$139.47
Both are measured per square centimeter, but Q4395 is for Acelagraft. Use Q4396 when the documented product is Natalin.
On this page
CMS RVU26D · Effective 2026-10-01
Q4396 in Merced
Office / nonfacility
$139.47
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.
Wound care
About Q4396: Natalin wound graft, per square centimeter
Report Q4396 for each square centimeter of Natalin used with a primary graft application procedure to treat a wound.
Q4396 identifies Natalin by product and measures the material in square centimeters. A wound care clinician, podiatrist, or surgeon may use it while treating a wound in an office or facility. The code describes the Natalin material rather than the work of preparing the wound and applying it. Select it only when the treatment record identifies Natalin; a different graft product calls for its own product code.
Report the number of square centimeters of Natalin used, supported by the wound measurements, product record, and amount documented for the application. Link Q4396 to the primary procedure performed at that encounter: CMS classifies it as an add-on code billed only with a primary procedure and paid within that procedure’s global period. CMS also classifies Q4396 as technical-component-only. A separate code covers interpretation when interpretation is performed and documented; Q4396 itself represents the technical portion.
CMS billing rules for Q4396
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
- Professional and technical components
- Technical-component-only code: a separate code covers interpretation.
Where the value comes from
- Work RVU0.00 · 0%
- Practice expense (office) RVU3.81 · 100%
- Malpractice RVU0.00 · 0%
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.
Q4396 compared with similar codes
Office rates for Merced, from the same CMS release.
$139.47
Q4390 identifies Ascendion. The wound measurement alone cannot distinguish these codes; the documented product determines the choice.
$139.47
Q4392 identifies Grafix Duo. Report Q4396 for Natalin, using the product record to verify the material applied.
The same code, a different location
How does Merced compare?
In Bakersfield, the office rate for Q4396 is $139.47—the same base rate than the $139.47 rate in Merced. Both use the same code, release and participation basis.
Q4396 across payment areas
Same release and payment basis · bars start at $0
Merced · This locality
$139.47
$139.47
The same base rate than Merced
$139.47
The same base rate than Merced
$139.47
The same base rate than Merced
$139.47
The same base rate than Merced
$139.47
The same base rate than Merced
$11.08 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, Q4396 ranges from $109.31 in Arkansas to $183.51 in San Jose-Sunnyvale-Santa Clara (Santa Clara 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 · Q4396
Office
$139.47
Facility
Unavailable
The same base rate than Merced for the office setting.
Modesto
California · Q4396
Office
$139.47
Facility
Unavailable
The same base rate than Merced for the office setting.
Napa
California · Q4396
Office
$167.73
Facility
Unavailable
$28.26 higher than Merced for the office setting.
Oxnard-Thousand Oaks-Ventura
California · Q4396
Office
$150.42
Facility
Unavailable
$10.95 higher than Merced for the office setting.
Redding
California · Q4396
Office
$139.47
Facility
Unavailable
The same base rate than Merced for the office setting.
Rest Of California
California · Q4396
Office
$139.47
Facility
Unavailable
The same base rate than Merced for the office setting.
Riverside-San Bernardino-Ontario
California · Q4396
Office
$139.47
Facility
Unavailable
The same base rate than Merced for the office setting.
Sacramento-Roseville-Folsom
California · Q4396
Office
$148.00
Facility
Unavailable
$8.53 higher than Merced for the office setting.
Salinas
California · Q4396
Office
$147.49
Facility
Unavailable
$8.02 higher than Merced for the office setting.
San Diego-Chula Vista-Carlsbad
California · Q4396
Office
$152.20
Facility
Unavailable
$12.73 higher than Merced for the office setting.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · Q4396
Office
$179.43
Facility
Unavailable
$39.96 higher than Merced for the office setting.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · Q4396
Office
$179.43
Facility
Unavailable
$39.96 higher than Merced for the office setting.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · Q4396
Office
$183.51
Facility
Unavailable
$44.04 higher than Merced for the office setting.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · Q4396
Office
$183.51
Facility
Unavailable
$44.04 higher than Merced for the office setting.
San Luis Obispo-Paso Robles
California · Q4396
Office
$144.95
Facility
Unavailable
$5.48 higher than Merced for the office setting.
Santa Cruz-Watsonville
California · Q4396
Office
$154.62
Facility
Unavailable
$15.15 higher than Merced for the office setting.
