$409.03
Use 24565 when manipulation is performed during closed treatment. Use 24560 when the fracture is treated closed without manipulation.
On this page
CMS RVU26D · Effective 2026-10-01
24565 in Chico
Office / nonfacility
$621.78
Base rate per service
Facility setting
$496.59
Base rate per service
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
Orthopedic fracture care
About 24565: Closed reduction of humeral epicondylar fracture
Reports closed treatment of a humeral epicondylar fracture when the clinician manipulates the fracture to improve alignment without open exposure.
This code describes nonopen treatment of a fracture at a humeral epicondyle near the elbow, with the clinician manipulating the fracture to improve alignment. Orthopedic surgeons and other qualified clinicians may provide this care after elbow trauma, commonly in a hospital or other facility. The treatment may include immobilization after reduction, with post-manipulation assessment of alignment and neurovascular status.
Choose the code when the documented fracture is epicondylar and manipulation is performed as part of closed treatment. The record should identify the fracture site and describe the reduction and resulting alignment. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 bilateral reporting is paid at 150%. Assistant-at-surgery services are not paid; co-surgeons and team surgery are not permitted.
CMS billing rules for 24565
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral procedure with modifier 50 is paid at 150%.
- Assistant at surgery
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU5.64 · 31%
- Practice expense (office) RVU11.16 · 62%
- Malpractice RVU1.21 · 7%
36
Medicare services in 2024 · #5546 by national volume
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
24565 compared with similar codes
Office rates for Chico, from the same CMS release.
No office rate
24566 describes percutaneous skeletal fixation, rather than closed treatment with manipulation alone.
No office rate
24575 applies when the humeral epicondylar fracture is treated open; 24565 is for closed treatment with manipulation.
$710.53
24535 is for a supracondylar humeral fracture treated closed with manipulation. 24565 is for a humeral epicondylar fracture.
The same code, a different location
How does Chico compare?
In Bakersfield, the office rate for 24565 is $625.11—$3.33 higher than the $621.78 rate in Chico. Both use the same code, release and participation basis.
24565 across payment areas
Same release and payment basis · bars start at $0
Chico · This locality
$621.78
$625.11
$3.33 higher than Chico
$621.99
$0.21 higher than Chico
$621.78
The same base rate than Chico
$621.78
The same base rate than Chico
$42.13 higher than Chico
$621.78
The same base rate than Chico
Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
Across 109 of 109 CMS payment localities with a supported office rate, 24565 ranges from $529.39 in Arkansas to $768.28 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Merced
California · 24565
Office
$621.78
Facility
$496.59
The same base rate than Chico for the office setting.
Modesto
California · 24565
Office
$621.78
Facility
$496.59
The same base rate than Chico for the office setting.
Napa
California · 24565
Office
$712.07
Facility
$561.51
$90.29 higher than Chico for the office setting.
Oxnard-Thousand Oaks-Ventura
California · 24565
Office
$659.43
Facility
$524.41
$37.65 higher than Chico for the office setting.
Redding
California · 24565
Office
$621.78
Facility
$496.59
The same base rate than Chico for the office setting.
Rest Of California
California · 24565
Office
$621.78
Facility
$496.59
The same base rate than Chico for the office setting.
Riverside-San Bernardino-Ontario
California · 24565
Office
$634.78
Facility
$509.59
$13.00 higher than Chico for the office setting.
Sacramento-Roseville-Folsom
California · 24565
Office
$650.34
Facility
$517.49
$28.56 higher than Chico for the office setting.
Salinas
California · 24565
Office
$647.91
Facility
$515.51
$26.13 higher than Chico for the office setting.
San Diego-Chula Vista-Carlsbad
California · 24565
Office
$661.75
Facility
$525.13
$39.97 higher than Chico for the office setting.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 24565
Office
$750.41
Facility
$589.35
$128.63 higher than Chico for the office setting.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 24565
Office
$749.04
Facility
$587.97
$127.26 higher than Chico for the office setting.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 24565
Office
$768.28
Facility
$603.56
$146.50 higher than Chico for the office setting.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 24565
Office
$762.66
Facility
$597.94
$140.88 higher than Chico for the office setting.
San Luis Obispo-Paso Robles
California · 24565
Office
$637.81
Facility
$507.70
$16.03 higher than Chico for the office setting.
Santa Cruz-Watsonville
California · 24565
Office
$666.90
Facility
$528.10
$45.12 higher than Chico for the office setting.
