Professional/Technical Component Policy, Professional · 2020-02-05 · Reimbursement Policy CMS 1500 Policy Number 2020R0012A Proprietary information of UnitedHealthcare. Copyright

Reimbursement Policy

CMS 1500 Policy Number 2020R0012A

Proprietary information of UnitedHealthcare. Copyright 2020 United HealthCare Services, Inc.

Professional/Technical Component Policy, Professional

IMPORTANT NOTE ABOUT THIS REIMBURSEMENT POLICY You are responsible for submission of accurate claims. This reimbursement policy is intended to ensure that you are reimbursed based on the code or codes that correctly describe the health care services provided. UnitedHealthcare reimbursement policies may use Current Procedural Terminology (CPT®*), Centers for Medicare and Medicaid Services (CMS) or other coding guidelines. References to CPT or other sources are for definitional purposes only and do not imply any right to reimbursement. This reimbursement policy applies to all health care services billed on CMS 1500 forms and, when specified, to those billed on UB04 forms. Coding methodology, industry-standard reimbursement logic, regulatory requirements, benefits design and other factors are considered in developing reimbursement policy. This information is intended to serve only as a general reference resource regarding UnitedHealthcare’s reimbursement policy for the services described and is not intended to address every aspect of a reimbursement situation. Accordingly, UnitedHealthcare may use reasonable discretion in interpreting and applying this policy to health care services provided in a particular case. Further, the policy does not address all issues related to reimbursement for health care services provided to UnitedHealthcare enrollees. Other factors affecting reimbursement may supplement, modify or, in some cases, supersede this policy. These factors may include, but are not limited to: legislative mandates, the physician or other provider contracts, the enrollee’s benefit coverage documents and/or other reimbursement, medical or drug policies. Finally, this policy may not be implemented exactly the same way on the different electronic claims processing systems used by UnitedHealthcare due to programming or other constraints; however, UnitedHealthcare strives to minimize these variations. UnitedHealthcare may modify this reimbursement policy at any time by publishing a new version of the policy on this Website. However, the information presented in this policy is accurate and current as of the date of publication. *CPT Copyright American Medical Association. All rights reserved. CPT® is a registered trademark of the American Medical Association.

Table of Contents

Application

Policy

Overview Reimbursement Guidelines

UnitedHealthcare Professional/Technical Splits Reimbursement Amounts for Professional/Technical Splits Reimbursement for Professional/Technical Component Based on Place of Service Services Reported in a CMS Place of Service (POS) 24 (Ambulatory Surgical Center) Duplicate or Repeat Services for Professional/Technical Eligible Codes Professional Component with an Evaluation and Management Service Modifiers

Definitions

Questions and Answers

Attachments

Resources

History




Application

This reimbursement policy applies to services reported using the 1500 Health Insurance Claim Form (a/k/a CMS-1500) or its electronic equivalent or its successor form. This policy applies to all products and all network and non-network physicians and other qualified health care professionals, including, but not limited to, non-network authorized and percent of charge contract physicians and other qualified health care professionals.

Policy

Overview

This policy describes the reimbursement methodology for Current Procedural Terminology (CPT®) and Healthcare Common Procedural Coding System (HCPCS) codes based on the Centers for Medicare and Medicaid Services (CMS) National Physician Fee Schedule (NPFS) Relative Value File, Professional Component (PC)/Technical Component (TC) Indicators.

NPFS PC/TC Indicator

Description

0 Physician Service Codes

1 Diagnostic Tests

2 Professional Component Only Codes

3 Technical Component Only Codes

4 Global Test Only Codes

5 Incident To Codes

6 Laboratory Physician Interpretation Codes

7 Physical therapy service, for which payment may not be made

8 Physician interpretation codes

9 Not Applicable

Relative to these services, this policy also addresses information pertaining to Duplicate or Repeat Services, modifier usage, submissions based on place of service (POS), and the Professional Component with an Evaluation and Management service. Unless otherwise specified, for the purposes of this policy, Same Individual Physician or Other Qualified Health Care Professional is defined as the same individual rendering health care services reporting the same Federal Tax Identification number.

Reimbursement Guidelines

UnitedHealthcare Professional/Technical Splits

UnitedHealthcare uses the Center for Medicare and Medicaid Services' (CMS) PC/TC indicators as set forth in the "CMS Payment Policies" under the NPFS to determine whether a CPT or HCPCS procedure code is eligible for separate professional and technical services reimbursement. CPT or HCPCS codes assigned a CMS PC/TC Indicator 1 are comprised of a Professional Component and a Technical Component which together constitute the Global Service. The Professional Component (PC), (supervision and interpretation) is reported with modifier 26, and the Technical Component (TC) is reported with modifier TC. The term “professional/technical split” is used to reference a Global Service assigned a PC/TC Indicator 1 that may be “split” into a Professional Component and a Technical Component. CPT or HCPCS codes assigned a PC/TC Indicator 1 are listed in the NPFS. Each Global Service is listed on a separate row followed immediately by separate rows listing the corresponding Technical Component and Professional Component.




CPT or HCPCS codes with CMS PC/TC indicators 0, 2, 3, 4, 5, 7, 8, and 9 are not considered eligible for reimbursement when submitted with modifiers 26 and/or TC. CPT or HCPCS codes with CMS PC/TC indicator 6 are not considered eligible for reimbursement when submitted with modifier TC. CMS publishes this information in the "Physician Fee Schedule, PFS Relative Value Files" page, accessible through the following website: Physician Fee Schedule Relative Value Files UnitedHealthcare's percentage splits are developed on a national level from the CMS Non-Facility Total Resource-Based Relative Value Scale (RBRVS) based percentage splits. UnitedHealthcare's splits are updated quarterly and differ no more than 2.5% (for each CPT and HCPCS code) from the CMS Non-Facility Total RBRVS based percentage splits which are found in the NPFS. The current splits are attached to this policy in the next section. Services assigned a PC/TC Indicator 1 that CMS indicates may be carrier-priced, or those for which CMS does not develop RVUs are considered Gap Codes. Gap Fill Codes: When data is available for Gap Codes, UnitedHealthcare uses the relative values published in the first quarter update of the Optum The Essential RBRVS publication for the current calendar year. Gap Fill Codes Gap Codes that are eligible for PC/TC reimbursement per CMS but do not have RVUs established, or data available for gap fill, are included in the "Codes Subject to the CMS PC/TC Concept Without RVU Splits" list below and are allowed at 100% of the Allowable Amount for both the Professional Component and Technical Component. Codes Subject to the PC/TC Concept Without RVU Splits For additional information refer to the Questions and Answers section, Q&A #1.

Reimbursement Amounts for Professional/Technical Splits

The Professional Component and Technical Component reimbursement for PC/TC split eligible services is calculated at a percentage of the Global Service Allowable Amount, except when provided otherwise by a physician or other qualified health care professional contract. When a contract applies, payments for PC/TC split eligible services are based on specific professional and technical fees contained within the contract's fee schedules or are paid at the percentage of charge level in the fee schedule.

Professional/Technical Component Split Codes (PC/TC Indicator 1 Diagnostic Tests) When eligible for reimbursement, Professional Component/Technical Component codes with a CMS PC/TC indicator of 2, 3, 4, 5, 6, or 8 are reimbursed at 100% of the Allowable Amount. For additional information, refer to the Questions and Answers section, Q&A #2.

Reimbursement for Professional/Technical Component Based on POS

Reimbursement of the Professional Component, the Technical Component, and the Global Service for codes assigned a PC/TC indicator 1, 2, 3, 4, 5, 6, 8 or 9 subject to the PC/TC concept according to the NPFS are based upon physician and other qualified health care professional specialty and CMS POS code set, as described below. CMS POS Code Set

https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/PhysicianFeeSched/index.htmlhttp://www.cms.gov/Medicare/Coding/place-of-service-codes/Place_of_Service_Code_Set.html




For the purposes of this policy, a facility POS is considered POS 19, 21, 22, 23, 26, 34, 51, 52, 55, 56, 57 and 61. All other POS are considered non-facility. For Services Furnished in a Mobile Unit Services furnished in a mobile unit are often provided to serve an entity for which another POS code exists. When this is the case, the POS for that entity should be reported. For example, a mobile unit may be sent to a facility. Since the mobile unit is serving an entity for which a facility POS already exists, the POS code 21 (inpatient hospital) for that location should be reported. However, if the mobile unit is not serving an entity which could be described by an existing POS code, report POS 15 (mobile unit). For PC/TC Indicator 8 Codes Furnished in a POS Other than POS 21 The CMS NPFS guidelines advise that payment should not be recognized for PC/TC Indicator 8 codes, which are defined as physician interpretation codes, furnished to patients in the outpatient or non-hospital setting (POS other than 21). In alignment with CMS, UnitedHealthcare will not reimburse PC/TC Indicator 8 (CPT code 85060) when reported by a physician or other qualified health care professional with a CMS POS code other than inpatient hospital (POS 21). For Services Furnished in a Facility POS 19, 21, 22, 23, 26, 34, 51, 52, 55, 56, 57 or 61 Any services that are provided in a facility POS and that are subject to the PC/TC concept or that have both a Professional Component and a Technical Component according to the CMS PC/TC indicators, UnitedHealthcare will reimburse the interpreting physician or other qualified health care professional only the Professional Component as the facility is reimbursed for the Technical Component of the service. To be considered for Professional Component reimbursement, a service or procedure must have a:

CMS PC/TC Indicator 1, and must be reported with modifier 26;

CMS PC/TC Indicator 2 (Professional Component Only Codes), and must be reported without modifier 26 or TC; or

CMS PC/TC Indicator 6 (Laboratory Physician Interpretation Codes) and must be reported with modifier 26.

CMS PC/TC Indicator 8 (Physician Interpretation Codes), and be reported without modifier 26. When a physician or other qualified health care professional provides the equipment to perform the service or procedure in a facility POS, only the facility may be reimbursed for the Technical Component of the service or procedure. Based on the CMS PC/TC indicators, UnitedHealthcare considers the Technical Component to be a service or procedure that has a:

CMS PC/TC Indicator 1 (Diagnostic Test), and is reported with modifier TC; or

CMS PC/TC Indicator 3 (Technical Component Only Codes), and is reported without modifier TC. Note: When intraoperative neuromonitoring (IONM) services (95940 and G0453) and associated study codes are reported in a facility POS, the Technical Component will be denied. For Services Furnished in a Non-Facility POS (POS other than 19, 21, 22, 23, 26, 34, 51, 52, 55, 56, 57 or 61) For services assigned a PC/TC Indicator 1 according to CMS, and provided in a non-facility POS, UnitedHealthcare will consider reimbursement of the Professional Component and the Technical Component when eligible. Non-Allowed Services Furnished in a Facility POS Consistent with CMS, UnitedHealthcare will not allow reimbursement to physicians and other qualified health care professionals for "Incident To" codes identified with a CMS PC/TC indicator 5 when reported in a facility POS regardless of whether a modifier is reported with the code. In addition, CPT coding guidelines for many of the PC/TC Indicator 5 codes specify that these codes are not intended to be reported by a physician in a facility setting. For services with a CMS PC/TC indicator 4 (stand-alone Global Test Only Codes), UnitedHealthcare will not reimburse the physician or other qualified health care professional when rendered in a facility POS. Global Test Only Codes with a PC/TC indicator 4 identify Stand-alone Codes that describe selected diagnostic tests for which there are separate




associated codes that depict the Professional Component only (PC/TC indicator 2) and Technical Component only (PC/TC indicator 3). UnitedHealthcare utilizes the CMS National Physician Fee Schedule (NPFS) PC/TC Indicators 3 or 9 to identify laboratory services that are not reimbursable to a Reference Laboratory or Non-Reference Laboratory in a facility setting.

CMS PC/TC Indicator 3 (Technical Component Only Codes)

CMS PC/TC Indicator 9 (PC/TC Concept Not Applicable) UnitedHealthcare will not reimburse a Professional Component when a diagnostic laboratory service is provided either manually or with automated equipment, as these codes are not subject to the PC/TC concept or are Technical Component only codes. UnitedHealthcare follows CMS PC/TC indicators in determining which services do not qualify for Professional Component reimbursement:

CMS PC/TC Indicator 3 (Technical Component Only Codes)

CMS PC/TC Indicator 9 (PC/TC Concept Not Applicable) Laboratory Codes with a PC/TC Indicator 3 or 9 Note: UnitedHealthcare will make an exception to this policy for reproductive medicine procedures 89250-89398 when the facility laboratory is not equipped to perform these specialized services and refers them to a reproductive laboratory. In the event that both a facility and a Reference Laboratory report the same service on the same day for the same member, only the facility laboratory may be reimbursed.

