$97.09
20527 represents injection of an enzyme into a Dupuytren cord. Code 26341 represents the later manipulation of the treated cord.
On this page
CMS RVU26D · Effective 2026-10-01
26341 in Modesto
Office / nonfacility
$130.65
Base rate per service
Facility setting
$74.64
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.
Hand surgery
About 26341: Post-injection palmar cord manipulation
Reports manipulation of a Dupuytren palmar cord after enzyme injection to improve contracture in a treated finger.
A hand surgeon or other qualified physician manipulates the treated finger and palmar tissue to disrupt a Dupuytren cord after an enzyme injection, such as collagenase. The service is directed at the contracture caused by the injected cord, rather than a stiff finger joint unrelated to enzyme treatment. It is commonly performed in an office or other procedural setting as the follow-up treatment to the injection.
Report this code for one treated digit in a hand; manipulation may address multiple cords in that hand. Documentation should identify the treated hand and digit, the prior enzyme injection, and the manipulation performed. The related postoperative visits are included for 10 days. When multiple procedures are performed in the same session, CMS pays the highest-valued procedure in full and the others at 50%. For bilateral treatment, modifier 50 is paid at 150%. Assistant-at-surgery payment is restricted; co-surgeons and team surgery are not permitted.
CMS billing rules for 26341
- Global period
- Minor procedure with a 10-day global period: related postoperative visits for 10 days are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral 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 RVU0.89 · 24%
- Practice expense (office) RVU2.66 · 72%
- Malpractice RVU0.17 · 5%
7.8K
Medicare services in 2024 · #1600 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.
26341 compared with similar codes
Office rates for Modesto, from the same CMS release.
No office rate
26340 applies to manipulation of a finger joint under anesthesia. Choose 26341 when the target is a palmar cord after enzyme injection.
No office rate
26123 describes surgical removal or release of palmar fascia for Dupuytren contracture; 26341 describes manipulation after enzyme treatment.
The same code, a different location
How does Modesto compare?
In Bakersfield, the office rate for 26341 is $131.13—$0.48 higher than the $130.65 rate in Modesto. Both use the same code, release and participation basis.
26341 across payment areas
Same release and payment basis · bars start at $0
Modesto · This locality
$130.65
$131.13
$0.48 higher than Modesto
$130.65
The same base rate than Modesto
$130.68
$0.03 higher than Modesto
$130.65
The same base rate than Modesto
$130.65
The same base rate than Modesto
$9.17 higher than Modesto
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, 26341 ranges from $108.97 in Arkansas to $164.16 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 · 26341
Office
$130.65
Facility
$74.64
The same base rate than Modesto for the office setting.
Merced
California · 26341
Office
$130.65
Facility
$74.64
The same base rate than Modesto for the office setting.
Napa
California · 26341
Office
$151.58
Facility
$84.23
$20.93 higher than Modesto for the office setting.
Oxnard-Thousand Oaks-Ventura
California · 26341
Office
$139.11
Facility
$78.71
$8.46 higher than Modesto for the office setting.
Redding
California · 26341
Office
$130.65
Facility
$74.64
The same base rate than Modesto for the office setting.
Rest Of California
California · 26341
Office
$130.65
Facility
$74.64
The same base rate than Modesto for the office setting.
Riverside-San Bernardino-Ontario
California · 26341
Office
$132.48
Facility
$76.47
$1.83 higher than Modesto for the office setting.
Sacramento-Roseville-Folsom
California · 26341
Office
$137.17
Facility
$77.74
$6.52 higher than Modesto for the office setting.
Salinas
California · 26341
Office
$136.66
Facility
$77.44
$6.01 higher than Modesto for the office setting.
San Diego-Chula Vista-Carlsbad
California · 26341
Office
$139.96
Facility
$78.84
$9.31 higher than Modesto for the office setting.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 26341
Office
$160.43
Facility
$88.37
$29.78 higher than Modesto for the office setting.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 26341
Office
$160.24
Facility
$88.18
$29.59 higher than Modesto for the office setting.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 26341
Office
$164.16
Facility
$90.47
$33.51 higher than Modesto for the office setting.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 26341
Office
$163.37
Facility
$89.68
$32.72 higher than Modesto for the office setting.
San Luis Obispo-Paso Robles
California · 26341
Office
$134.47
Facility
$76.26
$3.82 higher than Modesto for the office setting.
