$74.44
Use 76827 for a complete fetal Doppler echocardiographic study. Use 76828 when the Doppler fetal cardiac assessment is repeat or follow-up.
On this page
CMS RVU26D · Effective 2026-10-01
76828 in Madera
Office / nonfacility
$52.17
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.
Fetal echocardiography
About 76828: Follow-up fetal cardiac Doppler study
Reports repeat or follow-up Doppler assessment of fetal cardiac blood flow when a prior fetal echocardiographic evaluation requires reassessment.
This service is a repeat or follow-up Doppler evaluation of the fetal heart, using pulsed-wave and/or continuous-wave Doppler with spectral display to assess cardiac blood-flow patterns. It may be performed by a fetal cardiologist, pediatric cardiologist, radiologist, or maternal-fetal medicine specialist in an ultrasound or hospital setting. The study addresses a previously evaluated fetal cardiac concern, rather than serving as a routine obstetric survey or a Doppler study limited to a fetal artery.
Select this code when the documented service is follow-up or repeat fetal cardiac Doppler imaging; use the complete Doppler study code for an initial complete Doppler examination. The report should identify the clinical reason for reassessment and include the Doppler findings and interpretation. The service has professional and technical components: modifier 26 identifies interpretation, modifier TC identifies equipment and staff, and billing without either modifier represents the global service.
CMS billing rules for 76828
- 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 RVU0.55 · 37%
- Practice expense (office) RVU0.90 · 61%
- Malpractice RVU0.03 · 2%
217
Medicare services in 2024 · #4257 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.
76828 compared with similar codes
Office rates for Madera, from the same CMS release.
$170.45
76826 describes follow-up or repeat real-time fetal echocardiography with M-mode when performed; 76828 describes the follow-up Doppler portion.
$47.57
76820 assesses umbilical artery flow. 76828 assesses fetal cardiac Doppler findings, not a Doppler examination limited to the umbilical artery.
The same code, a different location
How does Madera compare?
In Bakersfield, the office rate for 76828 is $52.28—$0.11 higher than the $52.17 rate in Madera. Both use the same code, release and participation basis.
76828 across payment areas
Same release and payment basis · bars start at $0
Madera · This locality
$52.17
$52.28
$0.11 higher than Madera
$52.17
The same base rate than Madera
$52.17
The same base rate than Madera
$52.17
The same base rate than Madera
$52.17
The same base rate than Madera
$3.18 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, 76828 ranges from $44.71 in Arkansas to $64.28 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 · 76828
Office
$52.17
Facility
Unavailable
The same base rate than Madera for the office setting.
Modesto
California · 76828
Office
$52.17
Facility
Unavailable
The same base rate than Madera for the office setting.
Napa
California · 76828
Office
$59.66
Facility
Unavailable
$7.49 higher than Madera for the office setting.
Oxnard-Thousand Oaks-Ventura
California · 76828
Office
$55.04
Facility
Unavailable
$2.87 higher than Madera for the office setting.
Redding
California · 76828
Office
$52.17
Facility
Unavailable
The same base rate than Madera for the office setting.
Rest Of California
California · 76828
Office
$52.17
Facility
Unavailable
The same base rate than Madera for the office setting.
Riverside-San Bernardino-Ontario
California · 76828
Office
$52.50
Facility
Unavailable
$0.33 higher than Madera for the office setting.
Sacramento-Roseville-Folsom
California · 76828
Office
$54.53
Facility
Unavailable
$2.36 higher than Madera for the office setting.
Salinas
California · 76828
Office
$54.32
Facility
Unavailable
$2.15 higher than Madera for the office setting.
San Diego-Chula Vista-Carlsbad
California · 76828
Office
$55.42
Facility
Unavailable
$3.25 higher than Madera for the office setting.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 76828
Office
$62.96
Facility
Unavailable
$10.79 higher than Madera for the office setting.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 76828
Office
$62.93
Facility
Unavailable
$10.76 higher than Madera for the office setting.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 76828
Office
$64.28
Facility
Unavailable
$12.11 higher than Madera for the office setting.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 76828
Office
$64.14
Facility
Unavailable
$11.97 higher than Madera for the office setting.
San Luis Obispo-Paso Robles
California · 76828
Office
$53.46
Facility
Unavailable
$1.29 higher than Madera for the office setting.
Santa Cruz-Watsonville
California · 76828
Office
$55.82
Facility
Unavailable
$3.65 higher than Madera for the office setting.
