CPT Codes and Fees, |
Surgery, Part 1 (10000-29999) |
Surgery, Part 2 (30000-49999) |
Surgery, Part 3 (50000-69999) |
Assistant Surgery Guide |
Radiology |
Pathology and Laboratory |
Evaluation & Management, Medicine, Physical Therapy |
Commission Assigned Codes |
N.C. Industrial Commission Assigned Codes |
Effective January 1, 2015ABBREVIATIONS: BR = by report (i.e., report is
needed to establish fee), CPT = Current Procedural Terminology, FAC
= services were performed in a facility setting, FUD = follow-up
days (i.e., number of days in global period), NA = no allowance, OFF
= services were performed in physician office setting, PC (26) =
professional component, PER AGM = per agreement, SC =
special consideration (see Guides or contact Industrial Commission), TBA
= to be assigned, TC (27) = technical component, Total =
total fee, and Units = requires time or number of units.
|
CPT Code |
Total |
OFF |
FAC |
TC (27) |
PC (26) |
80047 |
BR |
BR |
BR |
||
80048 |
$17.70 |
|
|
||
80050 |
$47.07 |
|
|
||
80051 |
$15.07 |
|
|
||
80053 |
$18.64 |
|
|
||
80055 |
$53.73 |
|
|
||
80061 |
$34.34 |
|
|
||
80069 |
BR |
BR |
BR |
||
80074 |
$102.87 |
|
|
||
80076 |
BR |
BR |
BR |
||
80150 |
$38.77 |
|
|
||
80155 |
BR |
BR | BR | ||
80156 |
$34.34 |
|
|
||
80157 |
BR |
BR |
BR |
||
80158 |
$51.50 |
|
|
||
80159 |
BR |
BR | BR | ||
80162 |
$32.67 |
|
|
||
80163 |
BR |
|
|
||
80165 |
BR |
|
|
||
80164 |
$34.34 |
|
|
||
80168 |
$38.77 |
|
|
||
80169 |
BR |
BR | BR | ||
80170 |
$34.34 |
|
|
||
80171 |
BR |
BR | BR | ||
80173 |
BR |
BR |
BR |
||
80175 |
BR |
BR | BR | ||
80176 |
$34.34 |
|
|
||
80177 |
BR |
BR | BR | ||
80178 |
$19.94 |
|
|
||
80180 |
BR |
BR | BR | ||
80183 |
BR |
BR | BR | ||
80184 |
$34.34 |
|
|
||
80185 |
$32.67 |
|
|
||
80186 |
$34.34 |
|
|
||
80188 |
$38.77 |
|
|
||
80190 |
$38.77 |
|
|
||
80192 |
$51.50 |
|
|
||
80194 |
$34.34 |
|
|
||
80195 |
BR |
BR |
BR |
||
80197 |
BR |
BR |
BR |
||
80198 |
$32.67 |
|
|
||
80199 |
BR |
BR | BR | ||
80200 |
$38.77 |
|
|
||
80201 |
BR |
BR |
BR |
||
80202 |
$34.34 |
|
|
||
80203 |
BR |
BR | BR | ||
80299 |
BR |
BR |
BR |
||
80300 |
BR |
BR |
BR |
||
80301 |
BR |
BR |
BR |
||
80302 |
BR |
BR |
BR |
||
80303 |
BR |
BR |
BR |
||
80304 |
BR |
BR |
BR |
||
80320 |
BR |
BR |
BR |
||
80321 |
BR |
BR |
BR |
||
80322 |
BR |
BR |
BR |
||
80323 |
BR |
BR |
BR |
||
80324 |
BR |
BR |
BR |
||
80325 |
BR |
BR |
BR |
||
80326 |
BR |
BR |
BR |
||
80327 |
BR |
BR |
BR |
||
80328 |
BR |
BR |
BR |
||
80329 |
BR |
BR |
BR |
||
80330 |
BR |
BR |
BR |
||
80331 |
BR |
BR |
BR |
||
80332 |
BR |
BR |
BR |
||
80333 |
BR |
BR |
BR |
||
80334 |
BR |
BR |
BR |
||
80335 |
BR |
BR |
BR |
||
80336 |
BR |
BR |
BR |
||
80337 |
BR |
BR |
BR |
||
80338 |
BR |
BR |
BR |
||
80339 |
BR |
BR |
BR |
||
80340 |
BR |
BR |
BR |
||
80341 |
BR |
BR |
BR |
||
80342 |
BR |
BR |
BR |
||
80343 |
BR |
BR |
BR |
||
80344 |
BR |
BR |
BR |
||
80345 |
BR |
BR |
BR |
||
80346 |
BR |
BR |
BR |
||
80347 |
BR |
BR |
BR |
||
80348 |
BR |
BR |
BR |
||
80349 |
BR |
BR |
BR |
||
80350 |
BR |
BR |
BR |
||
80351 |
BR |
BR |
BR |
||
80353 |
BR |
BR |
BR |
||
80353 |
BR |
BR |
BR |
||
80354 |
BR |
BR |
BR |
||
80355 |
BR |
BR |
BR |
||
80356 |
BR |
BR |
BR |
||
80357 |
BR |
BR |
BR |
||
80358 |
BR |
BR |
BR |
||
80359 |
BR |
BR |
BR |
||
80360 |
BR |
BR |
BR |
||
80361 |
BR |
BR |
BR |
||
80362 |
BR |
BR |
BR |
||
80363 |
BR |
BR |
BR |
||
80364 |
BR |
BR |
BR |
||
80365 |
BR |
BR |
BR |
||
80366 |
BR |
BR |
BR |
||
80367 |
BR |
BR |
BR |
||
80368 |
BR |
BR |
BR |
||
80369 |
BR |
BR |
BR |
||
80370 |
BR |
BR |
BR |
||
80371 |
BR |
BR |
BR |
||
80372 |
BR |
BR |
BR |
||
80373 |
BR |
BR |
BR |
||
80374 |
BR |
BR |
BR |
||
80375 |
BR |
BR |
BR |
||
80376 |
BR |
BR |
BR |
||
80377 |
BR |
BR |
BR |
||
80360 |
BR |
BR |
BR |
||
80360 |
BR |
BR |
BR |
||
80360 |
BR |
BR |
BR |
||
80400 |
$80.30 |
|
|
||
80402 |
$148.43 |
|
|
||
80406 |
$137.90 |
|
|
||
80408 |
$184.99 |
|
|
||
80410 |
$165.60 |
|
|
||
80412 |
$411.52 |
|
|
||
80414 |
$60.93 |
|
|
||
80415 |
$60.93 |
|
|
||
80416 |
BR |
BR |
BR |
||
80417 |
BR |
BR |
BR |
||
80418 |
$1,145.38 |
|
|
||
80420 |
$145.66 |
|
|
||
80422 |
$90.83 |
|
|
||
80424 |
$88.06 |
|
|
||
80426 |
$214.34 |
|
|
||
80428 |
$106.90 |
|
|
||
80430 |
$130.16 |
|
|
||
80432 |
$232.06 |
|
|
||
80434 |
$153.97 |
|
|
||
80435 |
$163.39 |
|
|
||
80436 |
$150.66 |
|
|
||
80438 |
$76.99 |
|
|
||
80439 |
$96.93 |
|
|
||
80500 |
$29.90 |
|
|
||
80502 |
$88.62 |
|
|
||
81000 |
$9.97 |
|
|
||
81001 |
$7.76 |
|
|
||
81002 |
$7.76 |
|
|
||
81003 |
$7.76 |
|
|
||
81005 |
$6.64 |
|
|
||
81007 |
$10.53 |
|
|
||
81015 |
$7.76 |
|
|
||
81020 |
$7.76 |
|
|
||
81025 |
$14.40 |
|
|
||
81050 |
$6.64 |
|
|
||
81099 |
BR |
BR |
BR |
||
81200 |
BR |
BR |
BR |
||
81201 | BR | BR | BR | ||
81202 | BR | BR | BR | ||
81203 | BR | BR | BR | ||
81205 | BR |
