, 31270, 31271, 31272, 31273, 31275, 31276, 31277, 31278, 31280, 31281, 31282, 31283, 31285, 31286, 31287, 31288, 31290, 31291, 31292, 31293, 31295, 31300, 31305, 31310, 31315, 31320, 31325,

31330, 31335. Added new items 6018, 6019, 6023, 6024, 6025, 6026, 6028, 6029, 6031, 6032, 6034, 6035, 6037, 6038, 6042, 6051, 6052, 6057, 6058, 6059, 6060, 6062, 6063, 6064, 6065, 6067, 6068, 6071, 6072, 6074, 6075, 12017, 12022, 12024, 12325, 12326, 30072, 30654, 30658, 31206, 31211, 31216, 31221, 31356, 31357, 31358, 31359, 31360, 31361, 31362, 31363, 31364, 31365, 31366, 31367, 31368, 31369, 31370, 31371,

31372, 31373, 31374, 31375, 31376, 45201, 45202, 63487, 63488, 63489, 63490. Additional items 12025, 12026 and 12027 added.20 August 2016 - Fee for item 73338 rounded up.

1 July 2016 - Removed end-dated items 11321, 11500, 13500, 13503, 16504, 18246, 32078, 32081, 41680, 41695, 41758, 41761, 41849, 41852, 58924, 58926, 59503, 59504, 59736, 59737, 59760, 59761, 61465, 61711.

1 May 2016 - Added new items 30640, 32088, 32089, 37040, 37338, 47301, 47304, 47307, 47310, 47313, 47316, 47319, 47361, 47362, 47364, 47367, 47370, 47373. Removed end dated items 47300, 47303, 47306, 47309, 47312, 47315, 47318, 47321, 47324, 47327, 47330, 47333, 47336, 47339, 47342, 47345, 47360, 47363, 47366, 47369, 47372, 47375.

1 January 2016 - Added new items 15275, 15555, 15565, 15715, 30172, 30176, 30179 and 73342. End dated item 30174.1 December 2015 - Item 73839 becomes effective.

1 November 2015 - Added new items 37831, 72858, 72859, 73899 and 73900. Removed end dated item 10986.1 September 2015 - Added new items 10944, 10945, 10946, 10947, 10948, 11719, 11720, 11725, 11726, 11801, 15900, 30105, 30287, 30326, 30608, 30611, 30618, 30619, 30622, 30623, 30626, 30627, 30636, 30637, 30639, 30643, 30645, 30646, 30649, 34529, 34534, 34540, 37801, 37804, 37807, 37810, 37813, 37816, 37819, 37822, 37825, 37828, 37834, 42576, 43805, 43832, 43835, 43838, 43841, 44101, 44104. Removed end

dated items 30612, 30616, 30617, 56552, 56554. Removed 3C MRI items.10 August 2015 - Added new item 73839. (Item added in error. Effective 1 December 2015)

1 July 2015 - Added new item 73341. Removed end dated items 18352, 18364, 18371, 18373. Correction to RMFS Out of Hospital fee for item 173.1 April 2015 - Added new items 18353, 18365, 18369, 18374.

1 January 2015 - Created new MBS Optometrical worksheet with LMO fees. Removed item 10900. Introduced new items 10910, 10911. Added new Diagnostic Imaging items. Changed fee for item 73338.

1 November 2014 - Added new MBS items 18379, 35534, 57362, 57363, 63740-63747, 66833-66841, 73339, 73340. Removed end dated items 18356, 18358, 56025, 56026, 66599, 66602, 66608, 66609, 73328, 73330.

1 July 2014 - Added new MBS items 31519, 31525, 38273, 38274, 55065, 55067, 55068, 55069. Removed end dated items 31518, 31521, 31527, 42621, 42659, 42737, 42797, 55020, 55022, 55044, 55045, 55731, 55732, 55733, 55734. Updated fees as per MBS and DVA request. Indexed fees for DVA Clinical Notes, Coordinated Veterans Care, Medication Review and Telemonitoring items.

1 April 2014 - Added new MBS item 73338.1 March 2014 - Added new MBS item 18377.

1 January 2014 - Amended fee for item 73065. Added new MBS item 733371 December 2013 - Added new MBS item 73336.

1 March 2014 - Included 63584, 63585, 63586 & 63587.1 November 2013 - Added new MBS items 63551, 63552, 63554, 63555, 63557, 63558, 63560 and 63561. Added DVA Medical item MT24.

1 October 2013 - Added new item 183751 July 2013 - Added new items 31569, 31572, 31575, 31578, 31581, 31584, 31587 & 31590.

1 May 2013 - Added new items 32523 & 32526.v1.1 - Removed RMFS Out of Hospital fee for items 13870-13876, 13881-13888, 30165-30174, 30189, 45522, 45556, 45638-45644, 52342-52375.

1 March 2013 - Added new items 11244, 32023 & 37245. Corrected description of Telehealth fees.21 January 2013 - Corrected fee for CP42 (Fee was incorrectly indexed to $50.95). Removed LMO fee from Telehealth worksheet.

1 January 2013 - Added new Telehealth items 113, 114, 384, 2799, 3003 & 6004. Added MBS Clinical Psychology 80000, 80005, 80010, 80015 and 80020. Reduced fees for Pathology as per MBS. Added new DVA Medical MT22.

1 November 2012 - Removed items 11203, 11212, 42560, 42566, 42722, 42728 and 42771.Added: 30687, 48694, 63507, 63508, 63510, 63511, 63513, 63514, 63517, 63519, 63520, 63522, 63523, 63525, 63526, 63527, 63528, 63529, 63530, 73333, 73334 and 73335.

v2.2 Changes: Removed DHS dummy item 36657. Removed UR372 from Vendor sheet. Corrected missing LMO fees for 4001-10997. Renamed Vendor sheet to MBS Vendor Fees.v2.3 Changes: Corrected Enhanced Primary Care fees for items 2723 and 2727.

v2.4 Changes: Corrected item 63529 (was 65529)v2.5 Changes: Removed LMO fees from RMFS items 104-536

v2.6 Changes: Updated Medicare threshold fee for assistant surgical items on Notes worksheet.v2.7 Changes: Corrected fees for 2137 on Telehealth and LMO Derived Condensed worksheets.

v2.8 Changes: Added new DVA schedule items 10950, 10952, 10956, 81300, 81325, 82300, 82306, 82309, 82312, 82315, 82318, 82324, 82327 and 82332. Removed MT22 (replaced 10956).1 September 2012 - Added Non-MBS Medical items MT12, MT14, MT16, MT18, MT20

1 July 2012 Changes - 5906, 5908, 5910 & 5912 Closed.Deleted 61506 (test), Closed 73818, 73824, 73827. Added 10997. Corrected fees for 10983-10989. Added RMFS In Hospital fee for items 835, 837 and 838.

Removed LMO Fee for items 82100-82225. Corrected Metro & Rural Incentive fields for CN & CP items. Renamed and restructured Column headers.

Column Format Column A - Item Code 5 ANColumn B - MBS Fee 5N.2N

Column C - LMO Base Fee 5N.2N

Column D - REI Benefit 1 AN

Column E - VAP 1 AN

Column F - VAP 1 AN

Column G - In Hospital 5N.2N

Column H - Out of Hospital 5N.2N

Column I - Relative Value 5N.2NColumn J - Diagnostic Imaging 5N.2N

Column K - Pathology 5N.2NColumn L - Derived Fee 1 AN

Column M - Derived Fee Description In Hospital TextColumn N - Derived Fee Description Out of Hospital Text

DescriptionItem number (if less than 5 fill with space).

100% MBS Fee.

Fees for anaesthetic services, paid as a multiple of the basic unit fee.All medical practitioners paid at 100% of the MBS.All medical practitioners paid at 100% of the MBS.

Refer to the MBS for benefit calculation. Refer to Derived Condensed worksheet for DVA fees.Notes only required where the derived fee varies from the MBSNotes only required where the derived fee varies from the MBS

nnnnn.nn Fee for the item. Paid at 115% of the MBS except for Veterans' Access Payment items which are paid at 100%

Rural Enhancement Initiative (REI) is paid to LMOs who provide services to veterans in designated rural hospitals. The REI loading is an additional 10% of the MBS fee for in-hospital consultations. The LMO fee is applied to the

REI fee, if applicable.Veterans Access Payment (VAP) is payable to LMOs. Can be claimed using Medicare Bulk Incentive item

numbers 10990, 64990 and 74990. Paid at 100% of the MBS.Veterans Access Payment (VAP) is payable to LMOs. Can be claimed using Medicare Bulk Incentive item

numbers 10991, 10992, 64991 and 74991. Paid at 100% of the MBS.Fee charged for services performed In Hospital. For the purposes of claiming, ‘In Hospital’ is considered to be any services rendered to veterans who are in-patients in a hospital or day hospital facility at the time the consultation

or procedure was provided. In hospital fees have been calculated with consideration given to private health industry rates.

Fee charged for services performed Out of Hospital. Out of Hospital items have been calculated based on the MBS at a rate of 135% for consultations and 140% for procedures.

Item MBS Fee LMO Fee REI

3 00016.95 00019.50 Y Y4 D D Y Y Y

20 D D Y Y23 00037.05 00042.65 Y Y24 D D Y Y Y35 D D Y Y36 00071.70 00082.50 Y Y37 D D Y Y Y43 D D Y Y44 00105.55 00121.40 Y Y47 D D Y Y Y51 D D Y Y52 00011.00 00012.65 Y Y53 00021.00 00024.15 Y Y54 00038.00 00043.70 Y Y57 00061.00 00070.15 Y Y58 D D Y Y59 D D Y Y60 D D Y Y65 D D Y Y92 D D Y Y93 D D Y Y95 D D Y Y96 D D Y Y99 D D

104 00085.55 00118.10 00115.50105 00043.00 00059.40 00058.05106 00071.00 00098.00 00095.85107 00125.50 00169.45108 00079.45 00107.30109 00192.80 00265.95 00260.30110 00150.90 00208.15 00203.75111 00043.00 00059.40 00058.05112 D D113 00064.20 00086.70114 00113.20 00152.85116 00075.50 00104.25 00101.95117 00075.50 00104.25 00101.95119 00043.00 00059.40 00058.05120 00043.00 00059.40 00058.05122 00183.10 00247.20128 00110.75 00149.55131 00079.75 00107.70132 00263.90 00363.00 00356.30133 00132.10 00181.75 00178.35135 00263.90 00363.00 00356.30137 00263.90 00363.00 00356.30139 00132.50 00178.90141 00452.65 00622.55 00611.10143 00282.95 00389.20 00382.00145 00548.85 00740.95

VAPMetro

VAPRegional

RMFS In Hospital

RMFS Out of Hospital

147 00343.10 00463.20149 D D160 00221.50 00305.45 00299.05161 00369.15 00508.95 00498.40162 00516.65 00712.25 00697.50163 00664.55 00916.00 00897.15164 00738.40 01017.95 00996.85170 00117.55 00140.95 00158.70171 00123.85 00148.50 00167.20172 00150.70 00180.70 00203.45173 00021.65 00029.95 00029.25193 00037.05 00050.05195 D D197 00071.70 00096.80199 00105.55 00142.50288 D D289 00263.90 00356.35 00356.30291 00452.65 00611.10293 00282.95 00382.00296 00260.30 00351.45297 00260.30 00358.85299 00311.30 00420.30300 00043.35 00058.55302 00086.45 00116.75304 00133.10 00179.70306 00183.65 00247.95308 00213.15 00287.80310 00021.60 00029.20312 00043.35 00058.55314 00066.65 00090.00316 00091.95 00124.15318 00106.60 00143.95319 00183.65 00247.95320 00043.35 00059.90322 00086.45 00119.25324 00133.10 00183.55326 00183.65 00253.35328 00213.15 00293.80330 00079.55 00107.40332 00124.65 00168.30334 00181.65 00245.25336 00219.75 00296.70338 00249.55 00336.90342 00049.30 00068.15 00066.60344 00065.45 00090.40 00088.40346 00096.80 00133.60 00130.70348 00126.75 00174.90 00171.15350 00175.00 00241.45 00236.25352 00126.75 00174.90 00171.15353 00057.20 00068.80 00077.25355 00114.45 00137.20 00154.55356 00167.80 00201.20 00226.55357 00231.45 00277.55 00312.50358 00282.00 00338.15 00380.70

359 00325.35 00447.55 00439.25361 00299.30 00411.70 00404.10364 00043.35 00059.90 00058.55366 00086.45 00119.25 00116.75367 00133.10 00174.90 00179.70369 00183.80 00241.45 00248.15370 00213.15 00293.80 00287.80384 00064.20 00086.70385 00085.55 00118.10 00115.50386 00043.00 00059.40 00058.05387 00125.50 00173.05 00169.45388 00079.45 00109.60 00107.30389 D D410 00019.55 00026.40411 00042.75 00057.75412 00082.65 00111.60413 00121.70 00164.30414 D D D415 D D D416 D D D417 D D D501 00034.20 00046.20503 00057.80 00078.05507 00097.05 00131.05511 00137.30 00185.40515 00212.60 00287.05519 00146.20 00197.40520 00280.85 00379.15530 00460.30 00621.45532 00639.75 00863.70534 00819.35 01106.15536 00909.10 01227.30597 00129.80 00149.30 Y Y598 00104.75 00144.45 00141.45599 00153.00 00175.95 Y Y600 00124.25 00171.25 00167.75701 00059.35 00068.30 Y Y703 00137.90 00158.60 Y Y705 00190.30 00218.85 Y Y707 00268.80 00309.15 Y Y715 00212.25 00244.10 Y Y721 00144.25 00165.90 Y Y723 00114.30 00131.45 Y Y729 00070.40 00081.00 Y Y731 00070.40 00081.00 Y Y732 00072.05 00082.90 Y Y735 00070.65 00081.25 Y Y739 00120.95 00139.10 Y Y743 00201.65 00231.90 Y Y747 00051.90 00059.70 Y Y750 00089.00 00102.35 Y Y758 00148.20 00170.45 Y Y820 00139.10 00187.80822 00208.70 00281.75

823 00278.15 00375.55825 00099.90 00134.90826 00159.30 00215.10828 00218.75 00295.35830 00139.10 00191.85 00187.80832 00208.70 00287.80 00281.75834 00278.15 00383.40 00375.55835 00099.90 00137.85 00134.90837 00159.30 00219.75 00215.10838 00218.75 00301.65 00295.35855 00139.10 00191.85 00187.80857 00208.70 00287.80 00281.75858 00278.15 00383.40 00375.55861 00139.10 00191.85 00187.80864 00208.70 00287.80 00281.75866 00278.15 00383.40 00375.55871 00080.30 00110.80 00108.45872 00037.40 00051.60 00050.50880 00048.65 00067.10900 00154.80 00178.05 Y Y903 00106.00 00121.90 Y Y

2100 00022.90 00026.35 00026.352122 D D D2125 D D D2126 00049.95 00057.45 00057.452137 D D D2138 D D D2143 00096.85 00111.40 00111.402147 D D D2179 D D D2195 00142.50 00163.90 00163.902199 D D D2220 D D D2497 00016.95 00019.50 Y Y2501 00037.05 00042.65 Y Y2503 D D Y Y2504 00071.70 00082.50 Y Y2506 D D Y Y2507 00105.55 00121.40 Y Y2509 D D Y Y2517 00037.05 00042.65 Y Y2518 D D Y Y2521 00071.70 00082.50 Y Y2522 D D Y Y2525 00105.55 00121.40 Y Y2526 D D Y Y2546 00037.05 00042.65 Y Y2547 D D Y Y2552 00071.70 00082.50 Y Y2553 D D Y Y2558 00105.55 00121.40 Y Y2559 D D Y Y2598 00011.00 00012.65 Y Y2600 00021.00 00024.15 Y Y

2603 00038.00 00043.70 Y Y2606 00061.00 00070.15 Y Y2610 D D Y Y2613 D D Y Y2616 D D Y Y2620 00021.00 00024.15 Y Y2622 00038.00 00043.70 Y Y2624 00061.00 00070.15 Y Y2631 D D Y Y2633 D D Y Y2635 D D Y Y2664 00021.00 00024.15 Y Y2666 00038.00 00043.70 Y Y2668 00061.00 00070.15 Y Y2673 D D Y Y2675 D D Y Y2677 D D Y Y2700 00071.70 00082.50 Y Y2701 00105.55 00121.40 Y Y2712 00071.70 00082.50 Y Y2713 00071.70 00082.50 Y Y2715 00091.05 00104.75 Y Y2717 00134.10 00154.25 Y Y2721 00092.75 00106.70 Y Y2723 D D Y Y2725 00132.75 00152.70 Y Y2727 D D Y Y2799 00113.20 00152.852801 00150.90 00208.15 00203.752806 00075.50 00104.25 00101.952814 00043.00 00059.40 00058.052820 D D2824 00183.10 00247.202832 00110.75 00149.552840 00079.75 00107.702946 00139.10 00191.85 00187.802949 00208.70 00287.80 00281.752954 00278.15 00383.40 00375.552958 00099.90 00137.90 00134.902972 00159.30 00219.75 00215.102974 00218.75 00301.70 00295.352978 00139.10 00191.852984 00208.70 00287.802988 00278.15 00383.402992 00099.90 00134.902996 00159.30 00215.103000 00218.75 00295.353003 00113.20 00152.853005 00150.90 00208.15 00203.753010 00075.50 00104.25 00101.953014 00043.00 00059.40 00058.053015 D D3018 00183.10 00247.203023 00110.75 00149.55

