$225.38
Use 78707 for one renal flow and function study without pharmacological intervention. This code describes multiple studies.
On this page
CMS RVU26D · Effective 2026-10-01
78709 in El Centro
Office / nonfacility
$351.63
Base rate per service
Facility setting
Not available in this setting
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.
Nuclear medicine
About 78709: Multiple renal flow and function studies
Reports nuclear medicine kidney imaging that evaluates blood flow and function across multiple studies, rather than a single renal flow and function study.
This service uses a radiopharmaceutical and nuclear imaging to assess renal perfusion and function across multiple studies. A nuclear medicine technologist typically acquires the images in a hospital department or imaging center, and a physician interprets the findings. Such imaging may help evaluate renal function or suspected urinary obstruction; the documented protocol should make clear what studies were performed and what they assessed.
Select this code when the service comprises multiple kidney flow and function studies, not simply multiple images or views within one study. The report should identify the study protocols and findings supporting that scope. CMS recognizes professional and technical components: report modifier 26 for the physician’s interpretation, modifier TC for the equipment and staff, or neither modifier for the global service. CMS separately prices both modifiers.
CMS billing rules for 78709
- Professional and technical components
- Diagnostic test with a professional component (modifier 26, interpretation) and a technical component (modifier TC, equipment and staff); billing without a modifier is the global service.
Where the value comes from
- Work RVU1.37 · 14%
- Practice expense (office) RVU8.27 · 85%
- Malpractice RVU0.13 · 1%
3.8K
Medicare services in 2024 · #2032 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.
78709 compared with similar codes
Office rates for El Centro, from the same CMS release.
$183.74
Use 78708 for one renal flow and function study with pharmacological intervention. This code is for multiple studies.
$220.01
78701 focuses on kidney morphology with vascular flow; this code describes multiple studies evaluating renal flow and function.
The same code, a different location
How does El Centro compare?
In Bakersfield, the office rate for 78709 is $352.02—$0.39 higher than the $351.63 rate in El Centro. Both use the same code, release and participation basis.
78709 across payment areas
Same release and payment basis · bars start at $0
El Centro · This locality
$351.63
$352.02
$0.39 higher than El Centro
$351.61
$0.02 lower than El Centro
$351.61
$0.02 lower than El Centro
$351.61
$0.02 lower than El Centro
$25.66 higher than El Centro
$351.61
$0.02 lower than El Centro
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, 78709 ranges from $285.27 in Arkansas to $451.44 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 · 78709
Office
$351.61
Facility
Unavailable
$0.02 lower than El Centro for the office setting.
Modesto
California · 78709
Office
$351.61
Facility
Unavailable
$0.02 lower than El Centro for the office setting.
Napa
California · 78709
Office
$414.91
Facility
Unavailable
$63.28 higher than El Centro for the office setting.
Oxnard-Thousand Oaks-Ventura
California · 78709
Office
$376.24
Facility
Unavailable
$24.61 higher than El Centro for the office setting.
Redding
California · 78709
Office
$351.61
Facility
Unavailable
$0.02 lower than El Centro for the office setting.
Rest Of California
California · 78709
Office
$351.61
Facility
Unavailable
$0.02 lower than El Centro for the office setting.
Riverside-San Bernardino-Ontario
California · 78709
Office
$353.03
Facility
Unavailable
$1.40 higher than El Centro for the office setting.
Sacramento-Roseville-Folsom
California · 78709
Office
$370.98
Facility
Unavailable
$19.35 higher than El Centro for the office setting.
Salinas
California · 78709
Office
$369.65
Facility
Unavailable
$18.02 higher than El Centro for the office setting.
San Diego-Chula Vista-Carlsbad
California · 78709
Office
$379.85
Facility
Unavailable
$28.22 higher than El Centro for the office setting.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 78709
Office
$441.58
Facility
Unavailable
$89.95 higher than El Centro for the office setting.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 78709
Office
$441.43
Facility
Unavailable
$89.80 higher than El Centro for the office setting.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 78709
Office
$451.44
Facility
Unavailable
$99.81 higher than El Centro for the office setting.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 78709
Office
$450.83
Facility
Unavailable
$99.20 higher than El Centro for the office setting.
San Luis Obispo-Paso Robles
California · 78709
Office
$363.49
Facility
Unavailable
$11.86 higher than El Centro for the office setting.
Santa Cruz-Watsonville
California · 78709
Office
$384.66
Facility
Unavailable
$33.03 higher than El Centro for the office setting.