BR |
BR |
||
81206 | BR |
BR |
BR |
||
81207 | BR |
BR |
BR |
||
81208 | BR |
BR |
BR |
||
81209 | BR |
BR |
BR |
||
81210 | BR |
BR |
BR |
||
81211 | BR |
BR |
BR |
||
81212 | BR |
BR |
BR |
||
81213 | BR |
BR |
BR |
||
81214 | BR |
BR |
BR |
||
81215 | BR |
BR |
BR |
||
81216 | BR |
BR |
BR |
||
81217 | BR |
BR |
BR |
||
81220 | BR |
BR |
BR |
||
81221 | BR |
BR |
BR |
||
81222 | BR |
BR |
BR |
||
81223 | BR |
BR |
BR |
||
81224 | BR |
BR |
BR |
||
81225 | BR |
BR |
BR |
||
81226 | BR |
BR |
BR |
||
81227 | BR |
BR |
BR |
||
81228 | BR |
BR |
BR |
||
81229 | BR |
BR |
BR |
||
81235 | BR | BR | BR | ||
81240 | BR |
BR |
BR |
||
81241 | BR |
BR |
BR |
||
81242 | BR |
BR |
BR |
||
81243 | BR |
BR |
BR |
||
81244 | BR |
BR |
BR |
||
81245 | BR |
BR |
BR |
||
81246 | BR |
BR |
BR |
||
81250 | BR |
BR |
BR |
||
81251 | BR |
BR |
BR |
||
81252 | BR | BR | BR | ||
81253 | BR | BR | BR | ||
81254 | BR | BR | BR | ||
81255 | BR |
BR |
BR |
||
81256 | BR |
BR |
BR |
||
81257 | BR |
BR |
BR |
||
81260 | BR |
BR |
BR |
||
81261 | BR |
BR |
BR |
||
81262 | BR |
BR |
BR |
||
81263 | BR |
BR |
BR |
||
81264 | BR |
BR |
BR |
||
81265 | BR |
BR |
BR |
||
81266 | BR |
BR |
BR |
||
81267 | BR |
BR |
BR |
||
81268 | BR |
BR |
BR |
||
81270 | BR |
BR |
BR |
||
81275 | BR |
BR |
BR |
||
81280 | BR |
BR |
BR |
||
81281 | BR |
BR |
BR |
||
81282 | BR |
BR |
BR |
||
81287 |
BR |
BR | BR | ||
81288 |
BR |
BR | BR | ||
81290 | BR |
BR |
BR |
||
81291 | BR |
BR |
BR |
||
81292 | BR |
BR |
BR |
||
81293 | BR |
BR |
BR |
||
81294 | BR |
BR |
BR |
||
81295 | BR |
BR |
BR |
||
81296 | BR |
BR |
BR |
||
81297 | BR |
BR |
BR |
||
81298 | BR |
BR |
BR |
||
81299 | BR |
BR |
BR |
||
81300 | BR |
BR |
BR |
||
81301 | BR |
BR |
BR |
||
81302 | BR |
BR |
BR |
||
81303 | BR |
BR |
BR |
||
81304 | BR |
BR |
BR |
||
81310 | BR |
BR |
BR |
||
81313 | BR |
BR |
BR |
||
81315 | BR |
BR |
BR |
||
81316 | BR |
BR |
BR |
||
81317 | BR |
BR |
BR |
||
81318 | BR |
BR |
BR |
||
81319 | BR |
BR |
BR |
||
81321 | BR | BR | BR | ||
81322 | BR | BR | BR | ||
81323 | BR | BR | BR | ||
81324 | BR | BR | BR | ||
81325 | BR | BR | BR | ||
81326 | BR | BR | BR | ||
81330 | BR |
BR |
BR |
||
81331 | BR |
BR |
BR |
||
81332 | BR |
BR |
BR |
||
81340 | BR |
BR |
BR |
||
81341 | BR |
BR |
BR |
||
81342 | BR |
BR |
BR |
||
81350 | BR |
BR |
BR |
||
81355 | BR |
BR |
BR |
||
81370 | BR |
BR |
BR |
||
81371 | BR |
BR |
BR |
||
81372 | BR |
BR |
BR |
||
81373 | BR |
BR |
BR |
||
81374 | BR |
BR |
BR |
||
81375 | BR |
BR |
BR |
||
81376 | BR |
BR |
BR |
||
81377 | BR |
BR |
BR |
||
81378 | BR |
BR |
BR |
||
81379 | BR |
BR |
BR |
||
81380 | BR |
BR |
BR |
||
81381 | BR |
BR |
BR |
||
81382 | BR |
BR |
BR |
||
81383 | BR |
BR |
BR |
||
81400 | BR |
BR |
BR |
||
81401 | BR |
BR |
BR |
||
81402 | BR |
BR |
BR |
||
81403 | BR |
BR |
BR |
||
81404 | BR |
BR |
BR |
||
81405 | BR |
BR |
BR |
||
81406 | BR |
BR |
BR |
||
81407 | BR |
BR |
BR |
||
81408 | BR |
BR |
BR |
||
81410 | BR |
BR |
BR |
||
81411 | BR |
BR |
BR |
||
81415 | BR |
BR |
BR |
||
81416 | BR |
BR |
BR |
||
81417 | BR |
BR |
BR |
||
81420 | BR |
BR |
BR |
||
81425 | BR |
BR |
BR |
||
81426 | BR |
BR |
BR |
||
81427 | BR |
BR |
BR |
||
81430 | BR |
BR |
BR |
||
81431 | BR |
BR |
BR |
||
81435 | BR |
BR |
BR |
||
81436 | BR |
BR |
BR |
||
81440 | BR |
BR |
BR |
||
81445 | BR |
BR |
BR |
||
81450 | BR |
BR |
BR |
||
81455 | BR |
BR |
BR |
||
81460 | BR |
BR |
BR |
||
81465 | BR |
BR |
BR |
||
81460 | BR |
BR |
BR |
||
81465 | BR |
BR |
BR |
||
81470 | BR |
BR |
BR |
||
81471 | BR |
BR |
BR |
||
81479 | BR | BR | BR | ||
81500 | BR | BR | BR | ||
81503 | BR | BR | BR | ||
81504 | BR | BR | BR | ||
81506 | BR | BR | BR | ||
81507 | BR | BR | BR | ||
81508 | BR | BR | BR | ||
81509 | BR | BR | BR | ||
81510 | BR | BR | BR | ||
81511 | BR | BR | BR | ||
81512 | BR | BR | BR | ||
81519 | BR | BR | BR | ||
81599 | BR | BR | BR | ||
82777 | BR | BR | BR | ||
87389 | BR |
BR |
BR |
||
82009 |
$9.41 |
|
|
||
82010 |
$20.50 |
|
|
||
82013 |
$34.34 |
|
|
||
82016 |
BR |
BR |
BR |
||
82017 |
BR |
BR |
BR |
||
82024 |
$76.99 |
|
|
||
82030 |
$59.82 |
|
|
||
82040 |
$11.07 |
|
|
||
82042 |
$13.84 |
|
|
||
82043 |
$29.90 |
|
|
||
82044 |
$15.50 |
|
|
||
82045 |
BR |
BR |
BR |
||
82075 |
$24.93 |
|
|
||
82085 |
$25.47 |
|
|
||
82088 |
$68.67 |
|
|
||
82103 |
$34.34 |
|
|
||
82104 |
$47.07 |
|
|
||
82105 |
$40.43 |
|
|
||
82106 |
$40.43 |
|
|
||
82107 |
BR |
BR |
BR |
||
82108 |
$51.50 |
|
|
||
82120 |
BR |
BR |
BR |
||
82127 |
BR |
BR |
BR |
||
82128 |
$24.93 |
|
|
||
82131 |
$153.97 |
|
|
||
82135 |
$37.66 |
|
|
||
82136 |
BR |
BR |
BR |
||
82139 |
BR |
BR |
BR |
||
82140 |
$25.47 |
|
|
||
82143 |
$27.70 |
|
|
||
82150 |
$13.84 |
|
|
||
82154 |
$55.94 |
|
|
||
82157 |
$51.50 |
|
|
||
82160 |
$55.94 |
|
|
||
82163 |
$51.50 |
|
|
||
82164 |
$42.64 |
