$942.44
21085 is for an oral surgical splint. Use 21076 when the prosthesis being prepared is a surgical obturator.
On this page
CMS RVU26D · Effective 2026-10-01
21085 in Madera
Office / nonfacility
$735.12
Base rate per service
Facility setting
$427.98
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.
Maxillofacial prosthetics
About 21085: Oral surgical splint impression and preparation
Reports impression-taking and preparation of an oral surgical splint used to support planned oral or maxillofacial surgery.
This service covers taking the impression and preparing an oral surgical splint for a patient undergoing oral or maxillofacial surgery. Oral and maxillofacial surgeons and prosthodontists may provide it in an office or facility setting. A common clinical context is orthognathic surgery, where a custom splint helps transfer or maintain a planned relationship between the jaws during treatment.
Report 21085 when the documented service is for an oral surgical splint, rather than an obturator, speech aid, or other maxillofacial prosthesis. The record should identify the surgical purpose and support the impression and preparation performed. The code has a 10-day global period, which includes related postoperative visits during that period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. Modifier 50 is inappropriate. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 21085
- Global period
- Minor procedure with a 10-day global period: related postoperative visits for 10 days 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 adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Assistant at surgery is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU8.77 · 41%
- Practice expense (office) RVU11.42 · 54%
- Malpractice RVU1.07 · 5%
2K
Medicare services in 2024 · #2466 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.
21085 compared with similar codes
Office rates for Madera, from the same CMS release.
$1,660.61
21085 describes an oral surgical splint; 21084 is for a speech-aid prosthesis.
$1,636.16
21085 is for a surgical splint, while 21081 is for a prosthesis associated with mandibular resection.
The same code, a different location
How does Madera compare?
In Bakersfield, the office rate for 21085 is $738.31—$3.19 higher than the $735.12 rate in Madera. Both use the same code, release and participation basis.
21085 across payment areas
Same release and payment basis · bars start at $0
Madera · This locality
$735.12
$738.31
$3.19 higher than Madera
$735.12
The same base rate than Madera
$735.30
$0.18 higher than Madera
$735.12
The same base rate than Madera
$735.12
The same base rate than Madera
$44.79 higher than Madera
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, 21085 ranges from $638.99 in Arkansas to $894.34 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 · 21085
Office
$735.12
Facility
$427.98
The same base rate than Madera for the office setting.
Modesto
California · 21085
Office
$735.12
Facility
$427.98
The same base rate than Madera for the office setting.
Napa
California · 21085
Office
$832.27
Facility
$462.92
$97.15 higher than Madera for the office setting.
Oxnard-Thousand Oaks-Ventura
California · 21085
Office
$774.25
Facility
$443.02
$39.13 higher than Madera for the office setting.
Redding
California · 21085
Office
$735.12
Facility
$427.98
The same base rate than Madera for the office setting.
Rest Of California
California · 21085
Office
$735.12
Facility
$427.98
The same base rate than Madera for the office setting.
Riverside-San Bernardino-Ontario
California · 21085
Office
$746.74
Facility
$439.60
$11.62 higher than Madera for the office setting.
Sacramento-Roseville-Folsom
California · 21085
Office
$766.24
Facility
$440.33
$31.12 higher than Madera for the office setting.
Salinas
California · 21085
Office
$763.25
Facility
$438.46
$28.13 higher than Madera for the office setting.
San Diego-Chula Vista-Carlsbad
California · 21085
Office
$777.28
Facility
$442.13
$42.16 higher than Madera for the office setting.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 21085
Office
$874.99
Facility
$479.86
$139.87 higher than Madera for the office setting.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 21085
Office
$873.77
Facility
$478.64
$138.65 higher than Madera for the office setting.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 21085
Office
$894.34
Facility
$490.24
$159.22 higher than Madera for the office setting.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 21085
Office
$889.37
Facility
$485.27
$154.25 higher than Madera for the office setting.
San Luis Obispo-Paso Robles
California · 21085
Office
$751.52
Facility
$432.33
$16.40 higher than Madera for the office setting.
Santa Cruz-Watsonville
California · 21085
Office
$781.68
Facility
$441.20
$46.56 higher than Madera for the office setting.
Santa Maria-Santa Barbara
California · 21085
Office
$765.04
Facility
$438.29
$29.92 higher than Madera for the office setting.
