Sr. # | CPT Codes | Billing Charge Price |
---|---|---|
1 |
10060 |
$1,052.90 |
2 |
10061 |
$1,052.90 |
3 |
10080 |
$1,052.90 |
4 |
10120 |
$1,052.90 |
5 |
10121 |
$1,050.00 |
6 |
10160 |
$500.00 |
7 |
11000 |
$1,050.00 |
8 |
11042 |
$1,050.00 |
9 |
11719 |
$350.00 |
10 |
11730 |
$1,137.60 |
11 |
11740 |
$540.00 |
12 |
11750 |
$1,050.00 |
13 |
11982 |
$1,135.00 |
14 |
12001 |
$615.00 |
15 |
12002 |
$615.00 |
16 |
12004 |
$595.00 |
17 |
12005 |
$595.00 |
18 |
12011 |
$1,135.00 |
19 |
12013 |
$1,050.00 |
20 |
12014 |
$1,050.00 |
21 |
12032 |
$1,000.00 |
22 |
12041 |
$1,470.00 |
23 |
12042 |
$1,575.00 |
24 |
12044 |
$1,050.00 |
25 |
12051 |
$1,470.00 |
26 |
12052 |
$1,135.00 |
27 |
13120 |
$1,135.00 |
28 |
13152 |
$1,135.00 |
29 |
15850 |
$855.00 |
30 |
16000 |
$1,260.00 |
31 |
16020 |
$1,135.00 |
32 |
19000 |
$2,520.00 |
33 |
19100 |
$2,520.00 |
34 |
20550 |
$850.00 |
35 |
20600 |
$1,000.00 |
36 |
20605 |
$1,050.00 |
37 |
20610 |
$1,050.00 |
38 |
23550 |
$850.00 |
39 |
23650 |
$1,050.00 |
40 |
23665 |
$1,260.00 |
41 |
24105 |
$950.00 |
42 |
24640 |
$1,050.00 |
43 |
26010 |
$1,050.00 |
44 |
26725 |
$1,050.00 |
45 |
28190 |
$1,260.00 |
46 |
29075 |
$915.00 |
47 |
29086 |
$885.00 |
48 |
29105 |
$990.00 |
49 |
29125 |
$845.00 |
50 |
29126 |
$899.00 |
51 |
29130 |
$486.00 |
52 |
29131 |
$546.00 |
53 |
29240 |
$1,050.00 |
54 |
29280 |
$1,050.00 |
55 |
29450 |
$1,050.00 |
56 |
29505 |
$784.00 |
57 |
29515 |
$849.00 |
58 |
29530 |
$1,700.00 |
59 |
29540 |
$1,135.00 |
60 |
29550 |
$1,135.00 |
61 |
29700 |
$1,050.00 |
62 |
30300 |
$1,260.00 |
63 |
30901 |
$1,260.00 |
64 |
30905 |
$1,260.00 |
65 |
3120F |
$230.00 |
66 |
31541 |
$1,000.00 |
67 |
33512 |
$2,520.00 |
68 |
36000 |
$170.00 |
69 |
36010 |
$570.00 |
70 |
36410 |
$315.00 |
71 |
36415 |
$380.00 |
72 |
36416 |
$570.00 |
73 |
36555 |
$750.00 |
74 |
36572 |
$500.00 |
75 |
36600 |
$750.00 |
76 |
43752 |
$1,943.00 |
77 |
51702 |
$1,050.00 |
78 |
51703 |
$1,050.00 |
79 |
57415 |
$1,050.00 |
80 |
58301 |
$1,050.00 |
81 |
64450 |
$1,135.00 |
82 |
64451 |
$500.00 |
83 |
65205 |
$1,260.00 |
84 |
65210 |
$1,050.00 |
85 |
65220 |
$1,135.00 |
86 |
65222 |
$1,260.00 |
87 |
65435 |
$1,135.00 |
88 |
69200 |
$1,135.00 |
89 |
69209 |
$1,135.00 |
90 |
69210 |
$1,260.00 |
91 |
70030 |
$1,825.00 |
92 |
70110 |
$2,115.00 |
93 |
70130 |
$1,520.00 |
94 |
70140 |
$1,995.00 |
95 |
70150 |
$1,995.00 |
96 |