|
|
||
82172 |
$28.24 |
|
|
||
82175 |
$47.07 |
|
|
||
82180 |
$28.24 |
|
|
||
82190 |
$51.50 |
|
|
||
82232 |
$47.07 |
|
|
||
82239 |
$27.70 |
|
|
||
82240 |
$60.93 |
|
|
||
82247 |
BR |
BR |
BR |
||
82248 |
BR |
BR |
BR |
||
82252 |
$7.76 |
|
|
||
82261 |
BR |
BR |
BR |
||
82270 |
$8.30 |
$8.30 |
$0.00 |
||
82271 |
BR |
BR |
BR |
||
82272 |
BR |
BR |
BR |
||
82274 |
BR |
BR |
BR |
||
82286 |
$51.50 |
|
|
||
82300 |
$51.50 |
|
|
||
82306 |
$64.24 |
|
|
||
82308 |
$65.90 |
|
|
||
82310 |
$12.19 |
|
|
||
82330 |
$31.57 |
|
|
||
82331 |
$34.34 |
|
|
||
82340 |
$12.19 |
|
|
||
82355 |
$26.59 |
|
|
||
82360 |
$32.67 |
|
|
||
82365 |
$32.67 |
|
|
||
82370 |
$32.67 |
|
|
||
82373 |
BR |
BR |
BR |
||
82374 |
$11.07 |
|
|
||
82375 |
$29.36 |
|
|
||
82376 |
$10.53 |
|
|
||
82378 |
$44.30 |
|
|
||
82379 |
BR |
BR |
BR |
||
82380 |
$25.47 |
|
|
||
82382 |
$44.30 |
|
|
||
82383 |
$64.24 |
|
|
||
82384 |
$64.24 |
|
|
||
82387 |
$51.50 |
|
|
||
82390 |
$27.70 |
|
|
||
82397 |
$38.77 |
|
|
||
82415 |
$42.64 |
|
|
||
82435 |
$11.07 |
|
|
||
82436 |
$12.19 |
|
|
||
82438 |
$12.19 |
|
|
||
82441 |
$31.01 |
|
|
||
82465 |
$11.63 |
|
|
||
82480 |
$20.50 |
|
|
||
82482 |
$31.01 |
|
|
||
82485 |
$51.50 |
|
|
||
82486 |
$48.19 |
|
|
||
82487 |
$37.66 |
|
|
||
82488 |
$59.82 |
|
|
||
82489 |
$37.66 |
|
|
||
82491 |
$42.64 |
|
|
||
82492 |
BR |
BR |
BR |
||
82495 |
$51.50 |
|
|
||
82507 |
$64.24 |
|
|
||
82523 |
BR |
BR |
BR |
||
82525 |
$34.34 |
|
|
||
82528 |
$51.50 |
|
|
||
82530 |
$47.07 |
|
|
||
82533 |
$40.43 |
|
|
||
82540 |
$12.19 |
|
|
||
82541 |
BR |
BR |
BR |
||
82542 |
$39.86 |
|
|
||
82543 |
BR |
BR |
BR |
||
82544 |
BR |
BR |
BR |
||
82550 |
$12.74 |
|
|
||
82552 |
$34.34 |
|
|
||
82553 |
$16.06 |
|
|
||
82554 |
$29.90 |
|
|
||
82565 |
$11.07 |
|
|
||
82570 |
$12.19 |
|
|
||
82575 |
$23.26 |
|
|
||
82585 |
$29.36 |
|
|
||
82595 |
$15.50 |
|
|
||
82600 |
$34.34 |
|
|
||
82607 |
$34.34 |
|
|
||
82608 |
$39.33 |
|
|
||
82610 |
BR |
BR |
BR |
||
82615 |
$25.47 |
|
|
||
82626 |
$59.82 |
|
|
||
82627 |
$51.50 |
|
|
||
82633 |
$68.67 |
|
|
||
82634 |
$59.82 |
|
|
||
82638 |
$23.81 |
|
|
||
82652 |
$68.67 |
|
|
||
82656 |
BR |
BR |
BR |
||
82657 |
BR |
BR |
BR |
||
82658 |
BR |
BR |
BR |
||
82664 |
$31.57 |
|
|
||
82668 |
$55.94 |
|
|
||
82670 |
$40.43 |
|
|
||
82671 |
$72.00 |
|
|
||
82672 |
$51.50 |
|
|
||
82677 |
$37.10 |
|
|
||
82679 |
$55.94 |
|
|
||
82693 |
$31.01 |
|
|
||
82696 |
$59.82 |
|
|
||
82705 |
$12.74 |
|
|
||
82710 |
$48.19 |
|
|
||
82715 |
$20.50 |
|
|
||
82725 |
$20.50 |
|
|
||
82726 |
BR |
BR |
BR |
||
82728 |
$31.57 |
|
|
||
82731 |
BR |
BR |
BR |
||
82735 |
$45.97 |
|
|
||
82746 |
$34.90 |
|
|
||
82747 |
$42.10 |
|
|
||
82757 |
$22.16 |
|
|
||
82759 |
$27.70 |
|
|
||
82760 |
$28.24 |
|
|
||
82775 |
$36.00 |
|
|
||
82776 |
$11.63 |
|
|
||
82784 |
$29.36 |
|
|
||
82785 |
$37.10 |
|
|
||
82787 |
$91.94 |
|
|
||
82800 |
$25.47 |
|
|
||
82803 |
$46.53 |
|
|
||
82805 |
$54.83 |
|
|
||
82810 |
$25.47 |
|
|
||
82820 |
$29.90 |
|
|
||
82930 |
BR |
BR |
BR |
||
82938 |
$42.10 |
|
|
||
82941 |
$42.10 |
|
|
||
82943 |
$50.40 |
|
|
||
82945 |
BR |
BR |
BR |
||
82946 |
$28.24 |
|
|
||
82947 |
$11.07 |
|
|
||
82948 |
$8.30 |
|
|
||
82950 |
$14.40 |
|
|
||
82951 |
$31.57 |
|
|
||
82952 |
$8.30 |
|
|
||
82955 |
$32.67 |
|
|
||
82960 |
$17.17 |
|
|
||
82962 |
$8.30 |
|
|
||
82963 |
$42.64 |
|
|
||
82965 |
$12.19 |
|
|
||
82977 |
$12.74 |
|
|
||
82978 |
$29.90 |
|
|
||
82979 |
$21.60 |
|
|
||
82985 |
$20.50 |
|
|
||
83001 |
$42.64 |
|
|
||
83002 |
$42.64 |
|
|
||
83003 |
$42.64 |
|
|
||
83006 |
BR |
BR |
BR |
||
83009 |
BR |
BR |
BR |
||
83010 |
$31.57 |
|
|
||
83012 |
$48.74 |
|
|
||
83013 |
BR |
BR |
BR |
||
83014 |
BR |
BR |
BR |
||
83015 |
$59.82 |
|
|
||
83018 |
$59.82 |
|
|
||
83020 |
$32.13 |
$22.49 |
$9.64 |
||
83021 |
BR |
BR |
BR |
||
83026 |
$7.76 |
|
|
||
83030 |
$22.16 |
|
|
||
83033 |
$12.74 |
|
|
||
83036 |
$24.93 |
|
|
||
83037 |
BR |
BR |
BR |
||
83045 |
$8.30 |
|
|
||
83050 |
$12.19 |
|
|
||
83051 |
$11.07 |
|
|
||
83060 |
$23.81 |
|
|
||
83065 |
$6.64 |
|
|
||
83068 |
$9.41 |
|
|
||
83069 |
$6.64 |
|
|
||
83070 |
$10.53 |
|
|
||
83080 |
BR |
BR |
BR |
||
83088 |
$65.90 |
|
|
||
83090 |
BR |
BR |
BR |
||
83150 |
$42.64 |
|
|
||
83491 |
$50.40 |
|
|
||
83497 |
$40.43 |
|
|
||
83498 |
$58.16 |
|
|
||
83499 |
$45.97 |
|
|
||
83500 |
$42.64 |
|
|
||
83505 |
$55.94 |
|
|
||
83516 |
$27.70 |
|
|
||
83518 |
$17.17 |
|
|
||
83519 |
$36.00 |
|
|
||
83520 |
$36.00 |
|
|
||
83525 |
$33.23 |
|
|
||
83527 |
$33.23 |
|
|
||
83528 |
$44.30 |
|
|
||
83540 |
$12.19 |
|
|
||
83550 |
$16.61 |
|
|
||
83570 |
$20.50 |
|
|
||
83582 |
$34.90 |
|
|
||
83586 |
$34.34 |
|
|
||
83593 |
$75.33 |
|
|
||
83605 |
$27.70 |
|
|
||
83615 |
$11.63 |
|
|
||
83625 |
$34.34 |
|
|
||
83630 |
BR |
BR |
BR |
||
83631 |
BR |
BR |
BR |
||
83632 |
$54.83 |
|