Santa Maria-Santa Barbara
California · 24565
Office
$649.95
Facility
$516.76
$28.17 higher than Chico for the office setting.
Santa Rosa-Petaluma
California · 24565
Office
$673.44
Facility
$533.16
$51.66 higher than Chico for the office setting.
Stockton
California · 24565
Office
$621.78
Facility
$496.59
The same base rate than Chico for the office setting.
Vallejo
California · 24565
Office
$710.09
Facility
$559.53
$88.31 higher than Chico for the office setting.
Visalia
California · 24565
Office
$621.78
Facility
$496.59
The same base rate than Chico for the office setting.
Yuba City
California · 24565
Office
$621.78
Facility
$496.59
The same base rate than Chico for the office setting.
Dc + Md/Va Suburbs
District of Columbia · 24565
Office
$682.64
Facility
$548.08
$60.86 higher than Chico for the office setting.
Miami
Florida · 24565
Office
$678.63
Facility
$559.71
$56.85 higher than Chico for the office setting.
Chicago
Illinois · 24565
Office
$657.07
Facility
$542.27
$35.29 higher than Chico for the office setting.
Manhattan
New York · 24565
Office
$697.68
Facility
$564.94
$75.90 higher than Chico for the office setting.
Alaska*
Alaska · 24565
Office
$701.82
Facility
$580.17
$80.04 higher than Chico for the office setting.
Alabama
Alabama · 24565
Office
$537.42
Facility
$437.46
$84.36 lower than Chico for the office setting.
Arkansas
Arkansas · 24565
Office
$529.39
Facility
$431.27
$92.39 lower than Chico for the office setting.
Arizona
Arizona · 24565
Office
$584.18
Facility
$473.49
$37.60 lower than Chico for the office setting.
Colorado
Colorado · 24565
Office
$618.82
Facility
$497.27
$2.96 lower than Chico for the office setting.
Connecticut
Connecticut · 24565
Office
$642.51
Facility
$519.48
$20.73 higher than Chico for the office setting.
Delaware
Delaware · 24565
Office
$593.94
Facility
$481.08
$27.84 lower than Chico for the office setting.
Fort Lauderdale
Florida · 24565
Office
$639.05
Facility
$523.34
$17.27 higher than Chico for the office setting.
Rest Of Florida
Florida · 24565
Office
$605.48
Facility
$496.27
$16.30 lower than Chico for the office setting.
Atlanta
Georgia · 24565
Office
$616.20
Facility
$500.14
$5.58 lower than Chico for the office setting.
Rest Of Georgia
Georgia · 24565
Office
$569.05
Facility
$467.16
$52.73 lower than Chico for the office setting.
Hawaii, Guam
Hawaii · 24565
Office
$635.60
Facility
$505.72
$13.82 higher than Chico for the office setting.
Iowa
Iowa · 24565
Office
$545.50
Facility
$440.97
$76.28 lower than Chico for the office setting.
Idaho
Idaho · 24565
Office
$550.43
Facility
$445.34
$71.35 lower than Chico for the office setting.
East St. Louis
Illinois · 24565
Office
$612.71
Facility
$507.62
$9.07 lower than Chico for the office setting.
Rest Of Illinois
Illinois · 24565
Office
$591.87
Facility
$487.58
$29.91 lower than Chico for the office setting.
Suburban Chicago
Illinois · 24565
Office
$644.13
Facility
$526.82
$22.35 higher than Chico for the office setting.
Indiana
Indiana · 24565
Office
$553.57
Facility
$447.67
$68.21 lower than Chico for the office setting.
Kansas
Kansas · 24565
Office
$545.72
Facility
$442.46
$76.06 lower than Chico for the office setting.
Kentucky
Kentucky · 24565
Office
$556.74
Facility
$455.19
$65.04 lower than Chico for the office setting.
New Orleans
Louisiana · 24565
Office
$585.05
Facility
$477.56
$36.73 lower than Chico for the office setting.
Rest Of Louisiana
Louisiana · 24565
Office
$556.99
Facility
$455.89
$64.79 lower than Chico for the office setting.
Metropolitan Boston
Massachusetts · 24565
Office
$677.14
Facility
$540.75
$55.36 higher than Chico for the office setting.
Rest Of Massachusetts
Massachusetts · 24565
Office
$616.12
Facility
$495.83
$5.66 lower than Chico for the office setting.
Baltimore/Surr. Cntys
Maryland · 24565
Office
$641.35
Facility
$518.78
$19.57 higher than Chico for the office setting.