Santa Cruz-Watsonville
California · 26341
Office
$141.34
Facility
$79.25
$10.69 higher than Modesto for the office setting.
Santa Maria-Santa Barbara
California · 26341
Office
$137.20
Facility
$77.61
$6.55 higher than Modesto for the office setting.
Santa Rosa-Petaluma
California · 26341
Office
$142.77
Facility
$80.01
$12.12 higher than Modesto for the office setting.
Stockton
California · 26341
Office
$130.65
Facility
$74.64
The same base rate than Modesto for the office setting.
Vallejo
California · 26341
Office
$151.31
Facility
$83.95
$20.66 higher than Modesto for the office setting.
Visalia
California · 26341
Office
$130.65
Facility
$74.64
The same base rate than Modesto for the office setting.
Yuba City
California · 26341
Office
$130.65
Facility
$74.64
The same base rate than Modesto for the office setting.
Dc + Md/Va Suburbs
District of Columbia · 26341
Office
$142.31
Facility
$82.11
$11.66 higher than Modesto for the office setting.
Miami
Florida · 26341
Office
$136.58
Facility
$83.38
$5.93 higher than Modesto for the office setting.
Chicago
Illinois · 26341
Office
$132.26
Facility
$80.90
$1.61 higher than Modesto for the office setting.
Manhattan
New York · 26341
Office
$143.87
Facility
$84.49
$13.22 higher than Modesto for the office setting.
Alaska*
Alaska · 26341
Office
$142.34
Facility
$87.92
$11.69 higher than Modesto for the office setting.
Alabama
Alabama · 26341
Office
$110.68
Facility
$65.97
$19.97 lower than Modesto for the office setting.
Arkansas
Arkansas · 26341
Office
$108.97
Facility
$65.07
$21.68 lower than Modesto for the office setting.
Arizona
Arizona · 26341
Office
$120.68
Facility
$71.16
$9.97 lower than Modesto for the office setting.
Colorado
Colorado · 26341
Office
$129.05
Facility
$74.68
$1.60 lower than Modesto for the office setting.
Connecticut
Connecticut · 26341
Office
$132.88
Facility
$77.84
$2.23 higher than Modesto for the office setting.
Delaware
Delaware · 26341
Office
$122.76
Facility
$72.27
$7.89 lower than Modesto for the office setting.
Fort Lauderdale
Florida · 26341
Office
$129.99
Facility
$78.23
$0.66 lower than Modesto for the office setting.
Rest Of Florida
Florida · 26341
Office
$123.20
Facility
$74.34
$7.45 lower than Modesto for the office setting.
Atlanta
Georgia · 26341
Office
$126.90
Facility
$74.98
$3.75 lower than Modesto for the office setting.
Rest Of Georgia
Georgia · 26341
Office
$115.75
Facility
$70.16
$14.90 lower than Modesto for the office setting.
Hawaii, Guam
Hawaii · 26341
Office
$134.03
Facility
$75.93
$3.38 higher than Modesto for the office setting.
Iowa
Iowa · 26341
Office
$113.28
Facility
$66.52
$17.37 lower than Modesto for the office setting.
Idaho
Idaho · 26341
Office
$114.15
Facility
$67.14
$16.50 lower than Modesto for the office setting.
East St. Louis
Illinois · 26341
Office
$122.90
Facility
$75.89
$7.75 lower than Modesto for the office setting.
Rest Of Illinois
Illinois · 26341
Office
$119.72
Facility
$73.06
$10.93 lower than Modesto for the office setting.
Suburban Chicago
Illinois · 26341
Office
$131.24
Facility
$78.76
$0.59 higher than Modesto for the office setting.
Indiana
Indiana · 26341
Office
$114.85
Facility
$67.47
$15.80 lower than Modesto for the office setting.
Kansas
Kansas · 26341
Office
$112.91
Facility
$66.71
$17.74 lower than Modesto for the office setting.
Kentucky
Kentucky · 26341
Office
$113.91
Facility
$68.48
$16.74 lower than Modesto for the office setting.
New Orleans
Louisiana · 26341
Office
$119.78
Facility
$71.69
$10.87 lower than Modesto for the office setting.
Rest Of Louisiana
Louisiana · 26341
Office
$113.80
Facility
$68.57
$16.85 lower than Modesto for the office setting.