|
||
83633 |
$10.53 |
|
|
||
83655 |
$22.16 |
|
|
||
83661 |
$73.66 |
|
|
||
83662 |
$21.60 |
|
|
||
83663 |
BR |
BR |
BR |
||
83664 |
BR |
BR |
BR |
||
83670 |
$31.01 |
|
|
||
83690 |
$19.94 |
|
|
||
83695 |
BR |
BR |
BR |
||
83698 |
BR |
BR |
BR |
||
83700 |
BR |
BR |
BR |
||
83701 |
BR |
BR |
BR |
||
83704 |
BR |
BR |
BR |
||
83718 |
$17.17 |
|
|
||
83719 |
$17.73 |
|
|
||
83721 |
$17.17 |
|
|
||
83727 |
$47.07 |
|
|
||
83735 |
$12.74 |
|
|
||
83775 |
$19.94 |
|
|
||
83785 |
$51.50 |
|
|
||
83788 |
BR |
BR |
BR |
||
83789 |
BR |
BR |
BR |
||
83825 |
$44.30 |
|
|
||
83835 |
$44.30 |
|
|
||
83857 |
$25.47 |
|
|
||
83861 |
BR |
BR |
BR |
||
83864 |
$25.47 |
|
|
||
83872 |
$9.41 |
|
|
||
83873 |
$47.07 |
|
|
||
83874 |
$38.77 |
|
|
||
83876 |
BR |
BR |
BR |
||
83880 |
$74.94 |
|
|
||
83883 |
$31.57 |
|
|
||
83885 |
$45.97 |
|
|
||
83915 |
$27.70 |
|
|
||
83916 |
$40.99 |
|
|
||
83918 |
$64.24 |
|
|
||
83919 |
BR |
BR |
BR |
||
83921 |
BR |
BR |
BR |
||
83930 |
$8.30 |
|
|
||
83935 |
$21.60 |
|
|
||
83937 |
$61.47 |
|
|
||
83945 |
$31.01 |
|
|
||
83950 |
$140.64 |
|
|
||
83951 |
BR |
BR |
BR |
||
83970 |
$68.67 |
|
|
||
83986 |
$7.90 |
|
|
||
83987 |
BR |
BR |
BR |
||
83992 |
$32.45 |
|
|
||
83993 |
BR |
BR |
BR |
||
84030 |
$12.19 |
|
|
||
84035 |
$8.30 |
|
|
||
84060 |
$21.60 |
|
|
||
84061 |
$23.81 |
|
|
||
84066 |
$28.24 |
|
|
||
84075 |
$11.63 |
|
|
||
84078 |
$21.04 |
|
|
||
84080 |
$37.10 |
|
|
||
84081 |
$51.50 |
|
|
||
84085 |
$22.16 |
|
|
||
84087 |
$23.81 |
|
|
||
84100 |
$11.07 |
|
|
||
84105 |
$12.19 |
|
|
||
84106 |
$16.06 |
|
|
||
84110 |
$21.60 |
|
|
||
84112 |
BR |
BR |
BR |
||
84119 |
$22.16 |
|
|
||
84120 |
$34.34 |
|
|
||
84126 |
$38.77 |
|
|
||
84132 |
$11.07 |
|
|
||
84133 |
$12.19 |
|
|
||
84134 |
$25.47 |
|
|
||
84135 |
$42.64 |
|
|
||
84138 |
$42.64 |
|
|
||
84140 |
$51.50 |
|
|
||
84143 |
$51.50 |
|
|
||
84144 |
$42.64 |
|
|
||
84145 |
BR |
BR |
BR |
||
84146 |
$42.64 |
|
|
||
84150 |
$47.07 |
|
|
||
84152 |
BR |
BR |
BR |
||
84153 |
$42.64 |
|
|
||
84154 |
BR |
BR |
BR |
||
84155 |
$13.84 |
|
|
||
84156 |
$8.09 |
|
|
||
84157 |
$8.09 |
|
|
||
84160 |
$8.30 |
|
|
||
84163 |
BR |
BR |
BR |
||
84165 |
$31.01 |
$24.81 |
$6.20 |
||
84166 |
$37.57 |
$0.00 |
$37.57 |
||
84181 |
$47.07 |
$32.95 |
$14.12 |
||
84182 |
$68.67 |
$48.07 |
$20.60 |
||
84202 |
$27.70 |
|
|
||
84203 |
$14.96 |
|
|
||
84206 |
$64.24 |
|
|
||
84207 |
$64.24 |
|
|
||
84210 |
$37.10 |
|
|
||
84220 |
$21.60 |
|
|
||
84228 |
$34.34 |
|
|
||
84233 |
$68.67 |
|
|
||
84234 |
$68.67 |
|
|
||
84235 |
$68.67 |
|
|
||
84238 |
$85.84 |
|
|
||
84244 |
$54.83 |
|
|
||
84252 |
$36.00 |
|
|
||
84255 |
$42.64 |
|
|
||
84260 |
$78.64 |
|
|
||
84270 |
$45.42 |
|
|
||
84275 |
$27.70 |
|
|
||
84285 |
$58.16 |
|
|
||
84295 |
$11.07 |
|
|
||
84300 |
$12.19 |
|
|
||
84302 |
$6.79 |
|
|
||
84305 |
$64.24 |
|
|
||
84307 |
$47.07 |
|
|
||
84311 |
$15.44 |
|
|
||
84315 |
$6.10 |
|
|
||
84375 |
$34.34 |
|
|
||
84376 |
BR |
BR |
BR |
||
84377 |
BR |
BR |
BR |
||
84378 |
BR |
BR |
BR |
||
84379 |
BR |
BR |
BR |
||
84392 |
BR |
BR |
BR |
||
84402 |
$48.74 |
|
|
||
84403 |
$40.43 |
|
|
||
84425 |
$47.07 |
|
|
||
84430 |
$29.90 |
|
|
||
84431 |
BR |
BR |
BR |
||
84432 |
$42.64 |
|
|
||
84436 |
$17.17 |
|
|
||
84437 |
$17.17 |
|
|
||
84439 |
$25.47 |
|
|
||
84442 |
$29.90 |
|
|
||
84443 |
$38.77 |
|
|
||
84445 |
$111.33 |
|
|
||
84446 |
$34.34 |
|
|
||
84449 |
$40.99 |
|
|
||
84450 |
$12.19 |
|
|
||
84460 |
$12.19 |
|
|
||
84466 |
$29.90 |
|
|
||
84478 |
$12.19 |
|
|
||
84479 |
$15.50 |
|
|
||
84480 |
$34.34 |
|
|
||
84481 |
$45.42 |
|
|
||
84482 |
$38.77 |
|
|
||
84484 |
BR |
BR |
BR |
||
84485 |
$17.17 |
|
|
||
84488 |
$11.07 |
|
|
||
84490 |
$12.74 |
|
|
||
84510 |
$22.16 |
|
|
||
84512 |
BR |
BR |
BR |
||
84520 |
$11.63 |
|
|
||
84525 |
$8.30 |
|
|
||
84540 |
$12.19 |
|
|
||
84545 |
$17.17 |
|
|
||
84550 |
$11.63 |
|
|
||
84560 |
$12.19 |
|
|
||
84577 |
$17.17 |
|
|
||
84578 |
$7.76 |
|
|
||
84580 |
$16.06 |
|
|
||
84583 |
$7.76 |
|
|
||
84585 |
$42.64 |
|
|
||
84586 |
$65.90 |
|
|
||
84588 |
$70.34 |
|
|
||
84590 |
$34.34 |
|
|
||
84591 |
BR |
BR |
BR |
||
84597 |
$39.33 |
|
|
||
84600 |
$29.90 |
|
|
||
84620 |
$34.34 |
|
|
||
84630 |
$34.34 |
|
|
||
84681 |
$51.50 |
|
|
||
84702 |
$34.34 |
|
|
||
84703 |
$19.94 |
|
|
||
84704 |
BR |
BR |
BR |
||
84830 |
$21.60 |
|
|
||
84999 |
BR |
BR |
BR |
||
85002 |
$17.73 |
|
|
||
85004 |
$9.04 |
|
|
||
85007 |
$9.97 |
|
|
||
85008 |
$6.64 |
|
|
||
85009 |
$10.53 |
|
|
||
85013 |
$7.76 |
|
|
||
85014 |
$7.76 |
|
|
||
85018 |
$7.76 |
|
|
||
85025 |
$16.06 |
|
|
||
85027 |
$14.96 |
|
|
||
85032 |
$6.01 |
|
|
||
85041 |
$7.20 |
|
|
||
85044 |
$12.74 |
|
|
||
85045 |
$12.19 |
|
|
||
85046 |
BR |
BR |
BR |
||
85048 |
$8.30 |
|
|
||
85049 |
$6.25 |
|
|
||
85055 |
$59.11 |
|
|
||
85060 |
$35.44 |
|
|
||
85097 |
$75.33 |
$15.07 |
