SCHEDULE OF BENEFITS - nib

SCHEDULE 

OF BENEFITS 

RULES AND GENERAL INFORMATION 

effective November 2010

TABLE OF CONTENTS 

Page 

3 Rules for participation in nib’s MediGap Scheme 

9 Schedule of Benefits 

9 4 - 11727 

10 11800 - 15312 

11 15315 - 20172 

12 20174 - 21360 

13 21380 - 23117 

14 23118 - 30102 

15 30103 - 30496 

16 30497 - 31423 

17 31426 - 33112 

18 33115 - 35560 

19 35561 - 36845 

20 36848 - 38424 

21 38427 - 39700 

22 39703 - 41785 

23 41786 - 42807 

24 42808 - 45466 

25 45468 - 45825 

26 45827 - 47357 

27 47360 - 48206 

28 48209 - 49812 

29 49815 - 52035 

30 53410 - 61328 

31 53410 - 61328 

32 61340 - 75854 

32 Consultations - Derived* Fees per patient

RULES FOR PARTICIPATION 

IN nib’s MediGap SCHEME 

General Information 

nib’s MediGap Scheme (MediGap) is a No Gap scheme that aims to eliminate medical gap payments for eligible in-patient 

services for Eligible nib customers. 

The MediGap benefit must be accepted as full payment of the service and no other charge can be raised. Services where 

additional charges, fees or similar are raised are ineligible for MediGap benefits and must be forwarded to the patient for claiming 

through Medicare and nib. 

nib’s MediGap Scheme is governed by: 

• the Rules set out below; 

• The MediGap schedule; and 

• nib’s Fund Rules, 

as amended from time to time. 

Eligible Practitioners 

Generally, medical practitioners who are registered and hold a current Medicare/healthcare provider identifier are eligible to apply 

to participate in nib’s MediGap Scheme. 

A medical practitioner is not eligible to participate in the MediGap Scheme if: 

• the practitioner is a Salaried Staff Officer of a public hospital; or 

• the practitioner is a Radiologist or Pathologist; or 

• nib is of the opinion the medical practitioner has failed to comply with the Rules of the MediGap Scheme and gives the 

medical practitioner written notice of the non-compliance; or 

• the medical practitioner is, or becomes, unregistered or has his or her registration suspended under the laws of the relevant 

state within Australia. The practitioner must immediately notify nib if this occurs; or 

• the medical practitioner no longer carries medical indemnity insurance with a recognised indemnity provider. The 

practitioner must immediately notify nib if this occurs. 

If a practitioner is registered as a participating practitioner and one of the events listed above occurs, the registration of the 

practitioner will be immediately revoked. 

Registering to Participate 

Practitioners who wish to participate in the MediGap Scheme must register with nib by completing an application form and 

returning it to nib. Application forms can be found at www.providers.nib.com.au 

Or via hyperlink http://www.nib.com.au/home/providers/MediGap/Documents/MediGap_Registration.pdf. 

nib reserves the right to refuse applications to participate in the MediGap Scheme at its discretion. 

Withdrawal of Registration 

A practitioner may withdraw registration in the MediGap Scheme at any time by providing written notification to nib. 

nib may terminate a practitioner’s registration in the MediGap Scheme at any time by providing written notification to the practitioner. 

nib may at any time and at its discretion: 

• withdraw the MediGap Scheme; or 

• withdraw the MediGap Scheme for a group of practitioners. 

nib’s MediGap Scheme is conditional on continued Commonwealth Department of Health and Ageing approval. 

| MediGap 2010 

3

Customer Eligibility 

A nib customer meets the eligibility criteria for MediGap if: 

• at the time of receiving the Eligible service the nib customer: 

·· 

is eligible for hospital benefits under an nib product to which MediGap applies; and 

·· 

is a financial customer of nib; and 

·· 

is not subject to a waiting period in respect of the eligible service; and 

·· 

is eligible to receive Medicare benefits; and 

·· 

the nib customer received Eligible services from a participating practitioner: 

i. in respect of which the customer is not entitled to compensation, damages or any other indemnification; and 

ii. which are not excluded for Medicare benefit payment. 

Practitioners will need to obtain the following details from nib customers and provide to nib: 

• nib Customer number; and 

• nib Customer name, address and date of birth to ensure identity; and 

• current Medicare card including the patient reference number; and 

• confirmation that the customer is not entitled to compensation or payment from another source in respect of the service. If a 

claim for compensation has been lodged but not settled, practitioners should advise customers to contact nib and provide 

details relating to the claim. 

In addition the practitioner must advise nib of the operation item numbers expected in the planned inpatient service for the 

nib customer. 

Once the practitioner has all these details, nib will be able to confirm the customer’s eligibility for Benefits under the MediGap 

Scheme. To assist in ensuring the customer is covered for MediGap benefits please contact the MediGap Hotline 1300 853 530. 

Eligible Services 

MediGap is available for chargeable in-patient hospital services rendered in public or private hospitals and registered day facilities 

to Eligible customers by participating practitioners. 

All services are subject to Medicare Australia claiming requirements. 

When MediGap Benefits are Not Payable 

MediGap benefits are not payable in the following circumstances: 

• where the Claim is sent directly to Medicare or the customer instead of to nib; 

• where a Claim is lodged more than 2 years after the date on which the service was provided; 

• where the date on which the service was provided is prior to the date of the practitioner’s application to participate in nib’s 

MediGap Scheme; 

• where the amount of the Claim is more than the MediGap benefits for the relevant service. MediGap is a No Gap scheme 

and the practitioner must accept the MediGap benefit as full payment for the service; The practitioner must not charge any 

other fee in respect of that service. This includes ‘booking fees’, administration fees’ and similar charges. If the practitioner 

intends to charge more that the MediGap benefit for a service, the service is not an eligible MediGap service and the 

account for those services must be forwarded to the patient directly. 

• for any service provided to a customer on an outpatient basis; 

• for any services where the customer , at the time of admission, is classified as a Medicare (public) patient; 

• for a service for which there is no Benefit payable under the MediGap Schedule of Benefits; 

• for a service for which there is no Medicare benefit payable; and 

• Where charges are equal to or below Medicare benefit payment. 

MediGap Benefits 

For participating practitioners who provide Eligible services to Eligible customers, nib will pay an amount up to a maximum of the 

MediGap benefit for that service. For the avoidance of doubt, the MediGap benefits set out in the MediGap Schedule of Benefits 

are the total amount (including 100% of the Medicare benefit payable for the service) payable to the practitioner for the relevant 

eligible service. 

The MediGap benefit will be identified and described by the corresponding MBS item number. 


4 

All claims for payment of MediGap benefits must comply with the Rules of the MediGap Scheme and nib’s Fund Rules.

Making Claims for MediGap Benefits 

Eclipse Claiming 

This is a Medicare Australia initiative, which offers an electronic claiming alternative. nib has this claiming functionality available to 

enable providers to make Claims with a faster claiming experience. When using Eclipse for the MediGap Scheme, Claims should 

be processed as claim type as SC (Scheme). 

Manual Claims received via post 

When a practitioner lodges accounts for MediGap Cover benefits payment, practitioner accounts must be accompanied by the 

Batch Heade /Account Form (AS-056) per provider. nib MediGap Batch Headers Account forms can be found at www.providers. 

nib.com.au or via hyperlink http://www.nib.com.au/home/providers/MediGap/Documents/Account_Form.pdf See sample below. 

There are 2 methods that can be used: 

Method 1 - Using your own accounts with the nib Batch Header/Account Form 

Information contained on the Batch Header/Account Form is required by nib and Medicare to assess benefits. 

If the practitioner account/billing system contains all the information required on the nib Batch Header/Account Form, in particular 

parts 2 and 3, then only complete parts 1 and 4 and attach to the practitioner own account - it is essential that part 4 is completed 

and signed. 

If more than the 4 lines are needed on the form for the same account, use a second page – the second page only requires the 

patient name, provider name and account number. 

Please staple multiple pages together. 

Method 2 - Using the nib Batch Header/Account Form as your account 

Fully complete all parts of the Batch Header/Account Form. Supplies can be obtained using the stationery request form - AS-056. 

nib MediGap Batch Headers Account forms can be found at www.providers.nib.com.au or via hyperlink http://www.nib.com.au/ 

home/providers/MediGap/Documents/Account_Form.pdf 

abn 83 000 124 381 

nib MediGap Department 

This medical practice agrees to bill nib MediGap directly for the services on this 

Reply Paid 62208 

account and accepts the terms of MediGap as set out in the current Products & 

NEWCASTLE NSW 2300 

Phone 1300 853 530 (option 1) 

Procedures Guide. The patient/nib customer has been advised of the payment 

Fax 02 4925 1906 

arrangements for the services on this account and no further payment is required. 

Email medigap@nib.com.au 

Web providers.nib.com.au 

nib MediGap is a NO GAP scheme. 

BATCH HEADER OR ACCOUNT FORM 

Instructions • Complete parts 1 and 4 if attaching your own accounts. (Your accounts much include all information in parts 2 and 3) 

• Complete parts 1, 2, 3 and 4 if using this form as your account. 

PART 1 - BATCH DETAILS 

Provider’s name 

Provider’s number 

Date lodged 

Number of 

claims in batch 

Total value of 

$ 

claims in batch 

PART 2 - ACCOUNT DETAILS 

Patient’s name 

*Medicare no. 

nib customer 

number 

*Patient reference no. 

*Please ensure correct Medicare 

and Reference No’s are stated 

Separate forms 

must be completed 

for each provider 

Patient’s 

date of birth 

Customer’s name 

(if not the same as the Patient) 

Hospital name 

Hospital 

provider number 

Referral details 

Your reference 

number 

Total charge 

Referral date 

Referral period: 3 months 6 months 12 months 18 months 

Indefinite 

Referring 

doctor’s name 

Referring doctor’s 


PART 3 - SERVICE DETAILS 

Service conditions - tick () below if applies to each service 

MBS Item no. 

Description of service 

Number 

of 

patients 

Date 

of 

Service 

Full cost 

of 

service 

Part of a 

multiple 

procedure 

Referred 

within a 

hospital 

Designated Considered Performed 

Self 

‘not normal’ ‘not for on separate 

determined 

after care comparison’ sites 

1 

2 

3 

4 

Assisting 

doctor’s name 

Surgeon’s name 

PART 4 - AUTHORISATION 

• Are the services on this claim related to compensation? 

Assisting doctor’s 


Surgeon’s 


Yes 

No 

Ensure all sections are 

fully completed and 

authorised 

• Does your practice have financial interests in any hospital or health insurance product? 

Yes 

No 

• Has the patient/nib customer been provided with informed financial consent? 

Yes 

No 

Declaration 

The professional services on the attached account were provided by or on behalf of a doctor in this practice and were rendered to a private in-patient 

of a hospital or registered day hospital facility. 

I declare that the charges above are full cost for services provided and that no additional charges have been placed on the customer for those services. 

Signature of authorised person 

For assistance or more information, please call the MEDIGAP HOTLINE 1300 853 530 (option 1) 

Date 

nib0056_0809 


5

Rejected Claims 

nib may reject claims for payment of MediGap benefits on the following grounds: 

• if insufficient or incorrect details are provided on the account or Batch Header/Account Form; 

• if the service is not an Eligible service within the meaning of these Rules and the nib Fund Rules; 

• if the fee charged by the practitioner exceeds the MediGap benefit for the service; or 

• if the Claim for payment of a Medicare benefit in respect of the service is rejected by Medicare. 

• nib will return rejected Claims to the practitioner and may require: 

• accounts to be amended where applicable and re-submitted to nib with the practitioner’s next group of accounts; or 

• accounts to be claimed from Medicare by the customer directly, then the normal 25% medical gap benefit to be claimed by 

the customer through nib; or 

• accounts to be sent to the customer noting that the item shown on the account is not claimable through MediGap or 

from Medicare. 

Payment of Benefits 

MediGap benefits are determined once Medicare has provided confirmation to nib that a claim is payable for the service. 

nib will pay Benefits to practitioners by direct deposit into the nominated financial institution account or by cheque within 7 days 

of receipt of the Medicare benefit. Benefits for Claims made through Eclipse can only be paid by direct deposit and therefore 

practitioners using Eclipse for claiming must provide nib with current bank account details. 

Benefit amounts are subject to the eligibility requirements set out in these Rules and nib Fund Rules. 

Payment of Benefits by nib is conditional upon: 

1. the provision of all information required by nib as set out in these Rules and any other information reasonably required by 

nib to facilitate a proper assessment of the Claim; 

2. the information supplied to nib being true and correct; 

3. the practitioner complying with these Rules; 

4. all waiting periods that apply to the nib customer having been served, all premiums paid and other conditions in respect of 

the services provided to the customer having been satisfied by the customer accordance with the nib Fund Rules; 

5. no fraud having been committed or reasonably suspected by nib to have been committed by the practitioner in any respect 

whatsoever in the making of or surrounding the claim; 

6. any other matter which nib, acting reasonably, considers relevant. 

As part of its assessment of submitted Claims nib may request that the practitioner establish that it provided the treatment or 

services invoiced under the MediGap Scheme. Practitioners agree to provide nib with any information reasonably required by nib, 

including, but not limited to: 

1. information establishing that a particular surgically implanted prosthesis, human tissue item or other medical device was 

used as part of the treatment or services; or 

2. information to establish that an ICU service or a rehabilitation or a psychiatric service was provided by the practitioner; or 

3. information establishing that a cancelled procedure, patient transfer or re-admission occurred; or 

4. information enabling nib to reconcile claim forms with medical practitioner records. 

Errors in Invoicing and Payment and incorrect payment of Benefits 

nib reserves the right to request that a practitioner refund a Benefit paid by nib to the practitioner if nib or Medicare becomes 

aware that a Claim has been incorrectly paid or overpaid. 

If, within 90 days of payment, it is discovered by nib or the practitioner) that the practitioner has invoiced nib incorrectly or that nib 

has paid the practitioner part or all of a Benefit in error, the practitioner agrees to: 

1. refund any amount paid incorrectly by nib against that Claims invoice within 14 days from the date the practitioner is given 

notice by nib that a refund is required; and 

2. reissue an amended invoice as soon as reasonably practicable after becoming aware of the error or overpayment. 