Services Reported in a CMS POS 24 (Ambulatory Surgical Center)

Consistent with CMS guidelines, UnitedHealthcare will not reimburse physicians or other qualified health care professionals for the Technical Component of services included in the Ambulatory Surgery Center Fee Schedule (ASCFS) Addendum BB and reported with a CMS POS 24 as the ambulatory surgical center (ASC) is reimbursed for the Technical Component. The Technical Component of services reported on a CMS-1500 claim form with an SG modifier (Ambulatory surgical center [ASC] facility service) is not reimbursed as a professional claim. Claim lines reported with modifier SG indicate a facility charge and are reimbursed as a facility claim. PC/TC Indicator 1 Codes For codes included in the ASCFS Addendum BB PC/TC Indicator 1 Codes list, only the Professional Component (PC, modifier 26) will be reimbursed.

When reported globally (no modifier), the Technical Component of the code will not be reimbursed.

When reported with modifier TC, the code will not be reimbursed. PC/TC Indicator 3 Codes Codes included in the ASCFS Addendum BB PC/TC Indicator 3 Codes list will not be reimbursed as they represent Technical Component services only. ASCFS Addendum BB PC/TC Indicator 1 Codes ASCFS Addendum BB PC/TC Indicator 3 Codes Drug Administration Codes According to the CMS National Correct Coding Initiative (NCCI) Policy Manual, drug administration codes CPT 96360-96379, 96401-96425, and 96521-96523 are considered included in the facility payment when reported in POS 24. In alignment with CMS, UnitedHealthcare will not reimburse drug administration codes 96360-96379, 96401-96425, and 96521-96523 reported by a physician or other qualified health care professional in POS 24.




Duplicate or Repeat Services for Professional/Technical Eligible Codes

This section of the policy applies to when Duplicate or Repeat Services are reported by the same or different physician or other qualified health care professional. When services are eligible for reimbursement under this policy, only one physician or other qualified health care professional will be reimbursed when Duplicate or Repeat Services are reported. Duplicate or Repeat Services are defined as identical CPT or HCPCS codes assigned a PC/TC indicator 1, 2, 3, 4, 6 or 8 submitted for the same patient for the same date of service on separate claim lines or on different claims regardless of the assigned Maximum Frequency per Day (MFD) value. For services that have both a Professional Component and a Technical Component reported separately (i.e., PC/TC Indicator 1, Diagnostic Tests), UnitedHealthcare will also review the submission of modifier 26 and TC appended to the code(s) to identify whether a Duplicate or Repeat Service has been reported. Should the Same Individual Physician or Other Qualified Health Care Professional report the Professional Component (modifier 26) and the Technical Component (modifier TC) for the same PC/TC Indicator 1 service separately, UnitedHealthcare will consider both services eligible for reimbursement unless subject to other portions of this policy. Modifiers offer specific information and should be used appropriately. Separate consideration will be given to duplicate or repeat multiple submissions of the same code when the appropriate modifier is appended to the Duplicate or Repeat Service with one of the following modifiers:

Modifier 59 - Same or different physicians or other qualified health care professionals

Modifier 76 - Same physicians or other qualified health care professionals

Modifier 77 - Different physicians or other qualified health care professionals

Modifier 91 - Same or different physicians or other qualified health care professionals for repeat laboratory services

Modifier RT or LT - when reporting bilateral procedures

Modifier XE - Separate encounter

Modifier XP - Separate practitioner

Modifier XS - Separate structure

Modifier XU - Unusual non-overlapping service

Additional anatomic modifiers - refer to Modifiers/Anatomic Modifier section. For additional information, refer to the Questions and Answers section, Q&A #3. UnitedHealthcare follows a "first in, first out" claim payment methodology in determining which claim will be considered for reimbursement when claims for Duplicate or Repeat Services are received.

When the Same Individual Physician or Other Qualified Health Care Professional reports the Global Service (PC/TC Indicator 1) or a stand-alone service (PC/TC Indicator 2, 3, or 4) more than once and on separate lines, separate consideration will only be given to those services reported with the appropriate modifier. Otherwise, the second and subsequent services received will not be separately reimbursed.

When the same PC/TC Indicator 6 or 8 service is reported more than once and on separate lines by the same or different physician or other qualified health care professional, separate consideration will only be given to those services reported with modifier 59, XE, XP, XS, XU or 91. Otherwise the second and subsequent services received will not be separately reimbursed.

When the Same Individual Physician or Other Qualified Health Care Professional reports the Global Service (PC/TC Indicator 1) and a modifier 26 or TC for the same service for the same member on the same date of service, separate consideration will only be given to those services reported with the appropriate modifier. Otherwise, the second and subsequent services received will not be separately reimbursed.

When the same Global Service (PC/TC Indicator 1) is reported globally (no modifier) by different physicians or other qualified health care professionals on the same date or service for the same member, UnitedHealthcare will only consider separate reimbursement for the second claim when reported with an appropriate modifier. Otherwise, the second and subsequent services received will not be separately reimbursed.




When the same Global Service (PC/TC Indicator 1) is reported globally by one physician or other qualified health care professional, and a different physician or other qualified health care professional reports modifier 26 or TC for the same service for the same member on the same date of service, UnitedHealthcare will consider separate reimbursement for the second claim when reported with an appropriate modifier. Otherwise, the second and subsequent services will not be separately reimbursed.

When a PC/TC 4 service is billed with a PC/TC 2 or 3 service for the same member, same date of service, and by the same or different provider; then the second and subsequent service billed will be denied unless billed with an appropriate modifier.

For example:

If the claim for the physician reporting the Global Service is received first and allowed, the subsequent claim received by a different physician for a single component (i.e., Professional Component or Technical Component) will be denied as duplicate.

If the claim for the physician reporting the Professional Component (modifier 26) service is received first and allowed, the subsequent claim received by a different physician for the Global Service will be reimbursed only for the Technical Component.

If the claim for the physician reporting the Technical Component (modifier TC) service is received first and allowed, the subsequent claim received by a different physician for the Global Service will be reimbursed only for the Professional Component.

Refer to the UnitedHealthcare "Laboratory Services Policy" for additional information on duplicate charges for laboratory services. Refer to the UnitedHealthcare “Maximum Frequency per Day Policy” for additional information on assigned MFD values.

Professional Component with an Evaluation and Management Service

With the exception of radiologic codes that describe fluoroscopic or ultrasonic guidance for placement of a needle, catheter, or tube, UnitedHealthcare considers the interpretation (modifier 26) of a radiology service assigned a PC/TC Indicator 1 to be included in the Evaluation and Management (E/M) service when performed by the Same Individual Physician or Other Qualified Health Care Professional on the same date of service for the same patient as these services usually are not distinct from the E/M service when both are provided on the same day.

American College of Radiology (ACR) guidelines suggest that physicians and other qualified health care professionals who believe the Professional Component (modifier 26) for a PC/TC Indicator 1 radiology code is reimbursable in addition to the E/M service on the same day include the following information in the medical record: Procedures and materials

The report or record should include a description of the studies and/or procedures performed and any contrast media and/or radio-pharmaceuticals (including specific administered activities, concentration, volume, and route of administration when applicable), medications, catheters, or devices used, if not recorded elsewhere.

Findings

The report or record should use appropriate anatomic, pathologic, and radiologic terminology to describe the findings.

Impression

Conclusion or diagnosis

Modifiers




Modifier Description

TC

Technical Component Certain procedures are a combination of a physician or other qualified health care professional component and a technical component. When the technical component is reported separately, the service may be identified by adding the modifier ‘TC’ to the usual procedure number.

26

Professional Component Certain procedures are a combination of a physician or other qualified health care professional component and a technical component. When the physician or other qualified health care professional component is reported separately, the service may be identified by adding modifier 26 to the usual procedure number.

59

Distinct Procedural Service Under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-E/M services performed on the same day. Modifier 59 is used to identify procedures/services, other than E/M services, that are not normally reported together, but are appropriate under the circumstances. Documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. However, when another already established modifier is appropriate it should be used rather than modifier 59. Only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used.

76

Repeat Procedure or Service by Same Physician or Other Qualified Health Care Professional It may be necessary to indicate that a procedure or service was repeated by the same physician or other qualified health care professional subsequent to the original procedure or service. This circumstance may be reported by adding modifier 76 to the repeated procedure or service. Note: This modifier should not be appended to an E/M service.

77

Repeat Procedure or Service by Another Physician or Other Qualified Health Care Professional It may be necessary to indicate that a basic procedure or service was repeated by another physician or other qualified health care professional subsequent to the original procedure or service. This circumstance may be reported by adding modifier 77 to the repeated procedure or service. Note: This modifier should not be appended to an E/M service.

91

Repeat Clinical Diagnostic Laboratory Test In the course of treatment of the patient, it may be necessary to repeat the same laboratory test on the same day to obtain subsequent (multiple) test results. Under these circumstances, the laboratory test performed can be identified by its usual procedure number and the addition of modifier 91. Note: This modifier may not be used when tests are rerun to confirm initial results; due to testing problems with specimens or equipment; or for any other reason when a normal, one-time, reportable result is all that is required. This modifier may not be used when other code(s) describe a series of test results (eg., glucose tolerance tests, evocative/suppression testing). This modifier may only be used for laboratory test(s) performed more than once on the same day on the same patient.

XE Separate Encounter A Service That Is Distinct Because It Occurred During A Separate Encounter

XP Separate Practitioner A Service That Is Distinct Because It Was Performed By A Different Practitioner

XS Separate Structure A Service That Is Distinct Because It Was Performed On A Separate Organ/Structure

XU Unusual Non-Overlapping Service The Use Of A Service That Is Distinct Because It Does Not Overlap Usual Components Of The Main Service




Anatomic Modifier

Description Anatomic Modifier

Description

E1 Upper left, eyelid LM Left main coronary artery

E2 Lower left, eyelid LT Left side

E3 Upper right, eyelid RC Right coronary artery

E4 Lower right, eyelid RI Ramus intermedius

F1 Left hand, second digit RT Right side

F2 Left hand, third digit T1 Left foot, second digit

F3 Left hand, fourth digit T2 Left foot, third digit

F4 Left hand, fifth digit T3 Left foot, fourth digit

F5 Right hand, thumb T4 Left foot, fifth digit

F6 Right hand, second digit T5 Right foot, great toe

F7 Right hand, third digit T6 Right foot, second digit

F8 Right hand, fourth digit T7 Right foot, third digit

F9 Right hand, fifth digit T8 Right foot, fourth digit

FA Left hand, thumb T9 Right foot, fifth digit

LC Left circumflex coronary artery TA Left foot, great toe

LD Left anterior descending coronary artery

Definitions

Allowable Amount Defined as the dollar amount eligible for reimbursement to the physician or other qualified health care professional on the claim. Contracted rate, reasonable charge, or billed charges are examples of an Allowable Amount, whichever is applicable. For percent of charge or discount contracts, the Allowable Amount is determined as the billed amount, less the discount.

Duplicate or Repeat Services

Identical CPT or HCPCS codes assigned a PC/TC indicator 1, 2, 3, 4, 6 or 8 submitted for the same patient on the same date of service on separate claim lines or on different claims regardless of the assigned Maximum Frequency per Day (MFD) value

Gap Code A CPT or HCPCS code for which CMS does not develop RVUs. Note: Under the Professional/Technical Component Policy a Gap Code has a CMS PC/TC Indicator 1 assignment.

Gap Fill Codes Codes for which CMS does not develop RVUs. Relative values are therefore assigned based on the first quarter update of Optum The Essential RBRVS publication for the current calendar year.

Global Service A Global Service includes both a Professional Component and a Technical Component. When a physician or other qualified health care professional bills a Global Service, he or she is submitting for both the Professional Component and the Technical Component of that code. Submission of a Global Service asserts that the Same Individual Physician or Other Qualified Health Care Professional provided the supervision, interpretation and report of the professional services as well as the technician, equipment, and the facility needed to perform the procedure. In appropriate circumstances, the Global Service is identified by reporting the appropriate professional/technical split eligible procedure code with no modifier attached or by reporting a Stand-alone code for global test only services.




Independent Laboratory An Independent Laboratory is one that is independent both of an attending or consulting physician’s office and of a hospital that meets at least the requirements to qualify as an emergency hospital. An Independent Laboratory must meet Federal and State requirements for certification and proficiency testing under the Clinical Laboratories Improvement Act (CLIA).