70160 |
$2,520.00 |
97 |
70200 |
$2,520.00 |
98 |
70210 |
$2,520.00 |
99 |
70220 |
$2,520.00 |
100 |
70250 |
$2,270.00 |
101 |
70260 |
$2,270.00 |
102 |
70330 |
$2,520.00 |
103 |
70360 |
$2,520.00 |
104 |
70450 |
$5,670.00 |
105 |
70460 |
$5,670.00 |
106 |
70470 |
$5,670.00 |
107 |
70480 |
$5,670.00 |
108 |
70481 |
$5,670.00 |
109 |
70482 |
$5,670.00 |
110 |
70486 |
$5,670.00 |
111 |
70487 |
$5,670.00 |
112 |
70488 |
$5,040.00 |
113 |
70490 |
$5,040.00 |
114 |
70491 |
$5,670.00 |
115 |
70492 |
$5,040.00 |
116 |
70496 |
$5,040.00 |
117 |
70498 |
$5,040.00 |
118 |
71010 |
$2,270.00 |
119 |
71020 |
$2,270.00 |
120 |
71035 |
$2,520.00 |
121 |
71045 |
$1,975.00 |
122 |
71046 |
$2,520.00 |
123 |
71047 |
$2,520.00 |
124 |
71048 |
$2,520.00 |
125 |
71100 |
$1,895.00 |
126 |
71101 |
$2,195.00 |
127 |
71110 |
$2,520.00 |
128 |
71111 |
$2,520.00 |
129 |
71120 |
$2,520.00 |
130 |
71250 |
$5,670.00 |
131 |
71260 |
$5,670.00 |
132 |
71270 |
$5,670.00 |
133 |
71275 |
$5,670.00 |
134 |
72020 |
$2,520.00 |
135 |
72040 |
$2,520.00 |
136 |
72050 |
$2,520.75 |
137 |
72052 |
$2,520.75 |
138 |
72070 |
$2,520.00 |
139 |
72072 |
$2,520.00 |
140 |
72074 |
$2,520.00 |
141 |
72080 |
$2,520.00 |
142 |
72082 |
$2,520.00 |
143 |
72100 |
$2,715.35 |
144 |
72110 |
$2,975.50 |
145 |
72114 |
$2,520.00 |
146 |
72120 |
$2,520.00 |
147 |
72125 |
$5,670.00 |
148 |
72126 |
$5,040.00 |
149 |
72127 |
$5,775.00 |
150 |
72128 |
$5,670.00 |
151 |
72129 |
$5,040.00 |
152 |
72130 |
$5,670.00 |
153 |
72131 |
$5,670.00 |
154 |
72132 |
$5,670.00 |
155 |
72133 |
$5,670.00 |
156 |
72170 |
$1,759.50 |
157 |
72190 |
$1,845.00 |
158 |
72192 |
$5,670.00 |
159 |
72193 |
$5,689.00 |
160 |
72220 |
$2,520.00 |
161 |
72270 |
$2,520.00 |
162 |
73000 |
$2,520.00 |
163 |
73010 |
$2,520.00 |
164 |
73020 |
$1,899.50 |
165 |
73030 |
$2,695.59 |
166 |
73050 |
$2,520.00 |
167 |
73060 |
$2,520.00 |
168 |
73070 |
$2,520.00 |
169 |
73080 |
$2,520.00 |
170 |
73090 |
$2,520.00 |
171 |
73100 |
$2,520.00 |
172 |
73110 |
$2,637.00 |
173 |
73120 |
$2,153.00 |
174 |
73130 |
$2,520.00 |
175 |
73140 |
$1,895.00 |
176 |
73200 |
$5,670.00 |
177 |
73201 |
$5,670.00 |
178 |
73202 |
$5,670.00 |
179 |
73501 |
$1,750.00 |
180 |
73502 |
$2,520.00 |
181 |
73503 |
$2,520.00 |
182 |
73510 |
$1,795.00 |
183 |
73522 |
$2,520.00 |
184 |
73551 |
$1,100.00 |
185 |
73552 |
$1,985.00 |
186 |
73560 |
$1,680.00 |
187 |
73562 |