The practitioner acknowledges and agrees that the payment of Benefit for the Claim submitted by the practitioner to nib will be 

considered to be in full and final payment of the Claim. Notwithstanding that fact nib will consider reasonable claims adjustments 

for legitimate claims errors submitted within 90 days of the payment of the Claim. 


6 

If the practitioner establishes to nib’s satisfaction that the practitioner was paid incorrectly, nib will pay the practitioner the correct 

amount as soon as practical after nib becomes aware of or is notified of the error. 

If at any time the practitioner fails to pay or refund any amount due to nib as a result of the payment of a Benefit made in error

for any of the reasons set out above or otherwise, the amount owing is a debt owed by the practitioner to nib. nib may choose 

to offset a debt the practitioner owes it in relation to a nib customer against other amounts that nib owes the practitioner, or may 

recover the amount as a debt in a court of competent jurisdiction. 

Audit 

The practitioner agrees that nib may, through any person acting on behalf of nib, carry out an audit of the practitioner’s patient 

and treatment records for nib customers without charge, pertaining to a Claim for MediGap benefits or any other matter directly 

relevant to the practitioner’s obligations under these Rules, provided that nib gives the practitioner at least two business days 

notice of the audit. 

The practitioner agrees, at its own cost, to use its best endeavours to assist nib in undertaking the audit including providing nib 

with access to clinical data and other necessary documentation in a timely manner to nib to enable nib to verify the amounts 

payable by nib as MediGap benefits in accordance with these Rules. 

As part of the audit process: 

1. the practitioner will, on request, supply nib with copies of invoices relating to the components of services provided to a nib 

customer and for which a MediGap benefit is sought, and when requested, the practitioner will also provide evidence to nib 

that the invoices relate to a particular service provided to a nib customer; and 

2. the practitioner agrees that nib may conduct periodical evaluations to review all documentation, including certificates 

associated with certain admissions nominated by nib, subject to nib providing the practitioner with two business days notice. 

Fraud 

If a practitioner lodges a claim for services: 

• where the treatment claimed has not been provided by the practitioner; or 

• where unnecessary treatment is performed 

nib may take all action available to it to protect its interest including revoking the practitioner’s participation in the MediGap 

Scheme, seeking reimbursement of the amounts claimed and if necessary referring the matter to police. 

Practitioner’s Professional Freedom 

nib’s MediGap Scheme provides Eligible practitioners with the choice to participate on a patient-by-patient basis, ensuring 

the practitioner’s professional freedom to identify and recommend appropriate treatment, within the scope of accepted clinical 

practice, is maintained. nib has no responsibility for treatment provided to its customers by participating practitioners. 

Informed Financial Consent 

nib is a ‘No Gap’ fund and the patient must be advised of this. The practitioner has the right to charge a fee outside the MediGap 

Schedule however, if this is the case, the account should be given to the customer for claiming through Medicare and nib. Only 

the Medicare schedule fee will be paid for services above the MedGap benefit. Where appropriate, participating practitioners will 

inform a customer in writing of amounts the customer could reasonably be expected to pay for treatment or services and will 

obtain written acknowledgement from the customer of receipt of that advice. 

This information must be given: 

• if possible before the treatment or services are provided or otherwise as soon as practicable after; and 

• in accordance with the requirements of the Private Health Insurance Act 2007 and any other relevant legislation; and 

• including any ‘Gap’ payment associated with the cost of any prosthetic items. 

Disclosure of Financial Interests 

Practitioners will disclose to a customer any financial interest the practitioner has in the products or services recommended by the 

practitioner to the customer. Any such disclosure must be given in accordance with the Private Health Insurance Act 2007 and any 

other relevant legislation. 


7

Changes to MediGap Rules 

nib reserves the right to change all or any of the Rules of the MediGap Scheme (including the MediGap Schedule of Benefits) at its 

discretion at any time. 

From time to time nib may request a participating provider complete a new application form to participate, confirming their 

current details. 

Acceptance of MediGap Rules 

A practitioner who lodges a Claim under the MediGap Scheme is deemed to have accepted the Rules of the MediGap Scheme at 

the time the Claim is lodged. 

Privacy 

nib is committed to complying with its obligations under the Privacy Act 1988, which regulates how personal information should 

be used. Refer to nib’s Privacy Policy at www.nib.com.au. 

Publishing Medical Practitioners Details 

nib will publish the participating practitioners details on its website and internal intranet unless the practitioner indicates on the 

MediGap application form that such details are not to be published. 

Prostheses 

Participating practitioners must obtain full informed financial consent from nib customers when prosthetic items requiring Gap 

payments are to be used by the practitioner in providing the services. 

More information about Prostheses arrangements is available at www.health.gov.au 

Glossary of Terms 

In these Rules: 

Benefit: means the dollar amount that nib pays when a nib customer or an Eligible practitioner makes a claim for an item or 

service covered by a nib customer’s nib health cover. 

Claim: means a claim by a participating practitioner for payment of a MediGap benefit for an Eligible service provided to an 

Eligible customer. 

Eligible customer: means a nib customer who meets the eligibility requirements set out in these Rules. 

Eligible practitioner: means a medical practitioner who meets the eligibility requirements set out in these Rules. 

Eligible service: means a chargeable in-patient hospital service provided to an Eligible customer in respect of which a 

Medicare benefit is payable. 

Gap: means when a practitioner charges more than the MediGap schedule fee leaving the customer with an out of pocket expense. 

MBS: means the Medicare Benefits Schedule. 

Medicare benefit: means the Benefit payable by Medicare for a particular service as set out in the MBS. 

MediGap benefit: means the total Benefit payable by nib for a particular Eligible service as set out in the MediGap Schedule 

of Benefits attached to these Rules as updated from time to time. 

nib: means nib health funds limited ACN 000 124 381 and all related bodies corporate 

No Gap: means when a practitioner charges the MediGap schedule fee leaving the customer with no out of pocket expense. 

Participating practitioner: means an Eligible practitioner whose application for registration in the MediGap Scheme has 

been approved by nib. 