3028 00079.75 00107.703032 00139.10 00191.85 00187.803040 00208.70 00287.80 00281.753044 00278.15 00383.40 00375.553051 00099.90 00137.90 00134.903055 00159.30 00219.75 00215.103062 00218.75 00301.70 00295.353069 00139.10 00191.853074 00208.70 00287.803078 00278.15 00383.403083 00099.90 00134.903088 00159.30 00215.103093 00218.75 00295.354001 00076.60 00088.10 Y Y5000 00029.00 00033.35 Y Y5003 D D Y Y5010 D D Y Y5020 00049.00 00056.35 Y Y5023 D D Y Y5028 D D Y Y5040 00083.95 00096.55 Y Y5043 D D Y Y5049 D D Y Y5060 00117.75 00135.45 Y Y5063 D D Y Y5067 D D Y Y5200 00021.00 00024.15 Y Y5203 00031.00 00035.65 Y Y5207 00048.00 00055.20 Y Y5208 00071.00 00081.65 Y Y5220 D D Y Y5223 D D Y Y5227 D D Y Y5228 D D Y Y5260 D D Y Y5263 D D Y Y5265 D D Y Y5267 D D Y Y6004 00097.20 00131.256007 00129.60 00178.75 00175.006009 00043.00 00059.40 00058.056011 00085.55 00118.10 00115.506013 00118.50 00163.45 00160.006015 00150.90 00208.15 00203.756016 D D6018 00150.90 00208.15 00203.756019 00075.50 00104.25 00101.956023 00263.90 00363.00 00356.306024 00132.10 00181.75 00178.356025 00113.20 00130.206026 D D6028 00049.30 00068.15 00066.606029 00042.70 00057.656031 00075.50 00104.25 00101.95

6032 00113.30 00152.95 00153.006034 00150.90 00203.756035 00034.15 00046.156037 00060.40 00081.556038 00090.65 00122.406042 00120.75 00163.056051 00150.90 00208.15 00203.756052 00075.50 00104.25 00101.956057 00263.90 00363.00 00356.306058 00132.10 00181.75 00178.356059 00113.20 00130.206060 D D6062 00183.10 00247.206063 00110.75 00149.556064 00042.70 00057.65 00057.656065 00075.50 00104.25 00101.956067 00113.30 00153.006068 00150.90 00208.15 00203.756071 00034.15 00046.156072 00060.40 00081.556074 00090.65 00122.406075 00120.75 00163.056080 00050.15 00069.20 00067.756081 00037.40 00051.60 00050.50

10801 00121.65 00167.85 00164.2510802 00121.65 00167.85 00164.2510803 00121.65 00167.85 00164.2510804 00121.65 00167.85 00164.2510805 00121.65 00167.85 00164.2510806 00121.65 00167.85 00164.2510807 00121.65 00167.85 00164.2510808 00121.65 00167.85 00164.2510809 00121.65 00167.85 00164.2510816 00121.65 00167.85 00164.2510950 00062.2510952 00062.2510956 00062.2510983 00032.40 00037.30 Y Y10984 00032.40 00037.30 Y Y10987 00024.00 00027.60 Y Y10988 00012.00 00013.80 Y Y10989 00012.00 00013.80 Y Y10990 00007.30 00007.3010991 00011.00 00011.0010992 00011.00 00011.0010997 00012.00 00013.80 Y Y11000 00123.10 00154.50 00172.3511003 00325.70 00393.60 00456.0011004 00325.70 00392.60 00456.0011005 00325.70 00392.60 00456.0011006 00167.00 00201.30 00233.8011009 00227.75 00274.55 00318.8511012 00112.00 00135.25 00156.8011015 00149.90 00180.70 00209.90

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30105 00164.95 00256.40 00230.9530107 00219.95 00296.10 00307.9530111 00371.50 00495.70 00520.1030114 00371.50 00447.8030165 00454.85 00817.9530168 00454.85 00606.8530171 00691.75 01292.3530172 00691.75 01292.3530176 00985.70 01315.0530177 00985.70 01315.0530179 01213.15 01577.1030180 00136.50 00182.10 00191.1030183 00246.50 00328.75 00345.1030185 00182.50 00252.25 00255.5030186 00047.45 00062.75 00066.4530187 00256.95 00360.30 00359.7530189 00147.30 00179.5530190 00397.75 00596.40 00556.8530192 00039.55 00052.95 00055.4030195 00063.50 00084.70 00088.9030196 00126.30 00168.50 00176.8530197 00440.05 00734.15 00616.1030202 00048.35 00064.60 00067.7030203 00170.25 00227.20 00238.3530205 00126.30 00168.50 00176.8530207 00044.60 00059.65 00062.4530210 00162.95 00267.3030213 00109.80 00146.55 00153.7530214 00109.80 00146.55 00153.7530216 00027.35 00036.60 00038.3030219 00027.35 00038.3030223 00162.95 00201.0530224 00237.60 00317.15 00332.6530225 00267.65 00345.20 00374.7530226 00149.75 00199.85 00209.6530229 00272.95 00364.25 00382.1530232 00223.60 00298.40 00313.0530235 00295.70 00394.50 00414.0030238 00149.75 00199.85 00209.6530241 00356.35 00495.90 00498.9030244 00356.35 00475.5030246 00689.80 01014.2530247 00739.35 00986.2030250 01251.10 01695.5030251 01921.75 02588.55 02690.4530253 00834.05 01180.3030255 01110.65 01714.7030256 00445.40 00681.3030259 00198.50 00266.85 00277.9030262 00058.80 00078.65 00082.3530266 00149.75 00217.70 00209.6530269 00149.75 00199.85 00209.6530272 00295.70 00398.30 00414.0030275 01762.75 02548.40

30278 00046.50 00059.70 00065.1030281 00119.50 00148.85 00167.3030283 00204.70 00302.60 00286.6030286 00397.85 00598.90 00557.0030287 00517.20 00778.60 00724.1030289 00502.25 00623.3030293 00445.40 00594.25 00623.6030294 01762.75 03202.4530296 01023.70 01513.6030297 01023.70 01520.0030299 00637.45 00850.5030300 00764.90 01020.5530302 00509.95 00680.3030303 00611.85 00816.3530306 00798.65 01218.2030308 00798.65 01235.0530309 01023.70 01623.6530310 00457.40 00593.1530313 00272.95 00498.70 00382.1530314 00457.40 00694.6030315 01139.90 01770.0030317 01364.90 02051.8030318 00907.60 01210.8530320 01364.90 01780.6530321 00907.60 01210.8530323 01364.90 02086.8530324 01364.90 02095.5530326 00594.60 00903.0030329 00246.95 00329.45 00345.7530330 00718.75 00982.5030332 00346.75 00461.5030335 00866.85 01273.0530336 01040.25 01489.4030373 00483.25 00606.2530375 00521.25 00695.4030376 00521.25 00673.7530378 00523.70 00698.6530379 00928.15 01238.2530382 01306.90 01784.4030384 01099.40 01464.6030385 00563.30 00790.6530387 00635.00 00866.8030388 01597.55 01964.3030390 00219.95 00293.5030391 00284.35 00379.5030392 00674.50 00899.9030393 00523.70 00698.6530394 00492.85 00657.4530396 01016.55 01223.6030397 00232.35 00310.1530399 00319.60 00426.4530400 00632.50 00843.8030402 00464.60 00619.9030403 00521.25 00695.40

30405 00914.95 01195.2030406 00052.20 00071.70 00073.1030408 00392.10 00588.5530409 00174.45 00232.95 00244.2530411 00088.80 00118.6030412 00052.35 00069.85 00073.3030414 00689.80 00920.2530415 01379.50 02047.6030416 00748.95 00999.2530417 01123.40 01529.3030418 01597.55 02119.5030419 00817.10 01090.25 01143.9530421 01996.55 03131.2530422 00675.35 00900.9030425 01306.90 01651.2030427 01560.95 02071.3030428 01670.00 02796.30 02338.0030430 02323.30 03099.40 03252.6530431 00521.25 00695.40 00729.7530433 00726.05 00968.7530434 00588.15 00784.7030436 00653.45 00871.9530437 00813.30 01084.8530438 01150.85 01488.10 01611.2030439 00185.60 00247.8530440 00526.40 00702.20 00737.0030441 00136.25 00181.7530442 00185.60 00247.8530443 00739.35 00986.2030445 00739.35 01082.4530446 00739.35 01071.4030448 00972.90 01400.8030449 01081.85 01558.7530450 00524.40 00699.45 00734.2030451 00267.65 00357.25 00374.7530452 00377.50 00503.7530454 00862.50 01143.6530455 01014.05 01267.4530457 01379.50 01800.25 01931.3030458 01014.05 01401.6530460 00862.50 01282.5030461 01478.40 01972.5030463 01815.20 03057.7030464 02178.25 04086.3030466 01256.05 01675.6030467 01553.70 02072.6530469 01720.90 02694.30 02409.3030472 00929.35 01239.80 01301.1030473 00177.10 00236.45 00247.9530475 00348.95 00465.50 00488.5530478 00245.55 00327.65 00343.8030479 00476.10 00576.80 00666.5530481 00357.00 00476.35 00499.8030482 00253.85 00338.75 00355.40

30483 00177.05 00236.40 00247.9030484 00364.90 00486.90 00510.9030485 00563.30 00729.55 00788.6530488 00090.00 00120.10 00126.0030490 00526.40 00635.10 00737.0030491 00555.35 00740.95 00777.5030492 00787.30 01049.7530494 00420.50 00561.0030495 00787.30 01049.7530496 00588.15 00784.70 00823.4530497 00701.30 00935.6030499 00834.05 01113.0030500 00893.10 01191.40 01250.3530502 00985.70 01315.0530503 01103.80 01472.40 01545.3530505 00551.85 00719.7030506 00965.75 01288.4530508 01016.55 01356.2030509 01016.55 01356.20 01423.2030515 00704.35 00939.5030517 00922.20 01230.2030518 00987.50 01317.3530520 00675.35 00900.9030521 01444.90 02071.9530523 01510.10 02013.1530524 01662.65 02301.1530526 02156.35 02976.5030527 00871.30 01233.7530529 01306.90 01743.5530530 00784.20 01046.2030532 00900.45 01201.4030533 01071.00 01559.5530535 01696.65 02859.6530536 01720.90 02653.4030538 01190.80 01765.7030539 00871.30 01107.6530541 01517.50 02458.4530542 01031.10 01375.4530544 00755.20 00965.3030545 01837.10 02450.7030547 01263.35 01616.55 01768.7030548 00943.80 01816.45 01321.3530550 02062.20 02750.7530551 01423.15 01898.4530553 01052.65 01325.45 01473.7530554 02294.45 03060.8030556 01582.80 02111.5530557 01169.00 01559.4530559 00849.55 01136.75 01189.4030560 00943.80 01374.3030562 00595.00 00790.9530563 00595.00 00794.00 00833.0030564 00772.30 01030.2530565 00871.30 01162.30

30566 00967.85 01291.2030568 00726.05 00875.6030569 00370.20 00494.1030571 00445.40 00605.1530572 00445.40 00634.6030574 00123.25 00164.6030575 00512.70 00669.7030577 01089.15 01464.0530578 01147.20 01444.7530580 01045.40 01305.8030581 00762.35 01067.7530583 01194.25 01593.3030584 01762.75 02503.3530586 00701.30 00935.6030587 00726.05 00968.7530589 01251.10 01669.0530590 01379.50 01947.6030593 01887.75 02570.75 02642.8530594 02178.25 03085.7530596 00897.30 01197.1030597 00720.20 00960.9030599 01306.90 01865.5030600 00777.10 01036.9530601 00957.30 01277.0530602 01553.70 02072.6530603 01640.90 02189.20 02297.3030605 01865.95 02753.5530606 01110.80 01481.9530608 01258.20 01678.6030609 00464.50 00683.5530611 00563.35 00800.15 00788.7030614 00464.50 00601.1530615 00521.25 00693.9530618 00522.25 00637.35 00731.1530619 00936.25 01285.4030621 00407.50 00490.3530622 00677.65 00904.0530623 00677.65 00875.9030626 00680.80 00908.2530627 00285.95 00381.5530628 00035.60 00047.65 00049.8530631 00236.65 00310.45 00331.3530635 00291.80 00472.4530636 00233.15 00307.35 00326.4530637 00773.50 01028.2530639 00773.50 01032.20 01082.9030640 00914.95 01195.2030641 00407.50 00541.0030642 00521.25 00792.7530643 00677.65 01030.6030644 00521.25 00792.7530645 00579.00 00786.7030646 00579.00 00825.0030649 00187.65 00294.85 00262.75

30654 00046.50 00062.25 00065.1030658 00142.00 00227.20 00198.8030663 00144.35 00226.80 00202.1030666 00047.45 00084.30 00066.4530672 00445.40 00622.5530676 00379.05 00512.35 00530.7030679 00096.30 00117.90 00134.8530680 01170.00 01408.95 01638.0030682 01170.00 01408.95 01638.0030684 01439.85 01733.70 02015.8030686 01439.85 01733.70 02015.8030687 00476.10 00576.80 00666.5530688 00364.90 00485.50 00510.9030690 00563.30 00749.35 00788.6530692 00364.90 00485.50 00510.9030694 00563.30 00749.35 00788.6530696 00563.30 00749.35 00788.6530710 00563.30 00749.35 00788.6531000 00580.90 00746.10 00813.3031001 00726.05 01114.45 01016.5031002 00871.30 01175.55 01219.8531206 00095.45 00127.20 00133.6531211 00123.10 00164.45 00172.3531216 00143.55 00200.65 00201.0031220 00214.55 00295.45 00300.4031221 00214.55 00295.45 00300.4031225 00381.30 00493.75 00533.8531245 00369.00 00561.80 00516.6031250 00369.00 00627.45 00516.6031340 D D D31345 00210.95 00292.70 00295.3531346 00210.95 00281.35 00295.3531350 00433.35 00615.50 00606.7031355 00714.45 00939.95 01000.2531356 00221.35 00295.35 00309.9031357 00109.70 00146.20 00153.6031358 00270.85 00360.95 00379.2031359 00330.15 00429.2031360 00168.05 00224.20 00235.3031361 00186.70 00249.10 00261.4031362 00133.90 00179.10 00187.5031363 00244.30 00325.65 00342.0531364 00168.05 00224.20 00235.3031365 00158.30 00211.35 00221.6531366 00095.45 00127.45 00133.6531367 00213.60 00286.35 00299.0531368 00125.55 00169.20 00175.8031369 00245.90 00328.15 00344.3031370 00143.55 00200.65 00201.0031371 00357.00 00475.25 00499.8031372 00308.70 00410.75 00432.2031373 00356.80 00474.30 00499.5531374 00281.90 00374.70 00394.7031375 00303.40 00406.60 00424.80

31376 00351.60 00468.40 00492.2531400 00261.05 00348.35 00365.5031403 00301.35 00401.9531406 00502.15 00738.55 00703.0531409 01560.15 02631.1031412 01921.75 02974.1531420 00183.90 00237.30 00257.5031423 00401.75 00490.25 00562.4531426 00803.45 01072.0031429 01252.10 01882.6531432 01339.15 02279.6531435 00984.30 01304.1031438 01560.15 02117.1531450 00406.65 00593.2531452 00711.50 01068.0031454 00563.30 00784.1031456 00245.55 00296.6031458 00294.65 00393.2531460 00357.00 00494.1531462 00521.25 00695.4031464 00871.30 01321.5531466 01306.95 01735.5531468 01435.85 02141.9531470 00720.20 00988.7531472 01169.80 01409.0531500 00260.05 00361.05 00364.1031503 00346.75 00459.35 00485.4531506 00390.10 00526.0031509 00346.75 00451.80 00485.4531512 00650.15 00865.2031515 00436.15 00562.0031516 00867.00 01082.0531519 00736.05 00979.8531524 01040.25 01384.2531525 00520.00 00924.3031530 00595.65 00792.70 00833.9531533 00137.90 00177.20 00193.1031536 00189.40 00252.75 00265.2031539 00398.80 00507.3531542 00196.95 00262.05 00275.7531545 00595.65 00774.20 00833.9531548 00137.90 00171.75 00193.1031551 00216.75 00282.8031554 00433.50 00584.9031557 00346.75 00475.20 00485.4531560 00346.75 00467.15 00485.4531563 00259.75 00375.30 00363.6531566 00129.95 00234.70 00181.9531569 00849.55 01133.4031572 01045.40 01394.8031575 00849.55 01133.4031578 00849.55 01133.4031581 01045.40 01394.8031584 01539.10 02079.30

31587 00097.95 00128.80 00137.1531590 00251.70 00307.35 00352.4031591 01539.10 02079.3032000 01031.35 01284.6532003 01078.80 01453.3532004 01150.35 01486.3032005 01299.55 01802.3532006 01150.35 01534.6532009 01364.60 01922.3532012 01507.40 02073.5532015 01852.50 02531.7532018 01570.85 01936.2532021 00563.30 00843.1532023 00555.35 00740.95 00777.5032024 01364.60 01981.6032025 01825.30 02558.0532026 01965.65 02718.9032028 02106.20 03093.7532029 00421.20 00562.0532030 01031.35 01390.0032033 01507.40 02038.2532036 01911.80 02767.0032039 01535.05 02176.3532042 01293.15 01715.8532045 00483.95 00617.0532046 00747.90 01012.4532047 00871.30 01162.3032051 02316.60 03201.7532054 02126.20 02554.8532057 00563.30 00751.4032060 02316.60 03490.3032063 02126.20 02836.4032066 00563.30 00751.4032069 01713.65 02260.1532072 00047.85 00062.00 00067.0032075 00075.05 00091.65 00105.1032084 00111.35 00143.70 00155.9032087 00204.70 00264.25 00286.6032088 00334.35 00430.65 00468.1032089 00469.20 00593.35 00656.9032090 00334.35 00430.65 00468.1032093 00469.20 00593.35 00656.9032094 00551.85 00711.6532095 00127.80 00164.95 00178.9532096 00256.95 00453.5032099 00333.20 00444.6032102 00634.70 00889.5032103 00772.30 00939.4032104 00999.65 01308.8532105 00483.95 00692.45 00677.5532106 01364.60 01820.45 01910.4532108 00999.65 01333.6032111 00634.70 00871.3532112 00772.30 01055.70