Rest Of Maryland
Maryland · 24565
Office
$604.59
Facility
$488.99
$17.19 lower than Chico for the office setting.
Rest Of Maine
Maine · 24565
Office
$556.45
Facility
$451.36
$65.33 lower than Chico for the office setting.
Southern Maine
Maine · 24565
Office
$583.28
Facility
$470.08
$38.50 lower than Chico for the office setting.
Detroit
Michigan · 24565
Office
$616.23
Facility
$506.00
$5.55 lower than Chico for the office setting.
Rest Of Michigan
Michigan · 24565
Office
$574.33
Facility
$470.04
$47.45 lower than Chico for the office setting.
Minnesota
Minnesota · 24565
Office
$583.91
Facility
$466.36
$37.87 lower than Chico for the office setting.
Metropolitan Kansas City
Missouri · 24565
Office
$577.88
Facility
$470.62
$43.90 lower than Chico for the office setting.
Metropolitan St. Louis
Missouri · 24565
Office
$583.74
Facility
$474.99
$38.04 lower than Chico for the office setting.
Rest Of Missouri
Missouri · 24565
Office
$549.06
Facility
$450.59
$72.72 lower than Chico for the office setting.
Mississippi
Mississippi · 24565
Office
$539.19
Facility
$440.84
$82.59 lower than Chico for the office setting.
Montana**
Montana · 24565
Office
$601.47
Facility
$487.24
$20.31 lower than Chico for the office setting.
North Carolina
North Carolina · 24565
Office
$561.99
Facility
$455.41
$59.79 lower than Chico for the office setting.
North Dakota**
North Dakota · 24565
Office
$577.54
Facility
$463.31
$44.24 lower than Chico for the office setting.
Nebraska
Nebraska · 24565
Office
$547.71
Facility
$442.27
$74.07 lower than Chico for the office setting.
New Hampshire
New Hampshire · 24565
Office
$611.78
Facility
$492.87
$10.00 lower than Chico for the office setting.
Northern Nj
New Jersey · 24565
Office
$675.81
Facility
$543.30
$54.03 higher than Chico for the office setting.
Rest Of New Jersey
New Jersey · 24565
Office
$647.30
Facility
$522.56
$25.52 higher than Chico for the office setting.
New Mexico
New Mexico · 24565
Office
$578.74
Facility
$473.99
$43.04 lower than Chico for the office setting.
Nevada**
Nevada · 24565
Office
$595.17
Facility
$480.83
$26.61 lower than Chico for the office setting.
Nyc Suburbs/Long Island
New York · 24565
Office
$718.69
Facility
$582.87
$96.91 higher than Chico for the office setting.
Poughkpsie/N Nyc Suburbs
New York · 24565
Office
$653.93
Facility
$528.84
$32.15 higher than Chico for the office setting.
Queens
New York · 24565
Office
$699.31
Facility
$564.29
$77.53 higher than Chico for the office setting.
Rest Of New York
New York · 24565
Office
$570.91
Facility
$462.39
$50.87 lower than Chico for the office setting.
Ohio
Ohio · 24565
Office
$569.44
Facility
$465.15
$52.34 lower than Chico for the office setting.
Oklahoma
Oklahoma · 24565
Office
$552.65
Facility
$450.64
$69.13 lower than Chico for the office setting.
Portland
Oregon · 24565
Office
$635.59
Facility
$508.68
$13.81 higher than Chico for the office setting.
Rest Of Oregon
Oregon · 24565
Office
$588.06
Facility
$474.28
$33.72 lower than Chico for the office setting.
Metropolitan Philadelphia
Pennsylvania · 24565
Office
$628.02
Facility
$509.11
$6.24 higher than Chico for the office setting.
Rest Of Pennsylvania
Pennsylvania · 24565
Office
$568.76
Facility
$463.90
$53.02 lower than Chico for the office setting.
Puerto Rico
Puerto Rico · 24565
Office
$605.04
Facility
$489.56
$16.74 lower than Chico for the office setting.
Rhode Island
Rhode Island · 24565
Office
$613.07
Facility
$495.06
$8.71 lower than Chico for the office setting.
South Carolina
South Carolina · 24565
Office
$567.16
Facility
$461.61
$54.62 lower than Chico for the office setting.
South Dakota**
South Dakota · 24565
Office
$574.71
Facility
$460.48
$47.07 lower than Chico for the office setting.
Tennessee
Tennessee · 24565
Office
$548.92
Facility
$445.08
$72.86 lower than Chico for the office setting.