Non-Reference Laboratory

A physician or a Pathologist reporting laboratory procedures performed in their office

Pathologist A Pathologist is a physician who specializes in diagnosing diseases by examining tissue, blood, and body fluids using advanced laboratory techniques.

Professional Component

The Professional Component represents the physician or other qualified health care professional work portion (physician work/practice overhead/malpractice expense) of the procedure. The Professional Component is the physician or other qualified health care professional supervision and interpretation of a procedure that is personally furnished to an individual patient, results in a written narrative report to be included in the patient's medical record, and directly contributes to the patient's diagnosis and/or treatment. In appropriate circumstances, it is identified by appending modifier 26 to the designated procedure code or by reporting a Stand-alone code that describes the Professional Component only of a selected diagnostic test.

Reference Laboratory A Reference Laboratory that receives a Specimen from another, Referring Laboratory for testing and that actually performs the test is often referred to as an Independent Laboratory. Services billed by a Reference Laboratory should use modifier 90 to identify the Reference Laboratory services.

Relative Value Unit The assigned unit value of a particular CPT or HCPCS code. The associated RVU is from CMS NPFS Non-Facility Total value.

Resource-Based Relative Value Scale

Payment schedule based on the relative values of services provided. The current RBRVS system ranks services according to the relative costs required to provide them. These costs are defined in terms of units, with more complex, more time consuming services having higher unit values than less complex, less time-consuming services. Furthermore, each service is compared to all other physician services so that each service is given a value that reflects its cost or value when compared to all other physician services.

Same Individual Physician or Other Qualified Health Care Professional

The same individual rendering health care services reporting the same Federal Tax Identification number

Specimen Tissue or tissues that is (are) submitted for individual and separate attention, requiring individual examination and pathological diagnosis. Two or more such Specimens from the same patient (eg, separately identifiable endoscopic biopsies, skin lesions) are each appropriately assigned an individual code reflective of its proper level of service.

Stand-alone Code A Stand-alone Code describes a specific component of a selected diagnostic test. There is an associated code that describes the Professional Component only of the diagnostic test, an associated code that describes the Technical Component only, and another associated code that describes the global test only. An example is the series of codes used to describe electrocardiograms with at least 12 leads. CPT code 93010 describes the Professional Component only, 93005 describes the Technical Component only, and 93000 describes the global test only. Modifiers TC or 26 are not used to report these services as they are inherent within the code descriptions.

Technical Component The Technical Component is the performance (technician/equipment/facility) of the procedure. In appropriate circumstances, it is identified by appending modifier TC to the designated procedure code or by reporting a Stand-alone Code that describes the Technical Component only of a selected diagnostic test.




Questions and Answers

1

Q: Are the CMS Geographic Practice Cost Indices by Medicare Carrier and Locality considered when developing UnitedHealthcare percentage splits?

A: No. The UnitedHealthcare percentage splits are developed on a national level from the CMS Resource-Based Relative Value Scale (RBRVS) percentage splits.

2

Q: If a physician or other qualified health care professional is contracted with specific rates for the Professional Component and the Technical Component, will their contracted rates be updated quarterly to reflect changes in CMS professional and technical rates?

A: No. As their fees for the Professional Component and the Technical Component determined by their contract, the physician or other qualified health care professional will not be impacted by UnitedHealthcare's quarterly updates to the percentage calculation methodology for Professional Component and Technical Component reimbursement.

3

Q: When does UnitedHealthcare give consideration for repeat procedures by the same individual physician, another physician or other qualified health care professional when reported with modifiers 76 or 77?

A: Repeat procedures must be identified with modifiers 76 or 77 as appropriate to indicate that subsequent procedures were performed at different episodes on the same day. Modifiers 76 or 77 should not be used to report multiple interpretations by the same or different physicians or other qualified health care professionals for the same EKG or x-ray procedure for quality control purposes. However, when subsequent interpretations of the same procedure show a different finding that alters/contributes to the diagnosis and treatment of the patient, use of modifier 76 or 77 is appropriate.

Note: It is inappropriate to use modifier 76 or 77 to indicate repeat laboratory services. Modifiers 59, XE, XP, XS, XU or 91 should be used to indicate repeat or distinct laboratory services, as appropriate according to the AMA and CMS. Separate consideration for reimbursement will not be given to laboratory codes reported with modifier 76 or 77.

4

Q: There is a series of electrocardiogram CPT codes where one code describes the Professional Component only of the diagnostic test (e.g. CPT code 93010; PCTC Indicator = 2), an associated code that describes the Technical Component only (e.g. CPT code 93005; PCTC Indicator = 3), and another associated code that describes the global tests only (e.g. CPT code 93000; PCTC Indicator = 4). Does duplicate editing apply to this code series?

A: Yes. Modifiers 26 or TC are not used to report these services as the intent is inherent within the code descriptions. If the global test is received first, then the component code(s) will be denied. If a component code is received first, then the global test will be denied.

5

Q: When a patient is in an outpatient or inpatient hospital setting and a mobile unit furnishes a service in conjunction with the hospital service, what place of service may the mobile unit report?

A: When a mobile unit is serving an entity for which a facility POS already exists, certain services should be reported with POS 15 only if a facility claim has not been submitted or received for the same date of service. Services with a technical component performed in a facility setting are deemed included in the global payment to the facility and are not separately reimbursable when reported by a physician or other qualified health care professional.

Attachments

Professional/Technical Component Codes (PC/TC

Indicator 1 Diagnostic Tests)

A list of codes with a CMS PC/TC Indicator 1 with their percentage splits. These codes have both a Professional Component and a Technical Component. Modifiers 26 and TC can be used with these codes.