$2,750.00 |
188 |
73564 |
$2,520.00 |
189 |
73565 |
$2,520.00 |
190 |
73590 |
$2,520.00 |
191 |
73592 |
$2,520.00 |
192 |
73600 |
$2,520.00 |
193 |
73610 |
$2,520.00 |
194 |
73620 |
$2,115.00 |
195 |
73630 |
$2,250.00 |
196 |
73650 |
$2,520.00 |
197 |
73660 |
$1,466.95 |
198 |
73700 |
$6,670.00 |
199 |
73701 |
$6,475.00 |
200 |
73718 |
$6,511.35 |
201 |
74000 |
$2,520.00 |
202 |
74018 |
$1,785.00 |
203 |
74019 |
$1,715.00 |
204 |
74020 |
$2,520.00 |
205 |
74021 |
$1,990.50 |
206 |
74022 |
$1,895.50 |
207 |
74150 |
$5,980.80 |
208 |
74160 |
$5,980.80 |
209 |
74174 |
$5,670.00 |
210 |
74175 |
$5,975.00 |
211 |
74176 |
$5,670.00 |
212 |
74177 |
$5,670.00 |
213 |
74178 |
$5,675.00 |
214 |
74190 |
$2,520.00 |
215 |
74240 |
$2,520.00 |
216 |
74241 |
$2,520.00 |
217 |
74245 |
$2,520.00 |
218 |
74250 |
$2,520.00 |
219 |
74251 |
$2,520.00 |
220 |
74328 |
$3,568.00 |
221 |
74329 |
$2,520.00 |
222 |
74330 |
$2,738.00 |
223 |
74340 |
$1,250.00 |
224 |
74440 |
$2,520.00 |
225 |
76380 |
$5,670.00 |
226 |
76536 |
$2,520.00 |
227 |
76604 |
$2,270.00 |
228 |
76641 |
$1,570.00 |
229 |
76642 |
$995.00 |
230 |
76700 |
$2,686.67 |
231 |
76705 |
$3,335.50 |
232 |
76770 |
$1,794.00 |
233 |
76775 |
$2,520.00 |
234 |
76801 |
$2,270.00 |
235 |
76802 |
$975.00 |
236 |
76805 |
$2,520.00 |
237 |
76810 |
$2,520.00 |
238 |
76816 |
$1,545.00 |
239 |
76817 |
$2,520.00 |
240 |
76830 |
$2,673.50 |
241 |
76856 |
$2,520.00 |
242 |
76857 |
$2,270.00 |
243 |
76870 |
$3,045.00 |
244 |
76881 |
$2,520.00 |
245 |
76882 |
$1,150.00 |
246 |
80047 |
$1,295.00 |
247 |
80048 |
$1,192.00 |
248 |
80051 |
$450.00 |
249 |
80053 |
$1,495.00 |
250 |
80061 |
$1,260.00 |
251 |
80076 |
$1,215.00 |
252 |
80102 |
$230.00 |
253 |
80299 |
$850.00 |
254 |
80305 |
$411.00 |
255 |
80307 |
$630.00 |
256 |
80320 |
$570.00 |
257 |
80324 |
$630.00 |
258 |
80329 |
$570.00 |
259 |
80335 |
$230.00 |
260 |
80345 |
$630.00 |
261 |
80346 |
$630.00 |
262 |
80347 |
$525.00 |
263 |
80348 |
$525.00 |
264 |
80349 |
$400.00 |
265 |
80351 |
$630.00 |
266 |
80352 |
$170.00 |
267 |
80353 |
$630.00 |
268 |
80356 |
$115.00 |
269 |
80358 |
$630.00 |
270 |
80359 |
$630.00 |
271 |
80361 |
$630.00 |
272 |
80362 |
$570.00 |
273 |
80365 |
$630.00 |
274 |
80366 |
$285.00 |
275 |
80367 |
$230.00 |
276 |
80373 |
$570.00 |
277 |
80374 |
$570.00 |
278 |
81000 |
$425.00 |
279 |
81001 |
$575.00 |
280 |
81002 |
$250.00 |