Santa Rosa-Petaluma
California · 21085
Office
$789.28
Facility
$445.15
$54.16 higher than Madera for the office setting.
Stockton
California · 21085
Office
$735.12
Facility
$427.98
The same base rate than Madera for the office setting.
Vallejo
California · 21085
Office
$830.52
Facility
$461.17
$95.40 higher than Madera for the office setting.
Visalia
California · 21085
Office
$735.12
Facility
$427.98
The same base rate than Madera for the office setting.
Yuba City
California · 21085
Office
$735.12
Facility
$427.98
The same base rate than Madera for the office setting.
Dc + Md/Va Suburbs
District of Columbia · 21085
Office
$797.86
Facility
$467.74
$62.74 higher than Madera for the office setting.
Miami
Florida · 21085
Office
$780.39
Facility
$488.66
$45.27 higher than Madera for the office setting.
Chicago
Illinois · 21085
Office
$760.34
Facility
$478.71
$25.22 higher than Madera for the office setting.
Manhattan
New York · 21085
Office
$811.59
Facility
$485.96
$76.47 higher than Madera for the office setting.
Alaska*
Alaska · 21085
Office
$865.31
Facility
$566.86
$130.19 higher than Madera for the office setting.
Alabama
Alabama · 21085
Office
$646.91
Facility
$401.71
$88.21 lower than Madera for the office setting.
Arkansas
Arkansas · 21085
Office
$638.99
Facility
$398.27
$96.13 lower than Madera for the office setting.
Arizona
Arizona · 21085
Office
$693.13
Facility
$421.59
$41.99 lower than Madera for the office setting.
Colorado
Colorado · 21085
Office
$730.20
Facility
$432.03
$4.92 lower than Madera for the office setting.
Connecticut
Connecticut · 21085
Office
$752.84
Facility
$451.03
$17.72 higher than Madera for the office setting.
Delaware
Delaware · 21085
Office
$703.38
Facility
$426.51
$31.74 lower than Madera for the office setting.
Fort Lauderdale
Florida · 21085
Office
$743.94
Facility
$460.06
$8.82 higher than Madera for the office setting.
Rest Of Florida
Florida · 21085
Office
$711.30
Facility
$443.39
$23.82 lower than Madera for the office setting.
Atlanta
Georgia · 21085
Office
$724.27
Facility
$439.55
$10.85 lower than Madera for the office setting.
Rest Of Georgia
Georgia · 21085
Office
$675.77
Facility
$425.80
$59.35 lower than Madera for the office setting.
Hawaii, Guam
Hawaii · 21085
Office
$747.31
Facility
$428.69
$12.19 higher than Madera for the office setting.
Iowa
Iowa · 21085
Office
$656.13
Facility
$399.72
$78.99 lower than Madera for the office setting.
Idaho
Idaho · 21085
Office
$660.75
Facility
$402.94
$74.37 lower than Madera for the office setting.
East St. Louis
Illinois · 21085
Office
$715.83
Facility
$458.01
$19.29 lower than Madera for the office setting.
Rest Of Illinois
Illinois · 21085
Office
$697.04
Facility
$441.19
$38.08 lower than Madera for the office setting.
Suburban Chicago
Illinois · 21085
Office
$750.04
Facility
$462.24
$14.92 higher than Madera for the office setting.
Indiana
Indiana · 21085
Office
$663.89
Facility
$404.11
$71.23 lower than Madera for the office setting.
Kansas
Kansas · 21085
Office
$655.76
Facility
$402.43
$79.36 lower than Madera for the office setting.
Kentucky
Kentucky · 21085
Office
$664.73
Facility
$415.60
$70.39 lower than Madera for the office setting.
New Orleans
Louisiana · 21085
Office
$692.46
Facility
$428.76
$42.66 lower than Madera for the office setting.
Rest Of Louisiana
Louisiana · 21085
Office
$664.74
Facility
$416.73
$70.38 lower than Madera for the office setting.
Metropolitan Boston
Massachusetts · 21085
Office
$792.18
Facility
$457.58
$57.06 higher than Madera for the office setting.
Rest Of Massachusetts
Massachusetts · 21085
Office
$727.75
Facility
$432.67
$7.37 lower than Madera for the office setting.
