$1,067.92
77373 reports SBRT treatment delivery by fraction. 77435 reports the physician’s professional management of the treatment course.
On this page
CMS RVU26D · Effective 2026-10-01
77435 in Madera
Office / nonfacility
$655.12
Base rate per service
Facility setting
$655.12
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.
Radiation oncology
About 77435: Stereotactic body radiation management
Reports the radiation oncologist’s professional management of an SBRT treatment course, including oversight for one or more targeted lesions.
77435 represents the radiation oncologist’s management of a stereotactic body radiation therapy course, rather than delivery of each radiation fraction. The physician oversees treatment for one or more targeted lesions, reviews the patient’s progress and treatment information, and addresses clinical issues during the course. SBRT is commonly used for carefully targeted tumors, including lesions in the lung, liver, or spine. Radiation oncologists typically provide this service in hospital outpatient departments and freestanding radiation oncology centers.
Report 77435 once for the treatment course, not once per lesion or fraction. Documentation should identify the SBRT course and lesions treated and support the physician’s management of the patient during treatment. CMS classifies 77435 as professional-component-only: it represents the physician’s interpretation and report, while a separate code covers the technical service. The SBRT delivery service is reported separately with 77373 when appropriate; 77435 is not the fraction-by-fraction delivery code.
CMS billing rules for 77435
- Professional and technical components
- Professional-component-only code: interpretation and report; a separate code covers the technical portion.
Where the value comes from
- Work RVU11.57 · 60%
- Practice expense (office) RVU6.71 · 35%
- Malpractice RVU0.92 · 5%
53.3K
Medicare services in 2024 · #757 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.
77435 compared with similar codes
Office rates for Madera, from the same CMS release.
$433.13
77432 applies to management of a complete one-session stereotactic treatment for cranial lesions; 77435 describes SBRT course management.
$200.40
77427 is used for radiation management counted in five-treatment units. 77435 is specific to management of an SBRT course.
The same code, a different location
How does Madera compare?
In Bakersfield, the office rate for 77435 is $658.14—$3.02 higher than the $655.12 rate in Madera. Both use the same code, release and participation basis.
77435 across payment areas
Same release and payment basis · bars start at $0
Madera · This locality
$655.12
$658.14
$3.02 higher than Madera
$655.12
The same base rate than Madera
$655.28
$0.16 higher than Madera
$655.12
The same base rate than Madera
$655.12
The same base rate than Madera
$32.71 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, 77435 ranges from $594.79 in Arkansas to $835.29 in Alaska*. 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 · 77435
Office
$655.12
Facility
$655.12
The same base rate than Madera for the office setting.
Modesto
California · 77435
Office
$655.12
Facility
$655.12
The same base rate than Madera for the office setting.
Napa
California · 77435
Office
$721.80
Facility
$721.80
$66.68 higher than Madera for the office setting.
Oxnard-Thousand Oaks-Ventura
California · 77435
Office
$681.32
Facility
$681.32
$26.20 higher than Madera for the office setting.
Redding
California · 77435
Office
$655.12
Facility
$655.12
The same base rate than Madera for the office setting.
Rest Of California
California · 77435
Office
$655.12
Facility
$655.12
The same base rate than Madera for the office setting.
Riverside-San Bernardino-Ontario
California · 77435
Office
$665.25
Facility
$665.25
$10.13 higher than Madera for the office setting.
Sacramento-Roseville-Folsom
California · 77435
Office
$677.48
Facility
$677.48
$22.36 higher than Madera for the office setting.
Salinas
California · 77435
Office
$674.65
Facility
$674.65
$19.53 higher than Madera for the office setting.
San Diego-Chula Vista-Carlsbad
California · 77435
Office
$682.74
Facility
$682.74
$27.62 higher than Madera for the office setting.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 77435
Office
$753.27
Facility
$753.27
$98.15 higher than Madera for the office setting.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 77435
Office
$752.23
Facility
$752.23
$97.11 higher than Madera for the office setting.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 77435
Office
$768.61
Facility
$768.61
$113.49 higher than Madera for the office setting.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 77435
Office
$764.34
Facility
$764.34
$109.22 higher than Madera for the office setting.
San Luis Obispo-Paso Robles
California · 77435
Office
$664.76
Facility
$664.76
$9.64 higher than Madera for the office setting.