$60.26 |
||
85130 |
$25.47 |
|
|
||
85170 |
$8.86 |
|
|
||
85175 |
$17.17 |
|
|
||
85210 |
$25.47 |
|
|
||
85220 |
$51.50 |
|
|
||
85230 |
$51.50 |
|
|
||
85240 |
$55.94 |
|
|
||
85244 |
$68.67 |
|
|
||
85245 |
$42.64 |
|
|
||
85246 |
$68.67 |
|
|
||
85247 |
$68.67 |
|
|
||
85250 |
$55.94 |
|
|
||
85260 |
$51.50 |
|
|
||
85270 |
$55.94 |
|
|
||
85280 |
$55.94 |
|
|
||
85290 |
$42.64 |
|
|
||
85291 |
$24.93 |
|
|
||
85292 |
$51.50 |
|
|
||
85293 |
$51.50 |
|
|
||
85300 |
$41.54 |
|
|
||
85301 |
$42.64 |
|
|
||
85302 |
$47.07 |
|
|
||
85303 |
$51.50 |
|
|
||
85305 |
$55.94 |
|
|
||
85306 |
$55.94 |
|
|
||
85307 |
BR |
BR |
BR |
||
85335 |
$23.26 |
|
|
||
85337 |
$42.64 |
|
|
||
85345 |
$8.30 |
|
|
||
85347 |
$8.30 |
|
|
||
85348 |
$13.84 |
|
|
||
85360 |
$27.70 |
|
|
||
85362 |
$18.83 |
|
|
||
85366 |
$27.70 |
|
|
||
85370 |
$27.70 |
|
|
||
85378 |
$22.16 |
|
|
||
85379 |
$25.47 |
|
|
||
85380 |
$12.87 |
|
|
||
85384 |
$17.17 |
|
|
||
85385 |
$21.60 |
|
|
||
85390 |
$21.60 |
$10.80 |
$10.80 |
||
85396 |
$32.63 |
|
|
||
85397 |
BR |
BR |
BR |
||
85400 |
$40.99 |
|
|
||
85410 |
$40.99 |
|
|
||
85415 |
$31.57 |
|
|
||
85420 |
$40.99 |
|
|
||
85421 |
$51.50 |
|
|
||
85441 |
$7.76 |
|
|
||
85445 |
$12.19 |
|
|
||
85460 |
$23.26 |
|
|
||
85461 |
$23.26 |
|
|
||
85475 |
$29.36 |
|
|
||
85520 |
$34.34 |
|
|
||
85525 |
$34.34 |
|
|
||
85530 |
$34.34 |
|
|
||
85536 |
BR |
BR |
BR |
||
85540 |
$21.60 |
|
|
||
85547 |
$19.94 |
|
|
||
85549 |
$43.76 |
|
|
||
85555 |
$16.06 |
|
|
||
85557 |
$42.64 |
|
|
||
85576 |
$42.64 |
$34.11 |
$8.53 |
||
85597 |
$29.90 |
|
|
||
85598 |
BR |
BR |
BR |
||
85610 |
$12.19 |
|
|
||
85611 |
$12.74 |
|
|
||
85612 |
$23.81 |
|
|
||
85613 |
$28.24 |
|
|
||
85635 |
$17.17 |
|
|
||
85651 |
$10.53 |
|
|
||
85652 |
BR |
BR |
BR |
||
85660 |
$12.19 |
|
|
||
85670 |
$15.50 |
|
|
||
85675 |
$17.73 |
|
|
||
85705 |
$32.67 |
|
|
||
85730 |
$14.40 |
|
|
||
85732 |
$17.17 |
|
|
||
85810 |
$19.94 |
|
|
||
85999 |
BR |
BR |
BR |
||
86000 |
$19.94 |
$19.94 |
$0.00 |
||
86001 |
BR |
BR |
BR |
||
86003 |
$111.33 |
|
|
||
86005 |
$42.64 |
|
|
||
86021 |
$51.50 |
|
|
||
86022 |
$78.10 |
|
|
||
86023 |
$42.64 |
|
|
||
86038 |
$29.90 |
|
|
||
86039 |
$29.90 |
|
|
||
86060 |
$20.50 |
|
|
||
86063 |
$15.50 |
|
|
||
86077 |
$35.44 |
|
|
||
86078 |
$68.13 |
|
|
||
86079 |
$37.10 |
|
|
||
86140 |
$16.06 |
|
|
||
86141 |
$28.27 |
|
|
||
86146 |
BR |
BR |
BR |
||
86147 |
$59.82 |
|
|
||
86148 |
BR |
BR |
BR |
||
86152 | BR | BR | BR | ||
86153 | BR | BR | BR | ||
86155 |
$23.26 |
|
|
||
86156 |
$15.50 |
|
|
||
86157 |
$19.94 |
|
|
||
86160 |
$37.66 |
|
|
||
86161 |
$37.66 |
|
|
||
86162 |
$53.17 |
|
|
||
86171 |
$24.93 |
|
|
||
86185 |
$23.81 |
|
|
||
86215 |
$33.23 |
|
|
||
86225 |
$37.10 |
|
|
||
86226 |
$37.10 |
|
|
||
86235 |
$32.67 |
|
|
||
86243 |
$40.43 |
|
|
||
86255 |
$29.90 |
|
|
||
86256 |
$37.10 |
|
|
||
86277 |
$29.90 |
|
|
||
86280 |
$24.93 |
|
|
||
86294 |
BR |
BR |
BR |
||
86300 |
BR |
BR |
BR |
||
86301 |
BR |
BR |
BR |
||
86304 |
BR |
BR |
BR |
||
86305 |
BR |
BR |
BR |
||
86308 |
$14.40 |
|
|
||
86309 |
$20.50 |
|
|
||
86310 |
$21.60 |
|
|
||
86316 |
$44.30 |
|
|
||
86317 |
$20.50 |
|
|
||
86318 |
$20.50 |
|
|
||
86320 |
$53.73 |
$42.98 |
$10.75 |
||
86325 |
$55.94 |
$44.75 |
$11.19 |
||
86327 |
$42.64 |
$34.11 |
$8.53 |
||
86329 |
$40.99 |
|
|
||
86331 |
$38.77 |
|
|
||
86332 |
$48.74 |
|
|
||
86334 |
$46.53 |
$37.22 |
$9.31 |
||
86335 |
$37.57 |
|
|
||
86336 |
BR |
BR |
BR |
||
86337 |
$53.73 |
|
|
||
86340 |
$37.66 |
|
|
||
86341 |
$29.90 |
|
|
||
86343 |
$37.10 |
|
|
||
86344 |
$21.60 |
|
|
||
86352 |
BR |
BR |
BR |
||
86353 |
$120.19 |
|
|
||
86356 |
BR |
BR |
BR |
||
86357 |
BR |
BR |
BR |
||
86359 |
$64.24 |
|
|
||
86360 |
$95.82 |
|
|
||
86361 |
BR |
BR |
BR |
||
86367 |
BR |
BR |
BR |
||
86376 |
$36.00 |
|
|
||
86378 |
$38.77 |
|
|
||
86382 |
$39.33 |
|
|
||
86384 |
$29.90 |
|
|
||
86403 |
$13.84 |
|
|
||
86406 |
$16.06 |
|
|
||
86430 |
$16.06 |
|
|
||
86431 |
$18.83 |
|
|
||
86480 |
BR |
BR |
BR |
||
86481 |
BR |
BR |
BR |
||
86485 |
$12.74 |
|
|
||
86486 |
$7.98 |
|
|
||
86490 |
$14.40 |
|
|
||
86510 |
$15.50 |
|
|
||
86580 |
$12.74 |
|
|
||
86590 |
$15.50 |
|
|
||
86592 |
$11.07 |
|
|
||
86593 |
$12.19 |
|
|
||
86602 |
$34.34 |
|
|
||
86603 |
$34.34 |
|
|
||
86606 |
$37.66 |
|
|
||
86609 |
BR |
BR |
BR |
||
86611 |
BR |
BR |
BR |
||
86612 |
$37.66 |
|
|
||
86615 |
$42.64 |
|
|
||
86617 |
$45.42 |
|
|
||
86618 |
$42.64 |
|
|
||
86619 |
$34.34 |
|
|
||
86622 |
$25.47 |
|
|
||
86625 |
$34.34 |
|
|
||
86628 |
$40.99 |
|
|
||
86631 |
$29.90 |
|
|
||
86632 |
$33.23 |
|
|
||
86635 |
$40.99 |
|
|
||
86638 |
$34.34 |
|
|
||
86641 |
$25.47 |
|
|
||
86644 |
$39.33 |
|
|
||
86645 |
$43.76 |
|
|
||
86648 |
$37.66 |
|
|
||
86651 |
$34.34 |
|
|
||
86652 |
$34.34 |
|
|
||
86653 |
$34.34 |
|
|
||
86654 |
$34.34 |
|
|