281 |
81003 |
$454.00 |
282 |
81025 |
$570.00 |
283 |
82010 |
$318.00 |
284 |
82040 |
$170.00 |
285 |
82075 |
$500.00 |
286 |
82150 |
$477.00 |
287 |
82247 |
$305.00 |
288 |
82248 |
$375.00 |
289 |
82270 |
$1,260.00 |
290 |
82272 |
$1,260.00 |
291 |
82310 |
$420.00 |
292 |
82330 |
$420.00 |
293 |
82374 |
$420.00 |
294 |
82435 |
$335.00 |
295 |
82465 |
$450.00 |
296 |
82533 |
$340.00 |
297 |
82550 |
$390.00 |
298 |
82553 |
$650.00 |
299 |
82565 |
$350.00 |
300 |
82747 |
$298.50 |
301 |
82784 |
$675.00 |
302 |
82803 |
$541.00 |
303 |
82945 |
$395.00 |
304 |
82947 |
$230.00 |
305 |
82948 |
$570.00 |
306 |
82962 |
$150.00 |
307 |
82977 |
$500.00 |
308 |
83009 |
$505.00 |
309 |
83013 |
$570.00 |
310 |
83036 |
$275.00 |
311 |
83525 |
$285.00 |
312 |
83605 |
$475.00 |
313 |
83615 |
$500.00 |
314 |
83690 |
$463.00 |
315 |
83718 |
$350.00 |
316 |
83735 |
$500.00 |
317 |
83874 |
$650.00 |
318 |
83880 |
$880.00 |
319 |
83992 |
$450.00 |
320 |
84075 |
$255.00 |
321 |
84100 |
$243.00 |
322 |
84132 |
$375.00 |
323 |
84155 |
$289.00 |
324 |
84157 |
$354.00 |
325 |
84295 |
$289.00 |
326 |
84436 |
$365.00 |
327 |
84439 |
$448.00 |
328 |
84443 |
$645.00 |
329 |
84450 |
$297.00 |
330 |
84460 |
$250.00 |
331 |
84478 |
$715.00 |
332 |
84479 |
$335.00 |
333 |
84480 |
$570.00 |
334 |
84481 |
$475.00 |
335 |
84484 |
$879.00 |
336 |
84512 |
$340.00 |
337 |
84520 |
$359.00 |
338 |
84550 |
$570.00 |
339 |
84702 |
$980.00 |
340 |
84703 |
$850.00 |
341 |
85025 |
$1,260.00 |
342 |
85027 |
$340.00 |
343 |
85379 |
$875.00 |
344 |
85610 |
$778.40 |
345 |
85651 |
$570.00 |
346 |
85652 |
$140.00 |
347 |
85730 |
$299.00 |
348 |
86038 |
$342.50 |
349 |
86039 |
$434.00 |
350 |
86060 |
$155.00 |
351 |
86140 |
$420.00 |
352 |
86235 |
$570.00 |
353 |
86308 |
$436.85 |
354 |
86328 |
$300.00 |
355 |
86431 |
$256.00 |
356 |
86677 |
$570.00 |
357 |
86689 |
$387.75 |
358 |
86701 |
$525.00 |
359 |
86901 |
$850.00 |
360 |
87015 |
$286.75 |
361 |
87040 |
$385.79 |
362 |
87045 |
$794.00 |
363 |
87070 |
$510.00 |
364 |
87075 |
$570.00 |
365 |
87076 |
$430.00 |
366 |
87077 |
$570.00 |
367 |
87081 |
$570.00 |
368 |
87086 |
$387.50 |
369 |
87088 |
$286.89 |
370 |
87205 |
$349.75 |
371 |
87338 |
$630.00 |
372 |
87420 |
$475.00 |
373 |
87426 |
$300.00 |
374 |
87486 |
$400.00 |
375 |
87491 |
$630.00 |
376 |
87581 |
$300.00 |
377 |
87591 |
$340.00 |
378 |
87633 |
$600.00 |
379 |
87635 |