Santa Maria-Santa Barbara
California · 76828
Office
$54.47
Facility
Unavailable
$2.30 higher than Madera for the office setting.
Santa Rosa-Petaluma
California · 76828
Office
$56.37
Facility
Unavailable
$4.20 higher than Madera for the office setting.
Stockton
California · 76828
Office
$52.17
Facility
Unavailable
The same base rate than Madera for the office setting.
Vallejo
California · 76828
Office
$59.61
Facility
Unavailable
$7.44 higher than Madera for the office setting.
Visalia
California · 76828
Office
$52.17
Facility
Unavailable
The same base rate than Madera for the office setting.
Yuba City
California · 76828
Office
$52.17
Facility
Unavailable
The same base rate than Madera for the office setting.
Dc + Md/Va Suburbs
District of Columbia · 76828
Office
$55.89
Facility
Unavailable
$3.72 higher than Madera for the office setting.
Miami
Florida · 76828
Office
$52.20
Facility
Unavailable
$0.03 higher than Madera for the office setting.
Chicago
Illinois · 76828
Office
$51.01
Facility
Unavailable
$1.16 lower than Madera for the office setting.
Manhattan
New York · 76828
Office
$56.07
Facility
Unavailable
$3.90 higher than Madera for the office setting.
Alaska*
Alaska · 76828
Office
$60.12
Facility
Unavailable
$7.95 higher than Madera for the office setting.
Alabama
Alabama · 76828
Office
$45.24
Facility
Unavailable
$6.93 lower than Madera for the office setting.
Arkansas
Arkansas · 76828
Office
$44.71
Facility
Unavailable
$7.46 lower than Madera for the office setting.
Arizona
Arizona · 76828
Office
$48.36
Facility
Unavailable
$3.81 lower than Madera for the office setting.
Colorado
Colorado · 76828
Office
$51.36
Facility
Unavailable
$0.81 lower than Madera for the office setting.
Connecticut
Connecticut · 76828
Office
$52.33
Facility
Unavailable
$0.16 higher than Madera for the office setting.
Delaware
Delaware · 76828
Office
$49.06
Facility
Unavailable
$3.11 lower than Madera for the office setting.
Fort Lauderdale
Florida · 76828
Office
$50.63
Facility
Unavailable
$1.54 lower than Madera for the office setting.
Rest Of Florida
Florida · 76828
Office
$48.61
Facility
Unavailable
$3.56 lower than Madera for the office setting.
Atlanta
Georgia · 76828
Office
$50.17
Facility
Unavailable
$2.00 lower than Madera for the office setting.
Rest Of Georgia
Georgia · 76828
Office
$46.38
Facility
Unavailable
$5.79 lower than Madera for the office setting.
Hawaii, Guam
Hawaii · 76828
Office
$53.13
Facility
Unavailable
$0.96 higher than Madera for the office setting.
Iowa
Iowa · 76828
Office
$46.27
Facility
Unavailable
$5.90 lower than Madera for the office setting.
Idaho
Idaho · 76828
Office
$46.50
Facility
Unavailable
$5.67 lower than Madera for the office setting.
East St. Louis
Illinois · 76828
Office
$48.04
Facility
Unavailable
$4.13 lower than Madera for the office setting.
Rest Of Illinois
Illinois · 76828
Office
$47.38
Facility
Unavailable
$4.79 lower than Madera for the office setting.
Suburban Chicago
Illinois · 76828
Office
$51.15
Facility
Unavailable
$1.02 lower than Madera for the office setting.
Indiana
Indiana · 76828
Office
$46.72
Facility
Unavailable
$5.45 lower than Madera for the office setting.
Kansas
Kansas · 76828
Office
$46.05
Facility
Unavailable
$6.12 lower than Madera for the office setting.
Kentucky
Kentucky · 76828
Office
$46.01
Facility
Unavailable
$6.16 lower than Madera for the office setting.
New Orleans
Louisiana · 76828
Office
$47.80
Facility
Unavailable
$4.37 lower than Madera for the office setting.
Rest Of Louisiana
Louisiana · 76828
Office
$45.93
Facility
Unavailable
$6.24 lower than Madera for the office setting.
Metropolitan Boston
Massachusetts · 76828
Office
$55.91
Facility
Unavailable
$3.74 higher than Madera for the office setting.
Rest Of Massachusetts
Massachusetts · 76828
Office
$51.12
Facility
Unavailable
$1.05 lower than Madera for the office setting.