32114 00174.45 00232.95 00244.2532115 00126.85 00169.5532117 00999.65 01333.6032120 00256.95 00342.8532123 00333.20 00444.60 00466.5032126 00483.95 00645.8032129 00634.70 00846.6032131 00533.60 00712.0032132 00045.10 00060.35 00063.1532135 00067.50 00090.15 00094.5032138 00367.75 00502.50 00514.8532139 00367.75 00560.1032142 00067.50 00090.15 00094.5032145 00135.05 00180.4532147 00045.10 00060.35 00063.1532150 00256.95 00319.05 00359.7532153 00070.10 00097.6032156 00131.75 00175.80 00184.4532159 00333.20 00433.2032162 00483.95 00636.7532165 00634.70 00846.60 00888.6032166 00206.20 00279.25 00288.7032168 00131.75 00173.0532171 00088.80 00113.2532174 00088.80 00118.60 00124.3532175 00162.65 00209.8532177 00174.25 00212.6032180 00256.95 00342.3032183 00561.65 00749.3032186 00561.65 00749.3032200 00295.70 00394.50 00414.0032203 00635.00 00847.0032206 00573.70 00731.4532209 00921.95 01229.9032210 00255.45 00340.85 00357.6532212 00136.25 00181.7532213 00660.95 00881.4532214 00334.00 00445.4032215 00125.40 00167.25 00175.6032216 00593.55 00791.6032217 00156.30 00208.5532218 00156.30 00208.5532220 00903.90 01205.8532221 00903.90 01205.8532500 00109.80 00166.25 00153.7532501 00109.80 00156.65 00153.7532504 00267.65 00381.25 00374.7532507 00533.60 00767.60 00747.0532508 00533.60 00796.0032511 00793.30 01255.0532514 00926.80 01354.5532517 01193.40 01843.8532520 00533.60 00759.80 00747.0532522 00793.30 01129.45 01110.65

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33166 02105.70 02998.25 02948.0033169 01639.35 02246.2533172 01278.35 01696.2033175 01178.10 01567.0033178 01498.20 02133.0533181 01831.70 03277.7033500 01135.40 01631.6033506 01270.90 01809.6533509 01421.35 02024.0033512 01579.30 02404.6033515 01737.25 02473.7033518 01270.90 01810.95 01779.3033521 01376.10 01812.4533524 01624.30 02312.9033527 01887.35 02687.5533530 01624.30 02276.8033533 01887.35 02687.5533536 01346.10 01916.7533539 00970.05 01381.2033542 01383.65 02159.7033545 00273.65 00389.7033548 00556.60 00792.6533551 00273.65 00389.7033554 00272.40 00388.0033800 01180.60 01585.65 01652.8533803 01128.05 01606.1033806 00812.15 01156.50 01137.0533810 00592.45 00843.75 00829.4533811 01763.80 03295.1533812 00932.45 01212.90 01305.4533815 00857.30 01220.9033818 01000.15 01265.0533821 01143.00 01638.6033824 01090.35 01552.3533827 01278.35 01737.3033830 01466.30 02087.9033833 01331.15 01895.2033836 01586.75 02216.6033839 01857.40 03405.0533842 00917.40 01328.3033845 00639.20 00805.5033848 00639.20 00859.3534100 00707.00 00969.1034103 00413.55 00588.8534106 00291.70 00415.50 00408.4034109 00338.35 00453.50 00473.7034112 00857.30 01399.2034115 00970.05 01292.3034118 01383.65 02113.50 01937.1534121 01105.35 01573.9034124 01210.80 01723.7534127 01586.75 02259.0534130 00496.30 00706.95 00694.8534133 00556.60 00986.80

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42512 00481.25 00685.80 00673.7542515 00609.05 00901.1542518 00353.35 00478.0542521 01203.20 01731.5542524 00204.60 00291.35 00286.4542527 00406.05 00578.1542530 00631.75 00842.0042533 00406.05 00597.5042536 00834.60 01183.7542539 01188.20 02015.6542542 00503.85 00705.2042543 00883.85 01272.1542545 01278.35 02013.2042548 00759.40 01081.4542551 00631.75 00844.85 00884.4542554 00737.00 01027.3542557 01030.20 01368.4042563 00519.00 00738.95 00726.6042569 01030.20 01466.9042572 00117.35 00185.45 00164.3042573 00227.45 00343.00 00318.4542574 00483.25 00729.70 00676.5542575 00082.75 00121.65 00115.8542576 00295.70 00445.90 00414.0042581 00117.35 00167.30 00164.3042584 00276.80 00394.10 00387.5542587 00051.95 00074.25 00072.7542590 00338.35 00432.55 00473.7042593 00204.60 00344.8542596 00503.85 00717.80 00705.4042599 00631.75 00835.55 00884.4542602 00631.75 00899.90 00884.4542605 00466.10 00663.65 00652.5542608 00300.75 00491.50 00421.0542610 00096.25 00142.75 00134.7542611 00144.35 00199.30 00202.1042614 00048.30 00069.10 00067.6542615 00072.25 00109.25 00101.1542617 00136.95 00195.05 00191.7542620 00052.65 00065.10 00073.7542622 00082.75 00117.90 00115.8542623 00699.45 01243.9542626 01128.05 01633.30 01579.3042629 00849.70 01152.0042632 00117.35 00153.95 00164.3042635 00300.75 00401.70 00421.0542638 00376.00 00551.20 00526.4042641 00488.75 00716.70 00684.2542644 00072.15 00102.80 00101.0542647 00204.60 00260.50 00286.4542650 00072.15 00102.80 00101.0542651 00160.80 00250.20 00225.1542653 01307.75 02020.8542656 01669.45 02457.95

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44108 00491.45 00623.5544111 00575.65 00740.25 00805.9544114 00575.65 00817.1044130 00463.30 00581.70 00648.6544133 00367.75 00568.3044136 00169.50 00218.85 00237.3044325 00295.70 00421.40 00414.0044328 00356.35 00480.0044331 00587.60 00816.6544334 01194.25 01703.25 01671.9544338 00144.00 00192.95 00201.6044342 00219.95 00266.0544346 00254.00 00382.4044350 00288.20 00400.70 00403.5044354 00329.80 00458.4044358 00183.90 00241.8044359 00263.95 00346.8544361 00356.35 00580.7544364 00295.70 00428.9544367 00521.95 00688.4544370 00720.20 01000.9544373 01478.40 02054.45 02069.8044376 D D D45000 00541.35 00745.55 00757.9045003 00601.65 00906.70 00842.3545006 01037.65 01465.4545009 00379.05 00539.8545012 00635.00 00869.6545015 00300.75 00428.4045018 00473.65 00674.50 00663.1545019 00396.70 00561.5545020 00396.70 00564.9545021 00177.35 00252.75 00248.3045024 00398.55 00567.50 00558.0045025 00177.35 00271.95 00248.3045026 00398.55 00612.35 00558.0045027 00120.35 00171.5045030 00129.25 00163.95 00180.9545033 00240.70 00361.15 00337.0045035 00702.05 01057.6045036 01128.05 01615.5045039 00240.70 00297.15 00337.0045042 00308.40 00547.75 00431.8045045 00308.40 00439.15 00431.8045048 00774.55 01055.9045051 00473.75 00625.4545054 00246.10 00350.3545200 00284.35 00342.85 00398.1045201 00413.95 00586.70 00579.5545202 00413.95 00581.10 00579.5545203 00406.05 00588.35 00568.5045206 00383.55 00514.80 00537.0045207 00383.55 00502.60 00537.0045209 00473.75 00658.40 00663.25

45212 00235.05 00331.80 00329.1045215 01014.05 01443.9545218 00454.85 00604.4045221 00261.55 00372.50 00366.2045224 00117.55 00206.15 00164.6045227 00445.40 00635.00 00623.6045230 00222.75 00270.00 00311.8545233 00473.75 00634.35 00663.2545236 00371.50 00527.5045239 00261.55 00372.50 00366.2045240 00261.55 00342.65 00366.2045400 00204.70 00291.60 00286.6045403 00407.50 00614.45 00570.5045406 00451.10 00603.80 00631.5545409 00601.65 00750.7545412 00827.30 01329.3045415 00902.30 01284.9545418 00977.55 01214.8545439 00284.35 00404.90 00398.1045442 00586.50 00756.55 00821.1045445 00556.60 00748.35 00779.2545448 00376.00 00481.85 00526.4045451 00473.75 00672.80 00663.2545460 01253.30 01783.5045461 00893.25 01271.2045462 00674.05 00959.3545464 01913.10 02650.7545465 01363.00 01939.55 01908.2045466 01027.95 01462.55 01439.1545468 01832.65 02607.9045469 01382.70 01967.40 01935.8045471 02303.65 03277.80 03225.1545472 01737.60 02472.70 02432.6545474 02773.30 03946.20 03882.6545475 02092.45 02977.55 02929.4545477 03243.00 04614.55 04540.2045478 02446.05 03480.80 03424.5045480 03712.60 05282.90 05197.6545481 02801.10 03985.70 03921.5545483 04229.95 06018.85 05921.9545484 03191.50 04541.35 04468.1045485 00527.70 01005.3545486 00451.10 00642.4045487 00406.05 00531.60 00568.5045488 00451.10 00642.4045489 00676.80 01119.70 00947.5545490 00902.50 01285.0545491 01128.05 01606.1045492 01353.60 01726.3045493 00406.05 00488.5045494 01638.70 02333.15 02294.2045496 00416.05 00592.0045497 00324.95 00462.6545498 00261.55 00372.50

45499 00195.00 00277.6545500 01090.35 01781.5045501 01774.70 02695.1545502 01774.70 02528.5045503 02030.35 02891.1045504 01774.70 03265.0045505 01774.70 02528.5045506 00219.95 00271.65 00307.9545512 00295.70 00413.05 00414.0045515 00186.50 00266.05 00261.1045518 00225.70 00310.25 00316.0045519 00429.05 00610.8545520 00900.45 01282.1545522 00631.75 01164.3545524 00741.65 01056.1545527 00741.65 01325.9545528 01112.35 01583.7045530 01099.40 01565.5045533 01245.10 01772.6045536 00457.85 00651.8545539 01071.20 01844.4045542 00613.40 00961.2545545 00622.55 00843.50 00871.6045546 00197.85 00281.80 00277.0045548 00276.80 00438.90 00387.5545551 00443.70 00631.8045552 00638.65 01172.30 00894.1545553 00638.65 00843.00 00894.1545554 00699.45 00995.95 00979.2545555 00638.65 00909.6045556 00766.05 01090.4545557 00766.05 01090.4545558 01148.95 01635.8545559 01136.80 01500.25 01591.5545560 00473.65 00674.50 00663.1545561 01774.70 02526.9045562 01099.40 01565.50 01539.2045563 01099.40 01663.45 01539.2045564 02546.30 04080.0545565 01909.80 02673.6045566 01071.20 01530.2045568 00443.70 00640.3045569 00677.60 00894.2545570 00914.95 01207.40 01280.9545572 00291.70 00415.30 00408.4045575 00720.20 01025.55 01008.3045578 00834.05 01187.7545581 00276.80 00394.10 00387.5545584 00631.75 00899.65 00884.4545585 00631.75 00899.65 00884.4545586 00631.75 00899.6545587 00890.85 01268.55 01247.2045588 01336.40 01836.2545590 00483.25 00766.35

45593 00567.65 00790.9545596 00900.45 01627.1045597 01205.40 01716.3045599 00936.55 01333.65 01311.2045602 00699.45 00995.9545605 00587.60 00836.9045608 00827.30 01366.2045611 00473.75 00674.7045614 00587.60 00808.85 00822.6545617 00235.05 00334.85 00329.1045620 00326.05 00574.80 00456.5045623 00723.05 01083.50 01012.3045624 00937.40 01413.00 01312.4045625 00187.55 00323.6545626 00326.05 00464.40 00456.5045629 00473.75 00906.80 00663.2545632 00511.95 00895.80 00716.7545635 00587.60 00836.90 00822.6545638 01014.05 01443.9545639 01014.05 01822.5045641 01082.90 01552.90 01516.1045644 01279.45 02258.4045645 00223.60 00318.6045646 00900.45 01221.85 01260.6545647 01279.45 01657.0545650 00147.80 00210.75 00206.9545652 00356.35 00507.35 00498.9045653 00356.35 00658.15 00498.9045656 00502.25 00764.70 00703.1545659 00521.25 00742.25 00729.7545660 02878.75 04791.4045661 01279.45 02054.5045662 00701.30 00998.6545665 00326.05 00453.95 00456.5045668 00326.05 00396.30 00456.5045669 00326.05 00500.65 00456.5045671 00834.05 01575.20 01167.7045674 00242.55 00359.80 00339.6045675 00483.25 00688.2045676 00575.30 00819.4045677 00541.35 00771.0045680 00676.80 01051.8045683 00751.85 01023.8045686 00887.50 01146.1545689 00261.75 00372.6545692 00300.75 00374.85 00421.0545695 00488.75 00713.2045698 00458.75 00653.7545701 00827.30 01353.9045704 00300.75 00428.40 00421.0545707 00781.95 01465.3545710 00488.75 00695.9545713 00556.60 00792.6545714 00781.95 01161.05

45716 00781.95 01386.9545720 00966.80 01376.55 01353.5545723 01090.35 02056.2545726 01232.05 01915.8045729 01383.65 02432.7045731 01402.70 01972.0045732 01579.20 02627.6045735 01611.05 02411.1045738 01812.40 02593.6045741 01772.30 02412.7045744 01992.70 02861.6045747 01933.55 02753.00 02707.0045752 02165.75 03485.5545753 02178.60 03034.35 03050.0545754 02611.60 03718.5045755 00367.75 00523.70 00514.8545758 00658.05 00937.1545761 00748.65 01044.1045767 02511.65 03576.25 03516.3545770 01923.90 02739.5045773 01753.40 02496.70 02454.8045776 01753.40 02496.7045779 01289.15 02419.2045782 00985.70 01229.30 01380.0045785 01668.10 02756.1045788 01649.10 02347.9545791 00890.85 01268.5545794 00503.85 00957.6045797 00186.50 00266.0545799 00029.45 00042.15 00041.2545801 00126.90 00171.05 00177.7045803 00326.05 00465.00 00456.5045805 00172.50 00246.05 00241.5045807 00246.50 00351.60 00345.1045809 00371.50 00558.40 00520.1045811 00502.25 00716.40 00703.1545813 00587.60 00838.15 00822.6545815 00356.35 00523.60 00498.9045817 00464.50 00662.50 00650.3045819 00587.55 00821.70 00822.6045821 00380.80 00543.05 00533.1545823 00108.90 00155.3045825 00338.35 00467.20 00473.7045827 00323.40 00461.20 00452.8045829 00246.70 00351.45 00345.4045831 00323.40 00399.85 00452.8045833 00406.05 00578.95 00568.5045835 00503.85 00718.60 00705.4045837 00586.50 01089.70 00821.1045839 00586.50 00836.35 00821.1045841 00473.65 00676.55 00663.1545843 00290.50 00414.30 00406.7045845 00503.85 00718.60 00705.4045847 00186.50 00266.05 00261.10

45849 00580.90 00828.25 00813.3045851 00142.95 00203.9045853 00890.85 01270.45 01247.2045855 00408.70 00582.75 00572.2045857 00653.80 00931.40 00915.3545859 00329.60 00469.65 00461.4545861 00872.30 01244.05 01221.2545863 00967.00 01378.95 01353.8045865 00290.50 00414.30 00406.7045867 00312.30 00445.65 00437.2545869 01188.20 01694.40 01663.5045871 01338.45 01908.75 01873.8545873 01504.05 02144.80 02105.7045875 00470.70 00670.10 00659.0045877 00470.70 00670.10 00659.0045879 00312.30 00445.65 00437.2545882 00043.00 00061.30 00060.2045885 00443.70 00632.40 00621.2045888 00413.55 00589.35 00579.0045891 00602.45 00858.60 00843.4545894 00204.70 00291.80 00286.6045897 01069.10 01523.65 01496.7545900 00241.15 00343.75 00337.6545939 00447.10 00637.20 00625.9545945 00118.70 00169.40 00166.2045975 00129.20 00184.15 00180.9045978 00157.85 00224.95 00221.0045981 00085.65 00122.10 00119.9545984 00616.65 00878.85 00863.3545987 00616.65 00878.85 00863.3545990 00842.25 01200.25 01179.1545993 00842.25 01200.25 01179.1545996 00238.80 00340.40 00334.3546300 00338.40 00444.6546303 00376.10 00574.6046306 00526.50 00898.2546307 00526.50 00883.4546309 00526.50 00944.8046312 00676.95 01186.8546315 00902.55 01400.8546318 01128.25 01932.3046321 01353.90 02388.85 01895.5046324 00807.35 01277.5546325 00842.50 01425.8046327 00203.15 00289.40 00284.4546330 00346.10 00496.6046333 00564.05 00912.4046336 00263.30 00373.60 00368.6546339 00466.20 00689.85 00652.7046342 00466.20 00663.9546345 00564.05 00754.2546348 00244.45 00382.55 00342.2546351 00364.80 00631.1546354 00488.85 00851.70

46357 00609.20 01022.8046360 00733.35 01035.2046363 00210.60 00297.75 00294.8546366 00127.90 00182.40 00179.1046369 00210.60 00299.95 00294.8546372 00427.95 00736.65 00599.1546375 00507.70 00903.50 00710.8046378 00676.95 01147.3046381 00300.80 00428.4046384 00300.80 00428.4046387 00620.60 00982.85 00868.8546390 00827.50 01282.2546393 00959.00 01715.2046396 00329.60 00426.10 00461.4546399 00517.80 00824.2546402 00517.80 00742.9546405 00631.90 00899.8546408 00692.00 01075.0046411 00406.15 00578.4046414 00526.40 00749.50 00737.0046417 00488.85 00661.6546420 00204.60 00291.35 00286.4546423 00327.15 00466.50 00458.0546426 00338.40 00481.7546429 00413.65 00624.05 00579.1546432 00451.35 00647.3546435 00526.50 00849.9546438 00135.45 00226.45 00189.6546441 00327.15 00465.90 00458.0546442 00280.85 00438.2046444 00488.85 00880.8546447 00609.20 00997.7046450 00225.70 00321.4046453 00376.10 00451.5546456 00097.80 00139.25 00136.9546459 00188.05 00259.85 00263.3046462 00300.80 00393.20 00421.1546464 00225.70 00331.75 00316.0046465 00225.70 00283.25 00316.0046468 00394.90 00562.3546471 00564.05 00803.30 00789.7046474 00733.35 01044.2546477 00902.55 01285.0546480 00376.10 00581.45 00526.5546483 00300.80 00500.50 00421.1546486 00225.70 00321.4046489 00263.30 00383.6546492 00361.05 00514.4546494 00219.95 00312.25 00307.9546495 00203.15 00289.40 00284.4546498 00219.95 00312.50 00307.9546500 00263.30 00397.90 00368.6546501 00329.20 00484.95 00460.9046502 00302.95 00495.85 00424.15