Austin
Texas · 24565
Office
$618.94
Facility
$498.08
$2.84 lower than Chico for the office setting.
Beaumont
Texas · 24565
Office
$565.13
Facility
$461.18
$56.65 lower than Chico for the office setting.
Brazoria
Texas · 24565
Office
$590.81
Facility
$477.61
$30.97 lower than Chico for the office setting.
Dallas
Texas · 24565
Office
$596.02
Facility
$482.24
$25.76 lower than Chico for the office setting.
Fort Worth
Texas · 24565
Office
$592.81
Facility
$480.18
$28.97 lower than Chico for the office setting.
Galveston
Texas · 24565
Office
$593.50
Facility
$480.07
$28.28 lower than Chico for the office setting.
Houston
Texas · 24565
Office
$615.64
Facility
$502.21
$6.14 lower than Chico for the office setting.
Rest Of Texas
Texas · 24565
Office
$578.62
Facility
$470.21
$43.16 lower than Chico for the office setting.
Utah
Utah · 24565
Office
$575.06
Facility
$467.69
$46.72 lower than Chico for the office setting.
Virginia
Virginia · 24565
Office
$583.33
Facility
$471.04
$38.45 lower than Chico for the office setting.
Virgin Islands
United States Virgin Islands · 24565
Office
$605.04
Facility
$489.56
$16.74 lower than Chico for the office setting.
Vermont
Vermont · 24565
Office
$577.86
Facility
$464.77
$43.92 lower than Chico for the office setting.
Rest Of Washington
Washington · 24565
Office
$614.10
Facility
$493.81
$7.68 lower than Chico for the office setting.
Seattle (King Cnty)
Washington · 24565
Office
$688.19
Facility
$548.03
$66.41 higher than Chico for the office setting.
Wisconsin
Wisconsin · 24565
Office
$557.93
Facility
$448.49
$63.85 lower than Chico for the office setting.
West Virginia
West Virginia · 24565
Office
$570.14
Facility
$470.87
$51.64 lower than Chico for the office setting.
Wyoming**
Wyoming · 24565
Office
$591.04
Facility
$476.81
$30.74 lower than Chico for the office setting.
See how rates vary across the country
24565 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
$529.39
$701.82
Color shows the midpoint of each state’s locality range.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | $701.82 | 1 |
| AL | $537.42 | 1 |
| AR | $529.39 | 1 |
| AZ | $584.18 | 1 |
| CA | $621.78–$768.28 | 29 |
| CO | $618.82 | 1 |
| CT | $642.51 | 1 |
| DC | $682.64 | 1 |
| DE | $593.94 | 1 |
| FL | $605.48–$678.63 | 3 |
| GA | $569.05–$616.20 | 2 |
| GU | $635.60 | 1 |
| HI | $635.60 | 1 |
| IA | $545.50 | 1 |
| ID | $550.43 | 1 |
| IL | $591.87–$657.07 | 4 |
| IN | $553.57 | 1 |
| KS | $545.72 | 1 |
| KY | $556.74 | 1 |
| LA | $556.99–$585.05 | 2 |
| MA | $616.12–$677.14 | 2 |
| MD | $604.59–$682.64 | 3 |
| ME | $556.45–$583.28 | 2 |
| MI | $574.33–$616.23 | 2 |
| MN | $583.91 | 1 |
| MO | $549.06–$583.74 | 3 |
| MS | $539.19 | 1 |
| MT | $601.47 | 1 |
| NC | $561.99 | 1 |
| ND | $577.54 | 1 |
| NE | $547.71 | 1 |
| NH | $611.78 | 1 |
| NJ | $647.30–$675.81 | 2 |
| NM | $578.74 | 1 |
| NV | $595.17 | 1 |
| NY | $570.91–$718.69 | 5 |
| OH | $569.44 | 1 |
| OK | $552.65 | 1 |
| OR | $588.06–$635.59 | 2 |
| PA | $568.76–$628.02 | 2 |
| PR | $605.04 | 1 |
| RI | $613.07 | 1 |
| SC | $567.16 | 1 |
| SD | $574.71 | 1 |
| TN | $548.92 | 1 |
| TX | $565.13–$618.94 | 8 |
| UT | $575.06 | 1 |
| VA | $583.33–$682.64 | 2 |
| VI | $605.04 | 1 |
| VT | $577.86 | 1 |
| WA | $614.10–$688.19 | 2 |
| WI | $557.93 | 1 |
| WV | $570.14 | 1 |
| WY | $591.04 | 1 |
Where does this rate apply?