2020 Professional/Technical Component Codes (PCTC Indicator 1) Diagnostic Tests

Code Modifier RBRVS % Split RBRVS Split RBRVSVariance RVU

0075T 100.00% 1.000 0.00% 53.39

0075T TC 70.00% 0.710 -1.00% 37.91

0075T 26 30.00% 0.290 1.00% 15.48

0076T 100.00% 1.000 0.00% 42.41

0076T TC 75.00% 0.770 -2.00% 32.65

0076T 26 25.00% 0.230 2.00% 9.76

0470T 100.00% 1.000 0.00% 2.13

0470T TC 60.00% 0.601 -0.10% 1.28

0470T 26 40.00% 0.399 0.10% 0.85

0471T 100.00% 1.000 0.00% 0.73

0471T TC 60.00% 0.603 -0.30% 0.44

0471T 26 40.00% 0.397 0.30% 0.29

0485T 100.00% 1.000 0.00% 1.07

0485T TC 60.00% 0.607 -0.70% 0.65

0485T 26 40.00% 0.393 0.70% 0.42

0486T 100.00% 1.000 0.00% 2.13

0486T TC 60.00% 0.601 -0.10% 1.28

0486T 26 40.00% 0.399 0.10% 0.85

0509T 100.00% 1.000 0.00% 2.17

0509T TC 70.00% 0.719 -1.90% 1.56

0509T 26 30.00% 0.281 1.90% 0.61

51725 100.00% 1.000 0.00% 6.04

51725 TC 65.00% 0.639 1.10% 3.86

51725 26 35.00% 0.361 -1.10% 2.18

51726 100.00% 1.000 0.00% 8.23

51726 TC 70.00% 0.705 -0.50% 5.80

51726 26 30.00% 0.295 0.50% 2.43

51727 100.00% 1.000 0.00% 9.88

51727 TC 70.00% 0.688 1.20% 6.80

51727 26 30.00% 0.312 -1.20% 3.08

51728 100.00% 1.000 0.00% 10.00

51728 TC 70.00% 0.698 0.20% 6.98

51728 26 30.00% 0.302 -0.20% 3.02

51729 100.00% 1.000 0.00% 10.67

51729 TC 65.00% 0.657 -0.70% 7.01

51729 26 35.00% 0.343 0.70% 3.66

51736 100.00% 1.000 0.00% 0.39

51736 TC 40.00% 0.385 1.50% 0.15

51736 26 60.00% 0.615 -1.50% 0.24

51741 100.00% 1.000 0.00% 0.41

51741 TC 40.00% 0.390 1.00% 0.16

51741 26 60.00% 0.610 -1.00% 0.25

51784 100.00% 1.000 0.00% 1.92

51784 TC 45.00% 0.427 2.30% 0.82

51784 26 55.00% 0.573 -2.30% 1.10

51785 100.00% 1.000 0.00% 10.64

51785 TC 75.00% 0.750 0.00% 7.98

51785 26 25.00% 0.250 0.00% 2.66

51792 100.00% 1.000 0.00% 7.04

51792 TC 80.00% 0.776 2.40% 5.46

51792 26 20.00% 0.224 -2.40% 1.58

51797 100.00% 1.000 0.00% 4.61

51797 TC 75.00% 0.748 0.20% 3.45

51797 26 25.00% 0.252 -0.20% 1.16

54240 100.00% 1.000 0.00% 2.94

54240 TC 35.00% 0.361 -1.10% 1.06

54240 26 65.00% 0.639 1.10% 1.88

54250 100.00% 1.000 0.00% 3.51

54250 TC 10.00% 0.100 0.00% 0.35

54250 26 90.00% 0.900 0.00% 3.16

59020 100.00% 1.000 0.00% 2.00

59020 TC 45.00% 0.465 -1.50% 0.93

59020 26 55.00% 0.535 1.50% 1.07

59025 100.00% 1.000 0.00% 1.37

59025 TC 40.00% 0.387 1.30% 0.53

59025 26 60.00% 0.613 -1.30% 0.84

62252 100.00% 1.000 0.00% 2.31

62252 TC 40.00% 0.424 -2.40% 0.98

62252 26 60.00% 0.576 2.40% 1.33

70015 100.00% 1.000 0.00% 4.60

70015 TC 65.00% 0.633 1.70% 2.91

70015 26 35.00% 0.367 -1.70% 1.69

70030 100.00% 1.000 0.00% 0.87

70030 TC 70.00% 0.724 -2.40% 0.63

70030 26 30.00% 0.276 2.40% 0.24

70100 100.00% 1.000 0.00% 1.03

70100 TC 75.00% 0.748 0.20% 0.77

70100 26 25.00% 0.252 -0.20% 0.26

70110 100.00% 1.000 0.00% 1.19

70110 TC 70.00% 0.697 0.30% 0.83

70110 26 30.00% 0.303 -0.30% 0.36

70120 100.00% 1.000 0.00% 1.03

70120 TC 75.00% 0.748 0.20% 0.77

70120 26 25.00% 0.252 -0.20% 0.26

70130 100.00% 1.000 0.00% 1.68

70130 TC 70.00% 0.708 -0.80% 1.19

70130 26 30.00% 0.292 0.80% 0.49

70134 100.00% 1.000 0.00% 1.59

70134 TC 70.00% 0.686 1.40% 1.09

70134 26 30.00% 0.314 -1.40% 0.50

70140 100.00% 1.000 0.00% 0.88

70140 TC 65.00% 0.670 -2.00% 0.59

70140 26 35.00% 0.330 2.00% 0.29

70150 100.00% 1.000 0.00% 1.29

70150 TC 70.00% 0.705 -0.50% 0.91

70150 26 30.00% 0.295 0.50% 0.38

70160 100.00% 1.000 0.00% 1.02

70160 TC 75.00% 0.755 -0.50% 0.77

70160 26 25.00% 0.245 0.50% 0.25

70170 100.00% 1.000 0.00% 1.48

70170 TC 70.00% 0.709 -0.90% 1.05

70170 26 30.00% 0.291 0.90% 0.43

70190 100.00% 1.000 0.00% 1.08

70190 TC 70.00% 0.704 -0.40% 0.76

70190 26 30.00% 0.296 0.40% 0.32

70200 100.00% 1.000 0.00% 1.31

70200 TC 70.00% 0.695 0.50% 0.91

70200 26 30.00% 0.305 -0.50% 0.40

70210 100.00% 1.000 0.00% 0.87

70210 TC 70.00% 0.713 -1.30% 0.62

70210 26 30.00% 0.287 1.30% 0.25

70220 100.00% 1.000 0.00% 1.03

70220 TC 70.00% 0.689 1.10% 0.71

70220 26 30.00% 0.311 -1.10% 0.32

70240 100.00% 1.000 0.00% 0.94

70240 TC 70.00% 0.702 -0.20% 0.66

70240 26 30.00% 0.298 0.20% 0.28

70250 100.00% 1.000 0.00% 1.00

70250 TC 70.00% 0.710 -1.00% 0.71

70250 26 30.00% 0.290 1.00% 0.29

70260 100.00% 1.000 0.00% 1.24

70260 TC 65.00% 0.669 -1.90% 0.83

70260 26 35.00% 0.331 1.90% 0.41

70300 100.00% 1.000 0.00% 0.39

70300 TC 60.00% 0.590 1.00% 0.23

70300 26 40.00% 0.410 -1.00% 0.16

70310 100.00% 1.000 0.00% 1.10

70310 TC 80.00% 0.800 0.00% 0.88

70310 26 20.00% 0.200 0.00% 0.22

70320 100.00% 1.000 0.00% 1.56

70320 TC 80.00% 0.788 1.20% 1.23

70320 26 20.00% 0.212 -1.20% 0.33

70328 100.00% 1.000 0.00% 0.94

70328 TC 70.00% 0.723 -2.30% 0.68

70328 26 30.00% 0.277 2.30% 0.26

70330 100.00% 1.000 0.00% 1.45

70330 TC 75.00% 0.759 -0.90% 1.10

70330 26 25.00% 0.241 0.90% 0.35

70332 100.00% 1.000 0.00% 2.29

70332 TC 65.00% 0.664 -1.40% 1.52

70332 26 35.00% 0.336 1.40% 0.77

70336 100.00% 1.000 0.00% 8.68

70336 TC 75.00% 0.758 -0.80% 6.58

70336 26 25.00% 0.242 0.80% 2.10

70350 100.00% 1.000 0.00% 0.49

70350 TC 45.00% 0.469 -1.90% 0.23

70350 26 55.00% 0.531 1.90% 0.26

70355 100.00% 1.000 0.00% 0.54

70355 TC 45.00% 0.444 0.60% 0.24

70355 26 55.00% 0.556 -0.60% 0.30

70360 100.00% 1.000 0.00% 0.86

70360 TC 70.00% 0.698 0.20% 0.60

70360 26 30.00% 0.302 -0.20% 0.26

70370 100.00% 1.000 0.00% 2.49

70370 TC 85.00% 0.831 1.90% 2.07

70370 26 15.00% 0.169 -1.90% 0.42

70371 100.00% 1.000 0.00% 3.03

70371 TC 60.00% 0.601 -0.10% 1.82

70371 26 40.00% 0.399 0.10% 1.21

70380 100.00% 1.000 0.00% 1.01

70380 TC 75.00% 0.762 -1.20% 0.77

70380 26 25.00% 0.238 1.20% 0.24

70390 100.00% 1.000 0.00% 3.16

70390 TC 85.00% 0.829 2.10% 2.62

70390 26 15.00% 0.171 -2.10% 0.54

70450 100.00% 1.000 0.00% 3.25

70450 TC 65.00% 0.628 2.20% 2.04

70450 26 35.00% 0.372 -2.20% 1.21

70460 100.00% 1.000 0.00% 4.59

70460 TC 65.00% 0.651 -0.10% 2.99

70460 26 35.00% 0.349 0.10% 1.60

70470 100.00% 1.000 0.00% 5.38

70470 TC 65.00% 0.665 -1.50% 3.58

70470 26 35.00% 0.335 1.50% 1.80

70480 100.00% 1.000 0.00% 5.64

70480 TC 70.00% 0.679 2.10% 3.83

70480 26 30.00% 0.321 -2.10% 1.81

70481 100.00% 1.000 0.00% 6.29

70481 TC 75.00% 0.746 0.40% 4.69

70481 26 25.00% 0.254 -0.40% 1.60

70482 100.00% 1.000 0.00% 6.97

70482 TC 75.00% 0.743 0.70% 5.18

70482 26 25.00% 0.257 -0.70% 1.79

70486 100.00% 1.000 0.00% 3.92

70486 TC 70.00% 0.689 1.10% 2.70

70486 26 30.00% 0.311 -1.10% 1.22

70487 100.00% 1.000 0.00% 4.70

70487 TC 65.00% 0.660 -1.00% 3.10

70487 26 35.00% 0.340 1.00% 1.60

70488 100.00% 1.000 0.00% 5.73

70488 TC 70.00% 0.686 1.40% 3.93

70488 26 30.00% 0.314 -1.40% 1.80

70490 100.00% 1.000 0.00% 4.63

70490 TC 60.00% 0.607 -0.70% 2.81

70490 26 40.00% 0.393 0.70% 1.82

70491 100.00% 1.000 0.00% 5.70

70491 TC 65.00% 0.656 -0.60% 3.74

70491 26 35.00% 0.344 0.60% 1.96

70492 100.00% 1.000 0.00% 6.89

70492 TC 65.00% 0.665 -1.50% 4.58

70492 26 35.00% 0.335 1.50% 2.31

70496 100.00% 1.000 0.00% 8.35

70496 TC 70.00% 0.703 -0.30% 5.87

70496 26 30.00% 0.297 0.30% 2.48

70498 100.00% 1.000 0.00% 8.34

70498 TC 70.00% 0.703 -0.30% 5.86

70498 26 30.00% 0.297 0.30% 2.48

70540 100.00% 1.000 0.00% 7.34

70540 TC 75.00% 0.741 0.90% 5.44

70540 26 25.00% 0.259 -0.90% 1.90

70542 100.00% 1.000 0.00% 8.72

70542 TC 75.00% 0.735 1.50% 6.41

70542 26 25.00% 0.265 -1.50% 2.31

70543 100.00% 1.000 0.00% 10.96

70543 TC 70.00% 0.724 -2.40% 7.93

70543 26 30.00% 0.276 2.40% 3.03

70544 100.00% 1.000 0.00% 6.90

70544 TC 75.00% 0.754 -0.40% 5.20

70544 26 25.00% 0.246 0.40% 1.70

70545 100.00% 1.000 0.00% 7.21

70545 TC 75.00% 0.764 -1.40% 5.51

70545 26 25.00% 0.236 1.40% 1.70

70546 100.00% 1.000 0.00% 10.46

70546 TC 80.00% 0.798 0.20% 8.35

70546 26 20.00% 0.202 -0.20% 2.11

70547 100.00% 1.000 0.00% 6.93

70547 TC 75.00% 0.753 -0.30% 5.22

70547 26 25.00% 0.247 0.30% 1.71

70548 100.00% 1.000 0.00% 7.74

70548 TC 75.00% 0.725 2.50% 5.61

70548 26 25.00% 0.275 -2.50% 2.13

70549 100.00% 1.000 0.00% 10.97

70549 TC 75.00% 0.767 -1.70% 8.41

70549 26 25.00% 0.233 1.70% 2.56

70551 100.00% 1.000 0.00% 6.28

70551 TC 65.00% 0.664 -1.40% 4.17

70551 26 35.00% 0.336 1.40% 2.11

70552 100.00% 1.000 0.00% 8.69

70552 TC 70.00% 0.709 -0.90% 6.16

70552 26 30.00% 0.291 0.90% 2.53

70553 100.00% 1.000 0.00% 10.27

70553 TC 70.00% 0.684 1.60% 7.02