Baltimore/Surr. Cntys
Maryland · 21085
Office
$751.11
Facility
$450.41
$15.99 higher than Madera for the office setting.
Rest Of Maryland
Maryland · 21085
Office
$714.68
Facility
$431.08
$20.44 lower than Madera for the office setting.
Rest Of Maine
Maine · 21085
Office
$666.08
Facility
$408.26
$69.04 lower than Madera for the office setting.
Southern Maine
Maine · 21085
Office
$693.48
Facility
$415.77
$41.64 lower than Madera for the office setting.
Detroit
Michigan · 21085
Office
$721.27
Facility
$450.84
$13.85 lower than Madera for the office setting.
Rest Of Michigan
Michigan · 21085
Office
$681.53
Facility
$425.68
$53.59 lower than Madera for the office setting.
Minnesota
Minnesota · 21085
Office
$696.00
Facility
$407.64
$39.12 lower than Madera for the office setting.
Metropolitan Kansas City
Missouri · 21085
Office
$686.01
Facility
$422.87
$49.11 lower than Madera for the office setting.
Metropolitan St. Louis
Missouri · 21085
Office
$691.87
Facility
$425.08
$43.25 lower than Madera for the office setting.
Rest Of Missouri
Missouri · 21085
Office
$656.54
Facility
$414.97
$78.58 lower than Madera for the office setting.
Mississippi
Mississippi · 21085
Office
$647.76
Facility
$406.47
$87.36 lower than Madera for the office setting.
Montana**
Montana · 21085
Office
$710.03
Facility
$429.80
$25.09 lower than Madera for the office setting.
North Carolina
North Carolina · 21085
Office
$671.65
Facility
$410.19
$63.47 lower than Madera for the office setting.
North Dakota**
North Dakota · 21085
Office
$688.87
Facility
$408.64
$46.25 lower than Madera for the office setting.
Nebraska
Nebraska · 21085
Office
$658.50
Facility
$399.85
$76.62 lower than Madera for the office setting.
New Hampshire
New Hampshire · 21085
Office
$721.27
Facility
$429.55
$13.85 lower than Madera for the office setting.
Northern Nj
New Jersey · 21085
Office
$792.02
Facility
$466.95
$56.90 higher than Madera for the office setting.
Rest Of New Jersey
New Jersey · 21085
Office
$760.38
Facility
$454.36
$25.26 higher than Madera for the office setting.
New Mexico
New Mexico · 21085
Office
$685.63
Facility
$428.65
$49.49 lower than Madera for the office setting.
Nevada**
Nevada · 21085
Office
$704.52
Facility
$424.00
$30.60 lower than Madera for the office setting.
Nyc Suburbs/Long Island
New York · 21085
Office
$831.57
Facility
$498.37
$96.45 higher than Madera for the office setting.
Poughkpsie/N Nyc Suburbs
New York · 21085
Office
$767.03
Facility
$460.17
$31.91 higher than Madera for the office setting.
Queens
New York · 21085
Office
$814.07
Facility
$482.83
$78.95 higher than Madera for the office setting.
Rest Of New York
New York · 21085
Office
$680.42
Facility
$414.19
$54.70 lower than Madera for the office setting.
Ohio
Ohio · 21085
Office
$677.20
Facility
$421.35
$57.92 lower than Madera for the office setting.
Oklahoma
Oklahoma · 21085
Office
$661.32
Facility
$411.07
$73.80 lower than Madera for the office setting.
Portland
Oregon · 21085
Office
$747.98
Facility
$436.64
$12.86 higher than Madera for the office setting.
Rest Of Oregon
Oregon · 21085
Office
$697.96
Facility
$418.85
$37.16 lower than Madera for the office setting.
Metropolitan Philadelphia
Pennsylvania · 21085
Office
$737.91
Facility
$446.19
$2.79 higher than Madera for the office setting.
Rest Of Pennsylvania
Pennsylvania · 21085
Office
$676.86
Facility
$419.61
$58.26 lower than Madera for the office setting.
Puerto Rico
Puerto Rico · 21085
Office
$713.76
Facility
$430.45
$21.36 lower than Madera for the office setting.
Rhode Island
Rhode Island · 21085
Office
$724.40
Facility
$434.92
$10.72 lower than Madera for the office setting.