Metropolitan Boston
Massachusetts · 26341
Office
$142.08
Facility
$81.06
$11.43 higher than Modesto for the office setting.
Rest Of Massachusetts
Massachusetts · 26341
Office
$128.28
Facility
$74.47
$2.37 lower than Modesto for the office setting.
Baltimore/Surr. Cntys
Maryland · 26341
Office
$132.56
Facility
$77.72
$1.91 higher than Modesto for the office setting.
Rest Of Maryland
Maryland · 26341
Office
$125.15
Facility
$73.43
$5.50 lower than Modesto for the office setting.
Rest Of Maine
Maine · 26341
Office
$115.00
Facility
$67.98
$15.65 lower than Modesto for the office setting.
Southern Maine
Maine · 26341
Office
$121.36
Facility
$70.71
$9.29 lower than Modesto for the office setting.
Detroit
Michigan · 26341
Office
$125.04
Facility
$75.72
$5.61 lower than Modesto for the office setting.
Rest Of Michigan
Michigan · 26341
Office
$117.25
Facility
$70.60
$13.40 lower than Modesto for the office setting.
Minnesota
Minnesota · 26341
Office
$122.83
Facility
$70.25
$7.82 lower than Modesto for the office setting.
Metropolitan Kansas City
Missouri · 26341
Office
$118.70
Facility
$70.72
$11.95 lower than Modesto for the office setting.
Metropolitan St. Louis
Missouri · 26341
Office
$120.00
Facility
$71.35
$10.65 lower than Modesto for the office setting.
Rest Of Missouri
Missouri · 26341
Office
$111.84
Facility
$67.79
$18.81 lower than Modesto for the office setting.
Mississippi
Mississippi · 26341
Office
$110.42
Facility
$66.42
$20.23 lower than Modesto for the office setting.
Montana**
Montana · 26341
Office
$124.24
Facility
$73.14
$6.41 lower than Modesto for the office setting.
North Carolina
North Carolina · 26341
Office
$116.25
Facility
$68.57
$14.40 lower than Modesto for the office setting.
North Dakota**
North Dakota · 26341
Office
$120.88
Facility
$69.78
$9.77 lower than Modesto for the office setting.
Nebraska
Nebraska · 26341
Office
$113.88
Facility
$66.71
$16.77 lower than Modesto for the office setting.
New Hampshire
New Hampshire · 26341
Office
$127.18
Facility
$73.99
$3.47 lower than Modesto for the office setting.
Northern Nj
New Jersey · 26341
Office
$140.73
Facility
$81.45
$10.08 higher than Modesto for the office setting.
Rest Of New Jersey
New Jersey · 26341
Office
$134.17
Facility
$78.36
$3.52 higher than Modesto for the office setting.
New Mexico
New Mexico · 26341
Office
$118.02
Facility
$71.16
$12.63 lower than Modesto for the office setting.
Nevada**
Nevada · 26341
Office
$123.39
Facility
$72.24
$7.26 lower than Modesto for the office setting.
Nyc Suburbs/Long Island
New York · 26341
Office
$147.81
Facility
$87.05
$17.16 higher than Modesto for the office setting.
Poughkpsie/N Nyc Suburbs
New York · 26341
Office
$135.22
Facility
$79.26
$4.57 higher than Modesto for the office setting.
Queens
New York · 26341
Office
$144.83
Facility
$84.43
$14.18 higher than Modesto for the office setting.
Rest Of New York
New York · 26341
Office
$118.12
Facility
$69.57
$12.53 lower than Modesto for the office setting.
Ohio
Ohio · 26341
Office
$116.57
Facility
$69.91
$14.08 lower than Modesto for the office setting.
Oklahoma
Oklahoma · 26341
Office
$113.48
Facility
$67.84
$17.17 lower than Modesto for the office setting.
Portland
Oregon · 26341
Office
$133.14
Facility
$76.36
$2.49 higher than Modesto for the office setting.
Rest Of Oregon
Oregon · 26341
Office
$122.21
Facility
$71.31
$8.44 lower than Modesto for the office setting.
Metropolitan Philadelphia
Pennsylvania · 26341
Office
$129.53
Facility
$76.33
$1.12 lower than Modesto for the office setting.
Rest Of Pennsylvania
Pennsylvania · 26341
Office
$116.65
Facility
$69.74
$14.00 lower than Modesto for the office setting.