Santa Cruz-Watsonville
California · 77435
Office
$683.34
Facility
$683.34
$28.22 higher than Madera for the office setting.
Santa Maria-Santa Barbara
California · 77435
Office
$675.06
Facility
$675.06
$19.94 higher than Madera for the office setting.
Santa Rosa-Petaluma
California · 77435
Office
$689.73
Facility
$689.73
$34.61 higher than Madera for the office setting.
Stockton
California · 77435
Office
$655.12
Facility
$655.12
The same base rate than Madera for the office setting.
Vallejo
California · 77435
Office
$720.29
Facility
$720.29
$65.17 higher than Madera for the office setting.
Visalia
California · 77435
Office
$655.12
Facility
$655.12
The same base rate than Madera for the office setting.
Yuba City
California · 77435
Office
$655.12
Facility
$655.12
The same base rate than Madera for the office setting.
Dc + Md/Va Suburbs
District of Columbia · 77435
Office
$705.53
Facility
$705.53
$50.41 higher than Madera for the office setting.
Miami
Florida · 77435
Office
$697.47
Facility
$697.47
$42.35 higher than Madera for the office setting.
Chicago
Illinois · 77435
Office
$684.92
Facility
$684.92
$29.80 higher than Madera for the office setting.
Manhattan
New York · 77435
Office
$720.34
Facility
$720.34
$65.22 higher than Madera for the office setting.
Alaska*
Alaska · 77435
Office
$835.29
Facility
$835.29
$180.17 higher than Madera for the office setting.
Alabama
Alabama · 77435
Office
$599.95
Facility
$599.95
$55.17 lower than Madera for the office setting.
Arkansas
Arkansas · 77435
Office
$594.79
Facility
$594.79
$60.33 lower than Madera for the office setting.
Arizona
Arizona · 77435
Office
$629.92
Facility
$629.92
$25.20 lower than Madera for the office setting.
Colorado
Colorado · 77435
Office
$653.55
Facility
$653.55
$1.57 lower than Madera for the office setting.
Connecticut
Connecticut · 77435
Office
$672.74
Facility
$672.74
$17.62 higher than Madera for the office setting.
Delaware
Delaware · 77435
Office
$637.44
Facility
$637.44
$17.68 lower than Madera for the office setting.
Fort Lauderdale
Florida · 77435
Office
$669.04
Facility
$669.04
$13.92 higher than Madera for the office setting.
Rest Of Florida
Florida · 77435
Office
$646.89
Facility
$646.89
$8.23 lower than Madera for the office setting.
Atlanta
Georgia · 77435
Office
$652.22
Facility
$652.22
$2.90 lower than Madera for the office setting.
Rest Of Georgia
Georgia · 77435
Office
$622.99
Facility
$622.99
$32.13 lower than Madera for the office setting.
Hawaii, Guam
Hawaii · 77435
Office
$659.06
Facility
$659.06
$3.94 higher than Madera for the office setting.
Iowa
Iowa · 77435
Office
$603.72
Facility
$603.72
$51.40 lower than Madera for the office setting.
Idaho
Idaho · 77435
Office
$607.17
Facility
$607.17
$47.95 lower than Madera for the office setting.
East St. Louis
Illinois · 77435
Office
$654.53
Facility
$654.53
$0.59 lower than Madera for the office setting.
Rest Of Illinois
Illinois · 77435
Office
$639.10
Facility
$639.10
$16.02 lower than Madera for the office setting.
Suburban Chicago
Illinois · 77435
Office
$673.78
Facility
$673.78
$18.66 higher than Madera for the office setting.
Indiana
Indiana · 77435
Office
$609.14
Facility
$609.14
$45.98 lower than Madera for the office setting.
Kansas
Kansas · 77435
Office
$604.54
Facility
$604.54
$50.58 lower than Madera for the office setting.
Kentucky
Kentucky · 77435
Office
$613.81
Facility
$613.81
$41.31 lower than Madera for the office setting.
New Orleans
Louisiana · 77435
Office
$632.25
Facility
$632.25
$22.87 lower than Madera for the office setting.
Rest Of Louisiana
Louisiana · 77435
Office
$614.23
Facility
$614.23
$40.89 lower than Madera for the office setting.