South Carolina
South Carolina · 21085
Office
$675.75
Facility
$416.82
$59.37 lower than Madera for the office setting.
South Dakota**
South Dakota · 21085
Office
$686.37
Facility
$406.14
$48.75 lower than Madera for the office setting.
Tennessee
Tennessee · 21085
Office
$658.85
Facility
$404.11
$76.27 lower than Madera for the office setting.
Austin
Texas · 21085
Office
$728.74
Facility
$432.25
$6.38 lower than Madera for the office setting.
Beaumont
Texas · 21085
Office
$673.24
Facility
$418.22
$61.88 lower than Madera for the office setting.
Brazoria
Texas · 21085
Office
$701.15
Facility
$423.44
$33.97 lower than Madera for the office setting.
Dallas
Texas · 21085
Office
$706.14
Facility
$427.03
$28.98 lower than Madera for the office setting.
Fort Worth
Texas · 21085
Office
$702.79
Facility
$426.48
$32.33 lower than Madera for the office setting.
Galveston
Texas · 21085
Office
$703.63
Facility
$425.36
$31.49 lower than Madera for the office setting.
Houston
Texas · 21085
Office
$723.21
Facility
$444.94
$11.91 lower than Madera for the office setting.
Rest Of Texas
Texas · 21085
Office
$687.18
Facility
$421.24
$47.94 lower than Madera for the office setting.
Utah
Utah · 21085
Office
$683.57
Facility
$420.15
$51.55 lower than Madera for the office setting.
Virginia
Virginia · 21085
Office
$693.11
Facility
$417.64
$42.01 lower than Madera for the office setting.
Virgin Islands
United States Virgin Islands · 21085
Office
$713.76
Facility
$430.45
$21.36 lower than Madera for the office setting.
Vermont
Vermont · 21085
Office
$688.63
Facility
$411.20
$46.49 lower than Madera for the office setting.
Rest Of Washington
Washington · 21085
Office
$725.59
Facility
$430.50
$9.53 lower than Madera for the office setting.
Seattle (King Cnty)
Washington · 21085
Office
$804.80
Facility
$460.95
$69.68 higher than Madera for the office setting.
Wisconsin
Wisconsin · 21085
Office
$669.35
Facility
$400.89
$65.77 lower than Madera for the office setting.
West Virginia
West Virginia · 21085
Office
$675.54
Facility
$432.02
$59.58 lower than Madera for the office setting.
Wyoming**
Wyoming · 21085
Office
$700.81
Facility
$420.58
$34.31 lower than Madera for the office setting.
See how rates vary across the country
21085 · 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.
$638.99
$865.31
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 | $865.31 | 1 |
| AL | $646.91 | 1 |
| AR | $638.99 | 1 |
| AZ | $693.13 | 1 |
| CA | $735.12–$894.34 | 29 |
| CO | $730.20 | 1 |
| CT | $752.84 | 1 |
| DC | $797.86 | 1 |
| DE | $703.38 | 1 |
| FL | $711.30–$780.39 | 3 |
| GA | $675.77–$724.27 | 2 |
| GU | $747.31 | 1 |
| HI | $747.31 | 1 |
| IA | $656.13 | 1 |
| ID | $660.75 | 1 |
| IL | $697.04–$760.34 | 4 |
| IN | $663.89 | 1 |
| KS | $655.76 | 1 |
| KY | $664.73 | 1 |
| LA | $664.74–$692.46 | 2 |
| MA | $727.75–$792.18 | 2 |
| MD | $714.68–$797.86 | 3 |
| ME | $666.08–$693.48 | 2 |
| MI | $681.53–$721.27 | 2 |
| MN | $696.00 | 1 |
| MO | $656.54–$691.87 | 3 |
| MS | $647.76 | 1 |
| MT | $710.03 | 1 |
| NC | $671.65 | 1 |
| ND | $688.87 | 1 |
| NE | $658.50 | 1 |
| NH | $721.27 | 1 |
| NJ | $760.38–$792.02 | 2 |
| NM | $685.63 | 1 |
| NV | $704.52 | 1 |
| NY | $680.42–$831.57 | 5 |
| OH | $677.20 | 1 |
| OK | $661.32 | 1 |
| OR | $697.96–$747.98 | 2 |
| PA | $676.86–$737.91 | 2 |
| PR | $713.76 | 1 |
| RI | $724.40 | 1 |
| SC | $675.75 | 1 |
| SD | $686.37 | 1 |
| TN | $658.85 | 1 |
| TX | $673.24–$728.74 | 8 |
| UT | $683.57 | 1 |
| VA | $693.11–$797.86 | 2 |
| VI | $713.76 | 1 |
| VT | $688.63 | 1 |
| WA | $725.59–$804.80 | 2 |
| WI | $669.35 | 1 |
| WV | $675.54 | 1 |
| WY | $700.81 | 1 |
Where does this rate apply?