Santa Maria-Santa Barbara
California · Q4396
Office
$148.38
Facility
Unavailable
$8.91 higher than Merced for the office setting.
Santa Rosa-Petaluma
California · Q4396
Office
$156.27
Facility
Unavailable
$16.80 higher than Merced for the office setting.
Stockton
California · Q4396
Office
$139.47
Facility
Unavailable
The same base rate than Merced for the office setting.
Vallejo
California · Q4396
Office
$167.73
Facility
Unavailable
$28.26 higher than Merced for the office setting.
Visalia
California · Q4396
Office
$139.47
Facility
Unavailable
The same base rate than Merced for the office setting.
Yuba City
California · Q4396
Office
$139.47
Facility
Unavailable
The same base rate than Merced for the office setting.
Dc + Md/Va Suburbs
District of Columbia · Q4396
Office
$149.91
Facility
Unavailable
$10.44 higher than Merced for the office setting.
Miami
Florida · Q4396
Office
$132.47
Facility
Unavailable
$7.00 lower than Merced for the office setting.
Chicago
Illinois · Q4396
Office
$127.89
Facility
Unavailable
$11.58 lower than Merced for the office setting.
Manhattan
New York · Q4396
Office
$147.87
Facility
Unavailable
$8.40 higher than Merced for the office setting.
Alaska*
Alaska · Q4396
Office
$135.53
Facility
Unavailable
$3.94 lower than Merced for the office setting.
Alabama
Alabama · Q4396
Office
$111.35
Facility
Unavailable
$28.12 lower than Merced for the office setting.
Arkansas
Arkansas · Q4396
Office
$109.31
Facility
Unavailable
$30.16 lower than Merced for the office setting.
Arizona
Arizona · Q4396
Office
$123.31
Facility
Unavailable
$16.16 lower than Merced for the office setting.
Colorado
Colorado · Q4396
Office
$135.40
Facility
Unavailable
$4.07 lower than Merced for the office setting.
Connecticut
Connecticut · Q4396
Office
$137.06
Facility
Unavailable
$2.41 lower than Merced for the office setting.
Delaware
Delaware · Q4396
Office
$125.73
Facility
Unavailable
$13.74 lower than Merced for the office setting.
Fort Lauderdale
Florida · Q4396
Office
$128.91
Facility
Unavailable
$10.56 lower than Merced for the office setting.
Rest Of Florida
Florida · Q4396
Office
$121.66
Facility
Unavailable
$17.81 lower than Merced for the office setting.
Atlanta
Georgia · Q4396
Office
$129.29
Facility
Unavailable
$10.18 lower than Merced for the office setting.
Rest Of Georgia
Georgia · Q4396
Office
$113.51
Facility
Unavailable
$25.96 lower than Merced for the office setting.
Hawaii, Guam
Hawaii · Q4396
Office
$144.69
Facility
Unavailable
$5.22 higher than Merced for the office setting.
Iowa
Iowa · Q4396
Office
$116.44
Facility
Unavailable
$23.03 lower than Merced for the office setting.
Idaho
Idaho · Q4396
Office
$117.08
Facility
Unavailable
$22.39 lower than Merced for the office setting.
East St. Louis
Illinois · Q4396
Office
$117.08
Facility
Unavailable
$22.39 lower than Merced for the office setting.
Rest Of Illinois
Illinois · Q4396
Office
$116.19
Facility
Unavailable
$23.28 lower than Merced for the office setting.
Suburban Chicago
Illinois · Q4396
Office
$130.69
Facility
Unavailable
$8.78 lower than Merced for the office setting.
Indiana
Indiana · Q4396
Office
$117.97
Facility
Unavailable
$21.50 lower than Merced for the office setting.
Kansas
Kansas · Q4396
Office
$115.04
Facility
Unavailable
$24.43 lower than Merced for the office setting.
Kentucky
Kentucky · Q4396
Office
$113.13
Facility
Unavailable
$26.34 lower than Merced for the office setting.
New Orleans
Louisiana · Q4396
Office
$119.75
Facility
Unavailable
$19.72 lower than Merced for the office setting.
Rest Of Louisiana
Louisiana · Q4396
Office
$112.62
Facility
Unavailable
$26.85 lower than Merced for the office setting.
Metropolitan Boston
Massachusetts · Q4396
Office
$151.95
Facility
Unavailable
$12.48 higher than Merced for the office setting.