8

Item No Benefit Item No Benefit Item No Benefit Item No Benefit 

4 DERIVED 599 $171.50 3005 $160.30 11237 $92.80 

24 DERIVED 600 $132.65 3010 $80.20 11240 $92.80 

37 DERIVED 721 $156.15 3014 $45.65 11241 $118.00 

47 DERIVED 723 $123.70 3032 $147.70 11242 $91.20 

58 DERIVED 729 $76.15 3040 $221.70 11243 $91.20 

59 DERIVED 731 $76.15 3044 $295.45 11300 $223.40 

60 DERIVED 732 $78.00 3051 $106.15 11303 $223.40 

65 DERIVED 735 $76.45 3055 $169.25 11304 $367.95 

104 $97.45 739 $131.00 3062 $232.35 11306 $25.45 

105 $49.40 743 $218.40 3069 $147.70 11309 $30.50 

106 $80.90 747 $56.20 3074 $221.70 11312 $43.10 

109 $146.40 750 $96.30 3078 $295.45 11315 $57.10 

110 $166.90 758 $160.50 3083 $106.15 11318 $70.50 

116 $83.50 825 $110.35 3088 $169.25 11321 $133.90 

119 $47.50 826 $175.95 3093 $232.35 11324 $38.10 

132 $292.35 828 $241.55 6007 $148.60 11327 $22.90 

133 $146.35 830 $153.55 6009 $49.65 11330 $9.15 

135 $292.35 832 $230.50 6011 $98.90 11332 $67.90 

141 $501.50 834 $307.15 6013 $137.00 11333 $51.75 

143 $313.45 835 $110.35 6015 $174.50 11336 $51.75 

160 $243.85 837 $175.95 11000 $140.90 11339 $51.75 

161 $406.45 838 $241.55 11003 $372.85 11500 $196.15 

162 $568.80 855 $153.55 11006 $191.15 11503 $162.85 

163 $731.65 857 $230.50 11009 $260.65 11506 $24.10 

164 $812.95 858 $307.15 11012 $128.20 11509 $41.85 

170 $131.50 861 $153.55 11015 $171.55 11512 $72.50 

171 $138.50 864 $230.50 11018 $256.30 11600 $83.40 

172 $168.60 866 $307.15 11021 $171.55 11612 $135.45 

173 $26.65 880 $53.70 11024 $130.30 11615 $91.50 

195 DERIVED 2801 $160.30 11027 $193.30 11627 $275.65 

289 $292.80 2806 $80.20 11200 $46.45 11700 $36.05 

297 $288.80 2814 $45.65 11203 $78.45 11701 $17.90 

320 $48.00 2946 $147.70 11204 $123.25 11702 $17.90 

322 $95.80 2949 $221.70 11205 $123.25 11708 $147.70 

324 $147.45 2954 $295.45 11210 $123.25 11709 $193.45 

326 $203.45 2958 $106.15 11211 $123.25 11710 $59.95 

328 $236.20 2972 $169.25 11212 $79.85 11711 $32.65 

342 $54.55 2974 $232.35 11215 $140.10 11712 $175.65 

344 $72.45 2978 $147.70 11218 $173.05 11713 $80.55 

346 $107.15 2984 $221.70 11221 $77.15 11715 $139.45 

385 $94.90 2988 $295.45 11222 $77.15 11718 $40.15 

386 $47.65 2992 $106.15 11224 $46.50 11721 $80.55 

597 $130.50 2996 $169.25 11225 $46.50 11724 $195.05 

598 $111.55 3000 $232.35 11235 $139.80 11727 $109.45 

4 to 11727 


9


10 


11800 $200.20 13025 $121.65 13842 $79.85 14230 $328.80 

11810 $200.20 13030 $171.85 13847 $180.00 14233 $399.30 

11820 $2,340.35 13100 $150.15 13848 $151.15 14236 $728.15 

11823 $2,340.35 13103 $78.25 13851 $569.30 14239 $175.90 

11830 $214.35 13106 $133.35 13854 $132.45 14242 $522.55 

11833 $286.65 13109 $250.25 13857 $168.80 14245 $108.00 

11900 $31.65 13110 $251.15 13870 $400.35 15000 $50.90 

11903 $127.65 13112 $150.15 13873 $296.95 15003 DERIVED 

11906 $127.65 13200 $3,884.35 13876 $84.95 15006 $112.90 

11909 $189.70 13201 $3,633.35 13881 $161.85 15009 DERIVED 

11912 $189.70 13202 $581.30 13882 $127.40 15012 $63.90 

11915 $189.70 13203 $607.75 13885 $169.85 15100 $57.05 

11917 $492.20 13206 $581.30 13888 $84.95 15103 DERIVED 

11919 $492.20 13209 $105.70 13915 $70.45 15106 $67.30 

11921 $86.20 13212 $442.60 13918 $106.05 15109 DERIVED 

12000 $44.60 13215 $138.70 13921 $120.00 15112 $143.85 

12003 $67.40 13218 $990.90 13924 $70.70 15115 DERIVED 

12012 $23.80 13221 $63.40 13927 $91.45 15211 $65.45 

12015 $71.60 13251 $521.85 13930 $127.60 15214 DERIVED 

12018 $92.10 13290 $255.00 13933 $141.55 15215 $71.35 

12021 $135.10 13292 $510.35 13936 $92.20 15218 $71.35 

12200 $43.15 13300 $63.10 13939 $106.05 15221 $71.35 

12201 $2,777.75 13303 $93.55 13942 $70.70 15224 $71.35 

12203 $682.60 13306 $370.25 13945 $56.85 15227 $71.35 

12207 $682.60 13309 $315.70 13948 $70.70 15230 DERIVED 

12210 $814.70 13312 $31.50 14050 $59.65 15233 DERIVED 

12213 $734.00 13318 $252.05 14053 $59.65 15239 DERIVED 

12215 $814.70 13319 $252.05 14100 $172.55 15242 DERIVED 

12217 $734.00 13400 $113.95 14106 $172.55 15245 $71.35 

12250 $389.20 13500 $211.95 14109 $212.00 15248 $71.35 

12500 $239.35 13503 $423.90 14112 $250.95 15251 $71.35 

12503 $469.35 13506 $216.80 14115 $290.25 15254 $71.35 

12506 $335.10 13700 $383.30 14118 $368.70 15257 $71.35 

12509 $239.35 13703 $137.40 14124 $172.55 15260 DERIVED 

12512 $116.10 13706 $95.85 14200 $65.95 15263 DERIVED 

12515 $253.95 13709 $55.70 14203 $56.40 15266 DERIVED 

12518 $116.10 13750 $157.10 14206 $39.25 15269 DERIVED 

12521 $139.90 13755 $157.10 14209 $97.85 15272 DERIVED 

12524 $174.95 13757 $83.90 14212 $204.45 15303 $427.10 

12527 $93.80 13760 $877.15 14215 $108.00 15304 $427.10 

12530 $139.90 13815 $98.25 14218 $108.00 15307 $809.75 

12533 $93.45 13818 $131.10 14221 $57.90 15308 $809.75 

13015 $267.85 13830 $86.90 14224 $77.60 15311 $398.65 

13020 $272.15 13839 $26.55 14227 $108.00 15312 $395.80 

11800 to 15312


15315 $782.70 15700 $57.25 16633 DERIVED 18278 $129.05 

15316 $782.70 15705 $95.45 16636 DERIVED 18280 $181.70 

15319 $485.80 15710 $95.45 17610 $62.55 18282 $146.70 

15320 $485.80 15800 $120.10 17615 $124.55 18284 $214.95 

15323 $863.80 15850 $248.75 17620 $172.55 18286 $214.95 

15324 $863.80 16003 $699.60 17625 $219.75 18288 $214.95 

15327 $939.70 16006 $537.60 17640 $62.55 18290 $363.60 

15328 $939.70 16009 $366.90 17645 $124.55 18292 $181.70 

15331 $892.25 16012 $317.40 17650 $172.55 18294 $256.15 

15332 $892.25 16015 $4,394.25 17655 $219.75 18296 $219.15 

15335 $809.75 16018 $2,626.85 17680 $124.55 18298 $256.15 

15336 $809.75 16401 $107.10 18213 $129.05 18350 $181.70 

15338 $1,119.35 16404 $53.80 18216 $276.45 18351 $181.70 

15339 $91.20 16500 $59.00 18219 DERIVED 18352 $363.55 

15342 $227.65 16501 $176.00 18222 $54.85 18354 $181.70 

15345 $607.55 16502 $59.00 18225 $72.85 18356 $181.70 

15348 $69.85 16504 $59.00 18226 $414.60 18358 $181.70 

15351 $139.50 16505 $59.00 18227 DERIVED 18360 $181.70 

15354 $169.30 16508 $59.00 18228 $91.00 18362 $359.05 

15357 $47.90 16509 $59.00 18230 $347.10 18364 $181.70 

15360 $431.85 16511 $275.40 18232 $276.45 18366 $227.65 

15363 $431.85 16512 $79.50 18233 $276.45 18368 $388.65 

15500 $278.90 16514 $45.85 18234 $181.70 18370 $65.55 

15503 $358.05 16515 $948.25 18236 $91.00 18371 $65.55 

15506 $534.70 16518 $490.50 18238 $54.85 18372 $181.70 

15509 $241.70 16519 $1,460.10 18240 $136.25 18373 $181.70 

15512 $311.55 16520 $1,706.55 18242 $54.85 20100 $149.40 

15513 $352.30 16522 $2,157.75 18244 $146.70 20102 $179.30 

15515 $451.10 16525 $808.70 18246 $146.70 20104 $119.50 

15518 $88.45 16564 $279.45 18248 $129.05 20120 $149.40 

15521 $390.60 16567 $408.65 18250 $91.00 20124 $119.50 

15524 $732.45 16570 $533.35 18252 $146.70 20140 $149.40 

15527 $90.75 16571 $408.65 18254 $146.70 20142 $179.30 

15530 $404.70 16573 $333.05 18256 $91.00 20143 $179.30 

15533 $767.35 16600 $81.30 18258 $91.00 20144 $239.05 

15536 $306.65 16603 $156.10 18260 $129.05 20145 $239.05 

15539 $720.95 16606 $311.55 18262 $91.00 20146 $149.40 

15541 $306.65 16609 $635.35 18264 $146.70 20147 $179.30 

15550 $756.90 16612 $499.85 18266 $91.00 20148 $119.50 

15553 $816.60 16615 $266.20 18268 $129.05 20160 $179.30 

15556 $763.50 16618 $266.20 18270 $129.05 20162 $209.20 

15559 $995.90 16621 $266.20 18272 $91.00 20164 $119.50 

15562 $1,288.00 16624 $383.10 18274 $129.05 20170 $179.30 

15600 $1,959.45 16627 $780.05 18276 $181.70 20172 $209.20 

15315 to 20172 


11


12 


20174 $268.95 20546 $448.30 20832 $179.25 20944 $179.25 

20176 $298.85 20548 $448.30 20840 $179.25 20946 $239.00 

20190 $149.40 20560 $597.70 20841 $239.00 20948 $119.50 

20192 $298.85 20600 $298.85 20842 $119.50 20950 $149.35 

20210 $448.30 20604 $388.50 20844 $298.75 20952 $119.50 

20212 $149.40 20620 $298.85 20845 $298.75 20953 $149.35 

20214 $268.95 20622 $388.50 20846 $298.75 20954 $298.75 

20216 $597.70 20630 $239.05 20847 $298.75 20956 $119.50 

20220 $298.85 20632 $209.20 20848 $298.75 20958 $149.35 

20222 $179.30 20634 $298.85 20850 $358.50 20960 $209.10 

20225 $358.60 20670 $388.50 20855 $448.10 21100 $89.60 

20230 $358.60 20680 $89.65 20860 $179.25 21110 $149.35 

20300 $149.40 20690 $149.40 20862 $209.10 21112 $119.50 

20305 $448.30 20700 $89.65 20863 $298.75 21114 $149.35 

20320 $179.30 20702 $119.50 20864 $298.75 21116 $179.25 

20321 $298.85 20703 $119.50 20866 $298.75 21120 $179.25 

20330 $239.05 20704 $298.85 20867 $298.75 21130 $89.60 

20350 $298.85 20705 $179.30 20868 $298.75 21140 $448.10 

20352 $149.40 20706 $209.20 20880 $448.10 21150 $298.75 

20355 $358.60 20730 $149.40 20882 $298.75 21155 $298.75 

20400 $89.65 20740 $149.40 20884 $149.35 21160 $119.50 

20401 $119.50 20745 $179.30 20886 $179.25 21170 $239.00 

20402 $149.40 20750 $119.50 20900 $89.60 21195 $89.60 

20403 $149.40 20752 $179.30 20902 $119.50 21199 $119.50 

20404 $179.30 20754 $209.20 20904 $209.10 21200 $119.50 

20405 $239.05 20756 $268.95 20905 $298.75 21202 $119.50 

20406 $388.50 20770 $448.30 20906 $119.50 21210 $179.25 

20410 $149.40 20790 $239.05 20910 $119.50 21212 $298.75 

20420 $149.40 20791 $298.85 20911 $149.35 21214 $298.75 

20440 $119.50 20792 $388.50 20912 $149.35 21216 $418.25 

20450 $149.40 20793 $448.30 20914 $209.10 21220 $119.50 

20452 $179.30 20794 $358.60 20916 $209.10 21230 $179.25 

20470 $179.30 20798 $298.85 20920 $119.50 21232 $149.35 

20472 $298.85 20799 $179.30 20924 $119.50 21234 $239.00 

20474 $388.50 20800 $89.65 20926 $119.50 21260 $119.50 

20475 $298.85 20802 $149.40 20928 $179.25 21270 $239.00 

20500 $448.30 20803 $119.50 20930 $119.50 21272 $119.50 

20520 $179.30 20804 $301.40 20932 $119.50 21274 $179.25 

20522 $119.50 20805 $179.25 20934 $179.25 21275 $298.75 

20524 $119.50 20806 $209.10 20936 $239.00 21280 $448.10 

20526 $298.85 20810 $119.50 20938 $119.50 21300 $89.60 

20528 $239.05 20815 $179.25 20940 $119.50 21321 $119.50 

20540 $388.50 20820 $149.35 20942 $149.35 21340 $119.50 

20542 $448.30 20830 $119.50 20943 $119.50 21360 $149.35 

20174 to 21360


21380 $89.60 21670 $119.50 21908 $179.25 22031 $149.35 

21382 $119.50 21680 $89.60 21910 $268.85 22036 $89.60 

21390 $89.60 21682 $119.50 21912 $149.35 22040 $59.75 

21392 $119.50 21685 $298.75 21914 $179.25 22045 $89.60 

21400 $119.50 21700 $89.60 21915 $149.35 22050 $59.75 

21402 $209.10 21710 $119.50 21916 $149.35 22051 $271.25 

21403 $298.75 21712 $149.35 21918 $149.35 22055 $358.50 

21404 $149.35 21714 $149.35 21922 $209.10 22060 $597.50 

21420 $89.60 21716 $149.35 21925 $119.50 22065 $149.35 

21430 $119.50 21730 $89.60 21926 $149.35 22070 $298.75 