Madera is a Medicare payment area. Our Census mapping connects it to 17 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 21085 in Madera, the physician’s office rate is $735.12 and the facility-setting rate is $427.98: a difference of $307.14.
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 21085 in Madera. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$808.63
$735.12 × 110% = $808.63
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 21085 in Madera.
PPRRVU2026_Oct_nonQPP.csv
1,869
- Code
- 21085
- Physician work
- 8.77
- Practice expense
- 11.42
- Malpractice
- 1.07
GPCI2026.csv
14
- Locality
- Madera
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 8.77 | × 1.017 | 8.9191 |
| Practice expense | 11.42 | × 1.096 | 12.5163 |
| Malpractice | 1.07 | × 0.536 | 0.5735 |
| Total RVUs | 22.0089 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Madera$735.12
Open 21085 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 8.77 | 1.017 |
| Practice expense | 11.42 | 1.096 |
| Malpractice | 1.07 | 0.536 |
(8.77 × 1.017 + 11.42 × 1.096 + 1.07 × 0.536) × $33.4009 = $735.12
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 8.77 | 1.017 |
| Practice expense | 3.03 | 1.096 |
| Malpractice | 1.07 | 0.536 |
(8.77 × 1.017 + 3.03 × 1.096 + 1.07 × 0.536) × $33.4009 = $427.98
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
21085 · Office / nonfacility
$735.12
Effective 2026-10-01
The base rate is $39.65 higher than on 2025-10-01, moving from $695.47 to $735.12 (5.7%).
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
$695.47changed to$735.12
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 8.99 changed to 8.77
- Practice expense RVU 10.88 changed to 11.42
- Malpractice RVU 0.88 changed to 1.07
- 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: $695.47
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
21085 billing questions
How is 21085 different from 21076?
Use 21085 for an oral surgical splint. Code 21076 describes impression and preparation for a surgical obturator, a different type of maxillofacial prosthesis.
Does 21085 cover both the impression and splint preparation?
Yes. The service combines impression-taking and preparation of the oral surgical splint; document the work performed and its surgical purpose.
Can modifier 50 be used for a splint involving both sides?
No. The CMS bilateral adjustment does not apply, and modifier 50 is inappropriate for this code.
What postoperative care is included?
Related postoperative visits during the 10-day global period are included.
When can an assistant-at-surgery be paid?
Only when medical necessity for the assistant is documented. 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.
1,86621082,,Impres&prep paltl aug prosth,A,,20.32,22.14,,7.02,,2.40,44.86,29.74,0,090,0.10,0.69,0.21,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,86721083,,Impres&prep paltl lft prosth,A,,18.79,21.33,,6.49,,2.14,42.26,27.42,0,090,0.10,0.69,0.21,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,86821084,,Impres&prep sp aid prosth,A,,21.92,23.80,,7.22,,2.50,48.22,31.64,0,090,0.10,0.69,0.21,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,86921085,,Impres&prep oral surg splint,A,,8.77,11.42,,3.03,,1.07,21.26,12.87,0,010,0.10,0.80,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,87021086,,Impres&prep auricular prosth,A,,24.26,21.70,,6.71,,2.76,48.72,33.73,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,87121087,,Impres&prep nasal prosth,A,,24.26,21.70,,6.71,,2.76,48.72,33.73,0,090,0.10,0.69,0.21,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,87221088,,Impres&prep facial prosth,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,090,0.10,0.69,0.21,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
1401112,CA,58,MADERA,1.017,1.096,0.536
1501112,CA,59,MERCED,1.017,1.096,0.536
1601112,CA,60,MODESTO,1.017,1.096,0.536
1701112,CA,51,NAPA,1.063,1.318,0.508