Metropolitan Boston
Massachusetts · 77435
Office
$697.24
Facility
$697.24
$42.12 higher than Madera for the office setting.
Rest Of Massachusetts
Massachusetts · 77435
Office
$653.12
Facility
$653.12
$2.00 lower than Madera for the office setting.
Baltimore/Surr. Cntys
Maryland · 77435
Office
$671.12
Facility
$671.12
$16.00 higher than Madera for the office setting.
Rest Of Maryland
Maryland · 77435
Office
$645.33
Facility
$645.33
$9.79 lower than Madera for the office setting.
Rest Of Maine
Maine · 77435
Office
$611.75
Facility
$611.75
$43.37 lower than Madera for the office setting.
Southern Maine
Maine · 77435
Office
$627.94
Facility
$627.94
$27.18 lower than Madera for the office setting.
Detroit
Michigan · 77435
Office
$654.53
Facility
$654.53
$0.59 lower than Madera for the office setting.
Rest Of Michigan
Michigan · 77435
Office
$625.76
Facility
$625.76
$29.36 lower than Madera for the office setting.
Minnesota
Minnesota · 77435
Office
$626.16
Facility
$626.16
$28.96 lower than Madera for the office setting.
Metropolitan Kansas City
Missouri · 77435
Office
$626.92
Facility
$626.92
$28.20 lower than Madera for the office setting.
Metropolitan St. Louis
Missouri · 77435
Office
$630.60
Facility
$630.60
$24.52 lower than Madera for the office setting.
Rest Of Missouri
Missouri · 77435
Office
$609.57
Facility
$609.57
$45.55 lower than Madera for the office setting.
Mississippi
Mississippi · 77435
Office
$602.12
Facility
$602.12
$53.00 lower than Madera for the office setting.
Montana**
Montana · 77435
Office
$641.24
Facility
$641.24
$13.88 lower than Madera for the office setting.
North Carolina
North Carolina · 77435
Office
$615.19
Facility
$615.19
$39.93 lower than Madera for the office setting.
North Dakota**
North Dakota · 77435
Office
$623.04
Facility
$623.04
$32.08 lower than Madera for the office setting.
Nebraska
Nebraska · 77435
Office
$604.93
Facility
$604.93
$50.19 lower than Madera for the office setting.
New Hampshire
New Hampshire · 77435
Office
$646.65
Facility
$646.65
$8.47 lower than Madera for the office setting.
Northern Nj
New Jersey · 77435
Office
$703.59
Facility
$703.59
$48.47 higher than Madera for the office setting.
Rest Of New Jersey
New Jersey · 77435
Office
$680.35
Facility
$680.35
$25.23 higher than Madera for the office setting.
New Mexico
New Mexico · 77435
Office
$628.87
Facility
$628.87
$26.25 lower than Madera for the office setting.
Nevada**
Nevada · 77435
Office
$636.39
Facility
$636.39
$18.73 lower than Madera for the office setting.
Nyc Suburbs/Long Island
New York · 77435
Office
$734.72
Facility
$734.72
$79.60 higher than Madera for the office setting.
Poughkpsie/N Nyc Suburbs
New York · 77435
Office
$686.43
Facility
$686.43
$31.31 higher than Madera for the office setting.
Queens
New York · 77435
Office
$720.40
Facility
$720.40
$65.28 higher than Madera for the office setting.
Rest Of New York
New York · 77435
Office
$620.96
Facility
$620.96
$34.16 lower than Madera for the office setting.
Ohio
Ohio · 77435
Office
$622.04
Facility
$622.04
$33.08 lower than Madera for the office setting.
Oklahoma
Oklahoma · 77435
Office
$610.46
Facility
$610.46
$44.66 lower than Madera for the office setting.
Portland
Oregon · 77435
Office
$664.49
Facility
$664.49
$9.37 higher than Madera for the office setting.
Rest Of Oregon
Oregon · 77435
Office
$631.27
Facility
$631.27
$23.85 lower than Madera for the office setting.
Metropolitan Philadelphia
Pennsylvania · 77435
Office
$663.37
Facility
$663.37
$8.25 higher than Madera for the office setting.
Rest Of Pennsylvania
Pennsylvania · 77435
Office
$621.23
Facility
$621.23
$33.89 lower than Madera for the office setting.