21432 $149.35 21732 $119.50 21927 $149.35 22075 $448.10 

21440 $239.00 21740 $149.35 21930 $179.25 22900 $179.25 

21445 $298.75 21756 $179.25 21935 $149.35 22905 $179.25 

21460 $89.60 21760 $209.10 21936 $179.25 23010 $29.85 

21461 $119.50 21770 $239.00 21939 $89.60 23021 $59.75 

21462 $89.60 21772 $179.25 21941 $209.10 23022 $59.75 

21464 $119.50 21780 $119.50 21942 $298.75 23023 $59.75 

21472 $149.35 21785 $298.75 21943 $149.35 23031 $89.60 

21474 $149.35 21790 $448.10 21945 $149.35 23032 $89.60 

21480 $119.50 21800 $89.60 21949 $149.35 23033 $89.60 

21482 $149.35 21810 $119.50 21952 $298.75 23041 $119.50 

21484 $149.35 21820 $89.60 21955 $149.35 23042 $119.50 

21486 $209.10 21830 $119.50 21959 $149.35 23043 $119.50 

21490 $89.60 21832 $209.10 21962 $149.35 23051 $149.35 

21500 $239.00 21834 $119.50 21965 $149.35 23052 $149.35 

21502 $179.25 21840 $239.00 21969 $239.00 23053 $149.35 

21520 $119.50 21842 $179.25 21970 $448.10 23061 $179.25 

21522 $149.35 21850 $119.50 21973 $149.35 23062 $179.25 

21530 $448.10 21860 $89.60 21976 $149.35 23063 $179.25 

21532 $239.00 21865 $298.75 21980 $149.35 23071 $209.10 

21535 $298.75 21870 $448.10 21981 $119.50 23072 $209.10 

21600 $89.60 21872 $239.00 21990 $89.60 23073 $209.10 

21610 $149.35 21878 $89.60 21992 $119.50 23081 $239.00 

21620 $119.50 21879 $149.35 21997 $119.50 23082 $239.00 

21622 $149.35 21880 $209.10 22001 $89.60 23083 $239.00 

21630 $149.35 21881 $268.85 22002 $119.50 23091 $268.85 

21632 $179.25 21882 $328.60 22007 $119.50 23101 $298.75 

21634 $268.85 21883 $388.35 22008 $119.50 23111 $328.60 

21636 $448.10 21884 $448.10 22012 $89.60 23112 $358.50 

21638 $298.75 21885 $507.85 22014 $89.60 23113 $388.35 

21650 $239.00 21886 $567.60 22015 $179.25 23114 $418.25 

21652 $298.75 21887 $627.35 22018 $209.10 23115 $448.10 

21654 $239.00 21900 $89.60 22020 $119.50 23116 $478.00 

21656 $298.75 21906 $149.35 22025 $119.50 23117 $507.85 

21380 to 23117 


13


14 


23118 $537.75 23580 $1,852.30 24102 $3,166.80 25205 DERIVED 

23119 $567.60 23590 $1,882.15 24103 $3,196.70 30001 DERIVED 

23121 $597.50 23600 $1,912.05 24104 $3,226.55 30003 $45.95 

23170 $627.35 23610 $1,941.90 24105 $3,256.45 30006 $58.95 

23180 $657.25 23620 $1,971.80 24106 $3,286.30 30009 $77.00 

23190 $687.10 23630 $2,001.65 24107 $3,316.20 30010 $93.65 

23200 $717.00 23640 $2,031.55 24108 $3,346.05 30013 $165.95 

23210 $746.85 23650 $2,061.40 24109 $3,375.95 30014 $197.00 

23220 $776.75 23660 $2,091.30 24110 $3,405.80 30017 $413.35 

23230 $806.60 23670 $2,121.15 24111 $3,435.70 30020 $805.10 

23240 $836.50 23680 $2,151.05 24112 $3,465.55 30023 $413.35 

23250 $866.35 23690 $2,180.90 24113 $3,495.45 30024 $413.35 

23260 $896.25 23700 $2,210.80 24114 $3,525.30 30026 $66.20 

23270 $926.15 23710 $2,240.65 24115 $3,555.20 30029 $114.05 

23280 $956.00 23720 $2,270.55 24116 $3,585.05 30032 $104.55 

23290 $985.90 23730 $2,300.40 24117 $3,614.95 30035 $149.00 

23300 $1,015.75 23740 $2,330.30 24118 $3,644.85 30038 $114.05 

23310 $1,045.65 23750 $2,360.15 24119 $3,674.70 30041 $182.55 

23320 $1,075.50 23760 $2,390.05 24120 $3,704.60 30042 $235.35 

23330 $1,105.40 23770 $2,419.90 24121 $3,734.45 30045 $149.00 

23340 $1,135.25 23780 $2,449.80 24122 $3,764.35 30048 $189.80 

23350 $1,165.15 23790 $2,479.65 24123 $3,794.20 30049 $235.35 

23360 $1,195.00 23800 $2,509.55 24124 $3,824.10 30052 $322.00 

23370 $1,224.90 23810 $2,539.40 24125 $3,853.95 30055 $93.65 

23380 $1,254.75 23820 $2,569.30 24126 $3,883.85 30058 $182.95 

23390 $1,284.65 23830 $2,599.15 24127 $3,913.70 30061 $29.75 

23400 $1,314.50 23840 $2,629.05 24128 $3,943.60 30062 $77.00 

23410 $1,344.40 23850 $2,658.90 24129 $3,973.45 30064 $139.35 

23420 $1,374.25 23860 $2,688.80 24130 $4,003.35 30067 $283.50 

23430 $1,404.15 23870 $2,718.65 24131 $4,033.20 30068 $350.90 

23440 $1,434.00 23880 $2,748.55 24132 $4,063.10 30071 $66.20 

23450 $1,463.90 23890 $2,778.45 24133 $4,092.95 30074 $149.00 

23460 $1,493.75 23900 $2,808.30 24134 $4,122.85 30075 $189.80 

23470 $1,523.65 23910 $2,838.20 24135 $4,152.70 30078 $61.40 

23480 $1,553.50 23920 $2,868.05 24136 $4,182.60 30081 $139.35 

23490 $1,583.40 23930 $2,897.95 25000 $29.85 30084 $74.50 

23500 $1,613.25 23940 $2,927.80 25005 $59.75 30087 $37.35 

23510 $1,643.15 23950 $2,957.70 25010 $89.60 30090 $163.00 

23520 $1,673.00 23960 $2,987.55 25015 $29.85 30093 $217.50 

23530 $1,702.90 23970 $3,017.45 25020 $59.75 30094 $240.10 

23540 $1,732.75 23980 $3,047.30 25025 DERIVED 30096 $233.10 

23550 $1,762.65 23990 $3,077.20 25030 DERIVED 30097 $123.20 

23560 $1,792.50 24100 $3,107.05 25050 DERIVED 30099 $114.05 

23570 $1,822.40 24101 $3,136.95 25200 DERIVED 30102 $189.80 

23118 to 30102


30103 $233.10 30250 $1,586.20 30373 $615.65 30438 $1,466.20 

30104 $160.90 30251 $2,436.45 30375 $664.05 30439 $236.45 

30106 $197.00 30253 $1,057.45 30376 $664.05 30440 $670.60 

30107 $278.80 30255 $1,408.20 30378 $667.15 30441 $173.60 

30110 $360.55 30256 $564.70 30379 $1,182.45 30442 $236.45 

30111 $470.95 30259 $251.70 30382 $1,665.00 30443 $941.85 

30114 $470.95 30262 $74.50 30384 $1,400.65 30445 $941.85 

30165 $576.65 30265 $149.00 30385 $717.60 30446 $941.85 

30168 $576.65 30266 $189.80 30387 $809.00 30448 $1,239.50 

30171 $877.05 30269 $189.80 30388 $2,035.25 30449 $1,378.30 

30174 $877.05 30272 $374.90 30390 $280.15 30450 $668.05 

30177 $1,249.70 30275 $2,234.95 30391 $362.25 30451 $340.95 

30180 $173.00 30278 $58.95 30392 $859.25 30452 $480.90 

30183 $312.50 30281 $151.45 30393 $667.15 30454 $1,098.80 

30185 $231.40 30282 $197.00 30394 $627.85 30455 $1,291.90 

30186 $60.15 30283 $259.50 30396 $1,295.10 30457 $1,757.50 

30187 $325.75 30286 $504.45 30397 $296.00 30458 $1,291.90 

30189 $186.70 30289 $636.80 30399 $407.15 30460 $1,098.80 

30190 $504.30 30293 $564.70 30400 $805.80 30461 $1,883.50 

30192 $50.10 30294 $2,234.95 30402 $591.90 30463 $2,312.55 

30195 $80.50 30296 $1,297.90 30403 $664.05 30464 $2,775.15 

30196 $160.10 30297 $1,297.90 30405 $1,165.65 30466 $1,600.25 

30197 $557.95 30299 $808.20 30406 $66.50 30467 $1,979.45 

30202 $61.25 30300 $969.80 30408 $499.50 30469 $2,192.45 

30203 $215.85 30302 $646.55 30409 $222.25 30472 $1,183.95 

30205 $160.10 30303 $775.75 30411 $113.15 30473 $198.95 

30207 $56.50 30306 $1,012.55 30412 $66.65 30475 $359.80 

30210 $206.55 30308 $1,012.55 30414 $878.85 30476 $275.85 

30213 $139.20 30309 $1,297.90 30415 $1,757.50 30478 $275.85 

30214 $139.20 30310 $579.85 30416 $954.20 30479 $534.85 

30216 $34.65 30313 $346.05 30417 $1,431.20 30481 $401.10 

30219 $34.65 30314 $579.85 30418 $2,035.25 30482 $285.15 

30223 $206.55 30315 $1,445.20 30419 $1,041.00 30483 $198.90 

30224 $301.20 30317 $1,730.50 30421 $2,543.60 30484 $409.95 

30225 $339.30 30318 $1,150.75 30422 $860.35 30485 $632.85 

30226 $189.80 30320 $1,730.50 30425 $1,665.00 30487 $203.20 

30229 $346.05 30321 $1,150.75 30427 $1,988.65 30488 $101.05 

30232 $283.50 30323 $1,730.50 30428 $2,127.55 30490 $591.40 

30235 $374.90 30324 $1,730.50 30430 $2,959.90 30491 $623.90 

30238 $189.80 30329 $313.10 30431 $664.05 30492 $884.50 

30241 $451.80 30330 $911.25 30433 $925.00 30493 $374.35 

30244 $451.80 30332 $372.30 30434 $749.35 30494 $472.40 

30246 $874.60 30335 $1,106.40 30436 $832.50 30495 $884.50 

30247 $937.35 30336 $1,327.75 30437 $1,036.15 30496 $747.95 

30103 to 30496 


15


16 


30497 $891.75 30563 $756.60 30641 $518.20 31266 $234.60 

30499 $1,060.65 30564 $982.10 30644 $662.85 31267 $234.60 

30500 $1,135.70 30565 $1,108.00 30653 $59.10 31268 $234.60 

30502 $1,253.50 30566 $1,230.80 30656 $137.50 31270 $328.45 

30503 $1,403.65 30568 $923.30 30659 $190.40 31271 $328.45 

30505 $701.75 30569 $470.80 30660 $236.05 31272 $328.45 

30506 $1,228.10 30571 $566.40 30663 $183.50 31273 $328.45 

30508 $1,292.75 30572 $566.40 30666 $60.30 31275 $380.50 

30509 $1,292.75 30574 $156.75 30672 $566.40 31276 $380.50 

30511 $1,080.30 30575 $652.00 30675 $380.80 31277 $380.50 

30512 $1,329.40 30577 $1,385.05 30676 $482.00 31278 $380.50 

30514 $1,957.25 30578 $1,458.90 30679 $122.45 31280 $198.15 

30515 $895.65 30580 $1,329.40 30680 $1,487.90 31281 $198.90 

30517 $1,172.70 30581 $969.50 30682 $1,487.90 31282 $198.90 

30518 $1,255.80 30583 $1,518.70 30684 $1,831.00 31283 $198.90 

30520 $858.80 30584 $2,241.70 30686 $1,831.00 31285 $270.80 

30521 $1,837.45 30586 $891.75 30688 $464.05 31286 $270.80 

30523 $1,920.40 30587 $923.30 30690 $716.30 31287 $270.80 

30524 $2,114.35 30589 $1,591.00 30692 $464.05 31288 $270.80 

30526 $2,742.20 30590 $1,754.30 30694 $716.30 31290 $312.65 

30527 $1,108.00 30593 $2,400.65 30710 $663.30 31291 $312.65 

30529 $1,661.95 30594 $2,770.10 31000 $738.65 31292 $312.65 

30530 $997.25 30596 $1,141.05 31001 $923.30 31293 $312.65 

30532 $1,145.00 30597 $915.85 31002 $1,108.00 31295 $372.40 

30533 $1,362.00 30599 $1,661.95 31200 $43.20 31300 $406.80 

30535 $2,157.55 30600 $988.20 31205 $121.30 31305 $500.40 

30536 $2,188.45 30601 $1,217.40 31210 $156.55 31310 $354.35 

30538 $1,514.35 30602 $1,975.80 31215 $182.50 31315 $448.25 

30539 $1,108.00 30603 $2,086.70 31220 $272.80 31320 $500.40 

30541 $1,929.75 30605 $2,372.90 31225 $484.85 31325 $344.05 

30542 $1,311.15 30606 $1,412.60 31230 $213.65 31330 $406.80 

30544 $960.30 30609 $590.65 31235 $182.50 31335 $469.20 

30545 $2,336.20 30612 $453.15 31240 $213.65 31340 DERIVED 

30547 $1,606.60 30614 $590.65 31245 $469.20 31345 $268.25 

30548 $1,200.20 30615 $662.85 31250 $469.20 31346 $268.25 

30550 $2,622.45 30616 $337.35 31255 $281.45 31350 $551.00 

30551 $1,809.75 30617 $453.15 31256 $281.45 31355 $908.55 

30553 $1,338.60 30620 $380.80 31257 $281.45 31400 $332.00 

30554 $2,917.80 30621 $518.20 31258 $281.45 31403 $383.20 

30556 $2,012.85 30628 $45.25 31260 $401.40 31406 $638.60 

30557 $1,486.55 30631 $300.95 31261 $401.40 31409 $1,984.00 

30559 $1,080.30 30634 $298.90 31262 $401.40 31412 $2,443.80 

30560 $1,200.20 30635 $371.05 31263 $401.40 31420 $233.80 

30562 $756.60 30638 $380.80 31265 $234.60 31423 $510.85 

30497 to 31423


31426 $1,021.70 32005 $1,586.80 32108 $1,220.60 32218 $197.80 

31429 $1,592.25 32006 $1,404.60 32111 $775.00 32220 $1,143.95 

31432 $1,703.00 32009 $1,666.25 32112 $943.00 32221 $1,143.95 

31435 $1,251.70 32012 $1,840.65 32114 $213.00 32500 $140.60 

31438 $1,984.00 32015 $2,262.00 32115 $154.90 32501 $140.60 

31441 $320.05 32018 $1,918.05 32117 $1,220.60 32504 $342.75 

31450 $517.10 32021 $687.80 32120 $313.70 32507 $683.35 

31452 $904.80 32024 $1,666.25 32123 $406.85 32508 $683.35 

31454 $716.30 32025 $2,228.80 32126 $590.95 32511 $1,015.95 