70553 26 30.00% 0.316 -1.60% 3.25

70554 100.00% 1.000 0.00% 12.16

70554 TC 75.00% 0.754 -0.40% 9.17

70554 26 25.00% 0.246 0.40% 2.99

70555 100.00% 1.000 0.00% 21.06

70555 TC 85.00% 0.830 2.00% 17.48

70555 26 15.00% 0.170 -2.00% 3.58

70557 100.00% 1.000 0.00% 40.36

70557 TC 90.00% 0.890 1.00% 35.92

70557 26 10.00% 0.110 -1.00% 4.44

70558 100.00% 1.000 0.00% 44.45

70558 TC 90.00% 0.890 1.00% 39.56

70558 26 10.00% 0.110 -1.00% 4.89

70559 100.00% 1.000 0.00% 42.45

70559 TC 90.00% 0.890 1.00% 37.78

70559 26 10.00% 0.110 -1.00% 4.67

71045 100.00% 1.000 0.00% 0.72

71045 TC 65.00% 0.639 1.10% 0.46

71045 26 35.00% 0.361 -1.10% 0.26

71046 100.00% 1.000 0.00% 0.92

71046 TC 65.00% 0.663 -1.30% 0.61

71046 26 35.00% 0.337 1.30% 0.31

71047 100.00% 1.000 0.00% 1.16

71047 TC 65.00% 0.664 -1.40% 0.77

71047 26 35.00% 0.336 1.40% 0.39

71048 100.00% 1.000 0.00% 1.26

71048 TC 65.00% 0.635 1.50% 0.80

71048 26 35.00% 0.365 -1.50% 0.46

71100 100.00% 1.000 0.00% 1.00

71100 TC 70.00% 0.680 2.00% 0.68

71100 26 30.00% 0.320 -2.00% 0.32

71101 100.00% 1.000 0.00% 1.15

71101 TC 65.00% 0.670 -2.00% 0.77

71101 26 35.00% 0.330 2.00% 0.38

71110 100.00% 1.000 0.00% 1.21

71110 TC 65.00% 0.653 -0.30% 0.79

71110 26 35.00% 0.347 0.30% 0.42

71111 100.00% 1.000 0.00% 1.44

71111 TC 70.00% 0.681 1.90% 0.98

71111 26 30.00% 0.319 -1.90% 0.46

71120 100.00% 1.000 0.00% 0.92

71120 TC 70.00% 0.685 1.50% 0.63

71120 26 30.00% 0.315 -1.50% 0.29

71130 100.00% 1.000 0.00% 1.12

71130 TC 70.00% 0.714 -1.40% 0.80

71130 26 30.00% 0.286 1.40% 0.32

71250 100.00% 1.000 0.00% 4.45

71250 TC 65.00% 0.631 1.90% 2.81

71250 26 35.00% 0.369 -1.90% 1.64

71260 100.00% 1.000 0.00% 5.52

71260 TC 70.00% 0.679 2.10% 3.75

71260 26 30.00% 0.321 -2.10% 1.77

71270 100.00% 1.000 0.00% 6.53

71270 TC 70.00% 0.701 -0.10% 4.58

71270 26 30.00% 0.299 0.10% 1.95

71275 100.00% 1.000 0.00% 8.53

71275 TC 70.00% 0.698 0.20% 5.95

71275 26 30.00% 0.302 -0.20% 2.58

71550 100.00% 1.000 0.00% 11.16

71550 TC 80.00% 0.814 -1.40% 9.08

71550 26 20.00% 0.186 1.40% 2.08

71551 100.00% 1.000 0.00% 12.31

71551 TC 80.00% 0.801 -0.10% 9.86

71551 26 20.00% 0.199 0.10% 2.45

71552 100.00% 1.000 0.00% 15.58

71552 TC 80.00% 0.796 0.40% 12.40

71552 26 20.00% 0.204 -0.40% 3.18

71555 100.00% 1.000 0.00% 10.81

71555 TC 75.00% 0.765 -1.50% 8.27

71555 26 25.00% 0.235 1.50% 2.54

72020 100.00% 1.000 0.00% 0.68

72020 TC 65.00% 0.662 -1.20% 0.45

72020 26 35.00% 0.338 1.20% 0.23

72040 100.00% 1.000 0.00% 1.07

72040 TC 70.00% 0.701 -0.10% 0.75

72040 26 30.00% 0.299 0.10% 0.32

72050 100.00% 1.000 0.00% 1.42

72050 TC 75.00% 0.725 2.50% 1.03

72050 26 25.00% 0.275 -2.50% 0.39

72052 100.00% 1.000 0.00% 1.67

72052 TC 75.00% 0.743 0.70% 1.24

72052 26 25.00% 0.257 -0.70% 0.43

72070 100.00% 1.000 0.00% 0.89

72070 TC 65.00% 0.674 -2.40% 0.60

72070 26 35.00% 0.326 2.40% 0.29

72072 100.00% 1.000 0.00% 1.08

72072 TC 70.00% 0.694 0.60% 0.75

72072 26 30.00% 0.306 -0.60% 0.33

72074 100.00% 1.000 0.00% 1.21

72074 TC 70.00% 0.711 -1.10% 0.86

72074 26 30.00% 0.289 1.10% 0.35

72080 100.00% 1.000 0.00% 0.96

72080 TC 70.00% 0.677 2.30% 0.65

72080 26 30.00% 0.323 -2.30% 0.31

72081 100.00% 1.000 0.00% 1.17

72081 TC 70.00% 0.675 2.50% 0.79

72081 26 30.00% 0.325 -2.50% 0.38

72082 100.00% 1.000 0.00% 1.90

72082 TC 75.00% 0.758 -0.80% 1.44

72082 26 25.00% 0.242 0.80% 0.46

72083 100.00% 1.000 0.00% 2.21

72083 TC 75.00% 0.765 -1.50% 1.69

72083 26 25.00% 0.235 1.50% 0.52

72084 100.00% 1.000 0.00% 2.62

72084 TC 80.00% 0.775 2.50% 2.03

72084 26 20.00% 0.225 -2.50% 0.59

72100 100.00% 1.000 0.00% 1.07

72100 TC 70.00% 0.701 -0.10% 0.75

72100 26 30.00% 0.299 0.10% 0.32

72110 100.00% 1.000 0.00% 1.36

72110 TC 75.00% 0.728 2.20% 0.99

72110 26 25.00% 0.272 -2.20% 0.37

72114 100.00% 1.000 0.00% 1.67

72114 TC 75.00% 0.743 0.70% 1.24

72114 26 25.00% 0.257 -0.70% 0.43

72120 100.00% 1.000 0.00% 1.11

72120 TC 70.00% 0.712 -1.20% 0.79

72120 26 30.00% 0.288 1.20% 0.32

72125 100.00% 1.000 0.00% 4.38

72125 TC 70.00% 0.676 2.40% 2.96

72125 26 30.00% 0.324 -2.40% 1.42

72126 100.00% 1.000 0.00% 5.50

72126 TC 70.00% 0.685 1.50% 3.77

72126 26 30.00% 0.315 -1.50% 1.73

72127 100.00% 1.000 0.00% 6.48

72127 TC 70.00% 0.722 -2.20% 4.68

72127 26 30.00% 0.278 2.20% 1.80

72128 100.00% 1.000 0.00% 4.38

72128 TC 70.00% 0.676 2.40% 2.96

72128 26 30.00% 0.324 -2.40% 1.42

72129 100.00% 1.000 0.00% 5.54

72129 TC 70.00% 0.688 1.20% 3.81

72129 26 30.00% 0.312 -1.20% 1.73

72130 100.00% 1.000 0.00% 6.49

72130 TC 70.00% 0.723 -2.30% 4.69

72130 26 30.00% 0.277 2.30% 1.80

72131 100.00% 1.000 0.00% 4.36

72131 TC 65.00% 0.674 -2.40% 2.94

72131 26 35.00% 0.326 2.40% 1.42

72132 100.00% 1.000 0.00% 5.51

72132 TC 70.00% 0.686 1.40% 3.78

72132 26 30.00% 0.314 -1.40% 1.73

72133 100.00% 1.000 0.00% 6.45

72133 TC 70.00% 0.722 -2.20% 4.66

72133 26 30.00% 0.278 2.20% 1.79

72141 100.00% 1.000 0.00% 6.11

72141 TC 65.00% 0.655 -0.50% 4.00

72141 26 35.00% 0.345 0.50% 2.11

72142 100.00% 1.000 0.00% 8.88

72142 TC 70.00% 0.714 -1.40% 6.34

72142 26 30.00% 0.286 1.40% 2.54

72146 100.00% 1.000 0.00% 6.11

72146 TC 65.00% 0.655 -0.50% 4.00

72146 26 35.00% 0.345 0.50% 2.11

72147 100.00% 1.000 0.00% 8.82

72147 TC 70.00% 0.713 -1.30% 6.29

72147 26 30.00% 0.287 1.30% 2.53

72148 100.00% 1.000 0.00% 6.12

72148 TC 65.00% 0.655 -0.50% 4.01

72148 26 35.00% 0.345 0.50% 2.11

72149 100.00% 1.000 0.00% 8.74

72149 TC 70.00% 0.711 -1.10% 6.21

72149 26 30.00% 0.289 1.10% 2.53

72156 100.00% 1.000 0.00% 10.35

72156 TC 70.00% 0.686 1.40% 7.10

72156 26 30.00% 0.314 -1.40% 3.25

72157 100.00% 1.000 0.00% 10.37

72157 TC 70.00% 0.687 1.30% 7.12

72157 26 30.00% 0.313 -1.30% 3.25

72158 100.00% 1.000 0.00% 10.33

72158 TC 70.00% 0.685 1.50% 7.08

72158 26 30.00% 0.315 -1.50% 3.25

72159 100.00% 1.000 0.00% 11.22

72159 TC 75.00% 0.772 -2.20% 8.66

72159 26 25.00% 0.228 2.20% 2.56

72170 100.00% 1.000 0.00% 0.80

72170 TC 70.00% 0.688 1.20% 0.55

72170 26 30.00% 0.312 -1.20% 0.25

72190 100.00% 1.000 0.00% 1.14

72190 TC 70.00% 0.684 1.60% 0.78

72190 26 30.00% 0.316 -1.60% 0.36

72191 100.00% 1.000 0.00% 9.08

72191 TC 70.00% 0.720 -2.00% 6.54

72191 26 30.00% 0.280 2.00% 2.54

72192 100.00% 1.000 0.00% 4.09

72192 TC 60.00% 0.623 -2.30% 2.55

72192 26 40.00% 0.377 2.30% 1.54

72193 100.00% 1.000 0.00% 6.81

72193 TC 75.00% 0.759 -0.90% 5.17

72193 26 25.00% 0.241 0.90% 1.64

72194 100.00% 1.000 0.00% 7.66

72194 TC 75.00% 0.774 -2.40% 5.93

72194 26 25.00% 0.226 2.40% 1.73

72195 100.00% 1.000 0.00% 7.49

72195 TC 70.00% 0.722 -2.20% 5.41

72195 26 30.00% 0.278 2.20% 2.08

72196 100.00% 1.000 0.00% 8.74

72196 TC 70.00% 0.719 -1.90% 6.28

72196 26 30.00% 0.281 1.90% 2.46

72197 100.00% 1.000 0.00% 10.99

72197 TC 70.00% 0.718 -1.80% 7.89

72197 26 30.00% 0.282 1.80% 3.10

72198 100.00% 1.000 0.00% 10.86

72198 TC 75.00% 0.768 -1.80% 8.34

72198 26 25.00% 0.232 1.80% 2.52

72200 100.00% 1.000 0.00% 0.90

72200 TC 70.00% 0.722 -2.20% 0.65

72200 26 30.00% 0.278 2.20% 0.25

72202 100.00% 1.000 0.00% 1.07

72202 TC 70.00% 0.692 0.80% 0.74

72202 26 30.00% 0.308 -0.80% 0.33

72220 100.00% 1.000 0.00% 0.88

72220 TC 70.00% 0.716 -1.60% 0.63

72220 26 30.00% 0.284 1.60% 0.25

72240 100.00% 1.000 0.00% 3.14

72240 TC 60.00% 0.586 1.40% 1.84

72240 26 40.00% 0.414 -1.40% 1.30

72255 100.00% 1.000 0.00% 3.19

72255 TC 60.00% 0.577 2.30% 1.84

72255 26 40.00% 0.423 -2.30% 1.35

72265 100.00% 1.000 0.00% 2.90

72265 TC 60.00% 0.600 0.00% 1.74

72265 26 40.00% 0.400 0.00% 1.16

72270 100.00% 1.000 0.00% 4.00

72270 TC 50.00% 0.523 -2.30% 2.09

72270 26 50.00% 0.477 2.30% 1.91

72275 100.00% 1.000 0.00% 3.69

72275 TC 70.00% 0.696 0.40% 2.57

72275 26 30.00% 0.304 -0.40% 1.12

72285 100.00% 1.000 0.00% 3.45

72285 TC 50.00% 0.513 -1.30% 1.77

72285 26 50.00% 0.487 1.30% 1.68

72295 100.00% 1.000 0.00% 3.02

72295 TC 60.00% 0.599 0.10% 1.81

72295 26 40.00% 0.401 -0.10% 1.21

73000 100.00% 1.000 0.00% 0.88

73000 TC 75.00% 0.727 2.30% 0.64

73000 26 25.00% 0.273 -2.30% 0.24

73010 100.00% 1.000 0.00% 0.78

73010 TC 65.00% 0.667 -1.70% 0.52

73010 26 35.00% 0.333 1.70% 0.26

73020 100.00% 1.000 0.00% 0.60

73020 TC 65.00% 0.633 1.70% 0.38

73020 26 35.00% 0.367 -1.70% 0.22

73030 100.00% 1.000 0.00% 0.93

73030 TC 70.00% 0.710 -1.00% 0.66

73030 26 30.00% 0.290 1.00% 0.27