$500.00 |
380 |
87798 |
$400.00 |
381 |
87804 |
$478.80 |
382 |
87806 |
$1,050.00 |
383 |
87807 |
$630.00 |
384 |
87880 |
$865.20 |
385 |
89051 |
$414.40 |
386 |
89055 |
$570.00 |
387 |
89240 |
$204.95 |
388 |
90471 |
$252.75 |
389 |
90472 |
$350.00 |
390 |
90714 |
$672.00 |
391 |
90715 |
$630.00 |
392 |
93000 |
$630.00 |
393 |
93005 |
$800.00 |
394 |
93010 |
$800.00 |
395 |
93040 |
$800.00 |
396 |
93042 |
$630.00 |
397 |
93224 |
$1,010.00 |
398 |
93307 |
$2,400.00 |
399 |
93631 |
$760.00 |
400 |
93880 |
$2,051.00 |
401 |
93922 |
$2,434.15 |
402 |
93923 |
$2,520.00 |
403 |
93925 |
$2,975.33 |
404 |
93926 |
$2,270.00 |
405 |
93930 |
$2,733.00 |
406 |
93931 |
$2,479.85 |
407 |
93970 |
$2,879.55 |
408 |
93971 |
$2,520.00 |
409 |
93975 |
$3,179.50 |
410 |
93980 |
$1,733.20 |
411 |
94640 |
$289.00 |
412 |
94760 |
$380.80 |
413 |
94761 |
$340.00 |
414 |
94762 |
$570.00 |
415 |
96360 |
$1,260.00 |
416 |
96361 |
$595.00 |
417 |
96365 |
$1,260.00 |
418 |
96366 |
$781.20 |
419 |
96367 |
$1,038.80 |
420 |
96368 |
$800.00 |
421 |
96372 |
$1,260.00 |
422 |
96374 |
$1,030.40 |
423 |
96375 |
$705.60 |
424 |
96376 |
$711.20 |
425 |
96377 |
$800.00 |
426 |
97010 |
$142.80 |
427 |
97116 |
$649.60 |
428 |
97542 |
$512.40 |
429 |
97597 |
$995.75 |
430 |
98925 |
$200.00 |
431 |
99000 |
$850.00 |
432 |
99024 |
$760.00 |
433 |
99070 |
$250.00 |
434 |
99151 |
$525.00 |
435 |
99173 |
$1,510.00 |
436 |
99217 |
$1,500.00 |
437 |
99218 |
$2,100.00 |
438 |
99219 |
$2,100.00 |
439 |
99220 |
$2,100.00 |
440 |
99234 |
$2,100.00 |
441 |
99235 |
$2,100.00 |
442 |
99236 |
$2,100.00 |
443 |
99281 |
$999.01 |
444 |
99282 |
$2,256.00 |
445 |
99283 |
$4,200.00 |
446 |
99284 |
$4,500.00 |
447 |
99285 |
$5,000.00 |
448 |
99291 |
$3,996.00 |
449 |
99292 |
$2,094.40 |
450 |
A0382 |
$75.00 |
451 |
A0394 |
$75.00 |
452 |
A4206 |
$125.00 |
453 |
A4207 |
$90.00 |
454 |
A4208 |
$125.00 |
455 |
A4209 |
$125.00 |
456 |
A4210 |
$125.00 |
457 |
A4211 |
$90.00 |
458 |
A4212 |
$125.00 |
459 |
A4213 |
$125.00 |
460 |
A4215 |
$125.00 |
461 |
A4216 |
$125.00 |
462 |
A4217 |
$90.00 |
463 |
A4221 |
$125.00 |
464 |
A4224 |
$125.00 |
465 |
A4232 |
$90.00 |
466 |
A4244 |
$125.00 |
467 |
A4245 |
$125.00 |
468 |
A4246 |
$125.00 |
469 |
A4247 |
$75.00 |
470 |
A4248 |
$125.00 |
471 |
A4253 |
$75.00 |
472 |
A4281 |
$125.00 |
473 |
A4283 |
$125.00 |
474 |
A4300 |
$90.00 |
475 |
A4310 |