31456 $312.25 32026 $2,400.20 32129 $775.00 32514 $1,186.85 

31458 $374.70 32028 $2,571.80 32131 $651.55 32517 $1,528.35 

31460 $454.00 32029 $514.30 32132 $55.05 32700 $1,839.35 

31462 $662.85 32030 $1,259.30 32135 $82.40 32703 $1,521.70 

31464 $1,108.00 32033 $1,840.65 32138 $449.00 32708 $1,820.25 

31466 $1,662.05 32036 $2,334.40 32139 $449.00 32710 $2,022.55 

31468 $1,825.95 32039 $1,874.40 32142 $82.40 32711 $2,224.80 

31470 $915.85 32042 $1,579.00 32145 $164.90 32712 $1,608.30 

31472 $1,487.65 32045 $590.95 32147 $55.05 32715 $1,608.30 

31500 $330.70 32046 $913.20 32150 $313.70 32718 $1,521.70 

31503 $441.00 32047 $1,063.90 32153 $85.60 32721 $2,417.05 

31506 $496.10 32051 $2,828.65 32156 $160.85 32724 $2,744.60 

31509 $441.00 32054 $2,596.20 32159 $406.85 32730 $2,080.15 

31512 $826.80 32057 $687.80 32162 $590.95 32733 $2,417.05 

31515 $554.60 32060 $2,828.65 32165 $775.00 32736 $529.60 

31518 $936.30 32063 $2,596.20 32166 $251.80 32739 $1,656.40 

31521 $551.20 32066 $687.80 32168 $160.85 32742 $1,897.35 

31524 $1,322.85 32069 $2,092.50 32171 $108.40 32745 $2,166.80 

31527 $661.50 32072 $58.40 32174 $108.40 32748 $2,349.80 

31530 $757.50 32075 $91.60 32175 $198.55 32751 $1,521.70 

31533 $175.35 32078 $205.75 32177 $212.75 32754 $1,897.35 

31536 $240.80 32081 $282.60 32180 $313.70 32757 $529.60 

31539 $507.15 32084 $135.90 32183 $685.85 32760 $520.05 

31542 $250.45 32087 $249.95 32186 $685.85 32763 $1,521.70 

31545 $757.50 32090 $408.20 32200 $361.05 32766 $1,011.30 

31548 $175.35 32093 $572.85 32203 $775.35 32769 $350.45 

31551 $275.65 32094 $673.85 32206 $700.50 33050 $1,863.75 

31554 $551.20 32095 $156.00 32209 $1,125.70 33055 $1,494.60 

31557 $441.00 32096 $313.70 32210 $311.95 33070 $1,078.30 

31560 $441.00 32099 $406.85 32212 $166.35 33075 $1,371.70 

31563 $330.30 32102 $775.00 32213 $836.55 33080 $1,674.40 

31566 $165.25 32103 $943.00 32214 $422.65 33100 $1,839.35 

32000 $1,259.30 32104 $1,220.60 32215 $158.70 33103 $2,580.85 

32003 $1,317.30 32105 $590.95 32216 $751.25 33109 $3,120.30 

32004 $1,404.60 32106 $1,666.25 32217 $197.80 33112 $2,706.20 

31426 to 33112 


17


18 


33115 $1,820.25 33803 $1,444.65 34503 $529.60 35320 $1,094.90 

33116 $1,791.65 33806 $1,040.05 34506 $269.50 35321 $1,039.40 

33118 $2,022.55 33810 $758.70 34509 $1,251.90 35324 $389.70 

33119 $1,990.85 33811 $2,258.80 34512 $1,377.20 35327 $522.35 

33121 $2,224.80 33812 $1,194.10 34515 $982.25 35330 $658.65 

33124 $1,550.60 33815 $1,097.85 34518 $1,646.60 35331 $757.15 

33127 $2,032.05 33818 $1,280.85 34521 $1,011.60 35360 $1,058.40 

33130 $1,772.00 33821 $1,463.80 34524 $529.60 35361 $907.80 

33133 $1,328.90 33824 $1,396.30 34527 $706.40 35362 $757.15 

33136 $3,351.15 33827 $1,637.10 34528 $348.80 35363 $606.55 

33139 $2,032.05 33830 $1,877.85 34530 $261.55 35400 $844.55 

33142 $1,897.35 33833 $1,704.80 34533 $1,588.85 35402 $844.55 

33145 $3,264.65 33836 $2,032.05 34538 $348.80 35404 $443.00 

33148 $4,054.35 33839 $2,378.65 34539 $261.55 35406 $1,039.40 

33151 $3,852.05 33842 $1,174.90 34800 $1,040.05 35408 $779.65 

33154 $2,850.60 33845 $818.60 34803 $2,292.20 35410 $1,157.20 

33157 $3,178.00 33848 $818.60 34806 $1,242.30 35412 $3,602.70 

33160 $3,178.00 34100 $905.40 34809 $1,242.30 35500 $115.50 

33163 $2,696.75 34103 $529.60 34812 $1,502.35 35502 $113.80 

33166 $2,696.75 34106 $373.55 34815 $1,242.30 35503 $76.00 

33169 $2,099.45 34109 $433.30 34818 $1,367.50 35506 $76.25 

33172 $1,637.10 34112 $1,097.85 34821 $1,858.80 35507 $247.80 

33175 $1,508.80 34115 $1,242.30 34824 $635.60 35508 $365.00 

33178 $1,918.65 34118 $1,772.00 34827 $770.50 35509 $127.10 

33181 $2,345.80 34121 $1,415.60 34830 $905.40 35512 $254.85 

33500 $1,454.10 34124 $1,550.60 34833 $1,174.90 35513 $314.95 

33506 $1,627.60 34127 $2,032.05 35000 $905.40 35516 $165.30 

33509 $1,820.25 34130 $635.60 35003 $1,174.90 35517 $207.45 

33512 $2,022.55 34133 $712.80 35006 $1,473.45 35518 $295.20 

33515 $2,224.80 34136 $1,145.85 35009 $1,145.85 35520 $82.80 

33518 $1,627.60 34139 $1,145.85 35012 $905.40 35523 $82.80 

33521 $1,762.30 34142 $1,415.60 35100 $472.00 35526 $165.30 

33524 $2,080.15 34145 $1,030.45 35103 $300.40 35527 $207.45 

33527 $2,417.05 34148 $1,839.35 35200 $219.60 35530 $383.30 

33530 $2,080.15 34151 $2,513.50 35202 $1,046.45 35533 $497.00 

33533 $2,417.05 34154 $2,995.15 35300 $658.65 35536 $495.00 

33536 $1,723.90 34157 $1,521.70 35303 $844.55 35539 $387.75 

33539 $1,242.30 34160 $2,850.60 35306 $779.45 35542 $454.05 

33542 $1,772.00 34163 $3,659.50 35307 $1,432.90 35545 $260.80 

33545 $350.45 34166 $3,659.50 35309 $974.35 35548 $1,184.90 

33548 $712.80 34169 $2,032.05 35312 $1,104.25 35551 $971.60 

33551 $350.45 34172 $1,656.40 35315 $1,104.25 35554 $61.75 

33554 $348.80 34175 $1,521.70 35317 $454.65 35557 $304.65 

33800 $1,512.00 34500 $394.90 35319 $815.15 35560 $971.60 

33115 to 35560


35561 $1,959.80 35644 $289.30 36500 $1,220.60 36615 $978.80 

35562 $1,609.05 35645 $452.70 36502 $902.80 36618 $857.75 

35564 $742.80 35646 $289.30 36503 $1,836.40 36621 $613.15 

35565 $971.60 35647 $289.30 36506 $1,220.60 36624 $736.70 

35566 $564.35 35648 $452.70 36509 $1,033.55 36627 $912.65 

35568 $887.35 35649 $761.45 36516 $1,220.60 36630 $450.85 

35569 $228.50 35653 $958.45 36519 $1,704.30 36633 $978.80 

35570 $786.80 35657 $958.45 36522 $1,462.55 36636 $527.85 

35571 $786.80 35658 $591.05 36525 $2,078.35 36639 $1,099.65 

35572 $175.85 35661 $1,237.80 36526 $1,704.30 36642 $549.75 

35573 $1,180.40 35664 $2,063.05 36527 $2,103.40 36645 $1,407.55 

35577 $958.15 35667 $1,753.45 36528 $1,704.30 36648 $1,253.55 

35578 $958.15 35670 $1,443.80 36529 $2,103.40 36649 $353.25 

35595 $1,640.85 35673 $1,076.50 36531 $1,528.35 36650 $197.55 

35596 $971.60 35674 $295.20 36532 $2,193.65 36652 $857.75 

35597 $2,092.95 35676 $603.75 36533 $2,592.80 36654 $1,099.65 

35599 $958.15 35677 $761.45 36537 $912.65 36656 $1,407.55 

35602 $958.15 35678 $918.05 36540 $1,462.55 36658 $749.70 

35605 $519.90 35680 $826.90 36543 $1,704.30 36660 $337.20 

35608 $90.85 35683 $499.05 36546 $912.65 36662 $805.55 

35611 $90.85 35684 $669.30 36549 $1,099.65 36663 $872.50 

35612 $718.80 35687 $462.00 36552 $978.80 36664 $783.55 

35613 $575.05 35688 $564.35 36558 $857.75 36665 $165.50 

35614 $90.70 35691 $225.45 36561 $227.75 36666 $440.80 

35615 $76.25 35694 $905.95 36564 $1,220.60 36667 $206.35 

35616 $638.70 35697 $1,344.20 36567 $1,341.55 36668 $206.35 

35617 $246.70 35700 $1,037.15 36570 $1,704.30 36800 $36.40 

35618 $309.70 35703 $95.90 36573 $1,220.60 36803 $615.60 

35620 $75.75 35706 $95.90 36576 $1,528.35 36806 $857.75 

35622 $855.80 35709 $61.75 36579 $978.80 36809 $1,099.65 

35623 $1,163.85 35710 $658.20 36585 $978.80 36811 $426.90 

35626 $117.60 35712 $514.50 36588 $1,220.60 36812 $220.05 

35627 $152.20 35713 $643.35 36591 $1,462.55 36815 $313.95 

35630 $260.00 35716 $617.05 36594 $1,220.60 36818 $365.15 

35633 $309.70 35717 $774.70 36597 $1,220.60 36821 $426.60 

35634 $974.10 35720 $958.15 36600 $1,462.55 36824 $281.40 

35635 $425.40 35723 $686.30 36603 $1,704.30 36825 $767.30 

35636 $615.15 35726 $686.30 36604 $353.25 36827 $303.40 

35637 $577.70 35729 $309.40 36605 $911.70 36830 $268.30 

35638 $1,010.80 35750 $1,114.60 36606 $3,056.95 36833 $365.15 

35639 $191.65 35753 $1,232.50 36607 $911.70 36836 $303.40 

35640 $260.00 35754 $1,551.25 36608 $353.25 36840 $426.60 

35641 $1,765.40 35756 $1,114.60 36609 $978.80 36842 $429.30 

35643 $309.70 35759 $800.25 36612 $857.75 36845 $912.65 

35561 to 36845 


19


20 


36848 $303.40 37233 $736.70 37438 $365.15 38231 $1,044.90 

36851 $303.40 37300 $61.50 37444 $1,319.55 38234 $835.80 

36854 $615.60 37303 $97.75 37601 $380.65 38237 $1,044.85 

36857 $483.70 37306 $857.75 37604 $380.65 38240 $1,253.70 

36860 $220.05 37309 $1,220.60 37605 $513.85 38241 $553.15 

36863 $615.60 37315 $182.50 37606 $763.05 38243 $522.40 

37000 $978.80 37318 $365.15 37607 $1,272.35 38246 $1,044.85 

37004 $857.75 37321 $123.20 37610 $1,914.25 38256 $314.70 

37008 $549.75 37324 $303.40 37613 $380.65 38270 $1,074.40 

37011 $123.20 37327 $426.60 37616 $951.35 38272 $1,203.15 

37014 $1,407.55 37330 $857.75 37619 $380.65 38275 $351.00 

37020 $978.80 37333 $736.70 37622 $265.85 38285 $227.05 

37023 $549.75 37336 $978.80 37623 $316.25 38286 $204.45 

37026 $549.75 37339 $316.65 37800 $635.65 38287 $2,470.00 

37029 $1,220.60 37340 $561.00 37803 $635.65 38290 $3,145.15 

37038 $913.15 37341 $1,202.90 37806 $734.40 38293 $3,375.90 

37041 $61.50 37342 $1,099.65 37809 $734.40 38300 $654.05 

37042 $1,202.90 37343 $1,836.40 37812 $678.05 38303 $838.70 

37043 $890.30 37345 $912.65 37815 $113.05 38306 $967.55 

37044 $913.15 37348 $912.65 37818 $599.35 38309 $1,123.75 

37045 $1,886.00 37351 $365.15 37821 $1,015.95 38312 $1,437.10 

37047 $2,199.30 37354 $426.60 37824 $1,412.55 38315 $1,543.10 

37050 $978.80 37369 $246.25 37827 $650.75 38318 $2,013.30 

37053 $1,130.90 37372 $615.60 37830 $843.15 38321 $981.20 

37200 $1,341.55 37375 $1,528.35 37833 $402.35 38324 $1,307.25 

37201 $1,094.10 37381 $978.80 37836 $847.60 38327 $1,450.85 

37202 $549.20 37384 $1,528.35 37839 $960.50 38330 $1,777.90 

37203 $1,375.65 37387 $426.60 37842 $1,864.85 38350 $810.50 

37206 $736.70 37390 $1,220.60 37845 $847.60 38353 $324.20 

37207 $1,143.75 37393 $303.40 37848 $1,525.70 38356 $1,062.75 

37208 $549.20 37396 $978.80 37851 $1,130.20 38358 $3,639.95 

37209 $1,704.30 37402 $615.60 37854 $446.85 38359 $169.50 

37210 $2,103.40 37405 $1,220.60 38200 $524.50 38362 $507.55 

37211 $2,554.50 37408 $615.60 38203 $625.95 38365 $336.85 

37212 $365.15 37411 $1,220.60 38206 $756.75 38368 $1,614.65 

37215 $549.75 37415 $61.50 38209 $971.65 38371 $379.50 

37218 $182.50 37417 $736.70 38212 $1,616.20 38384 $1,387.90 

37219 $370.70 37418 $978.80 38213 $481.30 38387 $379.50 

37220 $1,378.40 37420 $483.70 38215 $417.90 38390 $1,387.90 

37221 $615.60 37423 $1,220.60 38218 $672.20 38393 $379.50 

37223 $272.25 37426 $1,286.45 38220 $208.90 38415 $508.15 

37224 $426.60 37429 $426.60 38222 $417.95 38418 $1,219.60 

37227 $746.90 37432 $1,220.60 38225 $626.90 38421 $1,949.50 

37230 $1,375.65 37435 $123.20 38228 $836.00 38424 $1,219.60 

36848 to 38424


38427 $1,505.95 38505 $365.55 38709 $2,814.45 39128 $945.35 

38430 $776.10 38506 $2,144.40 38712 $3,379.65 39130 $965.70 

38436 $317.80 38507 $2,517.45 38715 $2,249.80 39131 $183.05 

38438 $1,949.50 38508 $3,149.75 38718 $2,814.45 39133 $228.35 

38440 $1,459.85 38509 $3,149.75 38721 $1,972.25 39134 $487.85 