Baltimore/Surr. Cntys
Maryland · 76828
Office
$52.16
Facility
Unavailable
$0.01 lower than Madera for the office setting.
Rest Of Maryland
Maryland · 76828
Office
$49.90
Facility
Unavailable
$2.27 lower than Madera for the office setting.
Rest Of Maine
Maine · 76828
Office
$46.65
Facility
Unavailable
$5.52 lower than Madera for the office setting.
Southern Maine
Maine · 76828
Office
$48.79
Facility
Unavailable
$3.38 lower than Madera for the office setting.
Detroit
Michigan · 76828
Office
$49.07
Facility
Unavailable
$3.10 lower than Madera for the office setting.
Rest Of Michigan
Michigan · 76828
Office
$46.95
Facility
Unavailable
$5.22 lower than Madera for the office setting.
Minnesota
Minnesota · 76828
Office
$49.60
Facility
Unavailable
$2.57 lower than Madera for the office setting.
Metropolitan Kansas City
Missouri · 76828
Office
$47.58
Facility
Unavailable
$4.59 lower than Madera for the office setting.
Metropolitan St. Louis
Missouri · 76828
Office
$47.99
Facility
Unavailable
$4.18 lower than Madera for the office setting.
Rest Of Missouri
Missouri · 76828
Office
$45.26
Facility
Unavailable
$6.91 lower than Madera for the office setting.
Mississippi
Mississippi · 76828
Office
$44.99
Facility
Unavailable
$7.18 lower than Madera for the office setting.
Montana**
Montana · 76828
Office
$49.43
Facility
Unavailable
$2.74 lower than Madera for the office setting.
North Carolina
North Carolina · 76828
Office
$47.06
Facility
Unavailable
$5.11 lower than Madera for the office setting.
North Dakota**
North Dakota · 76828
Office
$48.84
Facility
Unavailable
$3.33 lower than Madera for the office setting.
Nebraska
Nebraska · 76828
Office
$46.50
Facility
Unavailable
$5.67 lower than Madera for the office setting.
New Hampshire
New Hampshire · 76828
Office
$50.54
Facility
Unavailable
$1.63 lower than Madera for the office setting.
Northern Nj
New Jersey · 76828
Office
$55.47
Facility
Unavailable
$3.30 higher than Madera for the office setting.
Rest Of New Jersey
New Jersey · 76828
Office
$53.03
Facility
Unavailable
$0.86 higher than Madera for the office setting.
New Mexico
New Mexico · 76828
Office
$47.14
Facility
Unavailable
$5.03 lower than Madera for the office setting.
Nevada**
Nevada · 76828
Office
$49.30
Facility
Unavailable
$2.87 lower than Madera for the office setting.
Nyc Suburbs/Long Island
New York · 76828
Office
$57.15
Facility
Unavailable
$4.98 higher than Madera for the office setting.
Poughkpsie/N Nyc Suburbs
New York · 76828
Office
$53.33
Facility
Unavailable
$1.16 higher than Madera for the office setting.
Queens
New York · 76828
Office
$56.52
Facility
Unavailable
$4.35 higher than Madera for the office setting.
Rest Of New York
New York · 76828
Office
$47.63
Facility
Unavailable
$4.54 lower than Madera for the office setting.
Ohio
Ohio · 76828
Office
$46.83
Facility
Unavailable
$5.34 lower than Madera for the office setting.
Oklahoma
Oklahoma · 76828
Office
$45.99
Facility
Unavailable
$6.18 lower than Madera for the office setting.
Portland
Oregon · 76828
Office
$52.81
Facility
Unavailable
$0.64 higher than Madera for the office setting.
Rest Of Oregon
Oregon · 76828
Office
$49.02
Facility
Unavailable
$3.15 lower than Madera for the office setting.
Metropolitan Philadelphia
Pennsylvania · 76828
Office
$51.19
Facility
Unavailable
$0.98 lower than Madera for the office setting.
Rest Of Pennsylvania
Pennsylvania · 76828
Office
$46.91
Facility
Unavailable
$5.26 lower than Madera for the office setting.
Puerto Rico
Puerto Rico · 76828
Office
$49.75
Facility
Unavailable
$2.42 lower than Madera for the office setting.
Rhode Island
Rhode Island · 76828
Office
$50.67
Facility
Unavailable
$1.50 lower than Madera for the office setting.