Santa Maria-Santa Barbara
California · 78709
Office
$371.45
Facility
Unavailable
$19.82 higher than El Centro for the office setting.
Santa Rosa-Petaluma
California · 78709
Office
$388.66
Facility
Unavailable
$37.03 higher than El Centro for the office setting.
Stockton
California · 78709
Office
$351.61
Facility
Unavailable
$0.02 lower than El Centro for the office setting.
Vallejo
California · 78709
Office
$414.70
Facility
Unavailable
$63.07 higher than El Centro for the office setting.
Visalia
California · 78709
Office
$351.61
Facility
Unavailable
$0.02 lower than El Centro for the office setting.
Yuba City
California · 78709
Office
$351.61
Facility
Unavailable
$0.02 lower than El Centro for the office setting.
Dc + Md/Va Suburbs
District of Columbia · 78709
Office
$378.46
Facility
Unavailable
$26.83 higher than El Centro for the office setting.
Miami
Florida · 78709
Office
$344.29
Facility
Unavailable
$7.34 lower than El Centro for the office setting.
Chicago
Illinois · 78709
Office
$333.65
Facility
Unavailable
$17.98 lower than El Centro for the office setting.
Manhattan
New York · 78709
Office
$376.55
Facility
Unavailable
$24.92 higher than El Centro for the office setting.
Alaska*
Alaska · 78709
Office
$365.21
Facility
Unavailable
$13.58 higher than El Centro for the office setting.
Alabama
Alabama · 78709
Office
$289.91
Facility
Unavailable
$61.72 lower than El Centro for the office setting.
Arkansas
Arkansas · 78709
Office
$285.27
Facility
Unavailable
$66.36 lower than El Centro for the office setting.
Arizona
Arizona · 78709
Office
$317.14
Facility
Unavailable
$34.49 lower than El Centro for the office setting.
Colorado
Colorado · 78709
Office
$343.60
Facility
Unavailable
$8.03 lower than El Centro for the office setting.
Connecticut
Connecticut · 78709
Office
$349.42
Facility
Unavailable
$2.21 lower than El Centro for the office setting.
Delaware
Delaware · 78709
Office
$322.80
Facility
Unavailable
$28.83 lower than El Centro for the office setting.
Fort Lauderdale
Florida · 78709
Office
$333.43
Facility
Unavailable
$18.20 lower than El Centro for the office setting.
Rest Of Florida
Florida · 78709
Office
$316.36
Facility
Unavailable
$35.27 lower than El Centro for the office setting.
Atlanta
Georgia · 78709
Office
$331.76
Facility
Unavailable
$19.87 lower than El Centro for the office setting.
Rest Of Georgia
Georgia · 78709
Office
$297.33
Facility
Unavailable
$54.30 lower than El Centro for the office setting.
Hawaii, Guam
Hawaii · 78709
Office
$362.34
Facility
Unavailable
$10.71 higher than El Centro for the office setting.
Iowa
Iowa · 78709
Office
$300.23
Facility
Unavailable
$51.40 lower than El Centro for the office setting.
Idaho
Idaho · 78709
Office
$301.94
Facility
Unavailable
$49.69 lower than El Centro for the office setting.
East St. Louis
Illinois · 78709
Office
$308.63
Facility
Unavailable
$43.00 lower than El Centro for the office setting.
Rest Of Illinois
Illinois · 78709
Office
$304.74
Facility
Unavailable
$46.89 lower than El Centro for the office setting.
Suburban Chicago
Illinois · 78709
Office
$337.46
Facility
Unavailable
$14.17 lower than El Centro for the office setting.
Indiana
Indiana · 78709
Office
$303.93
Facility
Unavailable
$47.70 lower than El Centro for the office setting.
Kansas
Kansas · 78709
Office
$297.66
Facility
Unavailable
$53.97 lower than El Centro for the office setting.
Kentucky
Kentucky · 78709
Office
$295.30
Facility
Unavailable
$56.33 lower than El Centro for the office setting.
New Orleans
Louisiana · 78709
Office
$310.62
Facility
Unavailable
$41.01 lower than El Centro for the office setting.
Rest Of Louisiana
Louisiana · 78709
Office
$294.38
Facility
Unavailable
$57.25 lower than El Centro for the office setting.
Metropolitan Boston
Massachusetts · 78709
Office
$381.31
Facility
Unavailable
$29.68 higher than El Centro for the office setting.