Puerto Rico
Puerto Rico · 77435
Office
$643.30
Facility
$643.30
$11.82 lower than Madera for the office setting.
Rhode Island
Rhode Island · 77435
Office
$652.72
Facility
$652.72
$2.40 lower than Madera for the office setting.
South Carolina
South Carolina · 77435
Office
$619.65
Facility
$619.65
$35.47 lower than Madera for the office setting.
South Dakota**
South Dakota · 77435
Office
$620.89
Facility
$620.89
$34.23 lower than Madera for the office setting.
Tennessee
Tennessee · 77435
Office
$606.67
Facility
$606.67
$48.45 lower than Madera for the office setting.
Austin
Texas · 77435
Office
$651.57
Facility
$651.57
$3.55 lower than Madera for the office setting.
Beaumont
Texas · 77435
Office
$618.94
Facility
$618.94
$36.18 lower than Madera for the office setting.
Brazoria
Texas · 77435
Office
$635.61
Facility
$635.61
$19.51 lower than Madera for the office setting.
Dallas
Texas · 77435
Office
$639.52
Facility
$639.52
$15.60 lower than Madera for the office setting.
Fort Worth
Texas · 77435
Office
$637.67
Facility
$637.67
$17.45 lower than Madera for the office setting.
Galveston
Texas · 77435
Office
$637.53
Facility
$637.53
$17.59 lower than Madera for the office setting.
Houston
Texas · 77435
Office
$654.37
Facility
$654.37
$0.75 lower than Madera for the office setting.
Rest Of Texas
Texas · 77435
Office
$626.89
Facility
$626.89
$28.23 lower than Madera for the office setting.
Utah
Utah · 77435
Office
$624.72
Facility
$624.72
$30.40 lower than Madera for the office setting.
Virginia
Virginia · 77435
Office
$628.45
Facility
$628.45
$26.67 lower than Madera for the office setting.
Virgin Islands
United States Virgin Islands · 77435
Office
$643.30
Facility
$643.30
$11.82 lower than Madera for the office setting.
Vermont
Vermont · 77435
Office
$623.88
Facility
$623.88
$31.24 lower than Madera for the office setting.
Rest Of Washington
Washington · 77435
Office
$650.86
Facility
$650.86
$4.26 lower than Madera for the office setting.
Seattle (King Cnty)
Washington · 77435
Office
$705.87
Facility
$705.87
$50.75 higher than Madera for the office setting.
Wisconsin
Wisconsin · 77435
Office
$610.62
Facility
$610.62
$44.50 lower than Madera for the office setting.
West Virginia
West Virginia · 77435
Office
$625.18
Facility
$625.18
$29.94 lower than Madera for the office setting.
Wyoming**
Wyoming · 77435
Office
$633.31
Facility
$633.31
$21.81 lower than Madera for the office setting.
See how rates vary across the country
77435 · 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.
$594.79
$835.29
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 | $835.29 | 1 |
| AL | $599.95 | 1 |
| AR | $594.79 | 1 |
| AZ | $629.92 | 1 |
| CA | $655.12–$768.61 | 29 |
| CO | $653.55 | 1 |
| CT | $672.74 | 1 |
| DC | $705.53 | 1 |
| DE | $637.44 | 1 |
| FL | $646.89–$697.47 | 3 |
| GA | $622.99–$652.22 | 2 |
| GU | $659.06 | 1 |
| HI | $659.06 | 1 |
| IA | $603.72 | 1 |
| ID | $607.17 | 1 |
| IL | $639.10–$684.92 | 4 |
| IN | $609.14 | 1 |
| KS | $604.54 | 1 |
| KY | $613.81 | 1 |
| LA | $614.23–$632.25 | 2 |
| MA | $653.12–$697.24 | 2 |
| MD | $645.33–$705.53 | 3 |
| ME | $611.75–$627.94 | 2 |
| MI | $625.76–$654.53 | 2 |
| MN | $626.16 | 1 |
| MO | $609.57–$630.60 | 3 |
| MS | $602.12 | 1 |
| MT | $641.24 | 1 |
| NC | $615.19 | 1 |
| ND | $623.04 | 1 |
| NE | $604.93 | 1 |
| NH | $646.65 | 1 |
| NJ | $680.35–$703.59 | 2 |
| NM | $628.87 | 1 |
| NV | $636.39 | 1 |
| NY | $620.96–$734.72 | 5 |
| OH | $622.04 | 1 |
| OK | $610.46 | 1 |
| OR | $631.27–$664.49 | 2 |
| PA | $621.23–$663.37 | 2 |
| PR | $643.30 | 1 |
| RI | $652.72 | 1 |
| SC | $619.65 | 1 |
| SD | $620.89 | 1 |
| TN | $606.67 | 1 |
| TX | $618.94–$654.37 | 8 |
| UT | $624.72 | 1 |
| VA | $628.45–$705.53 | 2 |
| VI | $643.30 | 1 |
| VT | $623.88 | 1 |
| WA | $650.86–$705.87 | 2 |
| WI | $610.62 | 1 |
| WV | $625.18 | 1 |
| WY | $633.31 | 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 77435 in Madera, the physician’s office rate is $655.12 and the facility-setting rate is $655.12: a difference of $0.00.