Chico is a Medicare payment area. Our Census mapping connects it to 30 cities and communities in California, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
Why are the office and facility amounts different?
For 24565 in Chico, the physician’s office rate is $621.78 and the facility-setting rate is $496.59: a difference of $125.19.
The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 24565 in Chico. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$683.96
$621.78 × 110% = $683.96
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 24565 in Chico.
PPRRVU2026_Oct_nonQPP.csv
2,336
- Code
- 24565
- Physician work
- 5.64
- Practice expense
- 11.16
- Malpractice
- 1.21
GPCI2026.csv
9
- Locality
- Chico
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.64 | × 1.017 | 5.7359 |
| Practice expense | 11.16 | × 1.096 | 12.2314 |
| Malpractice | 1.21 | × 0.536 | 0.6486 |
| Total RVUs | 18.6158 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Chico$621.78
Open 24565 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.64 | 1.017 |
| Practice expense | 11.16 | 1.096 |
| Malpractice | 1.21 | 0.536 |
(5.64 × 1.017 + 11.16 × 1.096 + 1.21 × 0.536) × $33.4009 = $621.78
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.64 | 1.017 |
| Practice expense | 7.74 | 1.096 |
| Malpractice | 1.21 | 0.536 |
(5.64 × 1.017 + 7.74 × 1.096 + 1.21 × 0.536) × $33.4009 = $496.59
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
How this rate has changed
24565 · Office / nonfacility
$621.78
Effective 2026-10-01
The base rate is $57.11 higher than on 2025-10-01, moving from $564.67 to $621.78 (10.1%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
January 1, 2026
RVU26A
$564.67changed to$621.78
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 5.78 changed to 5.64
- Practice expense RVU 10.01 changed to 11.16
- Malpractice RVU 1.17 changed to 1.21
- Work GPCI 1.014 changed to 1.017
- Practice expense GPCI 1.093 changed to 1.096
- Malpractice GPCI 0.560 changed to 0.536
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
Earliest loaded release: $564.67
Held through RVU25B, RVU25C, RVU25D.
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
24565 billing questions
How does this differ from code 24560?
Both describe closed treatment of a humeral epicondylar fracture. Use 24565 when the clinician manipulates the fracture; 24560 is for treatment without manipulation.
When would 24566 or 24575 be considered instead?
These codes describe different treatment methods for an epicondylar fracture: percutaneous skeletal fixation for 24566 and open treatment for 24575. The operative record should support the method performed.
What documentation supports reporting 24565?
Document the humeral epicondylar fracture, the manipulation performed to improve alignment, and the post-reduction findings. Include the treatment and immobilization plan.
How does the global period affect related visits?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How are multiple procedures and bilateral treatment handled?
For procedures in the same session, the highest-valued procedure is paid in full and other procedures are paid at 50%. CMS pays bilateral reporting with modifier 50 at 150%.
Can an assistant or co-surgeon be reported?
CMS does not pay assistant-at-surgery services for this code. Co-surgeons and team surgery are not permitted.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
2,33324545,,Optx hum fx wo ntrcndylr xtn,A,,12.82,10.27,NA,10.27,,2.67,25.76,25.76,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,33424546,,Optx hum fx w/ntrcndylr xtn,A,,14.54,11.01,NA,11.01,,3.00,28.55,28.55,0,090,0.10,0.69,0.21,2,1,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,33524560,,Cltx hum epcndylr fx wo mnpj,A,,2.91,8.17,,6.05,,0.62,11.70,9.58,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,33624565,,Cltx hum epcndylr fx w/mnpj,A,,5.64,11.16,,7.74,,1.21,18.01,14.59,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,33724566,,Prq skel fix epcndylr hum fx,A,,8.83,9.97,NA,9.97,,1.88,20.68,20.68,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,33824575,,Optx humeral epcndylr fx,A,,9.47,9.39,NA,9.39,,1.94,20.80,20.80,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,33924576,,Cltx humrl cndylr fx wo mnpj,A,,2.98,8.65,,6.49,,0.64,12.27,10.11,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515
801112,CA,54,BAKERSFIELD,1.019,1.096,0.609
901112,CA,55,CHICO,1.017,1.096,0.536
1001182,CA,71,EL CENTRO,1.017,1.096,0.541
1101112,CA,56,FRESNO,1.017,1.096,0.536
1201112,CA,57,HANFORD-CORCORAN,1.017,1.096,0.536