$475.65
Both describe closed treatment of a scapular fracture; 23575 is the choice when manipulation is performed, while 23570 is for treatment without manipulation.
On this page
CMS RVU26D · Effective 2026-10-01
23570 in Merced
Office / nonfacility
$276.53
Base rate per service
Facility setting
$262.26
Base rate per service
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
Orthopedic fracture care
About 23570: Closed scapular fracture treatment without manipulation
Reports closed, nonoperative management of a scapular fracture when the treating clinician accepts alignment without manipulating the fracture.
An orthopedic surgeon or other physician managing a scapular fracture may report this service when treatment is closed and alignment is accepted without manipulation. Care may include clinical assessment, nonoperative immobilization such as a sling when appropriate, and management of healing. The record should identify the fracture site and support that the clinician is assuming fracture care, rather than only evaluating the injury before referral. Treatment may occur in an office or hospital setting.
Document the fracture site and pattern, the closed approach, the decision not to manipulate, and the care plan. CMS assigns a 90-day major-surgery global period, including the day-before preoperative visit and 90 days of related postoperative care. In a same-session multiple-procedure claim, the highest-valued procedure is paid in full and other procedures at 50%. Bilateral treatment with modifier 50 is paid at 150%. Assistant-at-surgery services are subject to a statutory payment restriction; co-surgeons and team surgery are not permitted.
CMS billing rules for 23570
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral procedure with modifier 50 is paid at 150%.
- Assistant at surgery
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU2.30 · 29%
- Practice expense (office) RVU5.19 · 65%
- Malpractice RVU0.47 · 6%
2.4K
Medicare services in 2024 · #2314 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.
23570 compared with similar codes
Office rates for Merced, from the same CMS release.
No office rate
Choose 23585 when the scapular fracture is treated through an open approach with internal fixation; 23570 describes closed treatment without manipulation.
$268.88
23500 is for closed treatment without manipulation of a clavicular fracture. Confirm whether the fractured bone is the clavicle or the scapula.
The same code, a different location
How does Merced compare?
In Bakersfield, the office rate for 23570 is $277.83—$1.30 higher than the $276.53 rate in Merced. Both use the same code, release and participation basis.
23570 across payment areas
Same release and payment basis · bars start at $0
Merced · This locality
$276.53
$277.83
$1.30 higher than Merced
$276.53
The same base rate than Merced
$276.61
$0.08 higher than Merced
$276.53
The same base rate than Merced
$276.53
The same base rate than Merced
$18.94 higher than Merced
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, 23570 ranges from $233.81 in Arkansas to $343.66 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
Madera
California · 23570
Office
$276.53
Facility
$262.26
The same base rate than Merced for the office setting.
Modesto
California · 23570
Office
$276.53
Facility
$262.26
The same base rate than Merced for the office setting.
Napa
California · 23570
Office
$318.11
Facility
$300.94
$41.58 higher than Merced for the office setting.
Oxnard-Thousand Oaks-Ventura
California · 23570
Office
$293.65
Facility
$278.26
$17.12 higher than Merced for the office setting.
Redding
California · 23570
Office
$276.53
Facility
$262.26
The same base rate than Merced for the office setting.
Rest Of California
California · 23570
Office
$276.53
Facility
$262.26
The same base rate than Merced for the office setting.
Riverside-San Bernardino-Ontario
California · 23570
Office
$281.59
Facility
$267.31
$5.06 higher than Merced for the office setting.
Sacramento-Roseville-Folsom
California · 23570
Office
$289.61
Facility
$274.46
$13.08 higher than Merced for the office setting.
Salinas
California · 23570
Office
$288.53
Facility
$273.43
$12.00 higher than Merced for the office setting.
San Diego-Chula Vista-Carlsbad
California · 23570
Office
$294.96
Facility
$279.38
$18.43 higher than Merced for the office setting.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 23570
Office
$335.75
Facility
$317.38
$59.22 higher than Merced for the office setting.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 23570
Office
$335.22
Facility
$316.85
$58.69 higher than Merced for the office setting.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 23570
Office
$343.66
Facility
$324.87
$67.13 higher than Merced for the office setting.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 23570
Office
$341.48
Facility
$322.69
$64.95 higher than Merced for the office setting.
San Luis Obispo-Paso Robles
California · 23570
Office
$283.99
Facility
$269.15
$7.46 higher than Merced for the office setting.