South Carolina
South Carolina · 76828
Office
$47.00
Facility
Unavailable
$5.17 lower than Madera for the office setting.
South Dakota**
South Dakota · 76828
Office
$48.77
Facility
Unavailable
$3.40 lower than Madera for the office setting.
Tennessee
Tennessee · 76828
Office
$46.23
Facility
Unavailable
$5.94 lower than Madera for the office setting.
Austin
Texas · 76828
Office
$51.10
Facility
Unavailable
$1.07 lower than Madera for the office setting.
Beaumont
Texas · 76828
Office
$46.66
Facility
Unavailable
$5.51 lower than Madera for the office setting.
Brazoria
Texas · 76828
Office
$49.09
Facility
Unavailable
$3.08 lower than Madera for the office setting.
Dallas
Texas · 76828
Office
$49.34
Facility
Unavailable
$2.83 lower than Madera for the office setting.
Fort Worth
Texas · 76828
Office
$49.05
Facility
Unavailable
$3.12 lower than Madera for the office setting.
Galveston
Texas · 76828
Office
$49.20
Facility
Unavailable
$2.97 lower than Madera for the office setting.
Houston
Texas · 76828
Office
$49.75
Facility
Unavailable
$2.42 lower than Madera for the office setting.
Rest Of Texas
Texas · 76828
Office
$47.80
Facility
Unavailable
$4.37 lower than Madera for the office setting.
Utah
Utah · 76828
Office
$47.53
Facility
Unavailable
$4.64 lower than Madera for the office setting.
Virginia
Virginia · 76828
Office
$48.63
Facility
Unavailable
$3.54 lower than Madera for the office setting.
Virgin Islands
United States Virgin Islands · 76828
Office
$49.75
Facility
Unavailable
$2.42 lower than Madera for the office setting.
Vermont
Vermont · 76828
Office
$48.64
Facility
Unavailable
$3.53 lower than Madera for the office setting.
Rest Of Washington
Washington · 76828
Office
$51.03
Facility
Unavailable
$1.14 lower than Madera for the office setting.
Seattle (King Cnty)
Washington · 76828
Office
$56.99
Facility
Unavailable
$4.82 higher than Madera for the office setting.
Wisconsin
Wisconsin · 76828
Office
$47.48
Facility
Unavailable
$4.69 lower than Madera for the office setting.
West Virginia
West Virginia · 76828
Office
$45.93
Facility
Unavailable
$6.24 lower than Madera for the office setting.
Wyoming**
Wyoming · 76828
Office
$49.17
Facility
Unavailable
$3.00 lower than Madera for the office setting.
See how rates vary across the country
76828 · 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.
$44.71
$60.12
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 | $60.12 | 1 |
| AL | $45.24 | 1 |
| AR | $44.71 | 1 |
| AZ | $48.36 | 1 |
| CA | $52.17–$64.28 | 29 |
| CO | $51.36 | 1 |
| CT | $52.33 | 1 |
| DC | $55.89 | 1 |
| DE | $49.06 | 1 |
| FL | $48.61–$52.20 | 3 |
| GA | $46.38–$50.17 | 2 |
| GU | $53.13 | 1 |
| HI | $53.13 | 1 |
| IA | $46.27 | 1 |
| ID | $46.50 | 1 |
| IL | $47.38–$51.15 | 4 |
| IN | $46.72 | 1 |
| KS | $46.05 | 1 |
| KY | $46.01 | 1 |
| LA | $45.93–$47.80 | 2 |
| MA | $51.12–$55.91 | 2 |
| MD | $49.90–$55.89 | 3 |
| ME | $46.65–$48.79 | 2 |
| MI | $46.95–$49.07 | 2 |
| MN | $49.60 | 1 |
| MO | $45.26–$47.99 | 3 |
| MS | $44.99 | 1 |
| MT | $49.43 | 1 |
| NC | $47.06 | 1 |
| ND | $48.84 | 1 |
| NE | $46.50 | 1 |
| NH | $50.54 | 1 |
| NJ | $53.03–$55.47 | 2 |
| NM | $47.14 | 1 |
| NV | $49.30 | 1 |
| NY | $47.63–$57.15 | 5 |
| OH | $46.83 | 1 |
| OK | $45.99 | 1 |
| OR | $49.02–$52.81 | 2 |
| PA | $46.91–$51.19 | 2 |
| PR | $49.75 | 1 |
| RI | $50.67 | 1 |
| SC | $47.00 | 1 |
| SD | $48.77 | 1 |
| TN | $46.23 | 1 |
| TX | $46.66–$51.10 | 8 |
| UT | $47.53 | 1 |
| VA | $48.63–$55.89 | 2 |
| VI | $49.75 | 1 |
| VT | $48.64 | 1 |
| WA | $51.03–$56.99 | 2 |
| WI | $47.48 | 1 |
| WV | $45.93 | 1 |
| WY | $49.17 | 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.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 76828 in Madera. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$57.39
$52.17 × 110% = $57.39
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 76828 in Madera.