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47378 00169.50 00284.35 00237.3047381 00254.20 00391.1547384 00338.85 00506.5547385 00291.75 00488.8047386 00470.70 00666.9047387 00272.95 00475.40 00382.1547390 00409.55 00624.5047393 00546.00 00794.9047396 00188.20 00279.05 00263.5047399 00376.55 00584.2547402 00282.35 00417.50 00395.3047405 00188.20 00279.05 00263.5047408 00376.55 00544.7547411 00112.85 00153.10 00158.0047414 00226.00 00334.25 00316.4047417 00263.60 00388.65 00369.0547420 00517.80 00765.9047423 00216.50 00319.35 00303.1047426 00324.80 00488.9047429 00432.95 00640.4547432 00541.30 00682.4547435 00414.25 00608.90 00579.9547438 00659.15 00974.7547441 00823.75 01420.5547444 00226.00 00353.20 00316.4047447 00338.85 00524.1047450 00451.95 00583.7547451 00544.80 00791.3047453 00263.60 00370.25 00369.0547456 00395.50 00630.5547459 00527.25 00789.0547462 00112.85 00156.45 00158.0047465 00226.00 00333.50 00316.4047466 00112.85 00167.90 00158.0047467 00226.00 00322.4547468 00432.95 00640.45 00606.1547471 00043.00 00063.60 00060.2047474 00188.20 00259.95 00263.5047477 00235.50 00324.10 00329.7047480 00470.70 00871.3547483 00564.85 00807.8047486 00941.45 01298.4547489 01412.20 02088.2547492 00235.50 00341.00 00329.7047495 00470.70 00759.80 00659.0047498 00706.05 01122.5547501 00941.45 01432.9047504 01412.20 02481.30 01977.1047507 01412.20 02408.6047510 01412.20 02582.5547513 00376.55 00556.8547516 00432.95 00589.15 00606.1547519 00866.20 01415.9547522 00753.25 01104.80

47525 00866.20 01324.6547528 00753.25 01096.7547531 00960.25 01448.2547534 01082.70 01612.6047537 00432.95 00598.70 00606.1547540 00216.50 00320.10 00303.1047543 00226.00 00335.45 00316.4047546 00338.85 00501.40 00474.4047549 00451.95 00609.3047552 00376.55 00555.20 00527.2047555 00564.85 00945.0547558 00753.25 01275.0047561 00272.95 00469.80 00382.1547564 00409.55 00650.90 00573.4047565 00712.40 01091.2047566 00908.05 01398.4047567 00475.35 00723.65 00665.5047570 00546.00 00923.60 00764.4047573 00682.55 01171.9547576 00112.85 00136.75 00158.0047579 00160.05 00223.95 00224.1047582 00329.60 00418.9547585 00423.75 00665.5547588 01317.80 02160.2547591 01600.65 02787.4547594 00216.50 00293.90 00303.1047597 00324.80 00506.95 00454.7547600 00432.95 00660.3047603 00564.85 00873.8047606 00235.50 00309.05 00329.7047609 00353.05 00522.10 00494.3047612 00409.55 00524.80 00573.4047615 00470.70 00691.40 00659.0047618 00588.45 00833.5047621 00409.55 00770.55 00573.4047624 00564.85 01012.8547627 00160.05 00236.90 00224.1047630 00338.85 00444.50 00474.4047633 00112.85 00164.60 00158.0047636 00169.50 00274.40 00237.3047639 00226.00 00315.60 00316.4047642 00150.75 00222.90 00211.0547645 00226.00 00336.15 00316.4047648 00301.05 00427.8047651 00235.50 00348.15 00329.7047654 00353.05 00522.10 00494.3047657 00470.70 00856.9547663 00141.25 00208.80 00197.7547666 00235.50 00299.55 00329.7047672 00112.85 00165.30 00158.0047678 00169.50 00250.60 00237.3047681 00043.00 00063.60 00060.2047684 00753.25 01112.70 01054.5547687 01317.80 01949.00

47690 01035.55 01407.9047693 01317.80 01610.7547696 00376.55 00519.6547699 01506.45 02531.3047702 01882.95 03051.3547703 00043.00 00063.60 00060.2047705 00282.35 00417.5047708 00216.50 00320.10 00303.1047711 00320.15 00452.8547714 00240.05 00355.0547717 00423.75 00626.8047720 00423.75 00626.80 00593.2547723 00423.75 00626.80 00593.2547726 00141.25 00208.8047729 00235.50 00348.1547732 00376.55 00556.8547735 00043.05 00066.00 00060.3047738 00235.50 00390.50 00329.7047741 00480.35 00732.0547753 00406.65 00601.5047756 00406.65 00590.8047762 00238.80 00453.70 00334.3547765 00392.10 00643.2547768 00480.35 00649.2047771 00551.85 00993.5547774 00435.65 00644.2547777 00435.65 00644.2547780 00566.35 00710.1047783 00566.35 00837.45 00792.9047786 00718.75 01190.9547789 00718.75 01063.2547900 00169.50 00238.50 00237.3047903 00235.50 00319.55 00329.7047904 00056.50 00083.90 00079.1047906 00112.85 00135.9547912 00056.50 00083.90 00079.1047915 00169.50 00237.15 00237.3047916 00085.15 00118.25 00119.2547918 00235.50 00321.90 00329.7047920 00380.80 00563.2047921 00112.85 00167.90 00158.0047924 00037.65 00055.95 00052.7547927 00141.25 00193.6547930 00263.60 00325.4547933 00207.00 00306.40 00289.8047936 00254.20 00375.9547948 00160.05 00245.2547951 00188.20 00279.05 00263.5047954 00376.55 00550.10 00527.2047957 00282.35 00417.5047960 00131.85 00195.05 00184.6047963 00216.50 00320.10 00303.1047966 00432.95 00640.4547969 00263.60 00389.90

47972 00210.60 00311.4547975 00369.15 00545.8547978 00224.20 00371.2047981 00150.55 00222.45 00210.8047982 00364.90 00500.2048200 00753.25 01113.9048203 00913.25 01404.8548206 00565.45 00836.2048209 00724.95 01072.1048212 00565.45 00836.2048215 00724.95 01030.9048218 00565.45 00982.1048221 00753.25 01410.3548224 00376.55 00556.8548227 00489.55 00733.3548230 00423.75 00702.0548233 00611.90 01130.0548236 00800.20 01180.6548239 00442.45 00654.3048242 00611.90 01123.6548400 00329.60 00413.2048403 00517.80 00738.8048406 00329.60 00487.4548409 00517.80 00742.4048412 00630.65 00806.9048415 00800.20 01179.4548418 00630.65 00769.7548421 00800.20 01431.6548424 00753.25 00952.1548427 00913.25 01267.2048500 00329.60 00476.3548503 00329.60 00467.5548506 00489.55 00654.1048509 00235.50 00302.2048512 00894.40 01664.6048600 00094.00 00139.2048603 00141.25 00208.8048606 01317.80 02304.7048612 02447.85 04214.2048613 03481.80 05473.3048615 00442.45 00589.0048618 02447.85 03594.9048621 01600.65 02367.0048624 01977.20 02923.9548627 02541.85 04373.5548630 02824.35 04594.6048632 01561.30 02161.3548636 00809.55 01069.10 01133.4048639 01365.00 01815.5548640 03481.80 05532.3548642 00800.20 01183.5048645 01082.70 01601.1048648 01082.70 01601.1048651 01506.45 02315.80

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49212 00235.50 00348.1549215 00649.70 01118.1549218 00272.95 00439.0549221 00611.90 01102.5049224 00706.05 01162.0049227 00706.05 01287.6049300 00521.25 00821.5049303 00546.00 00747.3549306 01082.70 01733.3049309 00753.25 01047.4049312 00941.45 01715.1549315 00847.35 01301.6049318 01317.80 02206.5049319 02315.30 04305.2549321 01600.65 02576.6549324 01882.95 02738.6549327 02165.35 03421.4549330 02165.35 03354.8049333 02447.85 03987.2049336 00357.70 00529.0049339 02777.30 04509.8549342 02777.30 04641.5549345 03295.10 04608.0549346 00847.35 01261.5049360 00343.95 00481.1049363 00414.20 00556.75 00579.9049366 00611.90 00974.9549500 00376.55 00556.8549503 00489.55 00688.5549506 00734.40 01116.8049509 00753.25 01113.9049512 01082.70 01558.9049515 00847.35 01443.8549517 01206.35 02092.0549518 01317.80 02219.4049519 02315.30 03948.6549521 01600.65 02634.7549524 01882.95 03049.5549527 01600.65 02568.4049530 01977.20 02943.7549533 02259.65 03354.5049534 00449.55 00730.1049536 00941.45 01537.3049539 00941.45 01710.3549542 01317.80 02341.2049545 00753.25 01113.9049548 00941.45 01380.1049551 01317.80 02295.8549554 01882.95 02482.7549557 00272.95 00401.2549558 00272.95 00459.5049559 00408.70 00679.6049560 00551.60 00939.3549561 00674.00 01143.75

49562 00735.50 01297.1049563 00796.70 01303.6049564 00919.05 01554.1049566 00753.25 01215.9049569 00753.25 00978.2549700 00272.95 00403.8049703 00611.90 01029.6549706 00329.60 00487.4549709 00706.05 01044.2049712 00753.25 01362.7549715 01129.65 01950.7049716 01491.15 01993.0049717 01789.35 02391.5549718 00376.55 00618.4549721 00235.50 00348.15 00329.7049724 00659.15 01109.6549727 00282.35 00417.5049728 00564.70 00754.7549800 00131.85 00195.05 00184.6049803 00169.50 00224.45 00237.3049806 00131.85 00195.05 00184.6049809 00216.50 00320.1049812 00432.95 00640.4549815 00753.25 01341.4049818 00272.95 00387.7049821 00432.95 00656.4549824 00757.95 01262.1049827 00470.70 00696.1049830 00823.75 01218.3049833 00517.80 00801.2549836 00894.40 01488.3549837 00647.25 00957.2549838 01117.75 02008.8549839 00517.80 00765.9049842 00894.40 01713.6549845 00470.70 00728.9049848 00160.05 00236.90 00224.1049851 00207.00 00306.4049854 00376.55 00578.4049857 00348.35 00538.2049860 00282.35 00417.5049863 00423.75 00626.8049866 00301.05 00452.5049878 00056.50 00083.90 00079.1050100 00272.95 00344.20 00382.1550102 00611.90 01010.0050103 00329.60 00487.4550104 00312.30 00462.00 00437.2550106 00470.70 00599.9550109 00470.70 00696.1050112 00361.05 00444.3050115 00142.95 00197.2550118 00432.95 00640.4550121 00847.35 01253.15

50127 00702.50 01107.9550130 00312.30 00462.0050200 00188.20 00278.50 00263.5050201 00329.50 00486.8550203 00414.25 00653.05 00579.9550206 00611.90 01019.5550209 00753.25 01050.3550212 01647.55 02370.6050215 02071.20 02534.3050218 02730.30 04134.1050221 02541.85 03536.8550224 02824.35 04742.50 03954.1050227 03295.10 05043.3050230 01694.60 02675.2550233 02165.35 03354.9550236 01694.60 02329.5050239 01129.65 01661.9550300 01157.70 01412.6550303 01580.60 02337.3550306 02467.90 03649.40 03455.1050309 00305.05 00379.9550312 00700.10 01066.3550315 00693.30 00995.2050318 00693.30 01179.4550321 00928.85 01406.2550324 01324.15 02050.0550327 01615.15 02693.5050330 00228.70 00298.2550333 00616.85 00939.5550336 00922.05 01376.2550339 00561.55 00830.5050342 00651.60 01067.4550345 00346.65 00451.9550348 00228.70 00298.6050349 00320.15 00473.45 00448.2550351 01597.25 02361.0050352 00056.50 00092.55 00079.1050353 00354.80 00549.3550354 01310.15 01937.50 01834.2550357 00561.55 00830.5050360 00651.60 01001.0050363 00499.05 00738.2550366 00873.45 01309.0050369 00651.60 00963.6550372 01143.80 01645.5050375 00499.05 00738.2550378 00873.45 01291.8050381 00651.60 00963.6550384 01143.80 01809.3050387 00651.60 00963.6550390 00228.70 00338.3550393 00845.60 01250.7050394 02777.30 04698.0050396 00464.55 00760.05

50399 00922.05 01363.5550402 00422.95 00672.3550405 00575.40 01021.3550408 00998.25 01619.9550411 01310.15 01937.50 01834.2550414 01767.60 02613.95 02474.6550417 01310.15 01937.50 01834.2550420 01081.35 01599.3050423 00998.25 01476.35 01397.5550426 00464.55 00752.7050450 01226.90 01676.6050451 01226.90 01676.6050455 01389.40 01898.5550456 01389.40 01898.5550460 02074.45 02834.5550461 02074.45 02834.5550465 02921.80 03992.4050466 02921.80 03992.4050470 03705.55 05063.3550471 03705.55 05063.3550475 04275.85 05842.6050476 04275.85 05842.6050500 00276.65 00378.05 00387.3550504 00369.05 00504.40 00516.7050508 00395.25 00540.20 00553.3550512 00527.30 00720.7050516 00355.85 00486.4050520 00474.40 00648.3550524 00408.50 00558.2550528 00659.00 00900.5050532 00573.40 00783.6050536 00764.40 01044.5550540 00527.30 00720.7050544 00263.60 00360.30 00369.0550548 00527.30 00720.7050552 00454.75 00621.5050556 00606.20 00828.3050560 00474.40 00648.3550564 00632.65 00864.6550568 00553.60 00756.7050572 00738.10 01008.7050576 00606.20 00828.30 00848.7050580 00632.65 00864.6550584 00606.20 00828.3050588 00790.70 01080.6050600 00434.70 00594.1050604 01845.05 02521.2550608 03426.95 04682.8050612 04874.50 06660.6550616 00619.35 00846.4050620 03426.95 04682.8050624 03426.95 04682.8050628 04233.20 05784.4550632 03558.65 04862.70

50636 03954.10 05403.0050640 02185.80 02986.8050644 02108.95 02881.7050650 00414.75 00566.85 00580.6550654 00496.65 00678.8550658 00197.75 00270.25 00276.8550950 00817.10 01208.55 01143.9550952 00817.10 01208.55 01143.9551300 00086.30 00124.75 00120.8551303 D D D51306 00124.65 00203.60 00174.5551309 D D D51312 D D D51315 00272.40 00385.40 00381.4051318 00179.75 00241.65 00251.6551700 00085.55 00113.85 00119.8051703 00043.00 00063.50 00060.2051800 00086.30 00123.05 00120.8551803 D D D51900 00326.05 00413.95 00456.5051902 00073.90 00115.70 00103.5051904 00454.85 00621.80 00636.8051906 00691.75 00986.70 00968.4552000 00082.50 00117.75 00115.5052003 00117.55 00167.70 00164.6052006 00117.55 00167.70 00164.6052009 00185.60 00255.90 00259.8552010 00254.00 00309.80 00355.6052012 00023.50 00033.55 00032.9052015 00109.90 00156.90 00153.9052018 00276.80 00354.70 00387.5552021 00029.45 00042.15 00041.2552024 00052.20 00074.55 00073.1052025 00183.90 00262.35 00257.5052027 00149.75 00274.70 00209.6552030 00090.00 00123.20 00126.0052033 00183.90 00258.35 00257.5052034 00043.00 00061.25 00060.2052035 00476.10 00679.00 00666.5552036 00126.90 00170.90 00177.7052039 00326.05 00411.35 00456.5052042 00172.50 00246.05 00241.5052045 00246.50 00307.60 00345.1052048 00371.50 00547.55 00520.1052051 00502.25 00642.20 00703.1552054 00587.60 01023.45 00822.6552055 00027.35 00038.3052056 00027.35 00043.45 00038.3052057 00162.95 00209.8552058 00237.60 00338.90 00332.6552059 00267.65 00381.75 00374.7552060 00189.40 00246.60 00265.2052061 00223.60 00318.95 00313.0552062 00295.70 00421.85 00414.00

52063 00356.35 00512.00 00498.9052064 00169.50 00312.10 00237.3052066 00445.40 00635.30 00623.6052069 00198.50 00377.90 00277.9052072 00058.80 00083.95 00082.3552073 00149.75 00213.65 00209.6552075 00149.75 00210.35 00209.6552078 00295.70 00520.60 00414.0052081 00046.50 00066.45 00065.1052084 00119.50 00162.35 00167.3052087 00204.70 00333.95 00286.6052090 00356.35 00463.35 00498.9052092 00464.50 00662.50 00650.3052094 00587.55 00804.90 00822.6052095 00380.80 00543.05 00533.1552096 00112.85 00161.15 00158.0052097 00160.05 00280.9052098 00188.20 00268.55 00263.5052099 00141.25 00178.50 00197.7552102 00141.25 00201.5552105 00263.60 00376.05 00369.0552106 00108.90 00208.0052108 00326.05 00442.45 00456.5052111 00326.05 00481.15 00456.5052114 00587.60 00933.65 00822.6552117 00699.45 01154.45 00979.2552120 00827.30 01175.85 01158.2552122 00827.30 01347.75 01158.2552123 00936.55 01335.65 01311.2052126 00900.45 01284.10 01260.6552129 01205.40 01718.85 01687.6052130 00442.45 00661.95 00619.4552131 00611.90 00947.60 00856.7052132 00248.95 00340.75 00348.5552133 00091.05 00129.85 00127.5052135 00144.35 00195.5052138 00448.55 00635.30 00628.0052141 00443.70 00648.30 00621.2052144 00413.55 00589.75 00579.0052147 00390.25 00556.60 00546.3552148 00689.80 00983.70 00965.7552158 01110.65 01583.80 01554.9552180 00188.20 00327.95 00263.5052182 00414.25 00647.20 00579.9552184 00611.90 00951.05 00856.7052186 00753.25 01074.20 01054.5552300 00284.35 00352.45 00398.1052303 00406.05 00578.95 00568.5052306 00602.45 00859.25 00843.4552309 00204.70 00292.00 00286.6052312 00284.35 00405.60 00398.1052315 00473.75 00628.55 00663.2552318 00141.25 00201.55 00197.7552319 00235.50 00335.40 00329.70