38441 $2,309.85 38512 $2,767.10 38724 $2,814.45 39135 $228.35 

38446 $1,505.95 38515 $3,523.50 38727 $1,972.25 39136 $228.35 

38447 $1,949.50 38518 $3,782.00 38730 $2,814.45 39137 $867.10 

38448 $461.95 38550 $2,829.80 38733 $1,972.25 39138 $965.70 

38449 $2,727.25 38553 $3,586.10 38736 $2,814.45 39139 $1,296.45 

38450 $1,090.10 38556 $4,093.65 38739 $2,537.00 39140 $419.45 

38452 $730.00 38559 $3,337.20 38742 $2,537.00 39300 $506.10 

38453 $2,189.85 38562 $4,093.65 38745 $2,814.45 39303 $667.65 

38455 $2,962.05 38565 $4,591.50 38748 $2,814.45 39306 $969.50 

38456 $1,949.50 38568 $2,456.35 38751 $2,814.45 39309 $1,023.25 

38457 $1,820.05 38571 $2,705.30 38754 $3,523.10 39312 $570.90 

38458 $970.15 38572 $2,620.00 38757 $2,814.45 39315 $1,475.75 

38460 $350.40 38577 $731.20 38760 $2,814.45 39318 $915.60 

38462 $415.35 38588 $548.60 38763 $2,814.45 39321 $678.45 

38464 $451.45 38600 $2,020.00 38766 $2,814.45 39323 $396.45 

38466 $1,219.05 38603 $1,263.70 38800 $48.80 39324 $396.45 

38468 $1,878.45 38609 $631.75 38803 $97.40 39327 $678.60 

38469 $2,189.85 38612 $708.15 38806 $169.30 39330 $396.45 

38470 $1,216.20 38613 $888.80 38809 $208.60 39331 $396.45 

38473 $728.00 38615 $2,020.00 38812 $265.15 39333 $570.90 

38475 $1,096.70 38618 $2,517.90 39000 $107.85 39500 $1,820.50 

38477 $2,641.50 38621 $1,005.20 39003 $122.65 39503 $1,367.95 

38478 $1,279.55 38624 $1,129.50 39006 $228.35 39600 $678.45 

38480 $2,641.50 38627 $882.85 39009 $85.00 39603 $1,712.75 

38481 $3,007.15 38637 $731.20 39012 $340.35 39606 $1,141.80 

38483 $2,269.10 38640 $1,263.70 39013 $156.30 39609 $1,367.95 

38485 $1,077.40 38643 $1,407.40 39015 $538.55 39612 $1,604.95 

38487 $2,269.10 38647 $2,814.45 39018 $538.55 39615 $1,712.75 

38488 $2,517.90 38650 $2,517.90 39100 $340.35 39640 $4,342.60 

38489 $2,994.50 38653 $2,517.90 39106 $1,702.05 39642 $4,565.50 

38490 $731.20 38654 $1,614.65 39109 $635.55 39646 $5,233.60 

38493 $2,581.20 38656 $1,263.70 39112 $2,208.10 39650 $3,785.85 

38496 $822.70 38670 $2,517.35 39115 $107.85 39653 $6,737.00 

38497 $2,700.15 38673 $2,833.35 39118 $426.60 39654 $4,899.65 

38498 $2,700.15 38677 $2,650.70 39121 $904.90 39656 $3,674.60 

38500 $2,901.15 38680 $3,144.10 39124 $2,315.95 39658 $4,342.60 

38501 $2,901.15 38700 $1,407.40 39125 $426.90 39660 $4,342.60 

38503 $3,149.95 38703 $2,537.00 39126 $518.40 39662 $4,342.60 

38504 $3,149.95 38706 $2,402.90 39127 $678.45 39700 $797.25 

38427 to 39700 


21


22 


39703 $743.35 40331 $1,367.95 41542 $1,687.45 41662 $116.50 

39706 $1,594.10 40332 $2,232.15 41545 $736.50 41665 $243.75 

39709 $2,272.85 40333 $1,141.80 41548 $977.45 41668 $310.75 

39712 $4,103.95 40334 $1,509.60 41551 $2,250.95 41671 $682.80 

39715 $2,843.85 40335 $2,772.60 41554 $2,652.10 41672 $851.80 

39718 $1,249.50 40336 $452.45 41557 $1,540.05 41674 $142.00 

39721 $1,141.80 40339 $2,272.85 41560 $1,687.45 41677 $127.10 

39800 $4,093.20 40342 $2,100.40 41563 $2,088.95 41680 $230.20 

39803 $4,093.20 40345 $1,955.30 41564 $2,701.30 41683 $165.55 

39806 $1,841.75 40348 $2,482.55 41566 $1,540.05 41686 $101.60 

39812 $904.90 40351 $2,482.55 41569 $1,687.45 41689 $192.80 

39815 $2,617.45 40600 $1,367.95 41572 $1,459.85 41692 $251.55 

39818 $2,617.45 40700 $2,499.10 41575 $3,441.65 41695 $141.35 

39821 $3,108.05 40703 $2,100.40 41576 $5,162.50 41698 $45.95 

39900 $743.35 40706 $3,069.85 41578 $3,441.65 41701 $129.90 

39903 $2,272.85 40709 $743.35 41579 $2,581.20 41704 $51.25 

39906 $1,141.80 40712 $1,497.15 41581 $3,958.55 41707 $633.75 

40000 $1,314.10 40800 $914.80 41584 $2,716.65 41710 $736.50 

40003 $1,314.10 40801 $2,500.75 41587 $3,700.00 41713 $857.00 

40006 $1,034.15 40803 $1,712.75 41590 $1,687.45 41716 $417.80 

40009 $754.00 40850 $3,243.75 41593 $2,199.35 41719 $166.10 

40012 $1,475.75 40851 $5,676.75 41596 $2,457.90 41722 $830.25 

40015 $914.80 40852 $487.85 41599 $2,457.90 41725 $633.75 

40018 $228.35 40854 $754.00 41603 $711.90 41728 $1,267.85 

40100 $990.90 40856 $365.95 41604 $263.45 41729 $803.45 

40103 $1,454.20 40858 $754.00 41608 $1,540.05 41731 $1,098.00 

40106 $1,475.75 40860 $2,897.45 41611 $990.85 41734 $1,432.85 

40109 $1,594.10 40862 $271.70 41614 $1,540.05 41737 $682.80 

40112 $2,046.55 40903 $794.35 41615 $1,540.05 41740 $83.05 

40115 $1,034.15 40905 $861.85 41617 $2,677.90 41743 $476.75 

40118 $1,367.95 41500 $116.50 41620 $1,165.10 41746 $1,098.00 

40300 $1,367.95 41503 $337.40 41623 $1,687.45 41749 $857.00 

40301 $1,372.25 41506 $203.45 41626 $203.45 41752 $417.80 

40303 $1,561.80 41509 $230.20 41629 $736.50 41755 $65.70 

40306 $2,057.35 41512 $827.90 41632 $337.40 41758 $166.10 

40309 $1,561.80 41515 $543.35 41635 $1,616.85 41761 $173.55 

40312 $2,100.40 41518 $1,312.35 41638 $2,018.15 41764 $173.55 

40315 $2,272.85 41521 $1,397.15 41641 $67.00 41767 $1,041.30 

40316 $2,979.10 41524 $403.65 41644 $201.75 41770 $990.85 

40318 $2,843.85 41527 $830.25 41647 $155.30 41773 $830.25 

40321 $1,561.80 41530 $1,352.65 41650 $155.30 41776 $827.90 

40324 $915.60 41533 $1,616.85 41653 $101.60 41779 $990.85 

40327 $915.60 41536 $1,811.00 41656 $173.55 41782 $1,345.30 

40330 $1,367.95 41539 $1,540.05 41659 $109.55 41785 $1,668.95 

39703 to 41785


41786 $1,041.30 41889 $251.55 42599 $860.50 42704 $634.90 

41787 $803.45 41892 $332.10 42602 $860.50 42707 $1,085.75 

41788 $310.75 41895 $519.60 42605 $634.90 42710 $1,229.10 

41789 $417.80 41898 $363.00 42608 $409.65 42713 $512.15 

41792 $391.05 41901 $853.85 42610 $131.10 42716 $1,628.75 

41793 $524.85 41904 $348.25 42611 $196.55 42719 $706.90 

41796 $160.65 41905 $640.60 42614 $65.75 42722 $773.20 

41797 $203.45 41907 $173.55 42615 $98.35 42725 $1,823.20 

41800 $166.10 41910 $551.35 42617 $186.50 42728 $307.40 

41801 $230.20 42503 $139.65 42620 $71.70 42731 $2,069.10 

41804 $127.10 42506 $655.55 42621 $71.70 42734 $409.65 

41807 $99.05 42509 $829.65 42622 $112.65 42737 $409.65 

41810 $50.30 42510 $956.30 42623 $952.75 42740 $409.65 

41813 $503.50 42512 $655.55 42626 $1,536.55 42741 $409.65 

41816 $262.25 42515 $829.65 42629 $1,157.40 42743 $860.50 

41819 $493.05 42518 $481.30 42632 $159.80 42744 $409.35 

41820 $591.70 42521 $1,638.95 42635 $409.65 42746 $1,300.85 

41822 $337.40 42524 $278.70 42638 $512.15 42749 $1,628.75 

41825 $503.50 42527 $553.15 42641 $665.75 42752 $1,823.20 

41828 $73.75 42530 $860.50 42644 $98.25 42755 $225.30 

41831 $504.45 42533 $553.15 42647 $278.70 42758 $952.75 

41832 $322.85 42536 $1,136.90 42650 $98.25 42761 $706.90 

41834 $1,821.50 42539 $1,618.55 42651 $219.00 42764 $706.90 

41837 $1,746.50 42542 $686.30 42653 $1,823.20 42767 $1,485.15 

41840 $2,147.40 42543 $1,203.90 42656 $2,274.05 42770 $401.55 

41843 $1,888.40 42545 $1,741.30 42659 $1,229.10 42771 $395.40 

41846 $262.25 42548 $1,034.45 42662 $1,229.10 42773 $1,229.10 

41849 $385.55 42551 $860.50 42665 $819.50 42776 $1,823.20 

41852 $417.80 42554 $1,003.85 42667 $193.30 42779 $2,274.05 

41855 $407.25 42557 $1,403.35 42668 $102.55 42782 $614.45 

41858 $698.25 42560 $553.15 42672 $1,229.10 42783 $614.45 

41861 $853.85 42563 $706.90 42673 $614.45 42785 $481.30 

41864 $575.75 42566 $1,003.85 42676 $157.55 42786 $481.30 

41867 $866.70 42569 $1,403.35 42677 $83.00 42788 $481.30 

41868 $549.15 42572 $159.80 42680 $409.65 42789 $481.30 

41870 $642.65 42573 $309.75 42683 $163.95 42791 $481.30 

41873 $830.25 42574 $658.25 42686 $372.75 42792 $481.30 

41876 $830.25 42575 $112.65 42689 $159.80 42794 $92.15 

41879 $1,345.30 42581 $159.80 42692 $377.00 42797 $92.15 

41880 $359.05 42584 $377.00 42695 $614.45 42801 $1,429.90 

41881 $567.60 42587 $70.75 42698 $810.10 42802 $714.70 

41884 $128.65 42590 $460.90 42701 $451.75 42805 $798.85 

41885 $406.80 42593 $278.70 42702 $1,036.05 42806 $481.30 

41886 $251.55 42596 $686.30 42703 $779.25 42807 $484.60 

41786 to 42807 


23


24 


42808 $484.60 43828 $1,592.60 43987 $1,857.85 45030 $179.00 

42809 $614.45 43831 $1,241.00 43990 $2,277.35 45033 $333.30 

42810 $773.30 43834 $1,441.50 43993 $2,457.10 45035 $972.35 

42811 $614.45 43837 $1,801.75 43996 $2,756.75 45036 $1,562.35 

42812 $225.30 43840 $1,561.55 43999 $344.75 45039 $333.30 

42815 $860.50 43843 $2,402.55 44102 $332.30 45042 $427.10 

42818 $798.85 43846 $2,582.65 44105 $58.30 45045 $427.10 

42821 $123.00 43849 $660.65 44108 $635.65 45048 $1,072.75 

42824 $95.20 43852 $2,102.05 44111 $744.50 45051 $656.15 

42833 $798.85 43855 $2,222.35 44114 $744.50 45054 $340.80 

42836 $993.60 43858 $780.65 44130 $599.25 45200 $393.85 

42839 $952.75 43861 $2,162.35 44133 $475.60 45203 $562.45 

42842 $1,188.20 43864 $1,621.75 44136 $219.25 45206 $531.20 

42845 $257.95 43867 $900.95 44325 $332.60 45207 $531.20 

42848 $952.75 43870 $1,261.25 44328 $400.80 45209 $656.15 

42851 $1,188.20 43873 $1,681.80 44331 $660.90 45212 $325.55 

42854 $553.15 43876 $1,441.50 44334 $1,343.25 45215 $1,404.50 

42857 $553.15 43879 $1,681.80 44338 $161.95 45218 $629.95 

42860 $1,229.10 43882 $2,162.35 44342 $247.35 45221 $362.20 

42863 $1,055.05 43900 $1,441.70 44346 $285.65 45224 $162.80 

42866 $1,024.20 43903 $2,402.90 44350 $324.15 45227 $616.90 

42869 $747.80 43906 $2,102.35 44354 $370.90 45230 $308.50 

42872 $327.80 43909 $2,102.35 44358 $206.80 45233 $656.15 

43021 $619.80 43912 $1,986.25 44359 $296.85 45236 $514.50 

43022 $743.90 43915 $1,501.75 44361 $400.80 45239 $362.20 

43023 $120.55 43930 $576.10 44364 $332.60 45240 $362.20 

43500 $147.55 43933 $674.40 44367 $587.00 45400 $283.50 

43503 $244.80 43936 $1,258.45 44370 $810.00 45403 $564.35 

43506 $426.15 43939 $958.85 44373 $1,662.85 45406 $624.75 

43509 $426.15 43942 $299.70 44376 DERIVED 45409 $833.30 

43512 $426.15 43945 $1,258.45 45000 $749.80 45412 $1,145.85 

43515 $426.15 43948 $179.85 45003 $833.30 45415 $1,249.75 

43518 $702.75 43951 $1,126.95 45006 $1,437.20 45418 $1,353.90 

43521 $555.50 43954 $1,378.50 45009 $525.00 45439 $393.85 

43524 $702.75 43957 $1,498.15 45012 $879.50 45442 $812.25 

43801 $1,241.00 43960 $527.05 45015 $416.50 45445 $770.90 

43804 $1,321.30 43963 $2,097.35 45018 $656.00 45448 $520.75 

43807 $1,441.50 43966 $2,397.20 45019 $549.40 45451 $656.15 

43810 $1,681.80 43969 $3,296.10 45020 $549.40 45460 $1,735.90 

43813 $1,681.80 43972 $2,397.20 45021 $245.65 45461 $1,237.15 

43816 $1,561.55 43975 $2,816.70 45024 $552.00 45462 $933.65 

43819 $1,261.25 43978 $2,397.20 45025 $245.65 45464 $2,649.80 

43822 $1,261.25 43981 $659.20 45026 $552.00 45465 $1,887.80 

43825 $1,441.50 43984 $1,678.05 45027 $166.70 45466 $1,423.75 

42808 to 45466


45468 $2,538.35 45536 $634.10 45617 $325.55 45714 $1,083.00 