Puerto Rico
Puerto Rico · 26341
Office
$125.14
Facility
$73.48
$5.51 lower than Modesto for the office setting.
Rhode Island
Rhode Island · 26341
Office
$127.13
Facility
$74.35
$3.52 lower than Modesto for the office setting.
South Carolina
South Carolina · 26341
Office
$116.65
Facility
$69.43
$14.00 lower than Modesto for the office setting.
South Dakota**
South Dakota · 26341
Office
$120.48
Facility
$69.38
$10.17 lower than Modesto for the office setting.
Tennessee
Tennessee · 26341
Office
$113.54
Facility
$67.08
$17.11 lower than Modesto for the office setting.
Austin
Texas · 26341
Office
$128.82
Facility
$74.75
$1.83 lower than Modesto for the office setting.
Beaumont
Texas · 26341
Office
$115.85
Facility
$69.35
$14.80 lower than Modesto for the office setting.
Brazoria
Texas · 26341
Office
$122.44
Facility
$71.80
$8.21 lower than Modesto for the office setting.
Dallas
Texas · 26341
Office
$123.36
Facility
$72.46
$7.29 lower than Modesto for the office setting.
Fort Worth
Texas · 26341
Office
$122.54
Facility
$72.15
$8.11 lower than Modesto for the office setting.
Galveston
Texas · 26341
Office
$122.89
Facility
$72.14
$7.76 lower than Modesto for the office setting.
Houston
Texas · 26341
Office
$126.00
Facility
$75.26
$4.65 lower than Modesto for the office setting.
Rest Of Texas
Texas · 26341
Office
$119.17
Facility
$70.67
$11.48 lower than Modesto for the office setting.
Utah
Utah · 26341
Office
$118.34
Facility
$70.30
$12.31 lower than Modesto for the office setting.
Virginia
Virginia · 26341
Office
$121.07
Facility
$70.84
$9.58 lower than Modesto for the office setting.
Virgin Islands
United States Virgin Islands · 26341
Office
$125.14
Facility
$73.48
$5.51 lower than Modesto for the office setting.
Vermont
Vermont · 26341
Office
$120.56
Facility
$69.97
$10.09 lower than Modesto for the office setting.
Rest Of Washington
Washington · 26341
Office
$127.99
Facility
$74.18
$2.66 lower than Modesto for the office setting.
Seattle (King Cnty)
Washington · 26341
Office
$144.87
Facility
$82.16
$14.22 higher than Modesto for the office setting.
Wisconsin
Wisconsin · 26341
Office
$116.59
Facility
$67.63
$14.06 lower than Modesto for the office setting.
West Virginia
West Virginia · 26341
Office
$115.06
Facility
$70.65
$15.59 lower than Modesto for the office setting.
Wyoming**
Wyoming · 26341
Office
$122.78
Facility
$71.67
$7.87 lower than Modesto for the office setting.
See how rates vary across the country
26341 · 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.
$108.97
$147.41
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 | $142.34 | 1 |
| AL | $110.68 | 1 |
| AR | $108.97 | 1 |
| AZ | $120.68 | 1 |
| CA | $130.65–$164.16 | 29 |
| CO | $129.05 | 1 |
| CT | $132.88 | 1 |
| DC | $142.31 | 1 |
| DE | $122.76 | 1 |
| FL | $123.20–$136.58 | 3 |
| GA | $115.75–$126.90 | 2 |
| GU | $134.03 | 1 |
| HI | $134.03 | 1 |
| IA | $113.28 | 1 |
| ID | $114.15 | 1 |
| IL | $119.72–$132.26 | 4 |
| IN | $114.85 | 1 |
| KS | $112.91 | 1 |
| KY | $113.91 | 1 |
| LA | $113.80–$119.78 | 2 |
| MA | $128.28–$142.08 | 2 |
| MD | $125.15–$142.31 | 3 |
| ME | $115.00–$121.36 | 2 |
| MI | $117.25–$125.04 | 2 |
| MN | $122.83 | 1 |
| MO | $111.84–$120.00 | 3 |
| MS | $110.42 | 1 |
| MT | $124.24 | 1 |
| NC | $116.25 | 1 |
| ND | $120.88 | 1 |
| NE | $113.88 | 1 |
| NH | $127.18 | 1 |
| NJ | $134.17–$140.73 | 2 |
| NM | $118.02 | 1 |
| NV | $123.39 | 1 |
| NY | $118.12–$147.81 | 5 |
| OH | $116.57 | 1 |
| OK | $113.48 | 1 |
| OR | $122.21–$133.14 | 2 |
| PA | $116.65–$129.53 | 2 |
| PR | $125.14 | 1 |
| RI | $127.13 | 1 |
| SC | $116.65 | 1 |
| SD | $120.48 | 1 |
| TN | $113.54 | 1 |
| TX | $115.85–$128.82 | 8 |
| UT | $118.34 | 1 |
| VA | $121.07–$142.31 | 2 |
| VI | $125.14 | 1 |
| VT | $120.56 | 1 |
| WA | $127.99–$144.87 | 2 |
| WI | $116.59 | 1 |
| WV | $115.06 | 1 |
| WY | $122.78 | 1 |
Where does this rate apply?