52321 00473.75 00678.05 00663.2552324 00473.75 00675.75 00663.2552327 00235.05 00335.40 00329.1052330 00781.95 01315.25 01094.7552333 00781.95 01115.20 01094.7552336 00488.75 00670.30 00684.2552337 01069.10 01335.30 01496.7552339 00556.60 00793.95 00779.2552342 00966.80 01513.2052345 01090.35 01554.7552348 01232.05 02096.4552351 01383.65 01973.1552354 01402.70 02116.8052357 01579.20 03018.8552360 01611.05 02297.4052363 01812.40 02584.4552366 01772.30 02527.3552369 01992.70 02841.6052372 01933.55 02757.3052375 02165.75 03088.4052378 00748.65 01258.30 01048.1552379 01279.45 01747.90 01791.2552380 02178.60 03106.85 03050.0552382 02611.60 03724.15 03656.2552420 00241.15 00344.05 00337.6552424 00473.65 00675.50 00663.1552430 01090.35 01554.75 01526.5052440 00541.35 00772.05 00757.9052442 00676.80 00965.30 00947.5552444 00751.85 01072.30 01052.6052446 00887.50 01265.55 01242.5052450 00300.75 00429.00 00421.0552452 00488.75 00697.00 00684.2552456 00827.30 01179.65 01158.2552458 00300.75 00429.00 00421.0552460 00781.95 01115.20 01094.7552480 00502.25 00716.40 00703.1552482 00483.25 00689.15 00676.5552484 00575.30 00820.40 00805.4552600 00338.35 00489.45 00473.7052603 00323.40 00391.85 00452.8052606 00246.70 00351.45 00345.4052609 00323.40 00461.20 00452.8052612 00406.05 00578.95 00568.5052615 00503.85 00718.60 00705.4052618 00586.50 00772.00 00821.1052621 00586.50 00836.35 00821.1052624 00473.65 00845.50 00663.1552626 00290.50 00414.30 00406.7052627 00503.85 00707.25 00705.4052630 00186.50 00266.05 00261.1052633 00503.85 00718.60 00705.4052636 00186.50 00288.95 00261.1052800 00276.80 00394.60 00387.55

52803 00398.55 00649.30 00558.0052806 00276.80 00394.60 00387.5552809 00473.75 00675.75 00663.2552812 00676.80 01007.35 00947.5552815 00714.35 01301.70 01000.1052818 00473.75 00801.85 00663.2552821 01030.20 01469.10 01442.3052824 00443.70 00568.85 00621.2052826 00237.60 00338.90 00332.6552828 00353.35 00504.05 00494.7052830 00466.10 00664.70 00652.5552832 00639.20 00911.55 00894.9053000 00032.55 00046.45 00045.6053003 00091.90 00131.3053004 00035.60 00047.95 00049.8553006 00521.25 00668.50 00729.7553009 00295.70 00421.85 00414.0053012 00117.55 00167.70 00164.6053015 00587.60 00743.00 00822.6553016 00483.25 00689.15 00676.5553017 00602.85 00863.80 00844.0053019 00580.90 00828.25 00813.3053052 00122.85 00175.25 00172.0053054 00122.85 00175.20 00172.0053056 00071.95 00102.70 00100.7553058 00122.85 00175.20 00172.0053060 00100.50 00143.40 00140.7053062 00090.00 00128.40 00126.0053064 00162.95 00232.50 00228.1553068 00136.50 00192.45 00191.1053070 00178.05 00253.95 00249.3053200 00070.65 00100.90 00098.9553203 00118.70 00169.60 00166.2053206 00142.95 00189.0553209 01649.10 02351.60 02308.7553212 00890.85 01270.45 01247.2053215 00408.70 00582.75 00572.2053218 00653.80 00931.40 00915.3553220 00329.60 00469.65 00461.4553221 00872.30 01289.20 01221.2553224 00967.00 01196.05 01353.8053225 00290.50 00458.90 00406.7053226 00312.30 00445.65 00437.2553227 01188.20 01655.15 01663.5053230 01338.45 01770.40 01873.8553233 01504.05 02144.80 02105.7053236 00470.70 00670.10 00659.0053239 00470.70 00670.10 00659.0053242 00312.30 00445.65 00437.2553400 00129.20 00184.30 00180.9053403 00157.85 00225.20 00221.0053406 00406.65 00557.35 00569.3553409 00406.65 00489.10 00569.3553410 00085.65 00157.75 00119.95

53411 00238.80 00393.75 00334.3553412 00392.10 00621.70 00548.9553413 00480.35 00683.30 00672.5053414 00551.85 00786.90 00772.6053415 00435.65 00633.95 00609.9553416 00435.65 00621.50 00609.9553418 00566.35 00944.20 00792.9053419 00566.35 00807.75 00792.9053422 00718.75 01102.55 01006.2553423 00718.75 01200.90 01006.2553424 00616.65 00965.60 00863.3553425 00616.65 00957.20 00863.3553427 00842.25 01201.10 01179.1553429 00842.25 01313.15 01179.1553439 00238.80 00340.75 00334.3553453 00483.25 00689.15 00676.5553455 00567.65 00809.55 00794.7553458 00043.05 00061.30 00060.3053459 00235.50 00312.30 00329.7053460 00480.35 00685.00 00672.5053600 00038.95 00059.95 00054.5553700 00124.85 00216.70 00174.8053702 00062.50 00095.90 00087.5053704 00037.65 00057.80 00052.7553706 00124.85 00191.70 00174.8055005 00054.5555007 00018.9555008 00054.5555010 00018.9555011 00054.5555013 00018.9555014 00055.6555016 00018.9555017 00054.5555019 00018.9555023 00054.7555025 00018.9555026 00054.5555028 00109.1055029 00037.8555030 00109.1055031 00037.8555032 00109.1055033 00037.8555036 00111.3055037 00037.8555038 00109.1055039 00037.8555048 00109.5055049 00037.8555054 00109.1055059 00049.1555060 00017.0555061 00054.55

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61652 00282.6561653 00354.8561654 00417.4561655 00183.6561656 00151.7061657 00210.0061658 00190.6061659 00246.2061660 00114.4561661 00113.8561662 00126.5061663 00221.7061664 00129.7061665 00193.3061666 00196.4061667 00201.7061668 00230.7061669 00248.5061670 00111.5561671 01007.9061672 00111.5561673 00244.8561674 00071.7061675 00287.2061676 00312.5061677 00343.8561678 00166.2561679 00215.4061680 00185.3061681 00205.0061682 00302.7561683 00123.4561684 00081.1561685 00302.5561686 00173.0061687 00436.7561688 00113.0061689 00059.4561690 00239.9061691 00300.3561692 00277.4061693 00271.5061694 00329.7561695 00248.5061696 00307.7061697 00271.4061698 00336.5061699 00244.8561700 00376.2061701 00143.4061702 00166.8061703 00228.1061704 00198.8061705 00257.35

61706 00174.0561707 00235.2561708 00198.5061709 00263.9561710 00064.5061712 00174.0561713 00087.7061714 00193.4561715 00440.4561716 00499.6061717 00111.5561718 00126.5061719 00050.0061729 00439.3563001 00403.2063004 00403.2063007 00403.2063010 00336.0063013 00201.6063014 00201.6063016 00201.6063017 00168.0063040 00336.0063043 00358.4063046 00403.2063049 00403.2063052 00403.2063055 00403.2063058 00403.2063061 00403.2063064 00403.2063067 00403.2063070 00403.2063073 00403.2063074 00168.0063075 00179.2063076 00201.6063077 00201.6063078 00201.6063079 00201.6063080 00201.6063081 00201.6063082 00201.6063083 00201.6063084 00201.6063085 00201.6063101 00492.8063104 00246.4063111 00492.8063114 00492.8063117 00246.4063119 00246.4063125 00492.8063128 00492.80

63131 00492.8063134 00246.4063135 00246.4063136 00246.4063151 00358.4063154 00358.4063157 00179.2063158 00179.2063161 00358.4063164 00358.4063167 00358.4063170 00358.4063173 00358.4063176 00358.4063179 00358.4063182 00358.4063185 00358.4063186 00179.2063187 00179.2063188 00179.2063189 00179.2063190 00179.2063191 00179.2063192 00179.2063193 00179.2063194 00179.2063201 00448.0063204 00448.0063207 00224.0063208 00224.0063219 00448.0063222 00448.0063225 00448.0063228 00448.0063231 00448.0063234 00448.0063237 00448.0063240 00448.0063243 00448.0063257 00224.0063258 00224.0063259 00224.0063260 00224.0063261 00224.0063262 00224.0063263 00224.0063264 00224.0063265 00224.0063271 00492.8063274 00492.8063277 00492.8063280 00492.8063282 00246.4063283 00246.40

63284 00246.4063285 00246.4063301 00380.8063304 00380.8063307 00380.8063310 00190.4063311 00190.4063313 00190.4063322 00403.2063325 00403.2063328 00403.2063331 00403.2063334 00336.0063337 00448.0063340 00403.2063341 00201.6063342 00201.6063343 00201.6063345 00201.6063346 00168.0063347 00224.0063348 00201.6063361 00403.2063364 00201.6063385 00448.0063388 00448.0063391 00403.2063392 00224.0063393 00224.0063394 00201.6063401 00403.2063404 00403.2063407 00201.6063408 00201.6063416 00403.2063419 00201.6063425 00403.2063428 00403.2063432 00201.6063433 00201.6063440 00403.2063443 00403.2063446 00403.2063447 00201.6063448 00201.6063449 00201.6063455 00179.2063457 00345.0063458 00345.0063461 00358.4063464 00690.0063467 00690.0063470 00403.2063473 00627.20

63476 00403.2063479 00201.6063481 00313.6063482 00403.2063484 00201.6063486 00201.6063487 00690.0063488 00345.0063489 01440.0063490 00720.0063491 00044.8063494 00044.8063497 00156.8063498 00044.8063499 00156.8063501 00500.0063502 00500.0063504 00500.0063505 00500.0063507 00403.2063508 00201.6063510 00448.0063511 00224.0063513 00403.2063514 00201.6063516 00403.2063517 00201.6063519 00403.2063520 00201.6063522 00448.0063523 00224.0063551 00403.2063552 00201.6063554 00358.4063555 00179.2063557 00492.8063558 00246.4063560 00403.2063561 00201.6063740 00457.2063741 00265.2563743 00403.2063744 00228.6063746 00132.6563747 00201.6064990 00007.05 00007.0564991 00010.65 00010.6565060 00007.8565066 00010.4065070 00016.9565072 00010.2065075 00051.9565078 00090.2065079 00090.20

65081 00096.6065082 00096.6065084 00165.8565087 00083.1065090 00011.1565093 00022.0065096 00041.0065099 00108.9065102 00164.6065105 00108.9065108 00164.6065109 00012.9065110 00012.9065111 00023.2065114 00009.1065117 00020.2565120 00013.7065123 00020.3565126 00027.8565129 00035.5065137 00025.3565142 00025.3565144 00056.5565147 00037.9065150 00070.9065153 00141.8565156 00212.7565157 00070.9065158 00070.9065159 00070.9065162 00010.4565165 00034.4565166 00034.4565171 00025.3565175 00025.3565176 00048.6565177 00071.9565178 00095.2065179 00118.5065180 00025.3565181 00023.3066500 00009.7066503 00011.6566506 00013.6566509 00015.6566512 00017.7066517 00019.6566518 00020.0566519 00040.1566536 00011.0566539 00030.6066542 00018.9566545 00015.8066548 00019.90

66551 00016.8066554 00016.8066557 00009.7066560 00020.1066563 00024.7066566 00033.7066569 00042.6066572 00051.5566575 00060.4566578 00069.3566581 00078.2566584 00009.7066587 00047.5566590 00030.6066593 00018.0066596 00032.5566605 00030.6066606 00030.6066607 00075.7566610 00075.7566623 00041.5066626 00024.1066629 00020.1066632 00020.1066635 00020.1066638 00049.0566639 00029.2066641 00029.2066642 00029.2066644 00020.1566647 00045.1066650 00024.3566651 00024.3566652 00020.3066653 00044.6066655 00020.1566656 00020.1566659 00037.3066660 00037.3066662 00079.9566663 00079.9566665 00030.6066666 00030.6066667 00030.6066671 00036.9066674 00039.9566677 00011.1566680 00074.4566683 00074.4566686 00050.6566695 00030.5066696 00030.5066697 00013.2066698 00043.70

66701 00056.9066704 00070.1566707 00083.3566711 00030.1566712 00043.0566714 00030.1566715 00012.8566716 00025.0566719 00034.8066722 00037.9066723 00037.9066724 00013.1566725 00051.0566728 00064.2066731 00077.4066734 00090.5566743 00020.1066749 00032.9566750 00039.7566751 00055.2566752 00024.7066755 00038.8566756 00098.3066757 00098.3066758 00024.7066761 00013.1566764 00008.9066767 00017.8566770 00026.7066773 00024.6566776 00024.6566779 00039.9566780 00039.9566782 00013.1566783 00013.1566785 00039.9566788 00065.8566789 00039.9566790 00025.9066791 00074.4566792 00074.4566800 00018.1566803 00030.5066804 00018.1566805 00012.3566806 00041.8566812 00034.8066815 00059.5566816 00034.8066817 00024.7566819 00030.6066820 00030.6066821 00021.8066822 00052.45

66825 00030.6066826 00030.6066827 00021.8066828 00052.4566830 00058.5066831 00030.9566832 00030.9566833 00030.0566834 00030.0566835 00039.0566836 00039.0566837 00039.0566838 00023.6066839 00042.9566840 00023.6066841 00016.8066900 00077.6569300 00012.5069303 00022.0069306 00033.7569309 00048.1569312 00033.7569316 00028.6569317 00035.8569318 00033.7569319 00042.9569321 00048.1569324 00043.0069325 00043.0069327 00085.0069328 00085.0069330 00128.0069331 00128.0069333 00020.5569336 00033.4569339 00019.1069345 00052.9069354 00030.7569357 00061.4569360 00092.2069363 00028.6569378 00180.2569379 00180.2569380 00770.3069381 00180.2569382 00180.2569383 00180.2569384 00015.6569387 00029.0069390 00042.3569393 00055.7069396 00069.1069400 00015.6569401 00013.35

69405 00015.6569408 00029.0069411 00042.3569413 00055.7069415 00069.1069445 00092.2069451 00092.2069471 00034.9069472 00015.6569474 00028.6569475 00015.6569478 00029.2569481 00040.5569482 00152.1069483 00152.1069484 00017.1069488 00180.2569489 00180.2569491 00204.8069492 00204.8069494 00028.6569495 00035.8569496 00043.0569497 00028.6569498 00007.2069499 00092.2069500 00092.2071057 00032.9071058 00050.5071059 00035.6571060 00044.0571062 00044.0571064 00020.7571066 00014.5571068 00014.5571069 00022.7571071 00030.9571072 00014.5571073 00106.1571074 00014.5571075 00023.0071076 00106.1571077 00027.0571079 00026.8071081 00040.5571083 00020.1571085 00028.9571087 00037.7071089 00029.1571090 00029.1571091 00052.8571092 00023.7071093 00076.4571095 00040.55

71096 00040.5571097 00024.4571099 00026.5071101 00017.4071103 00052.0571106 00011.3071119 00017.3571121 00020.8071123 00024.2571125 00027.6571127 00176.3571129 00217.8571131 00259.3571133 00010.4071134 00104.0571135 00207.9571137 00030.2571139 00104.0571141 00197.3571143 00260.0071145 00424.5071146 00104.0571147 00040.5571148 00040.5571149 00108.2571151 00118.8571153 00034.5571154 00034.5571155 00047.4571156 00012.8571157 00060.3071159 00073.1571163 00024.7571164 00039.9071165 00034.5571166 00047.4571167 00060.3071168 00073.1571169 00034.5571170 00012.8571180 00034.5571183 00047.4571186 00060.3071189 00015.5071192 00028.3571195 00040.0571198 00040.5571200 00059.6071203 00040.5572813 00071.5072816 00086.3572817 00096.8072818 00107.0572823 00097.15

72824 00141.3572825 00180.2572826 00194.6072827 00208.9572828 00223.3072830 00274.1572836 00417.2072838 00466.8572844 00030.7572846 00059.6072847 00089.4072848 00074.5072849 00104.3072850 00119.2072851 00184.3572852 00245.8072855 00184.3572856 00245.8072857 00286.7572858 00180.0072859 00370.0073043 00022.8573045 00048.6073047 00094.7073049 00068.1573051 00170.3573059 00043.0073060 00057.3573061 00051.2073062 00089.0073063 00099.3573064 00071.7073065 00086.0073066 00221.4573067 00129.1573070 00035.0073071 00035.0073072 00035.0073073 00035.0073074 00035.0073075 00035.0073076 00046.0073287 00394.5573289 00358.9573290 00394.5573291 00230.9573292 00589.9073293 00230.9573294 00230.9573295 01200.0073296 01200.0073297 00400.0073300 00101.3073305 00202.65

73308 00036.4573309 00036.4573311 00036.4573312 00036.4573314 00230.9573315 00230.9573317 00036.4573318 00036.4573320 00040.5573321 00040.5573323 00040.5573324 00040.9573325 00074.5073326 00230.9573327 00051.9573332 00315.4073333 00600.0073334 00340.0073335 00470.0073336 00230.9573337 00397.3573338 00362.6073339 00400.0073340 00200.0073341 00400.0073342 00315.4073343 00230.9573521 00009.7073523 00041.7573525 00028.3573527 00010.0073529 00028.6573801 00006.9073802 00004.5573803 00006.3573804 00008.1573805 00004.5573806 00010.1573807 00006.9073808 00008.6573809 00002.3573810 00006.9073811 00011.2073828 00006.9073829 00004.5573830 00006.3573831 00008.1573832 00004.5573833 00010.1573834 00006.9073835 00008.6573836 00002.3573837 00006.9073839 00016.80