Rest Of Massachusetts
Massachusetts · Q4396
Office
$134.00
Facility
Unavailable
$5.47 lower than Merced for the office setting.
Baltimore/Surr. Cntys
Maryland · Q4396
Office
$136.55
Facility
Unavailable
$2.92 lower than Merced for the office setting.
Rest Of Maryland
Maryland · Q4396
Office
$128.78
Facility
Unavailable
$10.69 lower than Merced for the office setting.
Rest Of Maine
Maine · Q4396
Office
$117.08
Facility
Unavailable
$22.39 lower than Merced for the office setting.
Southern Maine
Maine · Q4396
Office
$126.11
Facility
Unavailable
$13.36 lower than Merced for the office setting.
Detroit
Michigan · Q4396
Office
$122.80
Facility
Unavailable
$16.67 lower than Merced for the office setting.
Rest Of Michigan
Michigan · Q4396
Office
$116.19
Facility
Unavailable
$23.28 lower than Merced for the office setting.
Minnesota
Minnesota · Q4396
Office
$130.95
Facility
Unavailable
$8.52 lower than Merced for the office setting.
Metropolitan Kansas City
Missouri · Q4396
Office
$119.49
Facility
Unavailable
$19.98 lower than Merced for the office setting.
Metropolitan St. Louis
Missouri · Q4396
Office
$121.15
Facility
Unavailable
$18.32 lower than Merced for the office setting.
Rest Of Missouri
Missouri · Q4396
Office
$109.70
Facility
Unavailable
$29.77 lower than Merced for the office setting.
Mississippi
Mississippi · Q4396
Office
$109.57
Facility
Unavailable
$29.90 lower than Merced for the office setting.
Montana**
Montana · Q4396
Office
$127.26
Facility
Unavailable
$12.21 lower than Merced for the office setting.
North Carolina
North Carolina · Q4396
Office
$118.73
Facility
Unavailable
$20.74 lower than Merced for the office setting.
North Dakota**
North Dakota · Q4396
Office
$127.26
Facility
Unavailable
$12.21 lower than Merced for the office setting.
Nebraska
Nebraska · Q4396
Office
$117.46
Facility
Unavailable
$22.01 lower than Merced for the office setting.
New Hampshire
New Hampshire · Q4396
Office
$132.47
Facility
Unavailable
$7.00 lower than Merced for the office setting.
Northern Nj
New Jersey · Q4396
Office
$147.62
Facility
Unavailable
$8.15 higher than Merced for the office setting.
Rest Of New Jersey
New Jersey · Q4396
Office
$138.97
Facility
Unavailable
$0.50 lower than Merced for the office setting.
New Mexico
New Mexico · Q4396
Office
$116.70
Facility
Unavailable
$22.77 lower than Merced for the office setting.
Nevada**
Nevada · Q4396
Office
$127.38
Facility
Unavailable
$12.09 lower than Merced for the office setting.
Nyc Suburbs/Long Island
New York · Q4396
Office
$151.31
Facility
Unavailable
$11.84 higher than Merced for the office setting.
Poughkpsie/N Nyc Suburbs
New York · Q4396
Office
$139.35
Facility
Unavailable
$0.12 lower than Merced for the office setting.
Queens
New York · Q4396
Office
$150.42
Facility
Unavailable
$10.95 higher than Merced for the office setting.
Rest Of New York
New York · Q4396
Office
$120.89
Facility
Unavailable
$18.58 lower than Merced for the office setting.
Ohio
Ohio · Q4396
Office
$116.19
Facility
Unavailable
$23.28 lower than Merced for the office setting.
Oklahoma
Oklahoma · Q4396
Office
$113.64
Facility
Unavailable
$25.83 lower than Merced for the office setting.
Portland
Oregon · Q4396
Office
$141.38
Facility
Unavailable
$1.91 higher than Merced for the office setting.
Rest Of Oregon
Oregon · Q4396
Office
$126.75
Facility
Unavailable
$12.72 lower than Merced for the office setting.
Metropolitan Philadelphia
Pennsylvania · Q4396
Office
$132.47
Facility
Unavailable
$7.00 lower than Merced for the office setting.
Rest Of Pennsylvania
Pennsylvania · Q4396
Office
$116.82
Facility
Unavailable
$22.65 lower than Merced for the office setting.