Santa Cruz-Watsonville
California · 23570
Office
$297.47
Facility
$281.64
$20.94 higher than Merced for the office setting.
Santa Maria-Santa Barbara
California · 23570
Office
$289.51
Facility
$274.33
$12.98 higher than Merced for the office setting.
Santa Rosa-Petaluma
California · 23570
Office
$300.42
Facility
$284.42
$23.89 higher than Merced for the office setting.
Stockton
California · 23570
Office
$276.53
Facility
$262.26
The same base rate than Merced for the office setting.
Vallejo
California · 23570
Office
$317.34
Facility
$300.17
$40.81 higher than Merced for the office setting.
Visalia
California · 23570
Office
$276.53
Facility
$262.26
The same base rate than Merced for the office setting.
Yuba City
California · 23570
Office
$276.53
Facility
$262.26
The same base rate than Merced for the office setting.
Dc + Md/Va Suburbs
District of Columbia · 23570
Office
$302.65
Facility
$287.30
$26.12 higher than Merced for the office setting.
Miami
Florida · 23570
Office
$296.98
Facility
$283.42
$20.45 higher than Merced for the office setting.
Chicago
Illinois · 23570
Office
$287.61
Facility
$274.51
$11.08 higher than Merced for the office setting.
Manhattan
New York · 23570
Office
$308.07
Facility
$292.93
$31.54 higher than Merced for the office setting.
Alaska*
Alaska · 23570
Office
$308.50
Facility
$294.63
$31.97 higher than Merced for the office setting.
Alabama
Alabama · 23570
Office
$237.39
Facility
$225.99
$39.14 lower than Merced for the office setting.
Arkansas
Arkansas · 23570
Office
$233.81
Facility
$222.63
$42.72 lower than Merced for the office setting.
Arizona
Arizona · 23570
Office
$258.24
Facility
$245.61
$18.29 lower than Merced for the office setting.
Colorado
Colorado · 23570
Office
$274.45
Facility
$260.59
$2.08 lower than Merced for the office setting.
Connecticut
Connecticut · 23570
Office
$284.05
Facility
$270.02
$7.52 higher than Merced for the office setting.
Delaware
Delaware · 23570
Office
$262.59
Facility
$249.72
$13.94 lower than Merced for the office setting.
Fort Lauderdale
Florida · 23570
Office
$280.81
Facility
$267.61
$4.28 higher than Merced for the office setting.
Rest Of Florida
Florida · 23570
Office
$266.14
Facility
$253.69
$10.39 lower than Merced for the office setting.
Atlanta
Georgia · 23570
Office
$272.03
Facility
$258.80
$4.50 lower than Merced for the office setting.
Rest Of Georgia
Georgia · 23570
Office
$250.16
Facility
$238.54
$26.37 lower than Merced for the office setting.
Hawaii, Guam
Hawaii · 23570
Office
$283.01
Facility
$268.20
$6.48 higher than Merced for the office setting.
Iowa
Iowa · 23570
Office
$241.67
Facility
$229.75
$34.86 lower than Merced for the office setting.
Idaho
Idaho · 23570
Office
$243.73
Facility
$231.75
$32.80 lower than Merced for the office setting.
East St. Louis
Illinois · 23570
Office
$267.92
Facility
$255.94
$8.61 lower than Merced for the office setting.
Rest Of Illinois
Illinois · 23570
Office
$259.63
Facility
$247.73
$16.90 lower than Merced for the office setting.
Suburban Chicago
Illinois · 23570
Office
$283.21
Facility
$269.83
$6.68 higher than Merced for the office setting.
Indiana
Indiana · 23570
Office
$245.15
Facility
$233.07
$31.38 lower than Merced for the office setting.
Kansas
Kansas · 23570
Office
$241.44
Facility
$229.67
$35.09 lower than Merced for the office setting.
Kentucky
Kentucky · 23570
Office
$245.29
Facility
$233.71
$31.24 lower than Merced for the office setting.
New Orleans
Louisiana · 23570
Office
$257.78
Facility
$245.52
$18.75 lower than Merced for the office setting.
Rest Of Louisiana
Louisiana · 23570
Office
$245.28
Facility
$233.75
$31.25 lower than Merced for the office setting.