73840 00017.0073844 00020.3573899 00005.9573900 00002.4073920 00002.4073922 00008.2073923 00002.4073924 00014.6573925 00002.4073926 00008.2073927 00002.4073928 00005.9573929 00002.4073930 00005.9573931 00002.4073932 00010.2573933 00002.4073934 00017.6073935 00002.4073936 00005.9573937 00002.4073938 00007.9573939 00002.4073940 00010.2574990 00007.05 00007.0574991 00010.65 00010.6574992 00001.6074993 00003.7574994 00003.2574995 00004.0074996 00003.7074997 00003.3074998 00002.0074999 00001.6075150 00085.55 00123.80 00119.8075153 00043.00 00062.20 00060.2075156 00076.25 00110.30 00106.7575200 00054.90 00079.50 00076.9075203 00082.45 00119.20 00115.4575206 00027.35 00039.55 00038.3075400 00164.75 00238.35 00230.6575403 00189.25 00273.65 00264.9575406 00215.65 00311.95 00301.9575409 00244.25 00353.15 00341.9575412 00136.40 00197.30 00191.0075415 00164.75 00238.35 00230.6575600 00232.05 00335.60 00324.9075603 00272.75 00394.35 00381.8575606 00272.75 00394.35 00381.8575609 00407.15 00588.70 00570.0575612 00503.85 00728.45 00705.4075615 00186.50 00269.70 00261.1075618 00231.60 00334.95 00324.2575621 00231.60 00334.95 00324.25

75800 00082.45 00119.20 00115.4575803 00329.75 00476.75 00461.6575806 00386.75 00559.15 00541.4575809 00457.95 00665.65 00641.1575812 00508.85 00735.65 00712.4075815 00620.90 00897.55 00869.3075818 00732.70 01059.30 01025.8075821 00590.15 00853.25 00826.2575824 00681.80 00985.70 00954.5575827 00783.75 01132.85 01097.2575830 00865.10 01250.65 01211.1575833 01058.35 01530.00 01481.7075836 01211.05 01584.10 01695.5075839 00027.35 00035.90 00038.3075842 00040.75 00053.40 00057.0575845 00203.65 00266.55 00285.1575848 00244.25 00319.55 00341.9575851 00122.15 00159.85 00171.0575854 00122.15 00159.85 00171.0580000 00099.7580001 00099.7580005 00124.6580010 00146.4580011 00146.4580015 00171.3580020 00037.2080021 00037.2081300 00062.2581325 00062.2582100 00053.4082105 00032.3082110 00053.4082115 00319.0082120 00753.3082125 00753.3082130 00053.4082135 00078.5082140 00053.4082150 00028.3082151 00053.7082152 00078.9582200 00009.6082205 00020.9582210 00039.7582215 00058.5582220 00028.3082221 00053.7082222 00078.9582223 00028.3082224 00053.7082225 00078.9582300 00153.9582306 00017.5082309 00021.05

82312 00029.7082315 00039.3582318 00048.6082324 00026.3082327 00015.8082332 00046.85

Pathology

DD

DD

DD

DD

DDDDDDDDD

D

Relative Value Guide

Diagnostic Imaging

Derived Fee

D

D

D

D

DDDD

DD

DD

DD

DD

D

D

D

D

D

D

D

D

D

DDD

DDD

DDD

D

D

D

D

DD

DD

DD

DD

DDDDDDDD

D

D

D

D

D

D

D

D

DDDDD

DDDDD

D

D

D

00163.5000196.20

00130.8000163.5000130.8000163.5000196.2000196.2000261.6000261.6000163.5000196.2000130.8000196.2000228.9000130.8000196.2000228.9000294.3000327.0000163.5000327.0000490.5000163.5000294.3000654.0000327.0000196.2000392.4000392.4000163.5000490.5000196.2000327.0000261.6000327.0000163.5000392.4000098.1000130.8000163.5000163.5000196.2000261.6000425.1000163.5000163.5000130.8000163.5000196.2000196.2000327.0000425.1000327.0000490.5000196.20

00130.8000130.8000327.0000261.6000425.1000490.5000490.5000490.5000654.0000327.0000425.1000327.0000425.1000261.6000228.9000327.0000425.1000098.1000163.5000098.1000130.8000130.8000327.0000196.2000228.9000163.5000163.5000196.2000130.8000196.2000228.9000294.3000490.5000261.6000327.0000425.1000490.5000392.4000327.0000196.2000098.1000163.5000130.8000327.0000196.2000228.9000130.8000196.2000163.5000130.8000196.2000196.2000261.6000130.80

00327.0000327.0000327.0000327.0000327.0000392.4000490.5000196.2000228.9000327.0000327.0000327.0000327.0000327.0000490.5000327.0000163.5000196.2000098.1000130.8000228.9000327.0000130.8000130.8000163.5000163.5000228.9000228.9000130.8000130.8000130.8000196.2000130.8000130.8000196.2000261.6000130.8000130.8000163.5000130.8000196.2000261.6000130.8000163.5000130.8000163.5000327.0000130.8000163.5000228.9000098.1000163.5000130.8000163.50

00196.2000196.2000098.1000490.5000327.0000327.0000130.8000261.6000098.1000130.8000130.8000130.8000196.2000327.0000327.0000457.8000130.8000196.2000163.5000261.6000130.8000261.6000130.8000196.2000327.0000490.5000098.1000130.8000130.8000163.5000098.1000130.8000098.1000130.8000130.8000228.9000327.0000163.5000098.1000130.8000163.5000261.6000327.0000098.1000130.8000098.1000130.8000163.5000163.5000130.8000163.5000163.5000228.9000098.10

00261.6000196.2000130.8000163.5000490.5000261.6000327.0000098.1000163.5000130.8000163.5000163.5000196.2000294.3000490.5000327.0000261.6000327.0000261.6000327.0000130.8000098.1000130.8000327.0000098.1000130.8000163.5000163.5000163.5000098.1000130.8000163.5000196.2000228.9000261.6000196.2000130.8000327.0000490.5000098.1000130.8000098.1000130.8000228.9000130.8000261.6000196.2000130.8000098.1000327.0000490.5000261.6000098.1000163.50

00228.9000294.3000359.7000425.1000490.5000555.9000621.3000686.7000098.1000163.5000196.2000294.3000163.5000196.2000163.5000163.5000163.5000228.9000130.8000163.5000163.5000196.2000163.5000196.2000098.1000228.9000327.0000163.5000163.5000163.5000327.0000163.5000163.5000163.5000163.5000261.6000490.5000163.5000163.5000163.5000130.8000098.1000130.8000130.8000098.1000130.8000130.8000130.8000098.1000098.1000196.2000228.9000130.8000130.80

00163.5000098.1000065.4000098.1000065.4000294.3000392.4000654.0000163.5000327.0000490.5000196.2000196.2000032.7000065.4000065.4000065.4000098.1000098.1000098.1000130.8000130.8000130.8000163.5000163.5000163.5000196.2000196.2000196.2000228.9000228.9000228.9000261.6000261.6000261.6000294.3000327.0000359.7000392.4000425.1000457.8000490.5000523.2000555.9000588.6000621.3000654.0000686.7000719.4000752.1000784.8000817.5000850.2000882.90

00915.6000948.3000981.0001013.7001046.4001079.1001111.8001144.5001177.2001209.9001242.6001275.3001308.0001340.7001373.4001406.1001438.8001471.5001504.2001536.9001569.6001602.3001635.0001667.7001700.4001733.1001765.8001798.5001831.2001863.9001896.6001929.3001962.0001994.7002027.4002060.1002092.8002125.5002158.2002190.9002223.6002256.3002289.0002321.7002354.4002387.1002419.8002452.5002485.2002517.9002550.6002583.3002616.0002648.70

02681.4002714.1002746.8002779.5002812.2002844.9002877.6002910.3002943.0002975.7003008.4003041.1003073.8003106.5003139.2003171.9003204.6003237.3003270.0003302.7003335.4003368.1003400.8003433.5003466.2003498.9003531.6003564.3003597.0003629.7003662.4003695.1003727.8003760.5003793.2003825.9003858.6003891.3003924.0003956.7003989.4004022.1004054.8004087.5004120.2004152.9004185.6004218.3004251.0004283.7004316.4004349.1004381.8004414.50

04447.2004479.9004512.6004545.3004578.0000032.7000065.4000098.1000032.7000065.40

D DD DD DD DD D

D

D

DD

D

00054.5500018.9500054.5500018.9500054.5500018.9500055.6500018.9500054.5500018.9500054.7500018.9500054.5500109.1000037.8500109.1000037.8500109.1000037.8500111.3000037.8500109.1000037.8500109.5000037.8500109.1000049.1500017.0500054.55

00018.9500049.1500017.0500098.2500050.2500035.0000017.8500098.2500034.0500109.1000037.8500098.2500034.0500230.6500230.6500230.6500261.6500261.6500275.5000115.3500115.3500115.3500130.8500130.8500137.7500170.0000085.0000353.6000176.8000084.7500084.7500084.7500084.7500084.7500084.7500084.7500084.7500084.7500084.7500084.7500084.7500084.7500055.5500169.5000169.5000169.5000169.5000169.5000169.5000169.5000169.5000169.5000169.5000169.50

00169.5000169.5000111.0500109.1000054.5500109.1000054.5500060.0000030.0000017.5000035.0000070.0000035.0000100.0000070.0000035.0000038.0000035.0000017.5000115.0000050.0000035.0000040.0000017.5000019.0000100.0000057.5000020.0000115.0000050.0000038.0000057.5000040.0000019.0000020.0000027.2500013.6500063.5000127.0000028.5000057.0000150.0000075.0000060.0000030.0000160.0000080.0000065.0000032.5000150.0000075.0000060.0000030.0000160.00

00080.0000065.0000032.5000109.1000054.5500037.8500018.9500109.1000054.5500037.8500018.9500109.1000054.5500037.8500018.9500109.1000054.5500037.8500018.9500109.1000054.5500037.8500018.9500109.1000054.5500037.8500018.9500109.1000054.5500037.8500018.9500109.1000054.5500037.8500018.9500109.1000054.5500037.8500018.9500109.1000054.5500037.8500018.9500109.1000054.5500037.8500018.9500087.3500043.7000037.8500018.9500109.1000054.5500152.85

00076.4500109.1000054.5500037.8500018.9500195.0500250.0000252.1000250.0000290.0000225.0000336.8000225.0000336.8000098.7500126.1000128.2000128.2000155.4500113.1500168.4000113.1500168.4000230.0000340.0000116.4500171.6000326.2000240.0000240.0000240.0000351.4000351.4000351.4000122.5000122.5000122.5000177.4500177.4500177.4500240.0000351.4000122.4500177.4500240.0000351.4000122.4500177.4500164.8000295.0000400.0000149.4500202.0000250.00

00360.0000250.0000360.0000126.8000181.5000126.8000181.5000385.0000480.0500193.1500243.7500520.0000260.0000220.0000334.6500112.1000167.4000466.5500560.0000233.3500283.8500466.6500567.7500233.4000283.9000155.2000077.5500470.0000241.6000510.0000510.0000264.1500264.1500700.0000350.0000113.1500056.6000029.7500039.7500040.5000054.0000032.5000043.4000049.4000065.7500014.9000019.9000020.2500027.0000016.2500021.7000024.7000032.9000040.50

00020.2500054.0000027.0000032.5000016.2500043.4000021.7000047.1500023.6000060.9000030.4500099.2500049.6500064.5000064.5000047.3000064.5000064.5000032.2500047.1500032.2500047.1500023.6500047.1500032.2500047.1500032.2500047.1500023.6000049.6500023.6000032.9000023.6000078.2500023.6000023.6000064.5000024.8500049.6500016.4500043.4000039.1500032.2500024.8500021.7000023.7000047.4000023.7000047.4000023.7000047.4000023.7000047.4000067.15

00033.6000055.1000027.5500077.0000110.0000047.0000038.5000097.2500055.0000110.0000023.5000110.0000110.0000048.6500055.0000055.0000055.0000040.1000020.0500089.4000044.7000035.3500017.7000047.1500023.6000060.7500030.4000039.7500019.9000043.4000021.7000056.5000028.2500069.4000034.7000046.0500023.0500157.9000078.9500151.5500075.8000126.1000063.0500138.2500069.1500035.7000017.8500047.6000023.8000089.9500045.0000110.2500055.1500078.95

00138.5000039.5000069.2500135.2500067.6500076.4500038.2500205.6000102.8000195.9500098.0000139.3000069.6500021.3000010.6500089.5000044.7500053.9500027.0000100.3000050.1500200.6000100.3000087.0000043.5000052.5000026.2500047.0500023.5500096.5500048.3000075.9000037.9500113.7000056.8500143.5500071.8000134.6500067.3500226.4500113.2500107.7000053.8500073.7500036.9000139.1500069.6000219.3500109.7000133.9000066.9500114.5500305.2000362.45

00168.3000057.3000152.6000181.2500084.2000564.0000282.0000827.1000413.5501176.1000588.0501376.3000688.1500564.0000282.0000827.1000413.5501176.1000588.0501376.3000688.1500564.0000282.0000827.1000413.5501176.1000588.0501376.3000688.1500564.0000282.0000827.1000413.5501176.1000588.0501376.3000688.1500564.0000282.0000827.1000413.5501176.1000588.0501376.3000688.1500564.0000282.0000827.1000413.5501176.1000588.0501376.3000688.1500048.10

00024.0500096.1000048.0500144.2500072.1500060.7500030.4000043.4000021.7000029.7500014.9000063.7500031.9000098.9000049.4500047.1500038.0500258.9000129.4500448.8500565.3000709.7000834.9000367.3000303.3500420.0000381.1500492.4000228.9000227.6500253.0000443.3500259.3500386.6000392.8000403.3500461.4000496.9500223.1002015.7500223.1000489.7000143.3500574.3500624.9500687.7000332.5000430.7500370.5500409.9500605.5000246.8500162.3000605.05

00346.0000873.5000225.9500118.8500479.8000600.7000554.8000543.0000659.4500496.9500615.4000542.7500672.9500489.7000752.3500286.8000333.5500456.2000397.5500514.7000348.1000470.4500396.9500527.8500129.0000348.1000175.4000386.8500880.8500999.2000223.1000253.0000100.0000953.0000953.0000901.0000953.0000999.0000918.0000953.0000953.0000953.0000953.0000953.0000953.0000953.0000953.0000953.0000953.0000953.0000999.0000999.0000878.7000224.45

00282.6500354.8500417.4500183.6500151.7000210.0000190.6000246.2000114.4500113.8500126.5000221.7000129.7000193.3000196.4000201.7000230.7000248.5000111.5501007.9000111.5500244.8500071.7000287.2000312.5000343.8500166.2500215.4000185.3000205.0000302.7500123.4500081.1500302.5500173.0000436.7500113.0000059.4500239.9000300.3500277.4000271.5000329.7500248.5000307.7000271.4000336.5000244.8500376.2000143.4000166.8000228.1000198.8000257.35

00174.0500235.2500198.5000263.9500064.5000174.0500087.7000193.4500440.4500499.6000111.5500126.5000050.0000439.3500403.2000403.2000403.2000336.0000201.6000201.6000201.6000168.0000336.0000358.4000403.2000403.2000403.2000403.2000403.2000403.2000403.2000403.2000403.2000403.2000168.0000179.2000201.6000201.6000201.6000201.6000201.6000201.6000201.6000201.6000201.6000201.6000492.8000246.4000492.8000492.8000246.4000246.4000492.8000492.80

00492.8000246.4000246.4000246.4000358.4000358.4000179.2000179.2000358.4000358.4000358.4000358.4000358.4000358.4000358.4000358.4000358.4000179.2000179.2000179.2000179.2000179.2000179.2000179.2000179.2000179.2000448.0000448.0000224.0000224.0000448.0000448.0000448.0000448.0000448.0000448.0000448.0000448.0000448.0000224.0000224.0000224.0000224.0000224.0000224.0000224.0000224.0000224.0000492.8000492.8000492.8000492.8000246.4000246.40

00246.4000246.4000380.8000380.8000380.8000190.4000190.4000190.4000403.2000403.2000403.2000403.2000336.0000448.0000403.2000201.6000201.6000201.6000201.6000168.0000224.0000201.6000403.2000201.6000448.0000448.0000403.2000224.0000224.0000201.6000403.2000403.2000201.6000201.6000403.2000201.6000403.2000403.2000201.6000201.6000403.2000403.2000403.2000201.6000201.6000201.6000179.2000345.0000345.0000358.4000690.0000690.0000403.2000627.20

00403.2000201.6000313.6000403.2000201.6000201.6000690.0000345.0001440.0000720.0000044.8000044.8000156.8000044.8000156.8000500.0000500.0000500.0000500.0000403.2000201.6000448.0000224.0000403.2000201.6000403.2000201.6000403.2000201.6000448.0000224.0000403.2000201.6000358.4000179.2000492.8000246.4000403.2000201.6000457.2000265.2500403.2000228.6000132.6500201.6000007.0500010.65

00007.8500010.4000016.9500010.2000051.9500090.2000090.20

00096.6000096.6000165.8500083.1000011.1500022.0000041.0000108.9000164.6000108.9000164.6000012.9000012.9000023.2000009.1000020.2500013.7000020.3500027.8500035.5000025.3500025.3500056.5500037.9000070.9000141.8500212.7500070.9000070.9000070.9000010.4500034.4500034.4500025.3500025.3500048.6500071.9500095.2000118.5000025.3500023.3000009.7000011.6500013.6500015.6500017.7000019.6500020.0500040.1500011.0500030.6000018.9500015.8000019.90