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 77435 in Madera. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$720.63
$655.12 × 110% = $720.63
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 77435 in Madera.
PPRRVU2026_Oct_nonQPP.csv
9,107
- Code
- 77435
- Physician work
- 11.57
- Practice expense
- 6.71
- Malpractice
- 0.92
GPCI2026.csv
14
- Locality
- Madera
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 11.57 | × 1.017 | 11.7667 |
| Practice expense | 6.71 | × 1.096 | 7.3542 |
| Malpractice | 0.92 | × 0.536 | 0.4931 |
| Total RVUs | 19.6140 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Madera$655.12
Open 77435 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 11.57 | 1.017 |
| Practice expense | 6.71 | 1.096 |
| Malpractice | 0.92 | 0.536 |
(11.57 × 1.017 + 6.71 × 1.096 + 0.92 × 0.536) × $33.4009 = $655.12
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 11.57 | 1.017 |
| Practice expense | 6.71 | 1.096 |
| Malpractice | 0.92 | 0.536 |
(11.57 × 1.017 + 6.71 × 1.096 + 0.92 × 0.536) × $33.4009 = $655.12
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
77435 · Office / nonfacility
$655.12
Effective 2026-10-01
The base rate is $13.31 higher than on 2025-10-01, moving from $641.81 to $655.12 (2.1%).
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
$641.81changed to$655.12
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 11.87 changed to 11.57
- Practice expense RVU 6.67 changed to 6.71
- 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: $641.81
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
77435 billing questions
Is 77435 reported per fraction or per treatment course?
Report it for the SBRT treatment course, not for each delivery fraction. The number of lesions treated does not create additional units of 77435.
How does 77435 differ from 77373?
77435 represents the radiation oncologist’s professional management of the course. 77373 reports SBRT treatment delivery by fraction.
Should modifier 26 be appended to 77435?
No. CMS identifies 77435 as professional-component-only, so modifier 26 is not needed to designate its professional service. The technical service is reported separately.
Can 77435 be reported for a single-session cranial stereotactic treatment?
Compare the clinical service with 77432, which describes management of a complete one-session stereotactic treatment for cranial lesions. 77435 is for SBRT course management.
When would 77427 be considered instead?
77427 describes radiation treatment management in a five-treatment unit for conventional radiation therapy. Use 77435 for management of an SBRT course, not routine management counted in five-treatment units.
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.
9,10477427,,Radiation tx management x5,A,,3.37,2.22,,2.22,,0.26,5.85,5.85,2,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
9,10577431,,Radiation therapy management,A,,1.76,1.29,,1.29,,0.14,3.19,3.19,2,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9,10677432,,Stereotactic radiation trmt,A,,7.72,4.37,,4.37,,0.61,12.70,12.70,2,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9,10777435,,Sbrt management,A,,11.57,6.71,,6.71,,0.92,19.20,19.20,2,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9,10877436,,Surf radj ther tx planning,A,,0.77,1.54,,1.54,NA,0.04,2.35,2.35,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9,10977436,26,Surf radj ther tx planning,A,,0.77,0.45,,0.45,,0.03,1.25,1.25,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9,11077436,TC,Surf radj ther tx planning,A,,0.00,1.09,,1.09,NA,0.01,1.10,1.10,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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