Metropolitan Boston
Massachusetts · 23570
Office
$300.92
Facility
$285.37
$24.39 higher than Merced for the office setting.
Rest Of Massachusetts
Massachusetts · 23570
Office
$273.10
Facility
$259.38
$3.43 lower than Merced for the office setting.
Baltimore/Surr. Cntys
Maryland · 23570
Office
$283.48
Facility
$269.50
$6.95 higher than Merced for the office setting.
Rest Of Maryland
Maryland · 23570
Office
$267.43
Facility
$254.25
$9.10 lower than Merced for the office setting.
Rest Of Maine
Maine · 23570
Office
$246.07
Facility
$234.08
$30.46 lower than Merced for the office setting.
Southern Maine
Maine · 23570
Office
$258.52
Facility
$245.61
$18.01 lower than Merced for the office setting.
Detroit
Michigan · 23570
Office
$270.57
Facility
$258.00
$5.96 lower than Merced for the office setting.
Rest Of Michigan
Michigan · 23570
Office
$252.81
Facility
$240.92
$23.72 lower than Merced for the office setting.
Minnesota
Minnesota · 23570
Office
$259.85
Facility
$246.44
$16.68 lower than Merced for the office setting.
Metropolitan Kansas City
Missouri · 23570
Office
$254.94
Facility
$242.70
$21.59 lower than Merced for the office setting.
Metropolitan St. Louis
Missouri · 23570
Office
$257.58
Facility
$245.18
$18.95 lower than Merced for the office setting.
Rest Of Missouri
Missouri · 23570
Office
$241.54
Facility
$230.31
$34.99 lower than Merced for the office setting.
Mississippi
Mississippi · 23570
Office
$237.68
Facility
$226.46
$38.85 lower than Merced for the office setting.
Montana**
Montana · 23570
Office
$265.84
Facility
$252.81
$10.69 lower than Merced for the office setting.
North Carolina
North Carolina · 23570
Office
$248.59
Facility
$236.44
$27.94 lower than Merced for the office setting.
North Dakota**
North Dakota · 23570
Office
$256.55
Facility
$243.52
$19.98 lower than Merced for the office setting.
Nebraska
Nebraska · 23570
Office
$242.76
Facility
$230.74
$33.77 lower than Merced for the office setting.
New Hampshire
New Hampshire · 23570
Office
$271.02
Facility
$257.46
$5.51 lower than Merced for the office setting.
Northern Nj
New Jersey · 23570
Office
$299.51
Facility
$284.40
$22.98 higher than Merced for the office setting.
Rest Of New Jersey
New Jersey · 23570
Office
$286.42
Facility
$272.19
$9.89 higher than Merced for the office setting.
New Mexico
New Mexico · 23570
Office
$254.64
Facility
$242.69
$21.89 lower than Merced for the office setting.
Nevada**
Nevada · 23570
Office
$263.42
Facility
$250.38
$13.11 lower than Merced for the office setting.
Nyc Suburbs/Long Island
New York · 23570
Office
$317.00
Facility
$301.52
$40.47 higher than Merced for the office setting.
Poughkpsie/N Nyc Suburbs
New York · 23570
Office
$289.09
Facility
$274.83
$12.56 higher than Merced for the office setting.
Queens
New York · 23570
Office
$309.28
Facility
$293.88
$32.75 higher than Merced for the office setting.
Rest Of New York
New York · 23570
Office
$252.54
Facility
$240.17
$23.99 lower than Merced for the office setting.
Ohio
Ohio · 23570
Office
$250.92
Facility
$239.02
$25.61 lower than Merced for the office setting.
Oklahoma
Oklahoma · 23570
Office
$243.82
Facility
$232.19
$32.71 lower than Merced for the office setting.
Portland
Oregon · 23570
Office
$282.32
Facility
$267.85
$5.79 higher than Merced for the office setting.
Rest Of Oregon
Oregon · 23570
Office
$260.52
Facility
$247.54
$16.01 lower than Merced for the office setting.
Metropolitan Philadelphia
Pennsylvania · 23570
Office
$277.39
Facility
$263.83
$0.86 higher than Merced for the office setting.
Rest Of Pennsylvania
Pennsylvania · 23570
Office
$250.79
Facility
$238.83
$25.74 lower than Merced for the office setting.
Puerto Rico
Puerto Rico · 23570
Office
$267.54
Facility
$254.37
$8.99 lower than Merced for the office setting.