Puerto Rico
Puerto Rico · Q4396
Office
$128.66
Facility
Unavailable
$10.81 lower than Merced for the office setting.
Rhode Island
Rhode Island · Q4396
Office
$131.46
Facility
Unavailable
$8.01 lower than Merced for the office setting.
South Carolina
South Carolina · Q4396
Office
$117.59
Facility
Unavailable
$21.88 lower than Merced for the office setting.
South Dakota**
South Dakota · Q4396
Office
$127.26
Facility
Unavailable
$12.21 lower than Merced for the office setting.
Tennessee
Tennessee · Q4396
Office
$115.68
Facility
Unavailable
$23.79 lower than Merced for the office setting.
Austin
Texas · Q4396
Office
$134.64
Facility
Unavailable
$4.83 lower than Merced for the office setting.
Beaumont
Texas · Q4396
Office
$115.80
Facility
Unavailable
$23.67 lower than Merced for the office setting.
Brazoria
Texas · Q4396
Office
$126.11
Facility
Unavailable
$13.36 lower than Merced for the office setting.
Dallas
Texas · Q4396
Office
$126.75
Facility
Unavailable
$12.72 lower than Merced for the office setting.
Fort Worth
Texas · Q4396
Office
$125.48
Facility
Unavailable
$13.99 lower than Merced for the office setting.
Galveston
Texas · Q4396
Office
$126.37
Facility
Unavailable
$13.10 lower than Merced for the office setting.
Houston
Texas · Q4396
Office
$126.37
Facility
Unavailable
$13.10 lower than Merced for the office setting.
Rest Of Texas
Texas · Q4396
Office
$120.77
Facility
Unavailable
$18.70 lower than Merced for the office setting.
Utah
Utah · Q4396
Office
$119.62
Facility
Unavailable
$19.85 lower than Merced for the office setting.
Virginia
Virginia · Q4396
Office
$125.09
Facility
Unavailable
$14.38 lower than Merced for the office setting.
Virgin Islands
United States Virgin Islands · Q4396
Office
$128.66
Facility
Unavailable
$10.81 lower than Merced for the office setting.
Vermont
Vermont · Q4396
Office
$125.98
Facility
Unavailable
$13.49 lower than Merced for the office setting.
Rest Of Washington
Washington · Q4396
Office
$134.00
Facility
Unavailable
$5.47 lower than Merced for the office setting.
Seattle (King Cnty)
Washington · Q4396
Office
$156.14
Facility
Unavailable
$16.67 higher than Merced for the office setting.
Wisconsin
Wisconsin · Q4396
Office
$121.91
Facility
Unavailable
$17.56 lower than Merced for the office setting.
West Virginia
West Virginia · Q4396
Office
$110.59
Facility
Unavailable
$28.88 lower than Merced for the office setting.
Wyoming**
Wyoming · Q4396
Office
$127.26
Facility
Unavailable
$12.21 lower than Merced for the office setting.
See how rates vary across the country
Q4396 · 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.
$109.31
$161.49
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 | $135.53 | 1 |
| AL | $111.35 | 1 |
| AR | $109.31 | 1 |
| AZ | $123.31 | 1 |
| CA | $139.47–$183.51 | 29 |
| CO | $135.40 | 1 |
| CT | $137.06 | 1 |
| DC | $149.91 | 1 |
| DE | $125.73 | 1 |
| FL | $121.66–$132.47 | 3 |
| GA | $113.51–$129.29 | 2 |
| GU | $144.69 | 1 |
| HI | $144.69 | 1 |
| IA | $116.44 | 1 |
| ID | $117.08 | 1 |
| IL | $116.19–$130.69 | 4 |
| IN | $117.97 | 1 |
| KS | $115.04 | 1 |
| KY | $113.13 | 1 |
| LA | $112.62–$119.75 | 2 |
| MA | $134.00–$151.95 | 2 |
| MD | $128.78–$149.91 | 3 |
| ME | $117.08–$126.11 | 2 |
| MI | $116.19–$122.80 | 2 |
| MN | $130.95 | 1 |
| MO | $109.70–$121.15 | 3 |
| MS | $109.57 | 1 |
| MT | $127.26 | 1 |
| NC | $118.73 | 1 |
| ND | $127.26 | 1 |
| NE | $117.46 | 1 |
| NH | $132.47 | 1 |
| NJ | $138.97–$147.62 | 2 |
| NM | $116.70 | 1 |
| NV | $127.38 | 1 |
| NY | $120.89–$151.31 | 5 |
| OH | $116.19 | 1 |
| OK | $113.64 | 1 |
| OR | $126.75–$141.38 | 2 |
| PA | $116.82–$132.47 | 2 |
| PR | $128.66 | 1 |
| RI | $131.46 | 1 |
| SC | $117.59 | 1 |
| SD | $127.26 | 1 |
| TN | $115.68 | 1 |
| TX | $115.80–$134.64 | 8 |
| UT | $119.62 | 1 |
| VA | $125.09–$149.91 | 2 |
| VI | $128.66 | 1 |
| VT | $125.98 | 1 |
| WA | $134.00–$156.14 | 2 |
| WI | $121.91 | 1 |
| WV | $110.59 | 1 |
| WY | $127.26 | 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.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for Q4396 in Merced. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$153.42
$139.47 × 110% = $153.42
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 Q4396 in Merced.