Rest Of Massachusetts
Massachusetts · 78709
Office
$340.82
Facility
Unavailable
$10.81 lower than El Centro for the office setting.
Baltimore/Surr. Cntys
Maryland · 78709
Office
$348.25
Facility
Unavailable
$3.38 lower than El Centro for the office setting.
Rest Of Maryland
Maryland · 78709
Office
$329.74
Facility
Unavailable
$21.89 lower than El Centro for the office setting.
Rest Of Maine
Maine · 78709
Office
$302.59
Facility
Unavailable
$49.04 lower than El Centro for the office setting.
Southern Maine
Maine · 78709
Office
$322.24
Facility
Unavailable
$29.39 lower than El Centro for the office setting.
Detroit
Michigan · 78709
Office
$319.64
Facility
Unavailable
$31.99 lower than El Centro for the office setting.
Rest Of Michigan
Michigan · 78709
Office
$302.86
Facility
Unavailable
$48.77 lower than El Centro for the office setting.
Minnesota
Minnesota · 78709
Office
$331.28
Facility
Unavailable
$20.35 lower than El Centro for the office setting.
Metropolitan Kansas City
Missouri · 78709
Office
$309.38
Facility
Unavailable
$42.25 lower than El Centro for the office setting.
Metropolitan St. Louis
Missouri · 78709
Office
$313.08
Facility
Unavailable
$38.55 lower than El Centro for the office setting.
Rest Of Missouri
Missouri · 78709
Office
$288.09
Facility
Unavailable
$63.54 lower than El Centro for the office setting.
Mississippi
Mississippi · 78709
Office
$286.80
Facility
Unavailable
$64.83 lower than El Centro for the office setting.
Montana**
Montana · 78709
Office
$326.32
Facility
Unavailable
$25.31 lower than El Centro for the office setting.
North Carolina
North Carolina · 78709
Office
$306.25
Facility
Unavailable
$45.38 lower than El Centro for the office setting.
North Dakota**
North Dakota · 78709
Office
$323.75
Facility
Unavailable
$27.88 lower than El Centro for the office setting.
Nebraska
Nebraska · 78709
Office
$302.36
Facility
Unavailable
$49.27 lower than El Centro for the office setting.
New Hampshire
New Hampshire · 78709
Office
$337.11
Facility
Unavailable
$14.52 lower than El Centro for the office setting.
Northern Nj
New Jersey · 78709
Office
$373.70
Facility
Unavailable
$22.07 higher than El Centro for the office setting.
Rest Of New Jersey
New Jersey · 78709
Office
$353.99
Facility
Unavailable
$2.36 higher than El Centro for the office setting.
New Mexico
New Mexico · 78709
Office
$304.27
Facility
Unavailable
$47.36 lower than El Centro for the office setting.
Nevada**
Nevada · 78709
Office
$325.88
Facility
Unavailable
$25.75 lower than El Centro for the office setting.
Nyc Suburbs/Long Island
New York · 78709
Office
$385.18
Facility
Unavailable
$33.55 higher than El Centro for the office setting.
Poughkpsie/N Nyc Suburbs
New York · 78709
Office
$355.54
Facility
Unavailable
$3.91 higher than El Centro for the office setting.
Queens
New York · 78709
Office
$381.45
Facility
Unavailable
$29.82 higher than El Centro for the office setting.
Rest Of New York
New York · 78709
Office
$311.23
Facility
Unavailable
$40.40 lower than El Centro for the office setting.
Ohio
Ohio · 78709
Office
$302.33
Facility
Unavailable
$49.30 lower than El Centro for the office setting.
Oklahoma
Oklahoma · 78709
Office
$295.80
Facility
Unavailable
$55.83 lower than El Centro for the office setting.
Portland
Oregon · 78709
Office
$356.61
Facility
Unavailable
$4.98 higher than El Centro for the office setting.
Rest Of Oregon
Oregon · 78709
Office
$323.93
Facility
Unavailable
$27.70 lower than El Centro for the office setting.
Metropolitan Philadelphia
Pennsylvania · 78709
Office
$339.31
Facility
Unavailable
$12.32 lower than El Centro for the office setting.
Rest Of Pennsylvania
Pennsylvania · 78709
Office
$303.44
Facility
Unavailable
$48.19 lower than El Centro for the office setting.
Puerto Rico
Puerto Rico · 78709
Office
$329.30
Facility
Unavailable
$22.33 lower than El Centro for the office setting.
Rhode Island
Rhode Island · 78709
Office
$335.84
Facility
Unavailable
$15.79 lower than El Centro for the office setting.