Rhode Island
Rhode Island · 23570
Office
$271.36
Facility
$257.90
$5.17 lower than Merced for the office setting.
South Carolina
South Carolina · 23570
Office
$250.34
Facility
$238.31
$26.19 lower than Merced for the office setting.
South Dakota**
South Dakota · 23570
Office
$255.45
Facility
$242.42
$21.08 lower than Merced for the office setting.
Tennessee
Tennessee · 23570
Office
$242.83
Facility
$230.99
$33.70 lower than Merced for the office setting.
Austin
Texas · 23570
Office
$274.29
Facility
$260.51
$2.24 lower than Merced for the office setting.
Beaumont
Texas · 23570
Office
$249.16
Facility
$237.30
$27.37 lower than Merced for the office setting.
Brazoria
Texas · 23570
Office
$261.47
Facility
$248.56
$15.06 lower than Merced for the office setting.
Dallas
Texas · 23570
Office
$263.64
Facility
$250.67
$12.89 lower than Merced for the office setting.
Fort Worth
Texas · 23570
Office
$262.11
Facility
$249.27
$14.42 lower than Merced for the office setting.
Galveston
Texas · 23570
Office
$262.57
Facility
$249.64
$13.96 lower than Merced for the office setting.
Houston
Texas · 23570
Office
$271.17
Facility
$258.24
$5.36 lower than Merced for the office setting.
Rest Of Texas
Texas · 23570
Office
$255.51
Facility
$243.15
$21.02 lower than Merced for the office setting.
Utah
Utah · 23570
Office
$253.87
Facility
$241.62
$22.66 lower than Merced for the office setting.
Virginia
Virginia · 23570
Office
$258.31
Facility
$245.50
$18.22 lower than Merced for the office setting.
Virgin Islands
United States Virgin Islands · 23570
Office
$267.54
Facility
$254.37
$8.99 lower than Merced for the office setting.
Vermont
Vermont · 23570
Office
$256.38
Facility
$243.49
$20.15 lower than Merced for the office setting.
Rest Of Washington
Washington · 23570
Office
$272.31
Facility
$258.59
$4.22 lower than Merced for the office setting.
Seattle (King Cnty)
Washington · 23570
Office
$306.19
Facility
$290.21
$29.66 higher than Merced for the office setting.
Wisconsin
Wisconsin · 23570
Office
$247.73
Facility
$235.25
$28.80 lower than Merced for the office setting.
West Virginia
West Virginia · 23570
Office
$249.93
Facility
$238.61
$26.60 lower than Merced for the office setting.
Wyoming**
Wyoming · 23570
Office
$261.79
Facility
$248.76
$14.74 lower than Merced for the office setting.
See how rates vary across the country
23570 · 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.
$233.81
$310.10
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 | $308.50 | 1 |
| AL | $237.39 | 1 |
| AR | $233.81 | 1 |
| AZ | $258.24 | 1 |
| CA | $276.53–$343.66 | 29 |
| CO | $274.45 | 1 |
| CT | $284.05 | 1 |
| DC | $302.65 | 1 |
| DE | $262.59 | 1 |
| FL | $266.14–$296.98 | 3 |
| GA | $250.16–$272.03 | 2 |
| GU | $283.01 | 1 |
| HI | $283.01 | 1 |
| IA | $241.67 | 1 |
| ID | $243.73 | 1 |
| IL | $259.63–$287.61 | 4 |
| IN | $245.15 | 1 |
| KS | $241.44 | 1 |
| KY | $245.29 | 1 |
| LA | $245.28–$257.78 | 2 |
| MA | $273.10–$300.92 | 2 |
| MD | $267.43–$302.65 | 3 |
| ME | $246.07–$258.52 | 2 |
| MI | $252.81–$270.57 | 2 |
| MN | $259.85 | 1 |
| MO | $241.54–$257.58 | 3 |
| MS | $237.68 | 1 |
| MT | $265.84 | 1 |
| NC | $248.59 | 1 |
| ND | $256.55 | 1 |
| NE | $242.76 | 1 |
| NH | $271.02 | 1 |
| NJ | $286.42–$299.51 | 2 |
| NM | $254.64 | 1 |
| NV | $263.42 | 1 |
| NY | $252.54–$317.00 | 5 |
| OH | $250.92 | 1 |
| OK | $243.82 | 1 |
| OR | $260.52–$282.32 | 2 |
| PA | $250.79–$277.39 | 2 |
| PR | $267.54 | 1 |
| RI | $271.36 | 1 |
| SC | $250.34 | 1 |
| SD | $255.45 | 1 |
| TN | $242.83 | 1 |
| TX | $249.16–$274.29 | 8 |
| UT | $253.87 | 1 |
| VA | $258.31–$302.65 | 2 |
| VI | $267.54 | 1 |
| VT | $256.38 | 1 |
| WA | $272.31–$306.19 | 2 |
| WI | $247.73 | 1 |
| WV | $249.93 | 1 |
| WY | $261.79 | 1 |
Where does this rate apply?