00016.8000016.8000009.7000020.1000024.7000033.7000042.6000051.5500060.4500069.3500078.2500009.7000047.5500030.6000018.0000032.5500030.6000030.6000075.7500075.7500041.5000024.1000020.1000020.1000020.1000049.0500029.2000029.2000029.2000020.1500045.1000024.3500024.3500020.3000044.6000020.1500020.1500037.3000037.3000079.9500079.9500030.6000030.6000030.6000036.9000039.9500011.1500074.4500074.4500050.6500030.5000030.5000013.2000043.70

00056.9000070.1500083.3500030.1500043.0500030.1500012.8500025.0500034.8000037.9000037.9000013.1500051.0500064.2000077.4000090.5500020.1000032.9500039.7500055.2500024.7000038.8500098.3000098.3000024.7000013.1500008.9000017.8500026.7000024.6500024.6500039.9500039.9500013.1500013.1500039.9500065.8500039.9500025.9000074.4500074.4500018.1500030.5000018.1500012.3500041.8500034.8000059.5500034.8000024.7500030.6000030.6000021.8000052.45

00030.6000030.6000021.8000052.4500058.5000030.9500030.9500030.0500030.0500039.0500039.0500039.0500023.6000042.9500023.6000016.8000077.6500012.5000022.0000033.7500048.1500033.7500028.6500035.8500033.7500042.9500048.1500043.0000043.0000085.0000085.0000128.0000128.0000020.5500033.4500019.1000052.9000030.7500061.4500092.2000028.6500180.2500180.2500770.3000180.2500180.2500180.2500015.6500029.0000042.3500055.7000069.1000015.6500013.35

00015.6500029.0000042.3500055.7000069.1000092.2000092.2000034.9000015.6500028.6500015.6500029.2500040.5500152.1000152.1000017.1000180.2500180.2500204.8000204.8000028.6500035.8500043.0500028.6500007.2000092.2000092.2000032.9000050.5000035.6500044.0500044.0500020.7500014.5500014.5500022.7500030.9500014.5500106.1500014.5500023.0000106.1500027.0500026.8000040.5500020.1500028.9500037.7000029.1500029.1500052.8500023.7000076.4500040.55

00040.5500024.4500026.5000017.4000052.0500011.3000017.3500020.8000024.2500027.6500176.3500217.8500259.3500010.4000104.0500207.9500030.2500104.0500197.3500260.0000424.5000104.0500040.5500040.5500108.2500118.8500034.5500034.5500047.4500012.8500060.3000073.1500024.7500039.9000034.5500047.4500060.3000073.1500034.5500012.8500034.5500047.4500060.3000015.5000028.3500040.0500040.5500059.6000040.5500071.5000086.3500096.8000107.0500097.15

00141.3500180.2500194.6000208.9500223.3000274.1500417.2000466.8500030.7500059.6000089.4000074.5000104.3000119.2000184.3500245.8000184.3500245.8000286.7500180.0000370.0000022.8500048.6000094.7000068.1500170.3500043.0000057.3500051.2000089.0000099.3500071.7000086.0000221.4500129.1500035.0000035.0000035.0000035.0000035.0000035.0000046.0000394.5500358.9500394.5500230.9500589.9000230.9500230.9501200.0001200.0000400.0000101.3000202.65

00036.4500036.4500036.4500036.4500230.9500230.9500036.4500036.4500040.5500040.5500040.5500040.9500074.5000230.9500051.9500315.4000600.0000340.0000470.0000230.9500397.3500362.6000400.0000200.0000400.0000315.4000230.9500009.7000041.7500028.3500010.0000028.6500006.9000004.5500006.3500008.1500004.5500010.1500006.9000008.6500002.3500006.9000011.2000006.9000004.5500006.3500008.1500004.5500010.1500006.9000008.6500002.3500006.9000016.80

00017.0000020.3500005.9500002.4000002.4000008.2000002.4000014.6500002.4000008.2000002.4000005.9500002.4000005.9500002.4000010.2500002.4000017.6000002.4000005.9500002.4000007.9500002.4000010.2500007.0500010.6500001.6000003.7500003.2500004.0000003.7000003.3000002.0000001.60

Derived Fee Description RMFS In Hospital

The RMFS fee for item 193, plus $32.15 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 193 plus $2.50 per patient.

The RMFS fee for item 410, plus $35.15 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 410 plus $2.70 per patient.The RMFS fee for item 411, plus $35.10 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 411 plus $2.70 per patient.The RMFS fee for item 412, plus $35.10 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 412 plus $2.70 per patient.The RMFS fee for item 413, plus $35.10 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 413 plus $2.70 per patient.

The RMFS fee for item 2100 plus $29.85 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 2100 plus $2.30 per patient.The RMFS fee for item 2100 plus $53.70 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 2100 plus $3.80 per patient.




The fee for item 15000 plus for each field in excess of 1, an amount of $22.45






The fee for item 15215 plus for each field in excess of 1, an amount of $47.45The fee for item 15218 plus for each field in excess of 1, an amount of $47.45The fee for item 15221 plus for each field in excess of 1, an amount of $65.05


The fee for item 15245 plus for each field in excess of 1, an amount of $56.90The fee for item 15248 plus for each field in excess of 1, an amount of $47.45The fee for item 15251 plus for each field in excess of 1, an amount of $53.60The fee for item 15254 plus for each field in excess of 1, an amount of $56.30The fee for item 15257 plus for each field in excess of 1, an amount of $57.00


The fee for item 18216 plus $30.30 for each additional 15 minutes or part thereof beyond the first hour of attendance by the medical practitioner.

The fee for item 18226 plus $46.85 for each additional 15 minutes or part there of beyond the first hour of attendance by the medical practitioner.

50% of the fee for the associated item.50% of the fee for the associated item.50% of the fee for the associated item.

00163.5000163.50

50% of the fee for the associated item.

75% of the fee for excision of malignant tumour.

75% of the original amputation fee.

One fifth of the established fee for the operation or combination of operations.

One fifth of the established fee for the operation or combination of operations.One fifth of the established fee for the operation or combination of operations.

One fifth of the established fee for the operation or combination of operations.

Derived Fee Description RMFS Out of Hospital



50% of the fee for the associated item.50% of the fee for the associated item.50% of the fee for the associated item.

00163.5000163.50


75% of the fee for excision of malignant tumour

75% of the original amputation fee

One fifth of the established fee for the operation or combination of operations

One fifth of the established fee for the operation or combination of operationsOne fifth of the established fee for the operation or combination of operations

One fifth of the established fee for the operation or combination of operations

Item MBS Fee REI DVA Fee

10905 00066.80 00071.0010907 00033.45 00035.5510910 00066.80 00071.0010911 00066.80 00071.0010912 00066.80 00071.0010913 00066.80 00071.0010914 00066.80 00071.0010915 00066.80 00071.0010916 00033.45 00035.5510918 00033.45 00035.5510921 00165.80 00176.1510922 00165.80 00176.1510923 00165.80 00176.1510924 00209.20 00222.3010925 00165.80 00176.1510926 00165.80 00176.1510927 00209.20 00222.3010928 00165.80 00176.1510929 00209.20 00222.3010930 00165.80 00176.1510931 00023.30 00024.7510932 00011.60 00012.3510933 00007.70 00008.2010940 00063.75 00067.7510941 00038.45 00040.8510942 00033.45 00035.5510943 00033.45 00035.5510944 00072.15 00072.1510945 00033.45 00035.5510946 00066.80 00071.0010947 00033.45 00035.5510948 00066.80 00071.00

VAPMetro

VAPRegional

Item DVA Percentile MBS Group Fee MBS Patient Fee DVA Patient Fee

195 00025.95 00002.00 00032.25 00002.50414 1.3797 00025.45 00001.95 00035.15 00002.70415 1.3775 00025.45 00001.95 00035.10 00002.70416 1.3789 00025.45 00001.95 00035.10 00002.70417 1.3785 00025.45 00001.95 00035.10 00002.70

2122 1.1500 00025.95 00002.002125 1.1500 00046.70 00003.302137 1.1500 00025.95 00002.002138 1.1500 00046.70 00003.302147 1.1500 00025.95 00002.002179 1.1500 00046.70 00003.302199 1.1500 00025.95 00002.002220 1.1500 00046.70 00003.30

15003 1.3125 00017.10 00022.4515009 1.5108 00018.55 00028.0515103 1.3179 00018.80 00024.8015109 1.3146 00022.70 00029.8515115 1.3115 00047.30 00062.0515214 1.2213 00031.90 00039.0015230 1.2502 00037.95 00047.4515233 1.2502 00037.95 00047.4515236 1.7128 00037.95 00065.0515239 1.2256 00037.95 00046.5515242 1.5109 00037.95 00057.3515260 1.4986 00037.95 00056.9015263 1.2502 00037.95 00047.4515266 1.4123 00037.95 00053.6015269 1.4825 00037.95 00056.3015272 1.5014 00037.95 00057.0018219 1.5925 00019.00 00030.3018227 1.6377 00028.60 00046.85

DVA RMFS In Hosp Group

Fee

Out of Hospital Fee Out of Hospital Patient Fee

00034.40 00002.6500034.40 00002.6500034.40 00002.6500034.40 00002.6500029.85 00002.3000053.70 00003.8000029.85 00002.3000053.70 00003.8000029.85 00002.3000053.70 00003.8000029.85 00002.3000053.70 00003.8000023.9500026.0000026.3500031.8000066.2500044.7000053.1500053.1500053.1500053.1500053.1500053.1500053.1500053.1500053.1500053.1500026.6000040.05

Item DVA Fee

A003 00283.10CN01 00029.90 Y YCN02 00061.85 Y YCN03 00093.35 Y YCN04 00162.00 Y YCP20 00106.20 Y YCP21 00139.35 Y YCP42 00050.00 Y YMT12 00091.75MT14 00058.90MT16 At costMT18 Up to $100MT20 As per MBSMT22 00062.25MT24 As per MBS

UR372 05296.25

VAP10990, 64990, 74990

VAP10991, 10992, 64991, 74991

RMFS In Hospital

RMFS Out of

Hospital

Description

Anaesthetic (Chronic pain management honorarium)Clinical notes for RCCS providers - attendance - brief recordClinical notes for RCCS providers - attendance and notesClinical notes for RCCS providers - including summationClinical notes for RCCS providers - extended reportMedication Reviews - RoomsMedication Reviews - Home or Other locationCase conference between the GP & registered Pharmacist following provision of VSMR of the Dose Administration Aid (DAA) Service. Optical Coherence Tomography (OCT)Quantitation of BNP or NT-proBNPPhotodynamic TherapyAmbulatory Blood Pressure Monitors (ABPM)Non Eligible MRI Machines (Pay 100% MBS fee for equivalent MBS scan item)Mental health service (equivalent to MBS item 10956)Anaesthetic services associated with Assisted Reproductive Technology treatmentsLaparoscopic Robotic Assisted Radical Prostatectomy

Item DVA Fee

UP01 00424.15UP02 00265.05UP03 00442.65UP04 00198.80

VAP10990, 64990, 74990

VAP10991, 10992, 64991, 74991

RMFS In Hospital


Description

Co-ordinated Veterans Care - LMO/GP Initial payment WITH Practice NurseCo-ordinated Veterans Care - LMO/GP Initial payment WITHOUT Practice NurseCo-ordinated Veterans Care - LMO/GP Quarterly Care WITH Practice NurseCo-ordinated Veterans Care - LMO/GP Quarterly Care WITHOUT Practice Nurse

Item No Group A30 Base Item Fee Group Fee Patient Numbers

1

2122MBS 22.90 25.95 $48.85LMO $56.20DVA 26.35 29.85 $56.20

1

2125MBS 22.90 46.70 $69.60LMO $80.05DVA 26.35 53.70 $80.05

1

2137MBS 49.95 25.95 $75.90LMO $87.30DVA 57.45 29.85 $87.30

1

2138MBS 49.95 46.70 $96.65LMO $111.15DVA 57.45 53.70 $111.15

1

2147MBS 96.85 25.95 $122.80LMO $141.25DVA 111.40 29.85 $141.25

1

2179MBS 96.85 46.70 $143.55LMO $165.10DVA 111.40 53.70 $165.10

1

2199

The fee for item 2100 plus $25.95 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 2100 plus $2.00 per patient.







MBS 142.50 25.95 $168.45LMO $193.75DVA 163.90 29.85 $193.75

1

2220MBS 142.50 46.70 $189.20LMO $217.60DVA 163.90 53.70 $217.60


Patient Numbers2 3 4 5 6 7

$35.85 $31.55 $29.40 $28.10 $27.20 $24.90 2.00 $41.25 $36.30 $33.85 $32.35 $31.30 $28.65$41.25 $36.30 $33.80 $32.30 $31.30 $28.65 2.30 2 3 4 5 6 7

$46.25 $38.45 $34.55 $32.25 $30.70 $26.20 3.30 $53.20 $44.25 $39.75 $37.10 $35.35 $30.15$53.20 $44.25 $39.75 $37.10 $35.30 $30.15 3.80 2 3 4 5 6 7

$62.90 $58.60 $56.45 $55.15 $54.25 $51.95 2.00 $72.35 $67.40 $64.95 $63.45 $62.40 $59.75$72.35 $67.40 $64.90 $63.40 $62.40 $59.75 2.30 2 3 4 5 6 7

$73.30 $65.50 $61.60 $59.30 $57.75 $53.25 3.30 $84.30 $75.35 $70.85 $68.20 $66.45 $61.25$84.30 $75.35 $70.85 $68.20 $66.40 $61.25 3.80 2 3 4 5 6 7

$109.80 $105.50 $103.35 $102.05 $101.15 $98.85 2.00 $126.30 $121.35 $118.90 $117.40 $116.35 $113.70$126.30 $121.35 $118.85 $117.35 $116.35 $113.70 2.30

2 3 4 5 6 7

$120.20 $112.40 $108.50 $106.20 $104.65 $100.15 3.30 $138.25 $129.30 $124.80 $122.15 $120.35 $115.20$138.25 $129.30 $124.80 $122.15 $120.35 $115.20 3.80

2 3 4 5 6 7

Per Patient Add Amount

$155.45 $151.15 $149.00 $147.70 $146.80 $144.50 2.00 $178.80 $173.85 $171.35 $169.90 $168.85 $166.20$178.80 $173.85 $171.35 $169.85 $168.85 $166.20 2.30

2 3 4 5 6 7

$165.85 $158.05 $154.15 $151.85 $150.30 $145.80 3.30 $190.75 $181.80 $177.30 $174.65 $172.85 $167.70$190.75 $181.80 $177.30 $174.65 $172.85 $167.70 3.80

Item DVA Fee

UP20 00306.00UP21 00306.00

VAP10990, 64990, 74990

VAP10991, 10992, 64991, 74991

RMFS In Hospital


Description

In-Home Telemonitoring for Veterans - LMO/GP Initial quarterly care paymentIn-Home Telemonitoring for Veterans - LMO/GP Ongoing quarterly care payment

Item No Group A1 Base Item Fee Group Fee Patient Numbers

1

4MBS 16.95 25.95 $42.90LMO $49.35

1

20MBS 16.95 46.70 $63.65LMO $73.20

1

24MBS 37.05 25.95 $63.00LMO $72.45

1

35MBS 37.05 46.70 $83.75LMO $96.35

1

37MBS 71.70 25.95 $97.65LMO $112.30

1

43MBS 71.70 46.70 $118.40LMO $136.20

1

47

The fee for item 3, plus $25.95 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 3 plus $2.00 per patient.







MBS 105.55 25.95 $131.50LMO $151.25

1

51MBS 105.55 46.70 $152.25LMO $175.10


Patient Numbers Per Patient Add Amount 2 3 4 5 6 7

$29.90 $25.60 $23.45 $22.15 $21.25 $18.95 2.00 $34.40 $29.45 $27.00 $25.50 $24.45 $21.80

2 3 4 5 6 7

$40.30 $32.50 $28.60 $26.30 $24.75 $20.25 3.30 $46.35 $37.40 $32.90 $30.25 $28.50 $23.30

2 3 4 5 6 7

$50.00 $45.70 $43.55 $42.25 $41.35 $39.05 2.00 $57.50 $52.60 $50.10 $48.60 $47.60 $44.95

2 3 4 5 6 7

$60.40 $52.60 $48.70 $46.40 $44.85 $40.35 3.30 $69.50 $60.50 $56.05 $53.40 $51.60 $46.45

2 3 4 5 6 7

$84.65 $80.35 $78.20 $76.90 $76.00 $73.70 2.00 $97.35 $92.45 $89.95 $88.45 $87.40 $84.80

2 3 4 5 6 7

$95.05 $87.25 $83.35 $81.05 $79.50 $75.00 3.30 $109.35 $100.35 $95.90 $93.25 $91.45 $86.25

2 3 4 5 6 7

$118.50 $114.20 $112.05 $110.75 $109.85 $107.55 2.00 $136.30 $131.35 $128.90 $127.40 $126.35 $123.70

2 3 4 5 6 7

$128.90 $121.10 $117.20 $114.90 $113.35 $108.85 3.30 $148.25 $139.30 $134.80 $132.15 $130.40 $125.20

Item No Group A2

58

Brief LMO Attendances

MBS 8.50 LMO

59 Standard LMO AttendancesMBS 16.00 LMO

60 Long LMO AttendancesMBS 35.50 LMO

65 Prolonged LMO AttendancesMBS 57.50 LMO

92 Brief ConsultationMBS 8.50LMO

93 Standard ConsultationMBS 16.00

Item Fee

An amount equal to $8.50, plus $15.50 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - an amount equal to $8.50 plus $.70




An amount equal to $8.50, plus $27.95 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - an amount equal to $8.50 plus $1.25


LMO

95 Long ConsultationMBS 35.50LMO

96 Prolonged ConsultationMBS 57.50 LMO

2631 Out-of-surgery ConsultationMBS 16.00 LMO

2633 Long ConsultationMBS 35.50 LMO


2673 Out-of-Surgery ConsultationMBS 16.00







LMO

2675 Long ConsultationMBS 35.50 LMO




Patient Numbers1 2 3 4 5 6 7

15.50 $24.00 $16.25 $13.65 $12.35 $11.60 $11.10 $9.20 0.70 $27.60 $18.70 $15.70 $14.25 $13.35 $12.80 $10.60