45469 $1,915.10 45539 $1,483.70 45620 $451.60 45716 $1,083.00 

45471 $3,190.65 45542 $849.55 45623 $1,001.45 45720 $1,339.00 

45472 $2,406.65 45545 $862.20 45624 $1,298.30 45723 $1,510.10 

45474 $3,841.20 45546 $274.00 45625 $259.75 45726 $1,706.50 

45475 $2,898.20 45548 $383.35 45626 $451.60 45729 $1,916.45 

45477 $4,491.75 45551 $614.55 45629 $656.15 45731 $1,942.80 

45478 $3,387.95 45552 $884.55 45632 $709.05 45732 $2,187.25 

45480 $5,142.15 45553 $884.55 45635 $813.85 45735 $2,231.35 

45481 $3,879.65 45554 $968.75 45638 $1,404.50 45738 $2,510.30 

45483 $5,858.70 45555 $884.55 45639 $1,404.50 45741 $2,454.70 

45484 $4,420.40 45556 $1,060.95 45641 $1,499.80 45744 $2,760.00 

45485 $730.85 45557 $1,060.95 45644 $1,772.10 45747 $2,678.05 

45486 $624.75 45558 $1,591.40 45645 $309.70 45752 $2,999.65 

45487 $562.45 45559 $1,574.55 45646 $1,247.10 45753 $3,017.50 

45488 $624.75 45560 $656.00 45647 $1,772.10 45754 $3,617.20 

45489 $937.45 45561 $2,458.00 45650 $204.70 45755 $509.30 

45490 $1,250.00 45562 $1,522.70 45652 $493.55 45758 $911.45 

45491 $1,562.35 45563 $1,522.70 45653 $493.55 45761 $1,036.90 

45492 $1,874.75 45564 $3,526.70 45656 $695.65 45767 $3,478.70 

45493 $562.45 45565 $2,645.15 45659 $721.95 45770 $2,664.75 

45494 $2,269.65 45566 $1,483.70 45660 $3,987.15 45773 $2,428.50 

45496 $576.25 45568 $614.55 45661 $1,772.10 45776 $2,428.50 

45497 $450.05 45569 $938.45 45662 $971.25 45779 $1,785.50 

45498 $362.20 45570 $1,267.25 45665 $451.60 45782 $1,365.20 

45499 $270.05 45572 $404.00 45668 $451.60 45785 $2,310.40 

45500 $1,510.10 45575 $997.45 45669 $451.60 45788 $2,284.05 

45501 $2,458.00 45578 $1,155.20 45671 $1,155.20 45791 $1,233.85 

45502 $2,458.00 45581 $383.35 45674 $336.00 45794 $697.80 

45503 $2,812.15 45584 $874.95 45675 $669.30 45797 $258.25 

45504 $2,458.00 45585 $874.95 45676 $796.80 45799 $40.80 

45505 $2,458.00 45586 $874.95 45677 $749.80 45801 $175.75 

45506 $304.60 45587 $1,233.85 45680 $937.45 45803 $451.60 

45512 $409.55 45588 $1,851.00 45683 $1,041.40 45805 $238.95 

45515 $258.25 45590 $669.30 45686 $1,229.20 45807 $341.40 

45518 $312.60 45593 $786.20 45689 $362.45 45809 $514.50 

45519 $594.25 45596 $1,247.10 45692 $416.50 45811 $695.65 

45520 $1,247.10 45597 $1,669.50 45695 $676.95 45813 $813.85 

45522 $874.95 45599 $1,297.20 45698 $635.35 45815 $493.55 

45524 $1,027.20 45602 $968.75 45701 $1,145.85 45817 $643.35 

45527 $1,027.20 45605 $813.85 45704 $416.50 45819 $813.80 

45528 $1,540.65 45608 $1,145.85 45707 $1,083.00 45821 $527.35 

45530 $1,522.70 45611 $656.15 45710 $676.95 45823 $150.75 

45533 $1,724.55 45614 $813.85 45713 $770.90 45825 $468.65 

45468 to 45825 


25


26 


45827 $447.90 46300 $483.85 46426 $483.85 47003 $121.50 

45829 $341.65 46303 $537.75 46429 $591.45 47006 $244.10 

45831 $447.90 46306 $752.80 46432 $645.35 47009 $243.05 

45833 $562.45 46307 $752.80 46435 $752.80 47012 $485.90 

45835 $697.80 46309 $752.80 46438 $193.60 47015 $121.50 

45837 $812.25 46312 $967.90 46441 $467.75 47018 $283.30 

45839 $812.25 46315 $1,290.45 46442 $401.55 47021 $378.00 

45841 $656.00 46318 $1,613.15 46444 $699.00 47024 $283.30 

45843 $402.35 46321 $1,935.80 46447 $871.05 47027 $378.00 

45845 $697.80 46324 $1,154.35 46450 $322.70 47030 $283.30 

45847 $258.25 46325 $1,204.65 46453 $537.75 47033 $378.00 

45849 $804.50 46327 $290.45 46456 $139.80 47036 $121.50 

45851 $198.00 46330 $494.85 46459 $268.90 47039 $161.85 

45853 $1,233.85 46333 $806.50 46462 $430.05 47042 $161.85 

45855 $566.10 46336 $376.50 46464 $322.70 47045 $216.15 

45857 $905.50 46339 $666.60 46465 $322.70 47048 $465.70 

45859 $456.45 46342 $666.60 46468 $564.65 47051 $620.80 

45861 $1,208.15 46345 $806.50 46471 $806.50 47054 $465.70 

45863 $1,339.30 46348 $349.50 46474 $1,048.60 47057 $182.10 

45865 $402.35 46351 $521.60 46477 $1,290.45 47060 $243.05 

45867 $432.60 46354 $699.00 46480 $537.75 47063 $364.45 

45869 $1,645.75 46357 $871.05 46483 $430.05 47066 $485.90 

45871 $1,853.80 46360 $1,048.60 46486 $322.70 47069 $101.30 

45873 $2,083.15 46363 $301.05 46489 $376.50 47072 $134.80 

45875 $651.90 46366 $182.85 46492 $516.20 47300 $121.50 

45877 $651.90 46369 $301.05 46494 $314.45 47303 $141.80 

45879 $432.60 46372 $611.80 46495 $290.45 47306 $161.85 

45882 $59.50 46375 $725.95 46498 $314.45 47309 $202.50 

45885 $614.55 46378 $967.90 46500 $376.50 47312 $182.10 

45888 $572.80 46381 $430.05 46501 $470.65 47315 $209.30 

45891 $834.35 46384 $430.05 46502 $433.10 47318 $243.05 

45894 $283.50 46387 $887.35 46503 $541.00 47321 $303.65 

45897 $1,480.75 46390 $1,183.15 46504 $1,580.75 47324 $243.05 

45900 $333.95 46393 $1,371.15 46507 $1,839.00 47327 $283.30 

45939 $620.00 46396 $471.25 46510 $501.85 47330 $324.05 

45945 $164.60 46399 $740.35 46513 $80.75 47333 $404.85 

45975 $179.15 46402 $740.35 46516 $161.35 47336 $243.05 

45978 $218.85 46405 $903.45 46519 $201.95 47339 $283.30 

45981 $118.75 46408 $989.45 46522 $602.25 47342 $324.05 

45984 $855.20 46411 $580.75 46525 $80.75 47345 $404.85 

45987 $855.20 46414 $752.65 46528 $242.35 47348 $134.80 

45990 $1,168.05 46417 $699.00 46531 $121.70 47351 $337.60 

45993 $1,168.05 46420 $292.50 46534 $336.65 47354 $243.05 

45996 $331.15 46423 $467.75 47000 $101.30 47357 $539.95 

45827 to 47357


47360 $189.05 47477 $337.60 47603 $809.90 47741 $688.75 

47363 $283.30 47480 $674.90 47606 $337.60 47753 $583.10 

47366 $378.00 47483 $809.90 47609 $506.20 47756 $583.10 

47369 $243.05 47486 $1,349.95 47612 $587.20 47762 $342.40 

47372 $404.85 47489 $2,024.95 47615 $674.90 47765 $562.20 

47375 $539.95 47492 $337.60 47618 $843.85 47768 $688.75 

47378 $243.05 47495 $674.90 47621 $587.20 47771 $791.30 

47381 $364.45 47498 $1,012.40 47624 $809.90 47774 $624.65 

47384 $485.90 47501 $1,349.95 47627 $229.40 47777 $624.65 

47385 $418.30 47504 $2,024.95 47630 $485.90 47780 $812.10 

47386 $674.90 47507 $2,024.95 47633 $161.85 47783 $812.10 

47387 $391.35 47510 $2,024.95 47636 $243.05 47786 $1,030.55 

47390 $587.20 47513 $539.95 47639 $324.05 47789 $1,030.55 

47393 $782.85 47516 $620.80 47642 $216.15 47900 $243.05 

47396 $269.90 47519 $1,242.05 47645 $324.05 47903 $337.60 

47399 $539.95 47522 $1,080.05 47648 $431.65 47904 $81.00 

47402 $404.85 47525 $1,242.05 47651 $337.60 47906 $161.85 

47405 $269.90 47528 $1,080.05 47654 $506.20 47912 $81.00 

47408 $539.95 47531 $1,376.85 47657 $674.90 47915 $243.05 

47411 $161.85 47534 $1,552.45 47663 $202.50 47916 $122.05 

47414 $324.05 47537 $620.80 47666 $337.60 47918 $337.60 

47417 $378.00 47540 $310.40 47672 $161.85 47920 $545.95 

47420 $742.50 47543 $324.05 47678 $243.05 47921 $161.85 

47423 $310.40 47546 $485.90 47681 $61.60 47924 $54.00 

47426 $465.70 47549 $648.00 47684 $1,080.05 47927 $202.50 

47429 $620.80 47552 $539.95 47687 $1,889.60 47930 $378.00 

47432 $776.15 47555 $809.90 47690 $1,484.85 47933 $296.80 

47435 $594.05 47558 $1,080.05 47693 $1,889.60 47936 $364.45 

47438 $945.10 47561 $391.35 47696 $539.95 47948 $229.40 

47441 $1,181.15 47564 $587.20 47699 $2,160.05 47951 $269.90 

47444 $324.05 47565 $1,021.50 47702 $2,699.95 47954 $539.95 

47447 $485.90 47566 $1,302.05 47703 $61.60 47957 $404.85 

47450 $648.00 47567 $681.60 47705 $404.85 47960 $189.05 

47451 $781.15 47570 $782.85 47708 $310.40 47963 $310.40 

47453 $378.00 47573 $978.65 47711 $459.10 47966 $620.80 

47456 $567.15 47576 $161.85 47714 $344.20 47969 $378.00 

47459 $755.95 47579 $229.40 47717 $607.60 47972 $301.95 

47462 $161.85 47582 $472.55 47720 $607.60 47975 $529.30 

47465 $324.05 47585 $607.60 47723 $607.60 47978 $321.45 

47466 $161.85 47588 $1,889.60 47726 $202.50 47981 $215.85 

47467 $324.05 47591 $2,295.15 47729 $337.60 47982 $523.25 

47468 $620.80 47594 $310.40 47732 $539.95 48200 $1,080.05 

47471 $61.60 47597 $465.70 47735 $61.70 48203 $1,309.50 

47474 $269.90 47600 $620.80 47738 $337.60 48206 $810.75 

47360 to 48206 


27


28 


48209 $1,039.50 48648 $1,552.45 49115 $1,619.80 49517 $1,729.80 

48212 $810.75 48651 $2,160.05 49116 $2,138.15 49518 $1,889.60 

48215 $1,039.50 48654 $1,552.45 49117 $2,565.75 49519 $3,319.95 

48218 $810.75 48657 $2,160.05 49118 $391.35 49521 $2,295.15 

48221 $1,080.05 48660 $1,552.45 49121 $877.45 49524 $2,699.95 

48224 $539.95 48663 $1,160.75 49200 $1,174.30 49527 $2,295.15 

48227 $701.95 48666 $701.95 49203 $877.45 49530 $2,835.10 

48230 $607.60 48669 $2,092.30 49206 $809.90 49533 $3,240.05 

48233 $877.45 48672 $1,566.20 49209 $1,080.05 49534 $644.55 

48236 $1,147.40 48675 $945.10 49210 $1,425.65 49536 $1,349.95 

48239 $634.45 48678 $810.75 49211 $1,710.85 49539 $1,349.95 

48242 $877.45 48681 $1,349.95 49212 $337.60 49542 $1,889.60 

48400 $472.55 48684 $1,349.95 49215 $931.60 49545 $1,080.05 

48403 $742.50 48687 $1,889.60 49218 $391.35 49548 $1,349.95 

48406 $472.55 48690 $2,160.05 49221 $877.45 49551 $1,889.60 

48409 $742.50 48691 $2,571.90 49224 $1,012.40 49554 $2,699.95 

48412 $904.25 48692 $1,733.50 49227 $1,012.40 49557 $391.35 

48415 $1,147.40 48693 $838.40 49300 $747.40 49558 $391.35 

48418 $904.25 48900 $404.85 49303 $782.85 49559 $586.05 

48421 $1,147.40 48903 $809.90 49306 $1,552.45 49560 $790.90 

48424 $1,080.05 48906 $809.90 49309 $1,080.05 49561 $966.50 

48427 $1,309.50 48909 $1,080.05 49312 $1,349.95 49562 $1,054.65 

48500 $472.55 48912 $472.55 49315 $1,215.00 49563 $1,142.35 

48503 $472.55 48915 $1,080.05 49318 $1,889.60 49564 $1,317.75 

48506 $701.95 48918 $2,160.05 49319 $3,319.95 49566 $1,080.05 

48509 $337.60 48921 $2,227.40 49321 $2,295.15 49569 $1,080.05 

48512 $1,282.45 48924 $2,565.05 49324 $2,699.95 49700 $391.35 

48600 $134.80 48927 $526.30 49327 $3,104.95 49703 $877.45 

48603 $202.50 48930 $1,080.05 49330 $3,104.95 49706 $472.55 

48606 $1,889.60 48933 $1,417.45 49333 $3,509.95 49709 $1,012.40 

48612 $3,509.95 48936 $1,080.05 49336 $512.90 49712 $1,080.05 

48613 $4,992.60 48939 $1,552.45 49339 $3,982.35 49715 $1,619.80 

48615 $634.45 48942 $2,024.95 49342 $3,982.35 49716 $2,138.15 

48618 $3,509.95 48945 $391.35 49345 $4,724.85 49717 $2,565.75 

48621 $2,295.15 48948 $877.45 49346 $1,215.00 49718 $539.95 

48624 $2,835.10 48951 $1,282.45 49360 $493.20 49721 $337.60 

48627 $3,644.75 48954 $1,349.95 49363 $593.95 49724 $945.10 

48630 $4,049.85 48957 $1,552.45 49366 $877.45 49727 $404.85 

48632 $2,238.75 48960 $1,349.95 49500 $539.95 49728 $809.70 

48636 $1,160.75 49100 $472.55 49503 $701.95 49800 $189.05 

48639 $1,957.30 49103 $1,012.40 49506 $1,053.00 49803 $243.05 

48640 $4,992.60 49106 $1,349.95 49509 $1,080.05 49806 $189.05 

48642 $1,147.40 49109 $1,012.40 49512 $1,552.45 49809 $310.40 