$125.00 |
476 |
A4314 |
$125.00 |
477 |
A4315 |
$90.00 |
478 |
A4322 |
$115.00 |
479 |
A4327 |
$125.00 |
480 |
A4332 |
$75.00 |
481 |
A4338 |
$115.00 |
482 |
A4352 |
$90.00 |
483 |
A4353 |
$125.00 |
484 |
A4358 |
$125.00 |
485 |
A4369 |
$125.00 |
486 |
A4402 |
$90.00 |
487 |
A4406 |
$90.00 |
488 |
A4450 |
$125.00 |
489 |
A4452 |
$125.00 |
490 |
A4458 |
$115.00 |
491 |
A4461 |
$125.00 |
492 |
A4465 |
$90.00 |
493 |
A4470 |
$75.00 |
494 |
A4550 |
$125.00 |
495 |
A4554 |
$75.00 |
496 |
A4556 |
$125.00 |
497 |
A4558 |
$115.00 |
498 |
A4562 |
$90.00 |
499 |
A4565 |
$125.00 |
500 |
A4566 |
$90.00 |
501 |
A4570 |
$375.00 |
502 |
A4580 |
$115.00 |
503 |
A4606 |
$125.00 |
504 |
A4613 |
$125.00 |
505 |
A4615 |
$125.00 |
506 |
A4616 |
$90.00 |
507 |
A4620 |
$125.00 |
508 |
A4628 |
$125.00 |
509 |
A4629 |
$75.00 |
510 |
A4635 |
$500.00 |
511 |
A4649 |
$125.00 |
512 |
A4653 |
$75.00 |
513 |
A4657 |
$125.00 |
514 |
A4670 |
$125.00 |
515 |
A4673 |
$125.00 |
516 |
A4750 |
$75.00 |
517 |
A4770 |
$125.00 |
518 |
A4927 |
$45.00 |
519 |
A4930 |
$45.00 |
520 |
A5112 |
$125.00 |
521 |
A5120 |
$125.00 |
522 |
A5126 |
$125.00 |
523 |
A6021 |
$115.00 |
524 |
A6196 |
$125.00 |
525 |
A6203 |
$125.00 |
526 |
A6208 |
$125.00 |
527 |
A6209 |
$125.00 |
528 |
A6212 |
$90.00 |
529 |
A6216 |
$125.00 |
530 |
A6217 |
$125.00 |
531 |
A6218 |
$90.00 |
532 |
A6219 |
$90.00 |
533 |
A6220 |
$90.00 |
534 |
A6221 |
$75.00 |
535 |
A6222 |
$90.00 |
536 |
A6223 |
$75.00 |
537 |
A6224 |
$125.00 |
538 |
A6231 |
$125.00 |
539 |
A6233 |
$125.00 |
540 |
A6235 |
$75.00 |
541 |
A6238 |
$75.00 |
542 |
A6239 |
$90.00 |
543 |
A6246 |
$125.00 |
544 |
A6248 |
$125.00 |
545 |
A6250 |
$125.00 |
546 |
A6251 |
$125.00 |
547 |
A6252 |
$125.00 |
548 |
A6253 |
$125.00 |
549 |
A6254 |
$125.00 |
550 |
A6255 |
$90.00 |
551 |
A6257 |
$125.00 |
552 |
A6258 |
$125.00 |
553 |
A6266 |
$125.00 |
554 |
A6402 |
$125.00 |
555 |
A6403 |
$90.00 |
556 |
A6404 |
$125.00 |
557 |
A6407 |
$90.00 |
558 |
A6412 |
$75.00 |
559 |
A6413 |
$125.00 |
560 |
A6441 |
$90.00 |
561 |
A6442 |
$115.00 |
562 |
A6445 |
$125.00 |
563 |
A6446 |
$125.00 |
564 |
A6447 |
$75.00 |
565 |
A6448 |
$125.00 |
566 |
A6449 |
$115.00 |
567 |
A6450 |
$90.00 |
568 |
A6453 |
$125.00 |
569 |
A6454 |
$90.00 |
570 |
A6455 |
$125.00 |
571 |
A6456 |
$125.00 |
572 |
A6457 |
$125.00 |
573 |
A6530 |
$75.00 |
574 |
A6545 |
$90.00 |
575 |
A7000 |
$125.00 |