South Carolina
South Carolina · 78709
Office
$304.68
Facility
Unavailable
$46.95 lower than El Centro for the office setting.
South Dakota**
South Dakota · 78709
Office
$323.44
Facility
Unavailable
$28.19 lower than El Centro for the office setting.
Tennessee
Tennessee · 78709
Office
$299.18
Facility
Unavailable
$52.45 lower than El Centro for the office setting.
Austin
Texas · 78709
Office
$341.94
Facility
Unavailable
$9.69 lower than El Centro for the office setting.
Beaumont
Texas · 78709
Office
$301.16
Facility
Unavailable
$50.47 lower than El Centro for the office setting.
Brazoria
Texas · 78709
Office
$323.25
Facility
Unavailable
$28.38 lower than El Centro for the office setting.
Dallas
Texas · 78709
Office
$325.02
Facility
Unavailable
$26.61 lower than El Centro for the office setting.
Fort Worth
Texas · 78709
Office
$322.31
Facility
Unavailable
$29.32 lower than El Centro for the office setting.
Galveston
Texas · 78709
Office
$324.01
Facility
Unavailable
$27.62 lower than El Centro for the office setting.
Houston
Texas · 78709
Office
$326.39
Facility
Unavailable
$25.24 lower than El Centro for the office setting.
Rest Of Texas
Texas · 78709
Office
$311.82
Facility
Unavailable
$39.81 lower than El Centro for the office setting.
Utah
Utah · 78709
Office
$309.31
Facility
Unavailable
$42.32 lower than El Centro for the office setting.
Virginia
Virginia · 78709
Office
$320.35
Facility
Unavailable
$31.28 lower than El Centro for the office setting.
Virgin Islands
United States Virgin Islands · 78709
Office
$329.30
Facility
Unavailable
$22.33 lower than El Centro for the office setting.
Vermont
Vermont · 78709
Office
$321.42
Facility
Unavailable
$30.21 lower than El Centro for the office setting.
Rest Of Washington
Washington · 78709
Office
$340.52
Facility
Unavailable
$11.11 lower than El Centro for the office setting.
Seattle (King Cnty)
Washington · 78709
Office
$390.52
Facility
Unavailable
$38.89 higher than El Centro for the office setting.
Wisconsin
Wisconsin · 78709
Office
$311.72
Facility
Unavailable
$39.91 lower than El Centro for the office setting.
West Virginia
West Virginia · 78709
Office
$292.01
Facility
Unavailable
$59.62 lower than El Centro for the office setting.
Wyoming**
Wyoming · 78709
Office
$325.20
Facility
Unavailable
$26.43 lower than El Centro for the office setting.
See how rates vary across the country
78709 · 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.
$285.27
$401.53
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 | $365.21 | 1 |
| AL | $289.91 | 1 |
| AR | $285.27 | 1 |
| AZ | $317.14 | 1 |
| CA | $351.61–$451.44 | 29 |
| CO | $343.60 | 1 |
| CT | $349.42 | 1 |
| DC | $378.46 | 1 |
| DE | $322.80 | 1 |
| FL | $316.36–$344.29 | 3 |
| GA | $297.33–$331.76 | 2 |
| GU | $362.34 | 1 |
| HI | $362.34 | 1 |
| IA | $300.23 | 1 |
| ID | $301.94 | 1 |
| IL | $304.74–$337.46 | 4 |
| IN | $303.93 | 1 |
| KS | $297.66 | 1 |
| KY | $295.30 | 1 |
| LA | $294.38–$310.62 | 2 |
| MA | $340.82–$381.31 | 2 |
| MD | $329.74–$378.46 | 3 |
| ME | $302.59–$322.24 | 2 |
| MI | $302.86–$319.64 | 2 |
| MN | $331.28 | 1 |
| MO | $288.09–$313.08 | 3 |
| MS | $286.80 | 1 |
| MT | $326.32 | 1 |
| NC | $306.25 | 1 |
| ND | $323.75 | 1 |
| NE | $302.36 | 1 |
| NH | $337.11 | 1 |
| NJ | $353.99–$373.70 | 2 |
| NM | $304.27 | 1 |
| NV | $325.88 | 1 |
| NY | $311.23–$385.18 | 5 |
| OH | $302.33 | 1 |
| OK | $295.80 | 1 |
| OR | $323.93–$356.61 | 2 |
| PA | $303.44–$339.31 | 2 |
| PR | $329.30 | 1 |
| RI | $335.84 | 1 |
| SC | $304.68 | 1 |
| SD | $323.44 | 1 |
| TN | $299.18 | 1 |
| TX | $301.16–$341.94 | 8 |
| UT | $309.31 | 1 |
| VA | $320.35–$378.46 | 2 |
| VI | $329.30 | 1 |
| VT | $321.42 | 1 |
| WA | $340.52–$390.52 | 2 |
| WI | $311.72 | 1 |
| WV | $292.01 | 1 |
| WY | $325.20 | 1 |
Where does this rate apply?