||
86658 |
$34.34 |
|
|
||
86663 |
$40.99 |
|
|
||
86664 |
$40.99 |
|
|
||
86665 |
$44.30 |
|
|
||
86666 |
BR |
BR |
BR |
||
86668 |
$25.47 |
|
|
||
86671 |
$34.34 |
|
|
||
86674 |
$34.34 |
|
|
||
86677 |
$46.53 |
|
|
||
86682 |
$42.64 |
|
|
||
86684 |
$42.64 |
|
|
||
86687 |
$34.34 |
|
|
||
86688 |
$32.67 |
|
|
||
86689 |
$45.42 |
|
|
||
86692 |
$42.64 |
|
|
||
86694 |
$37.66 |
|
|
||
86695 |
$37.66 |
|
|
||
86696 |
BR |
BR |
BR |
||
86698 |
$34.34 |
|
|
||
86701 |
$19.61 |
|
|
||
86702 |
$42.64 |
|
|
||
86703 |
$29.36 |
|
|
||
86704 |
$25.41 |
|
|
||
86705 |
$25.71 |
|
|
||
86706 |
$23.45 |
|
|
||
86707 |
$25.25 |
|
|
||
86708 |
$27.05 |
|
|
||
86709 |
$24.57 |
|
|
||
86710 |
$28.24 |
|
|
||
86386 | BR |
BR |
BR |
||
86711 | BR |
BR |
BR |
||
86713 |
$40.99 |
|
|
||
86717 |
$34.34 |
|
|
||
86720 |
$34.34 |
|
|
||
86723 |
$34.34 |
|
|
||
86727 |
$34.34 |
|
|
||
86729 |
$34.34 |
|
|
||
86732 |
$34.34 |
|
|
||
86735 |
$34.34 |
|
|
||
86738 |
$34.34 |
|
|
||
86741 |
$34.34 |
|
|
||
86744 |
$34.34 |
|
|
||
86747 |
$42.64 |
|
|
||
86750 |
$34.34 |
|
|
||
86753 |
$34.34 |
|
|
||
86756 |
$34.34 |
|
|
||
86757 |
$42.74 |
|
|
||
86759 |
$34.34 |
|
|
||
86762 |
$19.94 |
|
|
||
86765 |
$42.64 |
|
|
||
86768 |
$34.34 |
|
|
||
86771 |
$34.34 |
|
|
||
86774 |
$42.64 |
|
|
||
86777 |
$32.67 |
|
|
||
86778 |
$40.43 |
|
|
||
86780 |
BR |
BR |
BR |
||
86784 |
$34.34 |
|
|
||
86787 |
$37.66 |
|
|
||
86788 |
BR |
BR |
BR |
||
86789 |
BR |
BR |
BR |
||
86790 |
$34.34 |
|
|
||
86793 |
$34.34 |
|
|
||
86800 |
$40.99 |
|
|
||
86803 |
$31.17 |
|
|
||
86804 |
$25.85 |
|
|
||
86805 |
$126.83 |
|
|
||
86806 |
$42.10 |
|
|
||
86807 |
$42.10 |
|
|
||
86808 |
$47.07 |
|
|
||
86812 |
$59.82 |
|
|
||
86813 |
$85.84 |
|
|
||
86816 |
$81.42 |
|
|
||
86817 |
$233.73 |
|
|
||
86821 |
$182.77 |
|
|
||
86822 |
$59.82 |
|
|
||
86825 |
BR |
BR |
BR |
||
86826 |
BR |
BR |
BR |
||
86828 | BR |
BR |
BR |
||
86829 | BR |
BR |
BR |
||
86830 | BR |
BR |
BR |
||
86831 | BR |
BR |
BR |
||
86832 | BR |
BR |
BR |
||
86833 | BR |
BR |
BR |
||
86834 | BR |
BR |
BR |
||
86835 | BR |
BR |
BR |
||
86849 |
BR |
BR |
BR |
||
86850 |
$17.17 |
|
|
||
86860 |
$17.17 |
|
|
||
86870 |
$29.90 |
|
|
||
86880 |
$9.41 |
|
|
||
86885 |
$12.19 |
|
|
||
86886 |
$15.50 |
|
|
||
86890 |
$68.67 |
|
|
||
86891 |
$106.90 |
|
|
||
86900 |
$9.41 |
|
|
||
86901 |
$8.30 |
|
|
||
86902 |
BR |
BR |
BR |
||
86904 |
$12.74 |
|
|
||
86905 |
$10.53 |
|
|
||
86906 |
$14.40 |
|
|
||
86910 |
$18.83 |
|
|
||
86911 |
$14.40 |
|
|
||
86920 |
$20.50 |
|
|
||
86921 |
$17.17 |
|
|
||
86922 |
$10.53 |
|
|
||
86923 |
BR |
BR |
BR |
||
86927 |
$12.19 |
|
|
||
86930 |
$85.84 |
|
|
||
86931 |
$94.16 |
|
|
||
86932 |
$103.02 |
|
|
||
86940 |
$17.73 |
|
|
||
86941 |
$18.83 |
|
|
||
86945 |
$25.47 |
|
|
||
86950 |
$47.07 |
|
|
||
86960 |
BR |
BR |
BR |
||
86965 |
$12.19 |
|
|
||
86970 |
$12.74 |
|
|
||
86971 |
$13.84 |
|
|
||
86972 |
$12.74 |
|
|
||
86975 |
$8.30 |
|
|
||
86976 |
$6.64 |
|
|
||
86977 |
$8.30 |
|
|
||
86978 |
$18.83 |
|
|
||
86985 |
$17.73 |
|
|
||
86999 |
BR |
BR |
BR |
||
87003 |
$34.34 |
|
|
||
87015 |
$17.73 |
|
|
||
87040 |
$23.81 |
|
|
||
87045 |
$28.24 |
|
|
||
87046 |
BR |
BR |
BR |
||
87070 |
$23.26 |
|
|
||
87071 |
BR |
BR |
BR |
||
87073 |
BR |
BR |
BR |
||
87075 |
$23.81 |
|
|
||
87076 |
$26.59 |
|
|
||
87077 |
$17.84 |
|
|
||
87081 |
$13.84 |
|
|
||
87084 |
$17.17 |
|
|
||
87086 |
$21.60 |
|
|
||
87088 |
$20.50 |
|
|
||
87101 |
$17.73 |
|
|
||
87102 |
$22.16 |
|
|
||
87103 |
$25.47 |
|
|
||
87106 |
$23.26 |
|
|
||
87107 |
BR |
BR |
BR |
||
87109 |
$49.30 |
|
|
||
87110 |
$34.34 |
|
|
||
87116 |
$27.70 |
|
|
||
87118 |
$22.16 |
|
|
||
87140 |
$12.74 |
|
|
||
87143 |
$32.67 |
|
|
||
87147 |
$12.19 |
|
|
||
87149 |
BR |
BR |
BR |
||
87150 |
BR |
BR |
BR |
||
87152 |
BR |
BR |
BR |
||
87153 |
BR |
BR |
BR |
||
87158 |
$11.63 |
|
|
||
87164 |
$25.47 |
$5.09 |
$20.38 |
||
87166 |
$21.60 |
|
|
||
87168 |
BR |
BR |
BR |
||
87169 |
BR |
BR |
BR |
||
87172 |
BR |
BR |
BR |
||
87176 |
$15.50 |
|
|
||
87177 |
$25.47 |
|
|
||
87181 |
$16.06 |
|
|
||
87184 |
$17.17 |
|
|
||
87185 |
BR |
BR |
BR |
||
87186 |
$19.94 |
|
|
||
87187 |
$19.94 |
|
|
||
87188 |
$19.94 |
|
|
||
87190 |
$12.74 |
|
|
||
87197 |
$27.70 |
|
|
||
87205 |
$10.53 |
|
|
||
87206 |
$19.94 |
|
|
||
87207 |
$17.73 |
|
|
||
87209 |
BR |
BR |
BR |
||
87210 |
$10.53 |
|
|
||
87220 |
$12.74 |
|
|
||
87230 |
$38.77 |
|
|
||
87250 |
$46.53 |
|
|
||
87252 |
$42.64 |
|
|
||
87253 |
$42.64 |
|
|
||
87254 |
BR |
BR |
BR |
||
87255 |
$34.14 |
|
|
||
87260 |
$25.03 |
|
|
||
87265 |
$25.03 |
|
|
||
87267 |
$16.01 |
|
|
||
87269 |
$25.30 |
|
|
||
87270 |
$25.03 |
|
|
||
87271 |
$16.01 |
|
|
||
87272 |
$25.03 |
|
|
||
87273 |
BR |
BR |
BR |
||
87274 |
$25.03 |
|
|
||
87275 |
BR |
BR |
BR |
||
87276 |
$25.03 |
|
|
||
87277 |
BR |
BR |
BR |
||
87278 |
$25.03 |