73040 100.00% 1.000 0.00% 3.39

73040 TC 75.00% 0.770 -2.00% 2.61

73040 26 25.00% 0.230 2.00% 0.78

73050 100.00% 1.000 0.00% 0.88

73050 TC 70.00% 0.693 0.70% 0.61

73050 26 30.00% 0.307 -0.70% 0.27

73060 100.00% 1.000 0.00% 0.88

73060 TC 75.00% 0.727 2.30% 0.64

73060 26 25.00% 0.273 -2.30% 0.24

73070 100.00% 1.000 0.00% 0.80

73070 TC 70.00% 0.700 0.00% 0.56

73070 26 30.00% 0.300 0.00% 0.24

73080 100.00% 1.000 0.00% 0.87

73080 TC 70.00% 0.713 -1.30% 0.62

73080 26 30.00% 0.287 1.30% 0.25

73085 100.00% 1.000 0.00% 3.18

73085 TC 75.00% 0.739 1.10% 2.35

73085 26 25.00% 0.261 -1.10% 0.83

73090 100.00% 1.000 0.00% 0.81

73090 TC 70.00% 0.704 -0.40% 0.57

73090 26 30.00% 0.296 0.40% 0.24

73092 100.00% 1.000 0.00% 0.85

73092 TC 75.00% 0.729 2.10% 0.62

73092 26 25.00% 0.271 -2.10% 0.23

73100 100.00% 1.000 0.00% 0.92

73100 TC 75.00% 0.739 1.10% 0.68

73100 26 25.00% 0.261 -1.10% 0.24

73110 100.00% 1.000 0.00% 1.09

73110 TC 75.00% 0.771 -2.10% 0.84

73110 26 25.00% 0.229 2.10% 0.25

73115 100.00% 1.000 0.00% 3.56

73115 TC 80.00% 0.775 2.50% 2.76

73115 26 20.00% 0.225 -2.50% 0.80

73120 100.00% 1.000 0.00% 0.85

73120 TC 70.00% 0.718 -1.80% 0.61

73120 26 30.00% 0.282 1.80% 0.24

73130 100.00% 1.000 0.00% 0.98

73130 TC 75.00% 0.745 0.50% 0.73

73130 26 25.00% 0.255 -0.50% 0.25

73140 100.00% 1.000 0.00% 1.00

73140 TC 80.00% 0.800 0.00% 0.80

73140 26 20.00% 0.200 0.00% 0.20

73200 100.00% 1.000 0.00% 5.03

73200 TC 70.00% 0.718 -1.80% 3.61

73200 26 30.00% 0.282 1.80% 1.42

73201 100.00% 1.000 0.00% 6.26

73201 TC 75.00% 0.738 1.20% 4.62

73201 26 25.00% 0.262 -1.20% 1.64

73202 100.00% 1.000 0.00% 7.82

73202 TC 80.00% 0.779 2.10% 6.09

73202 26 20.00% 0.221 -2.10% 1.73

73206 100.00% 1.000 0.00% 9.24

73206 TC 75.00% 0.725 2.50% 6.70

73206 26 25.00% 0.275 -2.50% 2.54

73218 100.00% 1.000 0.00% 9.93

73218 TC 80.00% 0.807 -0.70% 8.01

73218 26 20.00% 0.193 0.70% 1.92

73219 100.00% 1.000 0.00% 10.98

73219 TC 80.00% 0.789 1.10% 8.66

73219 26 20.00% 0.211 -1.10% 2.32

73220 100.00% 1.000 0.00% 13.48

73220 TC 75.00% 0.774 -2.40% 10.44

73220 26 25.00% 0.226 2.40% 3.04

73221 100.00% 1.000 0.00% 6.47

73221 TC 70.00% 0.699 0.10% 4.52

73221 26 30.00% 0.301 -0.10% 1.95

73222 100.00% 1.000 0.00% 10.29

73222 TC 80.00% 0.775 2.50% 7.97

73222 26 20.00% 0.225 -2.50% 2.32

73223 100.00% 1.000 0.00% 12.72

73223 TC 75.00% 0.761 -1.10% 9.68

73223 26 25.00% 0.239 1.10% 3.04

73225 100.00% 1.000 0.00% 11.13

73225 TC 80.00% 0.778 2.20% 8.66

73225 26 20.00% 0.222 -2.20% 2.47

73501 100.00% 1.000 0.00% 0.89

73501 TC 70.00% 0.697 0.30% 0.62

73501 26 30.00% 0.303 -0.30% 0.27

73502 100.00% 1.000 0.00% 1.27

73502 TC 75.00% 0.748 0.20% 0.95

73502 26 25.00% 0.252 -0.20% 0.32

73503 100.00% 1.000 0.00% 1.57

73503 TC 75.00% 0.752 -0.20% 1.18

73503 26 25.00% 0.248 0.20% 0.39

73521 100.00% 1.000 0.00% 1.12

73521 TC 70.00% 0.714 -1.40% 0.80

73521 26 30.00% 0.286 1.40% 0.32

73522 100.00% 1.000 0.00% 1.46

73522 TC 70.00% 0.712 -1.20% 1.04

73522 26 30.00% 0.288 1.20% 0.42

73523 100.00% 1.000 0.00% 1.66

73523 TC 75.00% 0.729 2.10% 1.21

73523 26 25.00% 0.271 -2.10% 0.45

73525 100.00% 1.000 0.00% 3.47

73525 TC 75.00% 0.758 -0.80% 2.63

73525 26 25.00% 0.242 0.80% 0.84

73551 100.00% 1.000 0.00% 0.82

73551 TC 70.00% 0.707 -0.70% 0.58

73551 26 30.00% 0.293 0.70% 0.24

73552 100.00% 1.000 0.00% 0.97

73552 TC 75.00% 0.732 1.80% 0.71

73552 26 25.00% 0.268 -1.80% 0.26

73560 100.00% 1.000 0.00% 0.94

73560 TC 75.00% 0.745 0.50% 0.70

73560 26 25.00% 0.255 -0.50% 0.24

73562 100.00% 1.000 0.00% 1.10

73562 TC 75.00% 0.755 -0.50% 0.83

73562 26 25.00% 0.245 0.50% 0.27

73564 100.00% 1.000 0.00% 1.23

73564 TC 75.00% 0.740 1.00% 0.91

73564 26 25.00% 0.260 -1.00% 0.32

73565 100.00% 1.000 0.00% 1.09

73565 TC 75.00% 0.771 -2.10% 0.84

73565 26 25.00% 0.229 2.10% 0.25

73580 100.00% 1.000 0.00% 3.84

73580 TC 80.00% 0.786 1.40% 3.02

73580 26 20.00% 0.214 -1.40% 0.82

73590 100.00% 1.000 0.00% 0.86

73590 TC 75.00% 0.733 1.70% 0.63

73590 26 25.00% 0.267 -1.70% 0.23

73592 100.00% 1.000 0.00% 0.85

73592 TC 75.00% 0.729 2.10% 0.62

73592 26 25.00% 0.271 -2.10% 0.23

73600 100.00% 1.000 0.00% 0.89

73600 TC 75.00% 0.730 2.00% 0.65

73600 26 25.00% 0.270 -2.00% 0.24

73610 100.00% 1.000 0.00% 0.98

73610 TC 75.00% 0.745 0.50% 0.73

73610 26 25.00% 0.255 -0.50% 0.25

73615 100.00% 1.000 0.00% 3.61

73615 TC 75.00% 0.770 -2.00% 2.78

73615 26 25.00% 0.230 2.00% 0.83

73620 100.00% 1.000 0.00% 0.78

73620 TC 70.00% 0.718 -1.80% 0.56

73620 26 30.00% 0.282 1.80% 0.22

73630 100.00% 1.000 0.00% 0.92

73630 TC 75.00% 0.739 1.10% 0.68

73630 26 25.00% 0.261 -1.10% 0.24

73650 100.00% 1.000 0.00% 0.79

73650 TC 70.00% 0.709 -0.90% 0.56

73650 26 30.00% 0.291 0.90% 0.23

73660 100.00% 1.000 0.00% 0.79

73660 TC 75.00% 0.759 -0.90% 0.60

73660 26 25.00% 0.241 0.90% 0.19

73700 100.00% 1.000 0.00% 4.36

73700 TC 65.00% 0.674 -2.40% 2.94

73700 26 35.00% 0.326 2.40% 1.42

73701 100.00% 1.000 0.00% 5.45

73701 TC 70.00% 0.699 0.10% 3.81

73701 26 30.00% 0.301 -0.10% 1.64

73702 100.00% 1.000 0.00% 6.56

73702 TC 75.00% 0.738 1.20% 4.84

73702 26 25.00% 0.262 -1.20% 1.72

73706 100.00% 1.000 0.00% 10.00

73706 TC 75.00% 0.734 1.60% 7.34

73706 26 25.00% 0.266 -1.60% 2.66

73718 100.00% 1.000 0.00% 7.25

73718 TC 75.00% 0.737 1.30% 5.34

73718 26 25.00% 0.263 -1.30% 1.91

73719 100.00% 1.000 0.00% 8.58

73719 TC 75.00% 0.731 1.90% 6.27

73719 26 25.00% 0.269 -1.90% 2.31

73720 100.00% 1.000 0.00% 10.98

73720 TC 70.00% 0.724 -2.40% 7.95

73720 26 30.00% 0.276 2.40% 3.03

73721 100.00% 1.000 0.00% 6.44

73721 TC 70.00% 0.702 -0.20% 4.52

73721 26 30.00% 0.298 0.20% 1.92

73722 100.00% 1.000 0.00% 10.31

73722 TC 80.00% 0.775 2.50% 7.99

73722 26 20.00% 0.225 -2.50% 2.32

73723 100.00% 1.000 0.00% 12.70

73723 TC 75.00% 0.761 -1.10% 9.66

73723 26 25.00% 0.239 1.10% 3.04

73725 100.00% 1.000 0.00% 10.88

73725 TC 75.00% 0.766 -1.60% 8.33

73725 26 25.00% 0.234 1.60% 2.55

74018 100.00% 1.000 0.00% 0.82

74018 TC 70.00% 0.683 1.70% 0.56

74018 26 30.00% 0.317 -1.70% 0.26

74019 100.00% 1.000 0.00% 1.01

74019 TC 65.00% 0.673 -2.30% 0.68

74019 26 35.00% 0.327 2.30% 0.33

74021 100.00% 1.000 0.00% 1.17

74021 TC 70.00% 0.675 2.50% 0.79

74021 26 30.00% 0.325 -2.50% 0.38

74022 100.00% 1.000 0.00% 1.36

74022 TC 65.00% 0.669 -1.90% 0.91

74022 26 35.00% 0.331 1.90% 0.45

74150 100.00% 1.000 0.00% 4.20

74150 TC 60.00% 0.598 0.20% 2.51

74150 26 40.00% 0.402 -0.20% 1.69

74160 100.00% 1.000 0.00% 6.96

74160 TC 75.00% 0.740 1.00% 5.15

74160 26 25.00% 0.260 -1.00% 1.81

74170 100.00% 1.000 0.00% 7.85

74170 TC 75.00% 0.746 0.40% 5.86

74170 26 25.00% 0.254 -0.40% 1.99

74174 100.00% 1.000 0.00% 11.40

74174 TC 75.00% 0.728 2.20% 8.30

74174 26 25.00% 0.272 -2.20% 3.10

74175 100.00% 1.000 0.00% 9.10

74175 TC 70.00% 0.718 -1.80% 6.53

74175 26 30.00% 0.282 1.80% 2.57

74176 100.00% 1.000 0.00% 5.63

74176 TC 55.00% 0.561 -1.10% 3.16

74176 26 45.00% 0.439 1.10% 2.47

74177 100.00% 1.000 0.00% 9.21

74177 TC 70.00% 0.719 -1.90% 6.62

74177 26 30.00% 0.281 1.90% 2.59

74178 100.00% 1.000 0.00% 10.35

74178 TC 75.00% 0.726 2.40% 7.51

74178 26 25.00% 0.274 -2.40% 2.84

74181 100.00% 1.000 0.00% 6.34

74181 TC 65.00% 0.672 -2.20% 4.26

74181 26 35.00% 0.328 2.20% 2.08

74182 100.00% 1.000 0.00% 9.90

74182 TC 75.00% 0.752 -0.20% 7.44

74182 26 25.00% 0.248 0.20% 2.46

74183 100.00% 1.000 0.00% 11.01

74183 TC 70.00% 0.718 -1.80% 7.91

74183 26 30.00% 0.282 1.80% 3.10

74185 100.00% 1.000 0.00% 10.91

74185 TC 75.00% 0.768 -1.80% 8.38

74185 26 25.00% 0.232 1.80% 2.53

74190 100.00% 1.000 0.00% 1.65

74190 TC 60.00% 0.600 0.00% 0.99

74190 26 40.00% 0.400 0.00% 0.66

74210 100.00% 1.000 0.00% 2.66

74210 TC 70.00% 0.684 1.60% 1.82

74210 26 30.00% 0.316 -1.60% 0.84

74220 100.00% 1.000 0.00% 2.71

74220 TC 70.00% 0.686 1.40% 1.86

74220 26 30.00% 0.314 -1.40% 0.85

74221 100.00% 1.000 0.00% 3.06

74221 TC 70.00% 0.676 2.40% 2.07

74221 26 30.00% 0.324 -2.40% 0.99

74230 100.00% 1.000 0.00% 3.64

74230 TC 80.00% 0.794 0.60% 2.89

74230 26 20.00% 0.206 -0.60% 0.75

74235 100.00% 1.000 0.00% 4.86

74235 TC 65.00% 0.650 0.00% 3.16

74235 26 35.00% 0.350 0.00% 1.70

74240 100.00% 1.000 0.00% 3.39

74240 TC 65.00% 0.661 -1.10% 2.24

74240 26 35.00% 0.339 1.10% 1.15