El Centro is a Medicare payment area. Our Census mapping connects it to 18 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.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 78709 in El Centro. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$386.79
$351.63 × 110% = $386.79
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 78709 in El Centro.
PPRRVU2026_Oct_nonQPP.csv
9,494
- Code
- 78709
- Physician work
- 1.37
- Practice expense
- 8.27
- Malpractice
- 0.13
GPCI2026.csv
10
- Locality
- El Centro
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.541
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.37 | × 1.017 | 1.3933 |
| Practice expense | 8.27 | × 1.096 | 9.0639 |
| Malpractice | 0.13 | × 0.541 | 0.0703 |
| Total RVUs | 10.5275 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, El Centro$351.63
Open 78709 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.37 | 1.017 |
| Practice expense | 8.27 | 1.096 |
| Malpractice | 0.13 | 0.541 |
(1.37 × 1.017 + 8.27 × 1.096 + 0.13 × 0.541) × $33.4009 = $351.63
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
78709 · Office / nonfacility
$351.63
Effective 2026-10-01
The base rate is $5.50 higher than on 2025-10-01, moving from $346.13 to $351.63 (1.6%).
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
$346.13changed to$351.63
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 1.41 changed to 1.37
- Practice expense RVU 8.43 changed to 8.27
- Malpractice RVU 0.10 changed to 0.13
- Work GPCI 1.014 changed to 1.017
- Practice expense GPCI 1.093 changed to 1.096
- Malpractice GPCI 0.570 changed to 0.541
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
Earliest loaded release: $346.13
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
| Effective from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $351.63 | Not available in this setting | RVU26D |
| 2026-07-01 | $351.63 | Not available in this setting | RVU26C |
| 2026-04-01 | $351.63 | Not available in this setting | RVU26B |
| 2026-01-01 | $351.63 | Not available in this setting | RVU26A |
| 2025-10-01 | $346.13 | Not available in this setting | RVU25D |
| 2025-07-01 | $346.13 | Not available in this setting | RVU25C |
| 2025-04-01 | $346.13 | Not available in this setting | RVU25B |
| 2025-01-01 | $346.13 | Not available in this setting | RVU25A |
78709 billing questions
How is this different from a single renal flow and function study?
This code is for multiple renal flow and function studies. A single study without pharmacological intervention is described by 78707, while a single study with pharmacological intervention is described by 78708.
Do multiple images or views qualify as multiple studies?
Not by themselves. The documentation should identify multiple studies or protocols, rather than merely multiple images acquired as part of one study.
How should the professional and technical portions be billed?
Use modifier 26 for the physician’s interpretation and modifier TC for the technical service. Report the code without either modifier when billing the global service.
What documentation supports reporting this code?
Document the renal flow and function protocols performed, the findings for each study, and why the service involved multiple studies rather than one study with multiple images.
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.
9,49178708,,K flow/funct image w/drug,A,,1.18,3.87,,3.87,NA,0.11,5.16,5.16,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,16.75,16.75,0.30
9,49278708,26,K flow/funct image w/drug,A,,1.18,0.38,,0.38,,0.06,1.62,1.62,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9,49378708,TC,K flow/funct image w/drug,A,,0.00,3.49,,3.49,NA,0.05,3.54,3.54,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,01,0,99,16.37,16.37,0.24
9,49478709,,K flow/funct image multiple,A,,1.37,8.27,,8.27,NA,0.13,9.77,9.77,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,16.93,16.93,0.20
9,49578709,26,K flow/funct image multiple,A,,1.37,0.45,,0.45,,0.07,1.89,1.89,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9,49678709,TC,K flow/funct image multiple,A,,0.00,7.82,,7.82,NA,0.06,7.88,7.88,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,01,0,99,16.48,16.48,0.13
9,49778725,,Kidney function study,A,,0.37,2.55,,2.55,NA,0.06,2.98,2.98,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
1301182,CA,18,LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY),1.041,1.183,0.664