576 |
A7001 |
$125.00 |
577 |
A7002 |
$125.00 |
578 |
A7003 |
$125.00 |
579 |
A7004 |
$125.00 |
580 |
A7005 |
$125.00 |
581 |
A7006 |
$75.00 |
582 |
A7015 |
$90.00 |
583 |
A7030 |
$90.00 |
584 |
A7031 |
$125.00 |
585 |
A7046 |
$125.00 |
586 |
A7047 |
$125.00 |
587 |
A9150 |
$75.00 |
588 |
A9270 |
$90.00 |
589 |
A9273 |
$125.00 |
590 |
A9281 |
$125.00 |
591 |
B4082 |
$250.00 |
592 |
C1722 |
$2,150.00 |
593 |
C1751 |
$2,120.00 |
594 |
C1781 |
$1,541.00 |
595 |
C2618 |
$340.00 |
596 |
C9285 |
$85.00 |
597 |
E0110 |
$699.75 |
598 |
E0114 |
$795.80 |
599 |
E0116 |
$599.75 |
600 |
E0168 |
$380.00 |
601 |
E0240 |
$115.00 |
602 |
E0275 |
$230.00 |
603 |
E0325 |
$145.00 |
604 |
E0326 |
$145.00 |
605 |
E0487 |
$350.00 |
606 |
E0570 |
$910.00 |
607 |
E0607 |
$570.00 |
608 |
E0625 |
$455.00 |
609 |
G0168 |
$380.00 |
610 |
G0378 |
$2,520.00 |
611 |
G0402 |
$2,100.00 |
612 |
G6058 |
$570.00 |
613 |
G8598 |
$60.00 |
614 |
G8601 |
$1,135.00 |
615 |
G8602 |
$1,135.00 |
616 |
J0120 |
$190.00 |
617 |
J0129 |
$190.00 |
618 |
J0131 |
$30.00 |
619 |
J0153 |
$115.00 |
620 |
J0171 |
$190.00 |
621 |
J0282 |
$115.00 |
622 |
J0290 |
$50.00 |
623 |
J0360 |
$190.00 |
624 |
J0456 |
$190.00 |
625 |
J0461 |
$60.00 |
626 |
J0500 |
$225.85 |
627 |
J0561 |
$190.00 |
628 |
J0610 |
$30.00 |
629 |
J0690 |
$190.00 |
630 |
J0696 |
$190.00 |
631 |
J0697 |
$115.00 |
632 |
J0735 |
$115.00 |
633 |
J0744 |
$190.00 |
634 |
J1020 |
$90.00 |
635 |
J1030 |
$100.00 |
636 |
J1040 |
$100.00 |
637 |
J1100 |
$20.00 |
638 |
J1170 |
$190.00 |
639 |
J1200 |
$50.00 |
640 |
J1550 |
$30.00 |
641 |
J1610 |
$491.00 |
642 |
J1631 |
$315.00 |
643 |
J1642 |
$29.00 |
644 |
J1644 |
$190.00 |
645 |
J1650 |
$142.00 |
646 |
J1741 |
$115.00 |
647 |
J1810 |
$115.00 |
648 |
J1815 |
$50.00 |
649 |
J1817 |
$115.00 |
650 |
J1885 |
$95.00 |
651 |
J1930 |
$290.53 |
652 |
J1940 |
$165.00 |
653 |
J1956 |
$190.00 |
654 |
J2001 |
$129.00 |
655 |
J2060 |
$190.00 |
656 |
J2175 |
$115.00 |
657 |
J2250 |
$190.00 |
658 |
J2270 |
$190.00 |
659 |
J2274 |
$190.00 |
660 |
J2360 |
$190.00 |
661 |
J2405 |
$20.00 |
662 |
J2410 |
$115.00 |
663 |
J2425 |
$115.00 |
664 |
J2504 |
$115.00 |
665 |
J2543 |
$190.00 |
666 |
J2550 |
$144.00 |
667 |
J2704 |
$115.00 |
668 |
J2765 |
$190.00 |
669 |
J2780 |
$115.00 |
670 |
J2800 |
$385.00 |
671 |
J2920 |
$137.50 |
672 |
J2930 |
$190.00 |
673 |
J3010 |
$190.00 |
674 |
J3030 |
$315.00 |