74246 100.00% 1.000 0.00% 3.90

74246 TC 65.00% 0.672 -2.20% 2.62

74246 26 35.00% 0.328 2.20% 1.28

74248 100.00% 1.000 0.00% 2.32

74248 TC 55.00% 0.573 -2.30% 1.33

74248 26 45.00% 0.427 2.30% 0.99

74250 100.00% 1.000 0.00% 3.41

74250 TC 65.00% 0.660 -1.00% 2.25

74250 26 35.00% 0.340 1.00% 1.16

74251 100.00% 1.000 0.00% 11.31

74251 TC 85.00% 0.853 -0.30% 9.65

74251 26 15.00% 0.147 0.30% 1.66

74261 100.00% 1.000 0.00% 13.44

74261 TC 75.00% 0.747 0.30% 10.04

74261 26 25.00% 0.253 -0.30% 3.40

74262 100.00% 1.000 0.00% 15.11

74262 TC 75.00% 0.766 -1.60% 11.57

74262 26 25.00% 0.234 1.60% 3.54

74263 100.00% 1.000 0.00% 21.15

74263 TC 85.00% 0.846 0.40% 17.90

74263 26 15.00% 0.154 -0.40% 3.25

74270 100.00% 1.000 0.00% 4.34

74270 TC 65.00% 0.661 -1.10% 2.87

74270 26 35.00% 0.339 1.10% 1.47

74280 100.00% 1.000 0.00% 6.24

74280 TC 70.00% 0.715 -1.50% 4.46

74280 26 30.00% 0.285 1.50% 1.78

74283 100.00% 1.000 0.00% 7.00

74283 TC 60.00% 0.580 2.00% 4.06

74283 26 40.00% 0.420 -2.00% 2.94

74290 100.00% 1.000 0.00% 2.31

74290 TC 80.00% 0.805 -0.50% 1.86

74290 26 20.00% 0.195 0.50% 0.45

74300 100.00% 1.000 0.00% 1.49

74300 TC 65.00% 0.651 -0.10% 0.97

74300 26 35.00% 0.349 0.10% 0.52

74301 100.00% 1.000 0.00% 0.86

74301 TC 65.00% 0.651 -0.10% 0.56

74301 26 35.00% 0.349 0.10% 0.30

74328 100.00% 1.000 0.00% 3.37

74328 TC 70.00% 0.700 0.00% 2.36

74328 26 30.00% 0.300 0.00% 1.01

74329 100.00% 1.000 0.00% 2.89

74329 TC 65.00% 0.651 -0.10% 1.88

74329 26 35.00% 0.349 0.10% 1.01

74330 100.00% 1.000 0.00% 4.78

74330 TC 75.00% 0.730 2.00% 3.49

74330 26 25.00% 0.270 -2.00% 1.29

74340 100.00% 1.000 0.00% 3.08

74340 TC 75.00% 0.750 0.00% 2.31

74340 26 25.00% 0.250 0.00% 0.77

74355 100.00% 1.000 0.00% 4.00

74355 TC 75.00% 0.730 2.00% 2.92

74355 26 25.00% 0.270 -2.00% 1.08

74360 100.00% 1.000 0.00% 3.33

74360 TC 75.00% 0.760 -1.00% 2.53

74360 26 25.00% 0.240 1.00% 0.80

74363 100.00% 1.000 0.00% 3.49

74363 TC 65.00% 0.650 0.00% 2.27

74363 26 35.00% 0.350 0.00% 1.22

74400 100.00% 1.000 0.00% 3.60

74400 TC 80.00% 0.808 -0.80% 2.91

74400 26 20.00% 0.192 0.80% 0.69

74410 100.00% 1.000 0.00% 3.66

74410 TC 80.00% 0.814 -1.40% 2.98

74410 26 20.00% 0.186 1.40% 0.68

74415 100.00% 1.000 0.00% 4.28

74415 TC 85.00% 0.839 1.10% 3.59

74415 26 15.00% 0.161 -1.10% 0.69

74420 100.00% 1.000 0.00% 2.08

74420 TC 65.00% 0.654 -0.40% 1.36

74420 26 35.00% 0.346 0.40% 0.72

74425 100.00% 1.000 0.00% 3.66

74425 TC 80.00% 0.806 -0.60% 2.95

74425 26 20.00% 0.194 0.60% 0.71

74430 100.00% 1.000 0.00% 1.13

74430 TC 60.00% 0.602 -0.20% 0.68

74430 26 40.00% 0.398 0.20% 0.45

74440 100.00% 1.000 0.00% 2.59

74440 TC 80.00% 0.799 0.10% 2.07

74440 26 20.00% 0.201 -0.10% 0.52

74445 100.00% 1.000 0.00% 2.75

74445 TC 45.00% 0.429 2.10% 1.18

74445 26 55.00% 0.571 -2.10% 1.57

74450 100.00% 1.000 0.00% 2.04

74450 TC 75.00% 0.770 -2.00% 1.57

74450 26 25.00% 0.230 2.00% 0.47

74455 100.00% 1.000 0.00% 2.74

74455 TC 85.00% 0.832 1.80% 2.28

74455 26 15.00% 0.168 -1.80% 0.46

74470 100.00% 1.000 0.00% 2.08

74470 TC 65.00% 0.639 1.10% 1.33

74470 26 35.00% 0.361 -1.10% 0.75

74485 100.00% 1.000 0.00% 3.19

74485 TC 65.00% 0.643 0.70% 2.05

74485 26 35.00% 0.357 -0.70% 1.14

74710 100.00% 1.000 0.00% 1.12

74710 TC 55.00% 0.563 -1.30% 0.63

74710 26 45.00% 0.437 1.30% 0.49

74712 100.00% 1.000 0.00% 13.32

74712 TC 70.00% 0.682 1.80% 9.08

74712 26 30.00% 0.318 -1.80% 4.24

74713 100.00% 1.000 0.00% 6.46

74713 TC 60.00% 0.593 0.70% 3.83

74713 26 40.00% 0.407 -0.70% 2.63

74740 100.00% 1.000 0.00% 2.54

74740 TC 80.00% 0.787 1.30% 2.00

74740 26 20.00% 0.213 -1.30% 0.54

74742 100.00% 1.000 0.00% 2.51

74742 TC 65.00% 0.649 0.10% 1.63

74742 26 35.00% 0.351 -0.10% 0.88

74775 100.00% 1.000 0.00% 2.47

74775 TC 65.00% 0.640 1.00% 1.58

74775 26 35.00% 0.360 -1.00% 0.89

75557 100.00% 1.000 0.00% 9.01

75557 TC 65.00% 0.636 1.40% 5.73

75557 26 35.00% 0.364 -1.40% 3.28

75559 100.00% 1.000 0.00% 12.51

75559 TC 70.00% 0.678 2.20% 8.48

75559 26 30.00% 0.322 -2.20% 4.03

75561 100.00% 1.000 0.00% 11.82

75561 TC 70.00% 0.695 0.50% 8.21

75561 26 30.00% 0.305 -0.50% 3.61

75563 100.00% 1.000 0.00% 14.00

75563 TC 70.00% 0.702 -0.20% 9.83

75563 26 30.00% 0.298 0.20% 4.17

75565 100.00% 1.000 0.00% 1.48

75565 TC 75.00% 0.764 -1.40% 1.13

75565 26 25.00% 0.236 1.40% 0.35

75571 100.00% 1.000 0.00% 2.95

75571 TC 70.00% 0.722 -2.20% 2.13

75571 26 30.00% 0.278 2.20% 0.82

75572 100.00% 1.000 0.00% 7.01

75572 TC 65.00% 0.649 0.10% 4.55

75572 26 35.00% 0.351 -0.10% 2.46

75573 100.00% 1.000 0.00% 9.43

75573 TC 60.00% 0.619 -1.90% 5.84

75573 26 40.00% 0.381 1.90% 3.59

75574 100.00% 1.000 0.00% 10.13

75574 TC 65.00% 0.669 -1.90% 6.78

75574 26 35.00% 0.331 1.90% 3.35

75600 100.00% 1.000 0.00% 5.65

75600 TC 85.00% 0.874 -2.40% 4.94

75600 26 15.00% 0.126 2.40% 0.71

75605 100.00% 1.000 0.00% 3.67

75605 TC 60.00% 0.575 2.50% 2.11

75605 26 40.00% 0.425 -2.50% 1.56

75625 100.00% 1.000 0.00% 3.92

75625 TC 50.00% 0.492 0.80% 1.93

75625 26 50.00% 0.508 -0.80% 1.99

75630 100.00% 1.000 0.00% 4.81

75630 TC 40.00% 0.424 -2.40% 2.04

75630 26 60.00% 0.576 2.40% 2.77

75635 100.00% 1.000 0.00% 12.49

75635 TC 75.00% 0.732 1.80% 9.14

75635 26 25.00% 0.268 -1.80% 3.35

75705 100.00% 1.000 0.00% 7.09

75705 TC 55.00% 0.533 1.70% 3.78

75705 26 45.00% 0.467 -1.70% 3.31

75710 100.00% 1.000 0.00% 4.63

75710 TC 45.00% 0.471 -2.10% 2.18

75710 26 55.00% 0.529 2.10% 2.45

75716 100.00% 1.000 0.00% 4.94

75716 TC 45.00% 0.451 -0.10% 2.23

75716 26 55.00% 0.549 0.10% 2.71

75726 100.00% 1.000 0.00% 5.20

75726 TC 45.00% 0.465 -1.50% 2.42

75726 26 55.00% 0.535 1.50% 2.78

75731 100.00% 1.000 0.00% 4.60

75731 TC 65.00% 0.648 0.20% 2.98

75731 26 35.00% 0.352 -0.20% 1.62

75733 100.00% 1.000 0.00% 4.97

75733 TC 65.00% 0.636 1.40% 3.16

75733 26 35.00% 0.364 -1.40% 1.81

75736 100.00% 1.000 0.00% 4.25

75736 TC 65.00% 0.638 1.20% 2.71

75736 26 35.00% 0.362 -1.20% 1.54

75741 100.00% 1.000 0.00% 4.03

75741 TC 55.00% 0.556 -0.60% 2.24

75741 26 45.00% 0.444 0.60% 1.79

75743 100.00% 1.000 0.00% 4.55

75743 TC 50.00% 0.499 0.10% 2.27

75743 26 50.00% 0.501 -0.10% 2.28

75746 100.00% 1.000 0.00% 4.07

75746 TC 60.00% 0.614 -1.40% 2.50

75746 26 40.00% 0.386 1.40% 1.57

75756 100.00% 1.000 0.00% 4.62

75756 TC 65.00% 0.656 -0.60% 3.03

75756 26 35.00% 0.344 0.60% 1.59

75774 100.00% 1.000 0.00% 3.04

75774 TC 55.00% 0.546 0.40% 1.66

75774 26 45.00% 0.454 -0.40% 1.38

75801 100.00% 1.000 0.00% 7.47

75801 TC 85.00% 0.830 2.00% 6.20

75801 26 15.00% 0.170 -2.00% 1.27

75803 100.00% 1.000 0.00% 7.64

75803 TC 80.00% 0.780 2.00% 5.96

75803 26 20.00% 0.220 -2.00% 1.68

75805 100.00% 1.000 0.00% 7.73

75805 TC 85.00% 0.850 0.00% 6.57

75805 26 15.00% 0.150 0.00% 1.16

75807 100.00% 1.000 0.00% 8.00

75807 TC 80.00% 0.800 0.00% 6.40

75807 26 20.00% 0.200 0.00% 1.60

75809 100.00% 1.000 0.00% 2.57

75809 TC 75.00% 0.739 1.10% 1.90

75809 26 25.00% 0.261 -1.10% 0.67

75810 100.00% 1.000 0.00% 12.73

75810 TC 90.00% 0.890 1.00% 11.33

75810 26 10.00% 0.110 -1.00% 1.40

75820 100.00% 1.000 0.00% 3.04

75820 TC 70.00% 0.678 2.20% 2.06

75820 26 30.00% 0.322 -2.20% 0.98

75822 100.00% 1.000 0.00% 3.56

75822 TC 60.00% 0.587 1.30% 2.09

75822 26 40.00% 0.413 -1.30% 1.47

75825 100.00% 1.000 0.00% 3.55

75825 TC 55.00% 0.558 -0.80% 1.98

75825 26 45.00% 0.442 0.80% 1.57

75827 100.00% 1.000 0.00% 3.69

75827 TC 55.00% 0.572 -2.20% 2.11

75827 26 45.00% 0.428 2.20% 1.58

75831 100.00% 1.000 0.00% 3.70

75831 TC 60.00% 0.584 1.60% 2.16

75831 26 40.00% 0.416 -1.60% 1.54

75833 100.00% 1.000 0.00% 4.45

75833 TC 55.00% 0.537 1.30% 2.39

75833 26 45.00% 0.463 -1.30% 2.06

75840 100.00% 1.000 0.00% 3.97

75840 TC 60.00% 0.592 0.80% 2.35

75840 26 40.00% 0.408 -0.80% 1.62

75842 100.00% 1.000 0.00% 4.84

75842 TC 55.00% 0.560 -1.00% 2.71

75842 26 45.00% 0.440 1.00% 2.13

75860 100.00% 1.000 0.00% 3.89

75860 TC 60.00% 0.591 0.90% 2.30

75860 26 40.00% 0.409 -0.90% 1.59

75870 100.00% 1.000 0.00% 5.17

75870 TC 65.00% 0.650 0.00% 3.36

75870 26 35.00% 0.350 0.00% 1.81

75872 100.00% 1.000 0.00% 3.97

75872 TC 60.00% 0.592 0.80% 2.35

75872 26 40.00% 0.408 -0.80% 1.62

75880 100.00% 1.000 0.00% 3.34

75880 TC 70.00% 0.704 -0.40% 2.35

75880 26 30.00% 0.296 0.40% 0.99

75885 100.00% 1.000 0.00% 4.21