48645 $1,552.45 49112 $1,012.40 49515 $1,215.00 49812 $620.80 

48209 to 49812


49815 $1,080.05 50230 $2,429.90 50408 $1,431.40 50608 $4,913.90 

49818 $391.35 50233 $3,104.95 50411 $1,878.60 50612 $6,989.55 

49821 $620.80 50236 $2,429.90 50414 $2,534.60 50616 $888.10 

49824 $1,086.75 50239 $1,619.80 50417 $1,878.60 50620 $4,913.90 

49827 $674.90 50300 $1,659.95 50420 $1,550.55 50624 $4,913.90 

49830 $1,181.15 50303 $2,266.45 50423 $1,431.40 50628 $6,070.00 

49833 $742.50 50306 $3,538.75 50426 $666.10 50632 $5,102.75 

49836 $1,282.45 50309 $437.40 50450 $1,759.20 50636 $5,669.75 

49837 $928.10 50312 $1,003.90 50451 $1,759.20 50640 $3,134.25 

49838 $1,602.75 50315 $994.05 50455 $1,992.25 50644 $3,024.05 

49839 $742.50 50318 $994.05 50456 $1,992.25 50650 $594.65 

49842 $1,282.45 50321 $1,331.95 50460 $2,974.55 50654 $712.15 

49845 $674.90 50324 $1,898.65 50461 $2,974.55 50658 $283.50 

49848 $229.40 50327 $2,315.95 50465 $4,189.60 51300 $121.95 

49851 $296.80 50330 $327.95 50466 $4,189.60 51303 DERIVED 

49854 $539.95 50333 $884.50 50470 $5,313.40 51306 $176.15 

49857 $499.50 50336 $1,322.10 50471 $5,313.40 51309 DERIVED 

49860 $404.85 50339 $805.25 50475 $6,131.10 51312 DERIVED 

49863 $607.60 50342 $934.30 50476 $6,131.10 51315 $384.85 

49866 $431.65 50345 $497.10 50500 $396.70 51318 $254.00 

49878 $81.00 50348 $327.95 50504 $529.15 51700 $92.75 

50100 $391.35 50349 $459.10 50508 $566.75 51703 $46.60 

50102 $877.45 50351 $2,290.25 50512 $756.05 51800 $120.80 

50103 $472.55 50352 $81.00 50516 $510.20 51803 DERIVED 

50104 $447.85 50353 $508.70 50520 $680.20 51900 $415.55 

50106 $674.90 50354 $1,878.60 50524 $585.75 51902 $94.15 

50109 $674.90 50357 $805.25 50528 $944.85 51904 $579.70 

50112 $517.65 50360 $934.30 50532 $822.15 51906 $881.70 

50115 $205.00 50363 $715.60 50536 $1,096.05 52000 $105.10 

50118 $620.80 50366 $1,252.40 50540 $756.05 52003 $149.80 

50121 $1,215.00 50369 $934.30 50544 $378.00 52006 $149.80 

50127 $1,007.30 50372 $1,640.05 50548 $756.05 52009 $236.60 

50130 $447.85 50375 $715.60 50552 $652.00 52010 $323.70 

50200 $269.90 50378 $1,252.40 50556 $869.25 52012 $29.90 

50201 $472.40 50381 $934.30 50560 $680.20 52015 $140.05 

50203 $594.05 50384 $1,640.05 50564 $907.15 52018 $352.75 

50206 $877.45 50387 $934.30 50568 $793.80 52021 $37.55 

50209 $1,080.05 50390 $327.95 50572 $1,058.35 52024 $66.55 

50212 $2,362.45 50393 $1,212.55 50576 $869.25 52025 $234.35 

50215 $2,969.90 50394 $3,982.35 50580 $907.15 52027 $190.80 

50218 $3,914.95 50396 $666.10 50584 $869.25 52030 $114.65 

50221 $3,644.75 50399 $1,322.10 50588 $1,133.80 52033 $234.35 

50224 $4,049.85 50402 $606.40 50600 $623.35 52034 $54.75 

50227 $4,724.85 50405 $825.05 50604 $2,645.60 52035 $606.80 

49815 to 52035 


29


30 


52036 $161.75 52126 $1,147.65 52375 $3,108.15 52828 $434.35 

52039 $415.55 52129 $1,536.35 52378 $1,074.40 52830 $573.00 

52042 $219.90 52130 $563.95 52379 $1,836.20 52832 $785.80 

52045 $314.15 52131 $779.95 52380 $3,126.65 53000 $39.90 

52048 $473.45 52132 $317.25 52382 $3,748.00 53003 $112.80 

52051 $640.20 52133 $116.05 52420 $346.05 53004 $43.65 

52054 $748.95 52135 $183.90 52424 $679.75 53006 $639.60 

52055 $34.80 52138 $571.70 52430 $1,564.75 53009 $362.85 

52056 $34.80 52141 $565.55 52440 $776.90 53012 $144.25 

52057 $207.65 52144 $527.10 52442 $971.35 53015 $721.05 

52058 $302.80 52147 $497.35 52444 $1,079.05 53016 $593.00 

52059 $341.10 52148 $879.25 52446 $1,273.65 53017 $739.70 

52060 $241.35 52158 $1,415.65 52450 $431.60 53019 $712.75 

52061 $285.00 52180 $239.90 52452 $701.45 53052 $150.75 

52062 $376.90 52182 $528.05 52456 $1,187.25 53054 $150.75 

52063 $454.20 52184 $779.95 52458 $431.60 53056 $88.25 

52064 $216.05 52186 $960.05 52460 $1,122.15 53058 $150.75 

52066 $567.70 52300 $408.10 52480 $720.80 53060 $123.30 

52069 $253.00 52303 $582.75 52482 $693.50 53062 $110.35 

52072 $74.90 52306 $864.55 52484 $825.60 53064 $199.90 

52073 $190.80 52309 $293.75 52600 $450.80 53068 $167.45 

52075 $190.80 52312 $408.10 52603 $430.85 53070 $218.45 

52078 $376.90 52315 $679.90 52606 $328.65 53200 $73.80 

52081 $59.25 52318 $202.70 52609 $430.85 53203 $145.85 

52084 $152.25 52319 $337.90 52612 $541.00 53206 $175.70 

52087 $260.90 52321 $679.90 52615 $671.25 53209 $2,026.80 

52090 $454.20 52324 $679.90 52618 $781.30 53212 $1,094.90 

52092 $592.00 52327 $337.30 52621 $781.30 53215 $502.35 

52094 $748.90 52330 $1,122.15 52624 $631.00 53218 $803.50 

52095 $485.30 52333 $1,122.15 52626 $387.00 53220 $405.05 

52096 $143.85 52336 $701.45 52627 $671.25 53221 $1,072.10 

52097 $203.95 52337 $1,534.30 52630 $248.40 53224 $1,188.45 

52098 $239.90 52339 $798.75 52633 $671.25 53225 $357.00 

52099 $180.00 52342 $1,387.45 52636 $248.40 53226 $383.85 

52102 $180.00 52345 $1,564.75 52800 $340.25 53227 $1,460.35 

52105 $336.00 52348 $1,768.20 52803 $489.95 53230 $1,645.00 

52106 $138.75 52351 $1,985.75 52806 $340.25 53233 $1,848.50 

52108 $415.55 52354 $2,013.05 52809 $582.40 53236 $578.45 

52111 $415.55 52357 $2,266.35 52812 $832.05 53239 $578.45 

52114 $748.95 52360 $2,312.05 52815 $878.20 53242 $383.85 

52117 $891.50 52363 $2,601.05 52818 $582.40 53400 $165.05 

52120 $1,054.45 52366 $2,543.50 52821 $1,266.50 53403 $201.60 

52122 $1,054.45 52369 $2,859.80 52824 $545.45 53406 $519.50 

52123 $1,193.75 52372 $2,774.90 52826 $292.10 53409 $519.50 

52036 to 53409


53410 $109.40 55079 $46.60 55736 $159.10 59974 $104.20 

53411 $305.05 55084 $121.05 55739 $71.40 60000 $686.65 

53412 $500.95 55085 $41.95 55759 $187.90 60003 $1,007.00 

53413 $613.65 55113 $296.55 55762 $75.15 60006 $1,431.90 

53414 $705.05 55114 $296.55 55764 $200.40 60009 $1,675.65 

53415 $556.55 55115 $296.55 55766 $81.40 60012 $686.65 

53416 $556.55 55116 $329.25 55768 $187.90 60015 $1,007.00 

53418 $723.55 55117 $329.25 55770 $75.15 60018 $1,431.90 

53419 $723.55 55118 $306.85 55772 $200.40 60021 $1,675.65 

53422 $918.25 55130 $213.90 55774 $81.40 60024 $686.65 

53423 $918.25 55135 $445.00 58500 $43.70 60027 $1,007.00 

53424 $787.85 55238 $226.65 58503 $58.30 60030 $1,431.90 

53425 $787.85 55244 $226.65 58506 $75.15 60033 $1,675.65 

53427 $1,076.05 55246 $226.65 58509 $49.15 60036 $686.65 

53429 $1,076.05 55248 $226.65 58521 $53.65 60039 $1,007.00 

53439 $305.05 55252 $226.65 58524 $69.90 60042 $1,431.90 

53453 $617.40 55274 $226.65 58527 $85.85 60045 $1,675.65 

53455 $725.20 55276 $226.65 59300 $110.75 60048 $686.65 

53458 $54.95 55278 $226.65 59303 $66.75 60051 $1,007.00 

53459 $300.80 55280 $226.65 59306 $124.10 60054 $1,431.90 

53460 $613.65 55282 $226.65 59309 $248.20 60057 $1,675.65 

53600 $49.70 55284 $226.65 59312 $107.65 60060 $686.65 

53700 $159.45 55292 $226.65 59314 $64.95 60063 $1,007.00 

53702 $79.85 55294 $226.65 59318 $58.20 60066 $1,431.90 

53704 $48.10 55296 $136.85 59700 $119.45 60069 $1,675.65 

53706 $159.45 55600 $134.15 59703 $93.90 60072 $58.55 

55028 $134.40 55603 $134.15 59712 $140.70 60075 $117.00 

55029 $46.60 55700 $75.15 59715 $177.65 60078 $175.60 

55030 $134.40 55703 $43.80 59718 $166.60 60500 $53.65 

55031 $46.60 55704 $87.65 59724 $280.20 60503 $36.80 

55032 $134.40 55705 $43.80 59733 $133.25 60506 $78.85 

55033 $46.60 55706 $125.25 59736 $76.70 60509 $122.35 

55036 $137.10 55707 $87.65 59739 $91.25 61109 $320.55 

55037 $46.60 55708 $43.80 59751 $172.20 61302 $488.55 

55038 $134.40 55709 $47.60 59754 $271.45 61303 $615.30 

55039 $46.60 55712 $144.05 59760 $142.50 61306 $772.50 

55044 $137.10 55715 $50.10 59763 $165.70 61307 $908.75 

55045 $46.60 55718 $125.25 59903 $143.55 61310 $399.80 

55048 $134.90 55721 $144.05 59912 $382.55 61313 $330.15 

55049 $46.60 55723 $47.60 59925 $454.35 61314 $457.15 

55054 $134.40 55725 $50.10 59970 $208.35 61316 $414.85 

55070 $121.05 55729 $34.10 59971 $71.80 61317 $535.95 

55073 $41.95 55731 $122.75 59972 $191.25 61320 $249.15 

55076 $134.40 55733 $43.80 59973 $227.15 61328 $247.75 

53410 to 61328 


31


61340 $275.35 61430 $717.80 75015 $167.15 75606 $348.95 

61348 $482.55 61433 $540.90 75018 $212.90 75609 $520.90 

61352 $282.30 61434 $669.85 75021 $261.05 75612 $644.60 

61353 $420.80 61437 $590.75 75023 $52.25 75615 $238.55 

61356 $427.55 61438 $732.50 75024 $769.35 75618 $296.35 

61360 $439.00 61441 $533.00 75027 $1,055.00 75621 $296.35 

61361 $502.20 61442 $818.90 75030 $939.40 75800 $97.05 

61364 $540.90 61445 $312.15 75033 $1,539.70 75803 $421.85 

61368 $242.80 61446 $363.05 75034 $783.65 75806 $494.80 

61369 $2,194.10 61449 $496.55 75036 $2,126.65 75809 $585.90 

61372 $242.80 61450 $432.70 75037 $2,678.45 75812 $651.00 

61373 $533.00 61453 $560.20 75039 $711.85 75815 $794.35 

61376 $156.00 61454 $378.90 75042 $266.10 75818 $937.45 

61381 $625.15 61457 $512.05 75045 $1,425.05 75821 $755.05 

61383 $680.25 61458 $432.05 75048 $365.45 75824 $872.35 

61384 $748.55 61461 $574.55 75049 $427.75 75827 $1,002.75 

61386 $361.90 61462 $140.40 75050 $825.70 75830 $1,106.80 

61387 $468.85 61465 $288.95 75051 $1,267.55 75833 $1,354.10 

61389 $403.30 61469 $378.90 75150 $100.70 75836 $1,549.45 

61390 $446.20 61473 $190.90 75153 $50.55 75839 $34.95 

61393 $659.05 61480 $421.05 75156 $97.60 75842 $52.10 

61397 $268.65 61484 $958.80 75200 $70.25 75845 $260.55 

61401 $176.65 61485 $1,087.60 75203 $105.45 75848 $312.50 

61402 $658.55 61495 $242.80 75206 $34.95 75851 $156.25 

61405 $376.60 61499 $275.35 75400 $210.80 75854 $156.25 

61409 $950.80 61505 $108.80 75403 $242.05 

61413 $245.90 61523 $1,037.30 75406 $275.90 

61417 $129.35 75001 $100.70 75409 $312.50 

61421 $522.25 75004 $50.55 75412 $174.50 

61425 $653.85 75006 $85.80 75415 $210.80 

61426 $603.85 75009 $76.70 75600 $296.85 

61429 $591.05 75012 $121.55 75603 $348.95 


32 

MBS 

Item No 

61340 to 75854 

Consultations - Derived* Fees per patient 

Number of Patients 

1 2 3 4 5 6 7+ 

00004 $43.65 $31.40 $27.35 $25.30 $24.05 $23.25 $21.00 

00024 $66.35 $54.10 $50.00 $47.95 $46.75 $45.95 $43.70 

00037 $105.65 $93.40 $89.30 $87.25 $86.05 $85.20 $83.00 

00047 $143.90 $131.65 $127.55 $125.50 $124.30 $123.45 $121.25 

00058 $25.70 $17.95 $15.40 $14.10 $13.30 $12.80 $10.90 

00059 $36.75 $28.00 $25.10 $23.65 $22.75 $22.20 $19.95 

00060 $58.25 $50.50 $47.95 $46.65 $45.85 $45.35 $43.45 

00065 $84.80 $77.05 $74.45 $73.15 $72.40 $75.75 $70.00 

00195 $66.35 $54.10 $50.00 $47.95 $46.75 $45.95 $43.70

1300 853 530 

nib.com.au 

nib health funds limited abn 83 000 124 381 Head Office 22 Honeysuckle Drive Newcastle NSW 2300 

nib275801_MGSCHED_V1_1010

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