PPRRVU2026_Oct_nonQPP.csv
18,481
- Code
- Q4396
- Physician work
- 0.00
- Practice expense
- 3.81
- Malpractice
- 0.00
GPCI2026.csv
15
- Locality
- Merced
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.00 | × 1.017 | 0.0000 |
| Practice expense | 3.81 | × 1.096 | 4.1758 |
| Malpractice | 0.00 | × 0.536 | 0.0000 |
| Total RVUs | 4.1758 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Merced$139.47
Open Q4396 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0 | 1.017 |
| Practice expense | 3.81 | 1.096 |
| Malpractice | 0 | 0.536 |
(0 × 1.017 + 3.81 × 1.096 + 0 × 0.536) × $33.4009 = $139.47
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
Q4396 · Office / nonfacility
$139.47
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
No ratechanged to$139.47
Held through RVU26B, RVU26C, RVU26D.
October 1, 2025
RVU25D
No ratechanged toNo rate
January 1, 2025
RVU25A
Earliest loaded release: No rate
Held through RVU25B, RVU25C.
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 | $139.47 | Not available in this setting | RVU26D |
| 2026-07-01 | $139.47 | Not available in this setting | RVU26C |
| 2026-04-01 | $139.47 | Not available in this setting | RVU26B |
| 2026-01-01 | $139.47 | Not available in this setting | RVU26A |
| 2025-10-01 | Separate payment rules apply | Separate payment rules apply | RVU25D |
| 2025-07-01 | Not in this release | Not in this release | RVU25C |
| 2025-04-01 | Not in this release | Not in this release | RVU25B |
| 2025-01-01 | Not in this release | Not in this release | RVU25A |
Q4396 billing questions
Can Q4396 be reported without an application procedure?
No. CMS designates Q4396 an add-on code that must be billed with a primary procedure.
How are units determined for Q4396?
The unit is one square centimeter of Natalin. Document the product and amount used so the reported units can be checked against the treatment record.
How is Q4396 different from Q4395?
Q4396 identifies Natalin; Q4395 identifies Acelagraft. Choose the product code that matches the graft documented for the encounter.
Does Q4396 include interpretation?
No. CMS classifies Q4396 as technical-component-only and identifies a separate code for interpretation. The interpretation must be performed and documented to support reporting it.
Which global period governs Q4396?
CMS pays this add-on code within the global period of its primary procedure. It is not reported as a standalone service.
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.
18,478Q4393,,Surgraft ac per sq cm,A,,0.00,3.81,,3.81,NA,0.00,3.81,3.81,3,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
18,479Q4394,,Surgraft aca per sq cm,A,,0.00,3.81,,3.81,NA,0.00,3.81,3.81,3,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
18,480Q4395,,Acelagraft per sq cm,A,,0.00,3.81,,3.81,NA,0.00,3.81,3.81,3,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
18,481Q4396,,Natalin per sq cm,A,,0.00,3.81,,3.81,NA,0.00,3.81,3.81,3,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
18,482Q4397,,Summit aaa per sq cm,A,,0.00,3.81,,3.81,NA,0.00,3.81,3.81,3,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
18,483Q4398,,Summit ac per sq cm,A,,0.00,3.81,,3.81,NA,0.00,3.81,3.81,3,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
18,484Q4399,,Summit fx per sq cm,A,,0.00,3.81,,3.81,NA,0.00,3.81,3.81,3,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,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