|
|
||
87279 |
BR |
BR |
BR |
||
87280 |
$25.03 |
|
|
||
87281 |
BR |
BR |
BR |
||
87283 |
BR |
BR |
BR |
||
87285 |
$25.03 |
|
|
||
87290 |
$25.03 |
|
|
||
87299 |
$25.03 |
|
|
||
87300 |
BR |
BR |
BR |
||
87301 |
$25.03 |
|
|
||
87305 |
BR |
BR |
BR |
||
87320 |
$25.03 |
|
|
||
87324 |
$25.03 |
|
|
||
87327 |
BR |
BR |
BR |
||
87328 |
$25.03 |
|
|
||
87329 |
$25.30 |
|
|
||
87332 |
$25.03 |
|
|
||
87335 |
$25.03 |
|
|
||
87336 |
BR |
BR |
BR |
||
87337 |
BR |
BR |
BR |
||
87338 |
BR |
BR |
BR |
||
87339 |
BR |
BR |
BR |
||
87340 |
$20.32 |
|
|
||
87341 |
BR |
BR |
BR |
||
87350 |
$24.16 |
|
|
||
87380 |
$35.85 |
|
|
||
87385 |
$25.03 |
|
|
||
87390 |
$38.52 |
|
|
||
87391 |
$38.52 |
|
|
||
87400 |
BR |
BR |
BR |
||
87420 |
$25.03 |
|
|
||
87425 |
$25.03 |
|
|
||
87427 |
BR |
BR |
BR |
||
87430 |
$25.03 |
|
|
||
87449 |
$25.03 |
|
|
||
87450 |
$16.68 |
|
|
||
87451 |
BR |
BR |
BR |
||
87470 |
$43.78 |
|
|
||
87471 |
$53.55 |
|
|
||
87472 |
BR |
BR |
BR |
||
87475 |
$43.78 |
|
|
||
87476 |
$53.55 |
|
|
||
87477 |
BR |
BR |
BR |
||
87480 |
$43.78 |
|
|
||
87481 |
$53.55 |
|
|
||
87482 |
BR |
BR |
BR |
||
87485 |
$43.78 |
|
|
||
87486 |
$53.55 |
|
|
||
87487 |
BR |
BR |
BR |
||
87490 |
$43.78 |
|
|
||
87491 |
$53.55 |
|
|
||
87492 |
BR |
BR |
BR |
||
87493 |
BR |
BR |
BR |
||
87495 |
$43.78 |
|
|
||
87496 |
$53.55 |
|
|
||
87497 |
BR |
BR |
BR |
||
87498 |
BR |
BR |
BR |
||
87500 |
BR |
BR |
BR |
||
87501 |
BR |
BR |
BR |
||
87502 |
BR |
BR |
BR |
||
87503 |
BR |
BR |
BR |
||
87505 |
BR |
BR |
BR |
||
87506 |
BR |
BR |
BR |
||
87507 |
BR |
BR |
BR |
||
87510 |
$43.78 |
|
|
||
87511 |
$53.55 |
|
|
||
87512 |
BR |
BR |
BR |
||
87515 |
$43.78 |
|
|
||
87516 |
$53.55 |
|
|
||
87517 |
BR |
BR |
BR |
||
87520 |
$43.78 |
|
|
||
87521 |
$53.55 |
|
|
||
87522 |
$71.89 |
|
|
||
87525 |
$43.78 |
|
|
||
87526 |
$53.55 |
|
|
||
87527 |
BR |
BR |
BR |
||
87528 |
$43.78 |
|
|
||
87529 |
$53.55 |
|
|
||
87530 |
BR |
BR |
BR |
||
87531 |
$43.78 |
|
|
||
87532 |
$53.55 |
|
|
||
87533 |
BR |
BR |
BR |
||
87534 |
$43.78 |
|
|
||
87535 |
$53.55 |
|
|
||
87536 |
BR |
BR |
BR |
||
87537 |
$43.78 |
|
|
||
87538 |
$53.55 |
|
|
||
87539 |
BR |
BR |
BR |
||
87540 |
$43.78 |
|
|
||
87541 |
$53.55 |
|
|
||
87542 |
BR |
BR |
BR |
||
87550 |
$43.78 |
|
|
||
87551 |
$53.55 |
|
|
||
87552 |
BR |
BR |
BR |
||
87555 |
$43.78 |
|
|
||
87556 |
$53.55 |
|
|
||
87557 |
BR |
BR |
BR |
||
87560 |
$43.78 |
|
|
||
87561 |
$53.55 |
|
|
||
87562 |
BR |
BR |
BR |
||
87580 |
$43.78 |
|
|
||
87581 |
$53.55 |
|
|
||
87582 |
BR |
BR |
BR |
||
87590 |
$43.78 |
|
|
||
87591 |
$53.55 |
|
|
||
87592 |
BR |
BR |
BR |
||
87623 |
BR |
BR |
BR |
||
87624 |
BR |
BR |
BR |
||
87625 |
BR |
BR |
BR |
||
87631 |
BR |
BR |
BR |
||
87632 |
BR |
BR |
BR |
||
87633 |
BR |
BR |
BR |
||
87640 |
BR |
BR |
BR |
||
87641 |
BR |
BR |
BR |
||
87650 |
$43.78 |
|
|
||
87651 |
$53.55 |
|
|
||
87652 |
BR |
BR |
BR |
||
87653 |
BR |
BR |
BR |
||
87660 |
$44.27 |
|
|
||
87661 | BR | BR | BR | ||
87797 |
$43.78 |
|
|
||
87798 |
$53.55 |
|
|
||
87799 |
BR |
BR |
BR |
||
87800 |
BR |
BR |
BR |
||
87801 |
BR |
BR |
BR |
||
87802 |
$25.03 |
|
|
||
87803 |
$25.03 |
|
|
||
87804 |
$25.03 |
|
|
||
87806 |
BR |
BR |
BR |
||
87807 |
BR |
BR |
BR |
||
87808 |
BR |
BR |
BR |
||
87809 |
BR |
BR |
BR |
||
87810 |
$25.03 |
|
|
||
87850 |
$25.03 |
|
|
||
87880 |
$25.03 |
|
|
||
87899 |
$25.03 |
|
|
||
87900 |
BR |
BR |
BR |
||
87901 |
BR |
BR |
BR |
||
87902 |
$170.42 |
|
|
||
87903 |
BR |
BR |
BR |
||
87904 |
BR |
BR |
BR |
||
87905 |
BR |
BR |
BR |
||
87906 |
BR |
BR |
BR |
||
87910 |
BR |
BR |
BR |
||
87912 |
BR |
BR |
BR |
||
87999 |
BR |
BR |
BR |
||
88000 |
$216.00 |
|
|
||
88005 |
$239.82 |
|
|
||
88007 |
$263.63 |
|
|
||
88012 |
$198.83 |
|
|
||
88014 |
$198.83 |
|
|
||
88016 |
$241.49 |
|
|
||
88020 |
$310.16 |
|
|
||
88025 |
$333.97 |
|
|
||
88027 |
$358.35 |
|
|
||
88028 |
$198.83 |
|
|
||
88029 |
$198.83 |
|
|
||
88036 |
$128.50 |
|
|
||
88037 |
$94.16 |
|
|
||
88040 |
$513.98 |
|
|
||
88045 |
$42.64 |
|
|
||
88099 |
BR |
BR |
BR |
||
88104 |
$53.17 |
$10.63 |
$42.54 |
||
88106 |
$49.30 |
$9.86 |
$39.44 |
||
88108 |
$54.83 |
$10.97 |
$43.86 |
||
88112 |
$181.27 |
$81.46 |
$99.81 |
||
88120 |
$693.75 |
$612.28 |
$81.46 |
||
88121 |
$585.91 |
$513.64 |
$72.27 |
||
88125 |
$19.39 |
$1.94 |
$17.45 |
||
88130 |
$21.60 |
$19.44 |
$2.16 |
||
88140 |
$17.17 |
|
|
||
88141 |
BR |
BR |
BR |
||
88142 |
BR |
BR |
BR |
||
88143 |
BR |
BR |
BR |
||
88147 |
BR |
BR |
BR |
||
88148 |
BR |
BR |
BR |
||
88150 |
$14.40 |
|
|
||
88152 |
$11.30 |
|
|
||
88153 |
BR |
BR |
BR |
||
88154 |
BR |
BR |
BR |
||
88155 |
$16.06 |
$12.85 |
$3.21 |
||
88160 |
$44.30 |
$13.29 |
$31.01 |
||
88161 |
$47.07 |
$18.83 |
$28.24 |
||
88162 |
$81.97 |
$32.79 |
$49.18 |
||
88164 |
BR |
BR |
BR |
||
88165 |
BR |
BR |
BR |
||
88166 |
BR |
BR |