PPRRVU2026_Oct_nonQPP.csv
8,817
- Code
- 76828
- Physician work
- 0.55
- Practice expense
- 0.90
- Malpractice
- 0.03
GPCI2026.csv
14
- Locality
- Madera
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.55 | × 1.017 | 0.5594 |
| Practice expense | 0.90 | × 1.096 | 0.9864 |
| Malpractice | 0.03 | × 0.536 | 0.0161 |
| Total RVUs | 1.5618 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Madera$52.17
Open 76828 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.55 | 1.017 |
| Practice expense | 0.9 | 1.096 |
| Malpractice | 0.03 | 0.536 |
(0.55 × 1.017 + 0.9 × 1.096 + 0.03 × 0.536) × $33.4009 = $52.17
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
76828 · Office / nonfacility
$52.17
Effective 2026-10-01
The base rate is $3.04 higher than on 2025-10-01, moving from $49.13 to $52.17 (6.2%).
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
$49.13changed to$52.17
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 0.56 changed to 0.55
- Practice expense RVU 0.86 changed to 0.90
- Malpractice RVU 0.02 changed to 0.03
- 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: $49.13
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 | $52.17 | Not available in this setting | RVU26D |
| 2026-07-01 | $52.17 | Not available in this setting | RVU26C |
| 2026-04-01 | $52.17 | Not available in this setting | RVU26B |
| 2026-01-01 | $52.17 | Not available in this setting | RVU26A |
| 2025-10-01 | $49.13 | Not available in this setting | RVU25D |
| 2025-07-01 | $49.13 | Not available in this setting | RVU25C |
| 2025-04-01 | $49.13 | Not available in this setting | RVU25B |
| 2025-01-01 | $49.13 | Not available in this setting | RVU25A |
76828 billing questions
How does this differ from 76827?
76828 is for repeat or follow-up fetal cardiac Doppler imaging. 76827 describes the complete Doppler fetal echocardiographic study.
How does this differ from 76826?
76826 covers follow-up or repeat fetal echocardiography using real-time imaging and M-mode when performed. 76828 identifies the follow-up Doppler assessment with spectral display.
Can 76828 be reported with 76826?
They describe different aspects of a follow-up fetal echocardiographic examination: real-time imaging and M-mode under 76826, and Doppler assessment under 76828. The documentation should support both services.
Which modifiers identify the professional and technical portions?
Append modifier 26 for the professional interpretation or modifier TC for the technical service, including equipment and staff. Without either modifier, the claim represents the global service.
What documentation supports follow-up Doppler reporting?
Document the reason for reassessment, the fetal cardiac Doppler evaluation performed, the spectral findings, and the interpretation. The record should support that this was a repeat or follow-up Doppler study.
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.
8,81476827,,Echo exam of fetal heart,A,,0.57,1.49,,1.49,NA,0.03,2.09,2.09,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,3.40,3.40,0.05
8,81576827,26,Echo exam of fetal heart,A,,0.57,0.23,,0.23,,0.02,0.82,0.82,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8,81676827,TC,Echo exam of fetal heart,A,,0.00,1.26,,1.26,NA,0.01,1.27,1.27,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,01,0,99,3.17,3.17,0.03
8,81776828,,Echo exam of fetal heart,A,,0.55,0.90,,0.90,NA,0.03,1.48,1.48,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,3.38,3.38,0.07
8,81876828,26,Echo exam of fetal heart,A,,0.55,0.23,,0.23,,0.02,0.80,0.80,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8,81976828,TC,Echo exam of fetal heart,A,,0.00,0.67,,0.67,NA,0.01,0.68,0.68,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,01,0,99,3.15,3.15,0.05
8,82076830,,Transvaginal us non-ob,A,,0.67,2.79,,2.79,NA,0.06,3.52,3.52,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,3.43,3.43,0.07
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