Modesto is a Medicare payment area. Our Census mapping connects it to 33 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 26341 in Modesto, the physician’s office rate is $130.65 and the facility-setting rate is $74.64: a difference of $56.01.
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 26341 in Modesto. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$143.72
$130.65 × 110% = $143.72
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 26341 in Modesto.
PPRRVU2026_Oct_nonQPP.csv
2,574
- Code
- 26341
- Physician work
- 0.89
- Practice expense
- 2.66
- Malpractice
- 0.17
GPCI2026.csv
16
- Locality
- Modesto
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.89 | × 1.017 | 0.9051 |
| Practice expense | 2.66 | × 1.096 | 2.9154 |
| Malpractice | 0.17 | × 0.536 | 0.0911 |
| Total RVUs | 3.9116 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Modesto$130.65
Open 26341 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.89 | 1.017 |
| Practice expense | 2.66 | 1.096 |
| Malpractice | 0.17 | 0.536 |
(0.89 × 1.017 + 2.66 × 1.096 + 0.17 × 0.536) × $33.4009 = $130.65
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.89 | 1.017 |
| Practice expense | 1.13 | 1.096 |
| Malpractice | 0.17 | 0.536 |
(0.89 × 1.017 + 1.13 × 1.096 + 0.17 × 0.536) × $33.4009 = $74.64
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
26341 · Office / nonfacility
$130.65
Effective 2026-10-01
The base rate is $9.87 higher than on 2025-10-01, moving from $120.78 to $130.65 (8.2%).
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
$120.78changed to$130.65
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 0.91 changed to 0.89
- Practice expense RVU 2.49 changed to 2.66
- Malpractice RVU 0.16 changed to 0.17
- 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: $120.78
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
26341 billing questions
How does this differ from 26340?
Use 26341 for manipulation of a palmar Dupuytren cord after enzyme injection. Code 26340 describes manipulation of a finger joint under anesthesia, not post-injection cord disruption.
Is the enzyme injection included?
No. Code 26341 represents the subsequent manipulation; report the injection separately with 20527 when performed and otherwise reportable.
What documentation supports the code?
Document the enzyme-treated Dupuytren cord, the hand and digit treated, and the manipulation performed. Identify multiple cords if they were addressed in the same hand.
How is bilateral treatment handled?
For treatment of both hands, CMS pays modifier 50 at 150%. The service is described per hand, for a single digit, including multiple cords.
How are other procedures in the same session paid?
CMS pays the highest-valued procedure in full and other procedures at 50%. Related postoperative visits are included during the 10-day global period.
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.
2,57126262,,Resect distal finger tumor,A,,8.08,8.23,NA,8.23,,1.72,18.03,18.03,0,090,0.10,0.69,0.21,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,57226320,,Removal of implant from hand,A,,4.00,5.33,NA,5.33,,0.78,10.11,10.11,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,57326340,,Manipulate finger w/anesth,A,,2.73,7.71,NA,7.71,,0.50,10.94,10.94,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,57426341,,Manipulat palm cord post inj,A,,0.89,2.66,,1.13,,0.17,3.72,2.19,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,57526350,,Repair finger/hand tendon,A,,6.05,14.88,NA,14.88,,1.19,22.12,22.12,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,57626352,,Repair/graft hand tendon,A,,7.67,14.94,NA,14.94,,1.48,24.09,24.09,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,57726356,,Repair finger/hand tendon,A,,9.32,11.45,NA,11.45,,1.79,22.56,22.56,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
1901112,CA,61,REDDING,1.017,1.096,0.536