BR |
||
88167 |
BR |
BR |
BR |
||
88172 |
$69.23 |
|
|
||
88173 |
$103.02 |
$15.45 |
$87.57 |
||
88174 |
$29.85 |
|
|
||
88175 |
$36.31 |
|
|
||
88177 |
$42.85 |
$9.64 |
$33.21 |
||
88182 |
$88.06 |
$70.45 |
$17.61 |
||
88184 |
$91.64 |
|
|
||
88185 |
$44.92 |
|
|
||
88187 |
$132.41 |
|
|
||
88188 |
$165.16 |
|
|
||
88189 |
$217.65 |
|
|
||
88199 |
BR |
BR |
BR |
||
88230 |
$92.50 |
|
|
||
88233 |
$34.90 |
|
|
||
88235 |
$197.17 |
|
|
||
88237 |
$151.76 |
|
|
||
88239 |
$59.82 |
|
|
||
88240 |
BR |
BR |
BR |
||
88241 |
BR |
BR |
BR |
||
88245 |
$128.50 |
$115.65 |
$12.85 |
||
88248 |
$256.99 |
$231.29 |
$25.70 |
||
88249 |
BR |
BR |
BR |
||
88261 |
$248.69 |
$223.82 |
$24.87 |
||
88262 |
$299.63 |
$269.67 |
$29.96 |
||
88263 |
$308.50 |
$277.65 |
$30.85 |
||
88264 |
BR |
BR |
BR |
||
88267 |
$338.40 |
$304.56 |
$33.84 |
||
88269 |
$297.42 |
$267.68 |
$29.74 |
||
88271 |
BR |
BR |
BR |
||
88272 |
BR |
BR |
BR |
||
88273 |
BR |
BR |
BR |
||
88274 |
BR |
BR |
BR |
||
88275 |
BR |
BR |
BR |
||
88280 |
$97.47 |
$87.72 |
$9.75 |
||
88283 |
$76.99 |
$69.29 |
$7.70 |
||
88285 |
$89.73 |
$80.76 |
$8.97 |
||
88289 |
$64.24 |
$57.82 |
$6.42 |
||
88291 |
$38.60 |
|
|
||
88299 |
BR |
BR |
BR |
||
88300 |
$14.40 |
$4.32 |
$10.08 |
||
88302 |
$29.36 |
$11.74 |
$17.62 |
||
88304 |
$43.76 |
$17.50 |
$26.26 |
||
88305 |
$94.16 |
$28.25 |
$65.91 |
||
88307 |
$164.50 |
$41.12 |
$123.38 |
||
88309 |
$222.10 |
$55.52 |
$166.58 |
||
88311 |
$23.81 |
$4.76 |
$19.05 |
||
88312 |
$42.10 |
$8.42 |
$33.68 |
||
88313 |
$23.81 |
$4.76 |
$19.05 |
||
88314 |
$56.50 |
$16.95 |
$39.55 |
||
88318 |
$34.90 |
$6.98 |
$27.92 |
||
88319 |
$54.27 |
$10.85 |
$43.42 |
||
88321 |
$91.39 |
|
|
||
88323 |
$110.22 |
$22.04 |
$88.18 |
||
88325 |
$144.00 |
|
|
||
88329 |
$55.39 |
|
|
||
88331 |
$121.30 |
$30.32 |
$90.98 |
||
88332 |
$60.93 |
$15.23 |
$45.70 |
||
88333 |
$166.76 |
$39.49 |
$127.26 |
||
88334 |
$86.73 |
$24.19 |
$62.54 |
||
88341 |
$125.01 |
$83.30 |
$41.71 |
||
88342 |
$78.64 |
$15.73 |
$62.91 |
||
88344 |
$216.66 |
$140.00 |
$76.66 |
||
88346 |
$76.43 |
$15.29 |
$61.14 |
||
88347 |
$68.13 |
$13.63 |
$54.50 |
||
88348 |
$199.39 |
$59.82 |
$139.57 |
||
88355 |
$189.97 |
$47.49 |
$142.48 |
||
88356 |
$300.19 |
$75.05 |
$225.14 |
||
88358 |
$271.94 |
$67.98 |
$203.96 |
||
88360 |
$204.36 |
$87.51 |
$116.85 |
||
88361 |
$204.63 |
$122.28 |
$82.35 |
||
88362 |
$218.77 |
$54.69 |
$164.08 |
||
88363 |
|
$58.03 |
$26.09 |
||
88364 |
$179.65 |
|
|
$127.64 | $52.02 |
88365 |
$88.62 |
$17.72 |
$70.90 |
||
88366 |
$278.28 |
|
|
$157.60 | $120.68 |
88367 |
$384.65 |
$248.13 |
$136.51 |
||
88368 |
$350.17 |
$202.11 |
$148.05 |
||
88369 |
$136.61 |
|
|
$88.51 | $48.10 |
88371 |
$45.42 |
$36.34 |
$9.08 |
||
88372 |
$55.94 |
$44.75 |
$11.19 |
||
88373 |
$112.03 |
|
|
$71.58 | $40.45 |
88374 |
$377.14 |
|
|
$290.57 | $86.57 |
88375 |
BR |
BR |
BR | ||
88377 |
$396.39 |
|
|
$270.36 | $126.03 |
88380 |
BR |
BR |
BR |
||
88381 |
$313.90 |
$231.26 |
$82.63 |
||
88384 |
BR |
BR |
BR |
||
88385 |
$602.31 |
$443.63 |
$158.68 |
||
88386 |
$629.02 |
$429.53 |
$199.49 |
||
88387 |
$58.82 |
$11.44 |
$47.38 |
||
88388 |
$35.16 |
$5.64 |
$29.51 |
||
88399 |
BR |
BR |
BR |
||
88720 |
BR |
BR |
BR |
||
88738 |
BR |
BR |
BR |
||
88740 |
BR |
BR |
BR |
||
88741 |
BR |
BR |
BR |
||
88749 |
BR |
BR |
BR |
||
89049 |
$350.11 |
$125.30 |
$125.30 |
||
89050 |
$13.84 |
|
|
||
89051 |
$16.06 |
|
|
||
89055 |
$59.96 |
|
|
||
89060 |
$16.06 |
|
|
||
89125 |
$12.74 |
|
|
||
89160 |
$7.76 |
|
|
||
89190 |
$12.19 |
|
|
||
89220 |
BR |
BR |
BR |
||
89230 |
$12.15 |
|
|
||
89240 |
BR |
BR |
BR |
||
89250 |
BR |
BR |
BR |
||
89251 |
BR |
BR |
BR |
||
89252 |
BR |
BR |
BR |
||
89253 |
BR |
BR |
BR |
||
89254 |
BR |
BR |
BR |
||
89255 |
BR |
BR |
BR |
||
89256 |
BR |
BR |
BR |
||
89257 |
BR |
BR |
BR |
||
89258 |
BR |
BR |
BR |
||
89259 |
BR |
BR |
BR |
||
89260 |
BR |
BR |
BR |
||
89261 |
BR |
BR |
BR |
||
89264 |
BR |
BR |
BR |
||
89268 |
BR |
BR |
BR |
||
89272 |
BR |
BR |
BR |
||
89280 |
BR |
BR |
BR |
||
89281 |
BR |
BR |
BR |
||
89290 |
BR |
BR |
BR |
||
89291 |
BR |
BR |
BR |
||
89300 |
$29.90 |
|
|
||
89310 |
$28.24 |
|
|
||
89320 |
$42.64 |
|
|
||
89321 |
BR |
BR |
BR |
||
89322 |
BR |
BR |
BR |
||
89325 |
$72.56 |
|
|
||
89329 |
$192.74 |
|
|
||
89330 |
$48.74 |
|
|
||
89331 |
BR |
|
|
||
89335 |
BR |
BR |
BR |
||
89337 |
BR |
BR |
BR |
||
89342 |
BR |
BR |
BR |
||
89343 |
BR |
BR |
BR |
||
89344 |
BR |
BR |
BR |
||
89346 |
BR |
BR |
BR |
||
89350 |
$20.50 |
|
|
||
89352 |
BR |
BR |
BR |
||
89353 |
BR |
BR |
BR |
||
89354 |
BR |
BR |
BR |
||
89355 |
$8.30 |
|
|
||
89356 |
BR |
BR |
BR |
||
89360 |
$22.16 |
|
|
||
89365 |
$20.50 |
|
|
||
89398 |
BR |
BR |
BR |
||
89399 |
BR |
BR |
BR |
©Current Procedural Terminology (CPT) Codes and Descriptors
Are Copyrighted by the American Medical Association.