Merced is a Medicare payment area. Our Census mapping connects it to 24 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 23570 in Merced, the physician’s office rate is $276.53 and the facility-setting rate is $262.26: a difference of $14.27.
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 23570 in Merced. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$304.18
$276.53 × 110% = $304.18
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 23570 in Merced.
PPRRVU2026_Oct_nonQPP.csv
2,229
- Code
- 23570
- Physician work
- 2.30
- Practice expense
- 5.19
- Malpractice
- 0.47
GPCI2026.csv
15
- Locality
- Merced
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.30 | × 1.017 | 2.3391 |
| Practice expense | 5.19 | × 1.096 | 5.6882 |
| Malpractice | 0.47 | × 0.536 | 0.2519 |
| Total RVUs | 8.2793 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Merced$276.53
Open 23570 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.3 | 1.017 |
| Practice expense | 5.19 | 1.096 |
| Malpractice | 0.47 | 0.536 |
(2.3 × 1.017 + 5.19 × 1.096 + 0.47 × 0.536) × $33.4009 = $276.53
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.3 | 1.017 |
| Practice expense | 4.8 | 1.096 |
| Malpractice | 0.47 | 0.536 |
(2.3 × 1.017 + 4.8 × 1.096 + 0.47 × 0.536) × $33.4009 = $262.26
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
23570 · Office / nonfacility
$276.53
Effective 2026-10-01
The base rate is $26.56 higher than on 2025-10-01, moving from $249.97 to $276.53 (10.6%).
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
$249.97changed to$276.53
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 2.36 changed to 2.30
- Practice expense RVU 4.63 changed to 5.19
- Malpractice RVU 0.49 changed to 0.47
- 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: $249.97
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
23570 billing questions
When should 23570 be chosen over 23575?
Report 23570 when the scapular fracture is treated closed without manipulation. Use 23575 when the clinician manipulates the fracture as part of closed treatment.
How does 23570 differ from 23585?
23570 describes closed treatment without manipulation. 23585 is for open treatment of a scapular fracture with internal fixation.
Does applying a sling alone support 23570?
The documentation should show that the clinician assumed fracture care and selected closed treatment without manipulation. A sling application by itself does not establish those facts.
Are related follow-up visits included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How is bilateral treatment reported?
For bilateral treatment, report modifier 50; CMS pays the bilateral procedure at 150%.
Can an assistant or co-surgeon be paid for this service?
CMS applies a statutory restriction to assistant-at-surgery payment. Co-surgeons and team surgery are not permitted.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
2,22623545,,Cltx acromclav dislc w/mnpj,A,,3.34,10.86,,8.59,,0.83,15.03,12.76,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,22723550,,Optx acromclv dislc aqt/chrn,A,,7.40,7.33,NA,7.33,,1.46,16.19,16.19,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,22823552,,Optx acrclv dslc aq/chrn grf,A,,8.60,8.04,NA,8.04,,1.69,18.33,18.33,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,22923570,,Cltx scapular fx w/o mnpj,A,,2.30,5.19,,4.80,,0.47,7.96,7.57,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,23023575,,Cltx scap fx w/mnpj +-tractj,A,,4.12,8.74,,6.35,,0.88,13.74,11.35,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,23123585,,Optx scapular fx w/int fixj,A,,13.87,10.12,NA,10.12,,2.82,26.81,26.81,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,23223600,,Cltx prox humrl fx w/o mnpj,A,,2.93,7.87,,6.40,,0.61,11.41,9.94,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
1801182,CA,17,OXNARD-THOUSAND OAKS-VENTURA,1.028,1.182,0.623