675 |
J3260 |
$440.00 |
676 |
J3301 |
$50.00 |
677 |
J3360 |
$153.00 |
678 |
J3370 |
$190.00 |
679 |
J3430 |
$299.00 |
680 |
J3475 |
$115.00 |
681 |
J3480 |
$125.00 |
682 |
J3490 |
$30.00 |
683 |
J7030 |
$246.40 |
684 |
J7040 |
$221.00 |
685 |
J7042 |
$260.40 |
686 |
J7050 |
$250.00 |
687 |
J7060 |
$250.00 |
688 |
J7070 |
$115.00 |
689 |
J7120 |
$250.00 |
690 |
J7121 |
$250.00 |
691 |
J7131 |
$115.00 |
692 |
J7192 |
$115.00 |
693 |
J7313 |
$115.00 |
694 |
J7510 |
$10.00 |
695 |
J7611 |
$190.00 |
696 |
J7613 |
$190.00 |
697 |
J7614 |
$190.00 |
698 |
J7615 |
$190.00 |
699 |
J7620 |
$190.00 |
700 |
J7631 |
$115.00 |
701 |
J7637 |
$115.00 |
702 |
J7644 |
$190.00 |
703 |
J7682 |
$115.00 |
704 |
J7699 |
$115.00 |
705 |
J8498 |
$115.00 |
706 |
J8499 |
$115.00 |
707 |
J9206 |
$115.00 |
708 |
L0112 |
$1,135.00 |
709 |
L0120 |
$645.00 |
710 |
L0150 |
$150.00 |
711 |
L0172 |
$150.00 |
712 |
L0174 |
$1,260.00 |
713 |
L1810 |
$1,560.00 |
714 |
L1830 |
$529.50 |
715 |
L1902 |
$65.00 |
716 |
L2360 |
$469.75 |
717 |
L3031 |
$575.00 |
718 |
L3201 |
$425.00 |
719 |
L3209 |
$425.00 |
720 |
L3250 |
$575.00 |
721 |
L3260 |
$650.00 |
722 |
L3310 |
$415.00 |
723 |
L3500 |
$390.00 |
724 |
L3540 |
$575.00 |
725 |
L3650 |
$125.00 |
726 |
L3660 |
$575.00 |
727 |
L3670 |
$672.50 |
728 |
L3720 |
$975.00 |
729 |
L3807 |
$500.00 |
730 |
L3808 |
$1,890.00 |
731 |
L3809 |
$1,890.00 |
732 |
L3905 |
$1,890.00 |
733 |
L3906 |
$1,890.00 |
734 |
L3908 |
$195.00 |
735 |
L4350 |
$265.00 |
736 |
L4360 |
$275.00 |
737 |
L4361 |
$275.00 |
738 |
L4386 |
$275.00 |
739 |
L4387 |
$275.00 |
740 |
L4398 |
$153.00 |
741 |
L4631 |
$275.00 |
742 |
P9612 |
$115.00 |
743 |
Q0144 |
$570.00 |
744 |
Q0169 |
$115.00 |
745 |
Q4001 |
$1,010.00 |
746 |
Q4006 |
$1,010.00 |
747 |
Q4018 |
$340.00 |
748 |
Q4019 |
$800.00 |
749 |
Q4020 |
$680.00 |
750 |
Q4021 |
$735.00 |
751 |
Q4022 |
$570.00 |
752 |
Q4023 |
$570.00 |
753 |
Q4024 |
$570.00 |
754 |
Q4042 |
$1,010.00 |
755 |
Q4046 |
$1,010.00 |
756 |
Q4049 |
$112.50 |
757 |
Q9962 |
$570.00 |
758 |
Q9963 |
$230.00 |
759 |
Q9967 |
$15.00 |
760 |
S0020 |
$175.00 |
761 |
S0028 |
$125.00 |
762 |
S0030 |
$125.00 |
763 |
S0077 |
$125.00 |
764 |
S0164 |
$125.00 |
765 |
S0630 |
$340.00 |
766 |
S1015 |
$75.00 |
767 |
S8100 |
$125.00 |
768 |
S8101 |
$125.00 |
769 |
S8430 |
$75.00 |
770 |
S8431 |
$95.00 |
771 |
S8451 |
$125.00 |
772 |
U0001 |
$250.00 |