1 2 3 4 5 6 7

17.50 $33.50 $24.75 $21.85 $20.35 $19.50 $18.90 $16.70 0.70 $38.55 $28.50 $25.15 $23.45 $22.45 $21.75 $19.25

1 2 3 4 5 6 7

15.50 $51.00 $43.25 $40.65 $39.35 $38.60 $38.10 $36.20 0.70 $58.65 $49.75 $46.75 $45.30 $44.40 $43.85 $41.65

1 2 3 4 5 6 7

15.50 $73.00 $65.25 $62.65 $61.35 $60.60 $60.10 $58.20 0.70 $83.95 $75.05 $72.05 $70.60 $69.70 $69.15 $66.95

1 2 3 4 5 6 7

27.95 $36.45 $22.45 $17.80 $15.50 $14.10 $13.15 $9.75 1.25 $41.95 $25.85 $20.50 $17.85 $16.25 $15.15 $11.25

1 2 3 4 5 6 7

31.55 $47.55 $31.75 $26.50 $23.90 $22.30 $21.25 $17.25 1.25

Derived Fee

Per Patient Add Amount

$54.70 $36.55 $30.50 $27.50 $25.65 $24.45 $19.85

1 2 3 4 5 6 7

27.95 $63.45 $49.45 $44.80 $42.50 $41.10 $40.15 $36.75 1.25 $73.00 $56.90 $51.55 $48.90 $47.30 $46.20 $42.30

1 2 3 4 5 6 7

27.95 $85.45 $71.45 $66.80 $64.50 $63.10 $62.15 $58.75 1.25 $98.30 $82.20 $76.85 $74.20 $72.60 $71.50 $67.60

1 2 3 4 5 6 7

17.50 $33.50 $24.75 $21.85 $20.35 $19.50 $18.90 $16.70 0.70 $38.55 $28.50 $25.15 $23.45 $22.45 $21.75 $19.25

1 2 3 4 5 6 7

15.50 $51.00 $43.25 $40.65 $39.35 $38.60 $38.10 $36.20 0.70 $58.65 $49.75 $46.75 $45.30 $44.40 $43.85 $41.65

1 2 3 4 5 6 7

15.50 $73.00 $65.25 $62.65 $61.35 $60.60 $60.10 $58.20 0.70 $83.95 $75.05 $72.05 $70.60 $69.70 $69.15 $66.95

1 2 3 4 5 6 7

17.50 $33.50 $24.75 $21.85 $20.35 $19.50 $18.90 $16.70 0.70

$38.55 $28.50 $25.15 $23.45 $22.45 $21.75 $19.25

1 2 3 4 5 6 7

15.50 $51.00 $43.25 $40.65 $39.35 $38.60 $38.10 $36.20 0.70 $58.65 $49.75 $46.75 $45.30 $44.40 $43.85 $41.65

1 2 3 4 5 6 7

15.50 $73.00 $65.25 $62.65 $61.35 $60.60 $60.10 $58.20 0.70 $83.95 $75.05 $72.05 $70.60 $69.70 $69.15 $66.95

Item No RMFS Specialist DerivedPatient Numbers

1 Inpatient

195 50.05 32.90 $82.951

414 Inpatient

26.40 35.15 $61.55Outpatient

26.40 34.40 $60.801

415 Inpatient

57.75 35.10 $92.85Outpatient

57.75 34.40 $92.151

416 Inpatient

111.60 35.10 $146.70Outpatient

111.60 34.40 $146.001

417 Inpatient

164.30 35.10 $199.40

Base Item Fee

Group Fee









Outpatient

164.30 34.40 $198.70


Patient Numbers2 3 4 5 6 7

$66.50 $61.00 $58.25 $56.65 $55.55 $52.55 2.50 2 3 4 5 6 7

$43.95 $38.10 $35.20 $33.45 $32.25 $29.10 2.70

$43.60 $37.85 $35.00 $33.30 $32.15 $29.05 2.65 2 3 4 5 6 7

$75.30 $69.45 $66.50 $64.75 $63.60 $60.45 2.70

$74.95 $69.20 $66.35 $64.65 $63.50 $60.40 2.65 2 3 4 5 6 7

$129.15 $123.30 $120.35 $118.60 $117.45 $114.30 2.70

$128.80 $123.05 $120.20 $118.50 $117.35 $114.25 2.65 2 3 4 5 6 7

$181.85 $176.00 $173.05 $171.30 $170.15 $167.00 2.70

Patient Add Amount

$181.50 $175.75 $172.90 $171.20 $170.05 $166.95 2.65

Item Nos Group A14

2503, 2518, 2547MBS 37.05 25.95LMO

2506, 2522, 2553MBS 71.70 25.95LMO

2509, 2526, 2559MBS 105.55 25.95LMO

Item No Group A19

2610MBS 16.00 17.50LMO

2613MBS 35.50 15.50LMO

2616MBS 57.50 15.50

Base Item Fee

Derived Fee

Level B Consultation

The fee for the base item, plus $25.95 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 2501 plus $2.00 per patient.

Level C Consultation


Level D Consultation


Item Fee

Derived Fee

Standard Consultation

An amount equal to $16.00, plus $17.50 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - an amount equal to $16.00 plus $0.70 per patient

Long Consultation


Prolonged Consultation


LMO

Item No Group A20

2723MBS 92.75 25.95LMO

2727MBS 132.75 25.95LMO

Item Fee

Derived Fee

Out-of-Surgery Consultation


Extended Out-of-Surgery Consultation


Patient Numbers Per Patient Add Amount 1 2 3 4 5 6 7

$63.00 $50.00 $45.70 $43.55 $42.25 $41.35 $39.05 2.00 $72.45 $57.50 $52.60 $50.10 $48.60 $47.60 $44.95

1 2 3 4 5 6 7

$97.65 $84.65 $80.35 $78.20 $76.90 $76.00 $73.70 2.00 $112.30 $97.35 $92.45 $89.95 $88.45 $87.40 $84.80

1 2 3 4 5 6 7

$131.50 $118.50 $114.20 $112.05 $110.75 $109.85 $107.55 2.00 $151.25 $136.30 $131.35 $128.90 $127.40 $126.35 $123.70


$33.50 $24.75 $21.85 $20.35 $19.50 $18.90 $16.70 0.70 $38.55 $28.50 $25.15 $23.45 $22.45 $21.75 $19.25

1 2 3 4 5 6 7

$51.00 $43.25 $40.65 $39.35 $38.60 $38.10 $36.20 0.70 $58.65 $49.75 $46.75 $45.30 $44.40 $43.85 $41.65

1 2 3 4 5 6 7

$73.00 $65.25 $62.65 $61.35 $60.60 $60.10 $58.20 0.70

$83.95 $75.05 $72.05 $70.60 $69.70 $69.15 $66.95


$118.70 $105.70 $101.40 $99.25 $97.95 $97.05 $94.75 2.00 $136.55 $121.60 $116.65 $114.15 $112.65 $111.65 $109.00

1 2 3 4 5 6 7

$158.70 $145.70 $141.40 $139.25 $137.95 $137.05 $134.75 2.00 $182.55 $167.60 $162.65 $160.15 $158.65 $157.65 $155.00

Item No Group A22Patient Numbers

1

5003MBS 29.00 25.95 $54.95LMO $63.20

1

5010MBS 29.00 46.70 $75.70LMO $87.10

1

5023MBS 49.00 25.95 $74.95LMO $86.20

1

5028MBS 49.00 46.70 $95.70LMO $110.10

1

5043MBS 83.95 25.95 $109.90LMO $126.40

1

5049MBS 83.95 46.70 $130.65LMO $150.25

1

Base Item Fee

Derived Fee







5063MBS 117.75 25.95 $143.70LMO $165.30

1

5067MBS 117.75 46.70 $164.45LMO $189.15

1

5220MBS 18.50 15.50 $34.00LMO $39.10

1

5223MBS 26.00 17.50 $43.50LMO $50.05

1

5227MBS 45.50 15.50 $61.00LMO $70.15

1

5228MBS 67.50 15.50 $83.00LMO $95.45

1

5260MBS 18.50 27.95 $46.45LMO $53.45



An amount equal to $18.50, plus $15.50 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - an amount equal to $18.50 plus $.70 per patient

An amount equal to $26.00, plus $17.50 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - an amount equal to $26.00 plus $.70 per patient




1

5263MBS 26.00 31.55 $57.55LMO $66.20

1

5265MBS 45.50 27.95 $73.45LMO $84.50

1

5267MBS 67.50 27.95 $95.45LMO $109.80




Patient Numbers Per Patient Add Amount 2 3 4 5 6 7

$41.95 $37.65 $35.50 $34.20 $33.30 $31.00 2.00 $48.25 $43.30 $40.85 $39.35 $38.30 $35.65

2 3 4 5 6 7

$52.35 $44.55 $40.65 $38.35 $36.80 $32.30 3.30 $60.25 $51.25 $46.75 $44.15 $42.35 $37.15

2 3 4 5 6 7

$61.95 $57.65 $55.50 $54.20 $53.30 $51.00 2.00 $71.25 $66.30 $63.85 $62.35 $61.30 $58.65

2 3 4 5 6 7

$72.35 $64.55 $60.65 $58.35 $56.80 $52.30 3.30 $83.25 $74.25 $69.75 $67.15 $65.35 $60.15

2 3 4 5 6 7

$96.90 $92.60 $90.45 $89.15 $88.25 $85.95 2.00 $111.45 $106.50 $104.05 $102.55 $101.50 $98.85

2 3 4 5 6 7

$107.30 $99.50 $95.60 $93.30 $91.75 $87.25 3.30 $123.40 $114.45 $109.95 $107.30 $105.55 $100.35

2 3 4 5 6 7

$130.70 $126.40 $124.25 $122.95 $122.05 $119.75 2.00 $150.35 $145.40 $142.90 $141.40 $140.40 $137.75

2 3 4 5 6 7

$141.10 $133.30 $129.40 $127.10 $125.55 $121.05 3.30 $162.30 $153.30 $148.85 $146.20 $144.40 $139.25

2 3 4 5 6 7

$26.25 $23.65 $22.35 $21.60 $21.10 $19.20 0.70 $30.20 $27.20 $25.75 $24.85 $24.30 $22.10

2 3 4 5 6 7

$34.75 $31.85 $30.35 $29.50 $28.90 $26.70 0.70 $40.00 $36.65 $34.95 $33.95 $33.25 $30.75

2 3 4 5 6 7

$53.25 $50.65 $49.35 $48.60 $48.10 $46.20 0.70 $61.25 $58.25 $56.80 $55.90 $55.35 $53.15

2 3 4 5 6 7

$75.25 $72.65 $71.35 $70.60 $70.10 $68.20 0.70 $86.55 $83.55 $82.10 $81.20 $80.65 $78.45

2 3 4 5 6 7

$32.45 $27.80 $25.50 $24.10 $23.15 $19.75 1.25 $37.35 $32.00 $29.35 $27.75 $26.65 $22.75

2 3 4 5 6 7

$41.75 $36.50 $33.90 $32.30 $31.25 $27.25 1.25 $48.05 $42.00 $39.00 $37.15 $35.95 $31.35

2 3 4 5 6 7

$59.45 $54.80 $52.50 $51.10 $50.15 $46.75 1.25 $68.40 $63.05 $60.40 $58.80 $57.70 $53.80

2 3 4 5 6 7

$81.45 $76.80 $74.50 $73.10 $72.15 $68.75 1.25 $93.70 $88.35 $85.70 $84.10 $83.00 $79.10

Item Nos. Patients LMO Fee Item Nos. Patients LMO Fee Item Nos. Patients

4 1 $49.35 20 1 $73.20 24 12 $34.40 2 $46.35 23 $29.45 3 $37.40 34 $27.00 4 $32.90 45 $25.50 5 $30.25 56 $24.45 6 $28.50 6

7+ $21.80 7+ $23.30 7+

Item No. Patients LMO Fee Item Nos. Patients LMO Fee Item Nos. Patients

35 1 $96.35 37 1 $112.30 43 12 $69.50 2 $97.35 23 $60.50 3 $92.45 34 $56.05 4 $89.95 45 $53.40 5 $88.45 56 $51.60 6 $87.40 6

7+ $46.45 7+ $84.80 7+


47 1 $151.25 51 1 $175.10 58 12 $136.30 2 $148.25 23 $131.35 3 $139.30 34 $128.90 4 $134.80 45 $127.40 5 $132.15 56 $126.35 6 $130.40 6

7+ $123.70 7+ $125.20 7+

Item No. Patients LMO Fee Item Nos. Patients LMO Fee Item No. Patients

59 1 $38.55 60 1 $58.65 65 12 $28.50 2 $49.75 23 $25.15 3 $46.75 34 $23.45 4 $45.30 45 $22.45 5 $44.40 56 $21.75 6 $43.85 6

7+ $19.25 7 $41.65 7


92 1 $41.95 93 1 $54.70 95 12 $25.85 2 $36.55 23 $20.50 3 $30.50 34 $17.85 4 $27.50 45 $16.25 5 $25.65 56 $15.15 6 $24.45 6

7+ $11.25 7 $19.85 7

Item No. Patients LMO Fee Item Nos. Patients LMO Fee Item Nos. Patients

96 1 $98.30 2122 1 $56.20 2125 12 $82.20 2 $41.25 23 $76.85 3 $36.30 34 $74.20 4 $33.85 45 $72.60 5 $32.35 56 $71.50 6 $31.30 6

7+ $67.60 7+ $28.65 7+


2137 1 $87.30 2138 1 $111.15 2147 12 $72.35 2 $84.30 23 $67.40 3 $75.35 34 $64.95 4 $70.85 45 $63.45 5 $68.20 56 $62.40 6 $66.45 6

7+ $59.75 7+ $61.25 7+


2179 1 $165.10 2199 1 $193.75 2220 12 $138.25 2 $178.80 23 $129.30 3 $173.85 34 $124.80 4 $171.35 45 $122.15 5 $169.90 56 $120.35 6 $168.85 6

7+ $115.20 7+ $166.20 7+

Item No. Patients LMO Fee Item No. Patients LMO Fee Item No. Patients

1 $72.45 1 $112.30 12 $57.50 2 $97.35 23 $52.60 3 $92.45 34 $50.10 4 $89.95 45 $48.60 5 $88.45 56 $47.60 6 $87.40 6

7+ $44.95 7+ $84.80 7+

Item No. Patients LMO Fee Item No. Patients LMO Fee Item No. Patients2610 1 $38.55 2613 1 $58.65 2616 1

2 $28.50 2 $49.75 23 $25.15 3 $46.75 34 $23.45 4 $45.30 45 $22.45 5 $44.40 56 $21.75 6 $43.85 6

7+ $19.25 7+ $41.65 7+


2 $28.50 2 $49.75 23 $25.15 3 $46.75 34 $23.45 4 $45.30 4

2503, 2518, 2547

2506, 2522, 2553

2509, 2526, 2559

5 $22.45 5 $44.40 56 $21.75 6 $43.85 6

7+ $19.25 7+ $41.65 7+


2 $28.50 2 $49.75 23 $25.15 3 $46.75 34 $23.45 4 $45.30 45 $22.45 5 $44.40 56 $21.75 6 $43.85 6

7+ $19.25 7+ $41.65 7+


2 $121.60 2 $167.60 23 $116.65 3 $162.65 34 $114.15 4 $160.15 45 $112.65 5 $158.65 56 $111.65 6 $157.65 6

7+ $109.00 7+ $155.00 7+


2 $60.25 2 $71.25 23 $51.25 3 $66.30 34 $46.75 4 $63.85 45 $44.15 5 $62.35 56 $42.35 6 $61.30 6

7+ $37.15 7+ $58.65 7+


2 $111.45 2 $123.40 23 $106.50 3 $114.45 34 $104.05 4 $109.95 45 $102.55 5 $107.30 56 $101.50 6 $105.55 6

7+ $98.85 7+ $100.35 7+


2 $162.30 2 $30.20 23 $153.30 3 $27.20 34 $148.85 4 $25.75 45 $146.20 5 $24.85 56 $144.40 6 $24.30 6

7+ $139.25 7+ $22.10 7+


2 $61.25 2 $86.55 23 $58.25 3 $83.55 3

4 $56.80 4 $82.10 45 $55.90 5 $81.20 56 $55.35 6 $80.65 6

7+ $53.15 7+ $78.45 7+


2 $48.05 2 $68.40 23 $42.00 3 $63.05 34 $39.00 4 $60.40 45 $37.15 5 $58.80 56 $35.95 6 $57.70 6

7+ $31.35 7+ $53.80 7+

LMO Fee

$72.45$57.50$52.60$50.10$48.60$47.60$44.95

LMO Fee

$136.20$109.35$100.35$95.90$93.25$91.45$86.25

LMO Fee

$27.60$18.70$15.70$14.25$13.35$12.80$10.60

LMO Fee

$83.95$75.05$72.05$70.60$69.70$69.15$66.95

LMO Fee

$73.00$56.90$51.55$48.90$47.30$46.20$42.30

LMO Fee

$80.05$53.20$44.25$39.75$37.10$35.35$30.15

LMO Fee

$141.25$126.30$121.35$118.90$117.40$116.35$113.70

LMO Fee

$217.60$190.75$181.80$177.30$174.65$172.85$167.70

LMO Fee

$151.25$136.30$131.35$128.90$127.40$126.35$123.70

LMO Fee$83.95$75.05$72.05$70.60$69.70$69.15$66.95

LMO Fee$83.95$75.05$72.05$70.60

$69.70$69.15$66.95

LMO Fee$83.95$75.05$72.05$70.60$69.70$69.15$66.95

LMO Fee$63.20$48.25$43.30$40.85$39.35$38.30$35.65

LMO Fee$110.10$83.25$74.25$69.75$67.15$65.35$60.15

LMO Fee$165.30$150.35$145.40$142.90$141.40$140.40$137.75

LMO Fee$50.05$40.00$36.65$34.95$33.95$33.25$30.75

LMO Fee$53.45$37.35$32.00

$29.35$27.75$26.65$22.75

LMO Fee$109.80$93.70$88.35$85.70$84.10$83.00$79.10

[XLS] · Web viewLMO Derived Condensed Other Non-Referred Enhanced Primary Care Specialist...

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