75885 TC 55.00% 0.542 0.80% 2.28

75885 26 45.00% 0.458 -0.80% 1.93

75887 100.00% 1.000 0.00% 4.24

75887 TC 55.00% 0.540 1.00% 2.29

75887 26 45.00% 0.460 -1.00% 1.95

75889 100.00% 1.000 0.00% 3.81

75889 TC 60.00% 0.598 0.20% 2.28

75889 26 40.00% 0.402 -0.20% 1.53

75891 100.00% 1.000 0.00% 3.87

75891 TC 60.00% 0.597 0.30% 2.31

75891 26 40.00% 0.403 -0.30% 1.56

75893 100.00% 1.000 0.00% 3.25

75893 TC 75.00% 0.763 -1.30% 2.48

75893 26 25.00% 0.237 1.30% 0.77

75894 100.00% 1.000 0.00% 29.43

75894 TC 95.00% 0.930 2.00% 27.37

75894 26 5.00% 0.070 -2.00% 2.06

75898 100.00% 1.000 0.00% 3.84

75898 TC 35.00% 0.331 1.90% 1.27

75898 26 65.00% 0.669 -1.90% 2.57

75901 100.00% 1.000 0.00% 6.15

75901 TC 90.00% 0.891 0.90% 5.48

75901 26 10.00% 0.109 -0.90% 0.67

75902 100.00% 1.000 0.00% 2.40

75902 TC 80.00% 0.775 2.50% 1.86

75902 26 20.00% 0.225 -2.50% 0.54

75970 100.00% 1.000 0.00% 12.56

75970 TC 90.00% 0.910 -1.00% 11.43

75970 26 10.00% 0.090 1.00% 1.13

75984 100.00% 1.000 0.00% 2.79

75984 TC 65.00% 0.645 0.50% 1.80

75984 26 35.00% 0.355 -0.50% 0.99

75989 100.00% 1.000 0.00% 3.43

75989 TC 50.00% 0.516 -1.60% 1.77

75989 26 50.00% 0.484 1.60% 1.66

76000 100.00% 1.000 0.00% 1.18

76000 TC 65.00% 0.627 2.30% 0.74

76000 26 35.00% 0.373 -2.30% 0.44

76010 100.00% 1.000 0.00% 0.81

76010 TC 70.00% 0.679 2.10% 0.55

76010 26 30.00% 0.321 -2.10% 0.26

76080 100.00% 1.000 0.00% 1.67

76080 TC 55.00% 0.557 -0.70% 0.93

76080 26 45.00% 0.443 0.70% 0.74

76098 100.00% 1.000 0.00% 1.21

76098 TC 65.00% 0.628 2.20% 0.76

76098 26 35.00% 0.372 -2.20% 0.45

76100 100.00% 1.000 0.00% 2.75

76100 TC 70.00% 0.680 2.00% 1.87

76100 26 30.00% 0.320 -2.00% 0.88

76101 100.00% 1.000 0.00% 2.77

76101 TC 70.00% 0.718 -1.80% 1.99

76101 26 30.00% 0.282 1.80% 0.78

76102 100.00% 1.000 0.00% 4.96

76102 TC 80.00% 0.821 -2.10% 4.07

76102 26 20.00% 0.179 2.10% 0.89

76120 100.00% 1.000 0.00% 3.06

76120 TC 80.00% 0.824 -2.40% 2.52

76120 26 20.00% 0.176 2.40% 0.54

76125 100.00% 1.000 0.00% 1.29

76125 TC 70.00% 0.690 1.00% 0.89

76125 26 30.00% 0.310 -1.00% 0.40

76376 100.00% 1.000 0.00% 0.65

76376 TC 55.00% 0.569 -1.90% 0.37

76376 26 45.00% 0.431 1.90% 0.28

76377 100.00% 1.000 0.00% 2.03

76377 TC 45.00% 0.443 0.70% 0.90

76377 26 55.00% 0.557 -0.70% 1.13

76380 100.00% 1.000 0.00% 4.07

76380 TC 65.00% 0.663 -1.30% 2.70

76380 26 35.00% 0.337 1.30% 1.37

76390 100.00% 1.000 0.00% 11.98

76390 TC 85.00% 0.833 1.70% 9.98

76390 26 15.00% 0.167 -1.70% 2.00

76391 100.00% 1.000 0.00% 6.54

76391 TC 75.00% 0.758 -0.80% 4.96

76391 26 25.00% 0.242 0.80% 1.58

76496 100.00% 1.000 0.00% 1.78

76496 TC 65.00% 0.652 -0.20% 1.16

76496 26 35.00% 0.348 0.20% 0.62

76497 100.00% 1.000 0.00% 2.96

76497 TC 80.00% 0.801 -0.10% 2.37

76497 26 20.00% 0.199 0.10% 0.59

76498 100.00% 1.000 0.00% 2.58

76498 TC 80.00% 0.798 0.20% 2.06

76498 26 20.00% 0.202 -0.20% 0.52

76506 100.00% 1.000 0.00% 3.25

76506 TC 70.00% 0.720 -2.00% 2.34

76506 26 30.00% 0.280 2.00% 0.91

76510 100.00% 1.000 0.00% 2.56

76510 TC 50.00% 0.477 2.30% 1.22

76510 26 50.00% 0.523 -2.30% 1.34

76511 100.00% 1.000 0.00% 1.75

76511 TC 40.00% 0.417 -1.70% 0.73

76511 26 60.00% 0.583 1.70% 1.02

76512 100.00% 1.000 0.00% 1.49

76512 TC 40.00% 0.403 -0.30% 0.60

76512 26 60.00% 0.597 0.30% 0.89

76513 100.00% 1.000 0.00% 2.81

76513 TC 65.00% 0.637 1.30% 1.79

76513 26 35.00% 0.363 -1.30% 1.02

76514 100.00% 1.000 0.00% 0.34

76514 TC 30.00% 0.324 -2.40% 0.11

76514 26 70.00% 0.676 2.40% 0.23

76516 100.00% 1.000 0.00% 1.36

76516 TC 50.00% 0.522 -2.20% 0.71

76516 26 50.00% 0.478 2.20% 0.65

76519 100.00% 1.000 0.00% 1.88

76519 TC 55.00% 0.532 1.80% 1.00

76519 26 45.00% 0.468 -1.80% 0.88

76529 100.00% 1.000 0.00% 2.35

76529 TC 60.00% 0.604 -0.40% 1.42

76529 26 40.00% 0.396 0.40% 0.93

76536 100.00% 1.000 0.00% 3.27

76536 TC 75.00% 0.755 -0.50% 2.47

76536 26 25.00% 0.245 0.50% 0.80

76604 100.00% 1.000 0.00% 2.23

76604 TC 65.00% 0.632 1.80% 1.41

76604 26 35.00% 0.368 -1.80% 0.82

76641 100.00% 1.000 0.00% 3.02

76641 TC 65.00% 0.659 -0.90% 1.99

76641 26 35.00% 0.341 0.90% 1.03

76642 100.00% 1.000 0.00% 2.47

76642 TC 60.00% 0.611 -1.10% 1.51

76642 26 40.00% 0.389 1.10% 0.96

76700 100.00% 1.000 0.00% 3.47

76700 TC 65.00% 0.666 -1.60% 2.31

76700 26 35.00% 0.334 1.60% 1.16

76705 100.00% 1.000 0.00% 2.57

76705 TC 70.00% 0.677 2.30% 1.74

76705 26 30.00% 0.323 -2.30% 0.83

76706 100.00% 1.000 0.00% 3.21

76706 TC 75.00% 0.757 -0.70% 2.43

76706 26 25.00% 0.243 0.70% 0.78

76770 100.00% 1.000 0.00% 3.19

76770 TC 65.00% 0.674 -2.40% 2.15

76770 26 35.00% 0.326 2.40% 1.04

76775 100.00% 1.000 0.00% 1.66

76775 TC 50.00% 0.506 -0.60% 0.84

76775 26 50.00% 0.494 0.60% 0.82

76776 100.00% 1.000 0.00% 4.41

76776 TC 75.00% 0.753 -0.30% 3.32

76776 26 25.00% 0.247 0.30% 1.09

76800 100.00% 1.000 0.00% 4.04

76800 TC 60.00% 0.589 1.10% 2.38

76800 26 40.00% 0.411 -1.10% 1.66

76801 100.00% 1.000 0.00% 3.45

76801 TC 60.00% 0.591 0.90% 2.04

76801 26 40.00% 0.409 -0.90% 1.41

76802 100.00% 1.000 0.00% 1.78

76802 TC 35.00% 0.343 0.70% 0.61

76802 26 65.00% 0.657 -0.70% 1.17

76805 100.00% 1.000 0.00% 3.95

76805 TC 65.00% 0.643 0.70% 2.54

76805 26 35.00% 0.357 -0.70% 1.41

76810 100.00% 1.000 0.00% 2.59

76810 TC 45.00% 0.459 -0.90% 1.19

76810 26 55.00% 0.541 0.90% 1.40

76811 100.00% 1.000 0.00% 5.01

76811 TC 45.00% 0.465 -1.50% 2.33

76811 26 55.00% 0.535 1.50% 2.68

76812 100.00% 1.000 0.00% 5.61

76812 TC 55.00% 0.553 -0.30% 3.10

76812 26 45.00% 0.447 0.30% 2.51

76813 100.00% 1.000 0.00% 3.42

76813 TC 50.00% 0.512 -1.20% 1.75

76813 26 50.00% 0.488 1.20% 1.67

76814 100.00% 1.000 0.00% 2.22

76814 TC 35.00% 0.369 -1.90% 0.82

76814 26 65.00% 0.631 1.90% 1.40

76815 100.00% 1.000 0.00% 2.37

76815 TC 60.00% 0.612 -1.20% 1.45

76815 26 40.00% 0.388 1.20% 0.92

76816 100.00% 1.000 0.00% 3.19

76816 TC 60.00% 0.624 -2.40% 1.99

76816 26 40.00% 0.376 2.40% 1.20

76817 100.00% 1.000 0.00% 2.70

76817 TC 60.00% 0.607 -0.70% 1.64

76817 26 40.00% 0.393 0.70% 1.06

76818 100.00% 1.000 0.00% 3.33

76818 TC 55.00% 0.556 -0.60% 1.85

76818 26 45.00% 0.444 0.60% 1.48

76819 100.00% 1.000 0.00% 2.45

76819 TC 55.00% 0.555 -0.50% 1.36

76819 26 45.00% 0.445 0.50% 1.09

76820 100.00% 1.000 0.00% 1.32

76820 TC 45.00% 0.462 -1.20% 0.61

76820 26 55.00% 0.538 1.20% 0.71

76821 100.00% 1.000 0.00% 2.55

76821 TC 60.00% 0.616 -1.60% 1.57

76821 26 40.00% 0.384 1.60% 0.98

76825 100.00% 1.000 0.00% 7.71

76825 TC 70.00% 0.698 0.20% 5.38

76825 26 30.00% 0.302 -0.20% 2.33

76826 100.00% 1.000 0.00% 4.58

76826 TC 75.00% 0.747 0.30% 3.42

76826 26 25.00% 0.253 -0.30% 1.16

76827 100.00% 1.000 0.00% 2.07

76827 TC 60.00% 0.609 -0.90% 1.26

76827 26 40.00% 0.391 0.90% 0.81

76828 100.00% 1.000 0.00% 1.47

76828 TC 45.00% 0.463 -1.30% 0.68

76828 26 55.00% 0.537 1.30% 0.79

76830 100.00% 1.000 0.00% 3.47

76830 TC 70.00% 0.718 -1.80% 2.49

76830 26 30.00% 0.282 1.80% 0.98

76831 100.00% 1.000 0.00% 3.36

76831 TC 70.00% 0.696 0.40% 2.34

76831 26 30.00% 0.304 -0.40% 1.02

76856 100.00% 1.000 0.00% 3.09

76856 TC 70.00% 0.686 1.40% 2.12

76856 26 30.00% 0.314 -1.40% 0.97

76857 100.00% 1.000 0.00% 1.37

76857 TC 50.00% 0.489 1.10% 0.67

76857 26 50.00% 0.511 -1.10% 0.70

76870 100.00% 1.000 0.00% 2.96

76870 TC 70.00% 0.696 0.40% 2.06

76870 26 30.00% 0.304 -0.40% 0.90

76872 100.00% 1.000 0.00% 4.43

76872 TC 80.00% 0.786 1.40% 3.48

76872 26 20.00% 0.214 -1.40% 0.95

76873 100.00% 1.000 0.00% 4.96

76873 TC 55.00% 0.552 -0.20% 2.74

76873 26 45.00% 0.448 0.20% 2.22

76881 100.00% 1.000 0.00% 2.19

76881 TC 60.00% 0.594 0.60% 1.30

76881 26 40.00% 0.406 -0.60% 0.89

76882 100.00% 1.000 0.00% 1.61

76882 TC 55.00% 0.571 -2.10% 0.92

76882 26 45.00% 0.429 2.10% 0.69

76885 100.00% 1.000 0.00% 4.05

76885 TC 75.00% 0.741 0.90% 3.00

76885 26 25.00% 0.259 -0.90% 1.05

76886 100.00% 1.000 0.00% 2.97

76886 TC 70.00% 0.704 -0.40% 2.09

76886 26 30.00% 0.296 0.40% 0.88

76932 100.00% 1.000 0.00% 2.54

76932 TC 65.00% 0.630 2.00% 1.60

76932 26 35.00% 0.370 -2.00% 0.94

76936 100.00% 1.000 0.00% 7.62

76936 TC 65.00% 0.636 1.40% 4.85

76936 26 35.00% 0.364 -1.40% 2.77

76937 100.00% 1.000 0.00% 1.03

76937 TC 60.00% 0.602 -0.20% 0.62

76937 26 40.00% 0.398 0.20% 0.41

76940 100.00% 1.000 0.00% 4.73

76940 TC 40.00% 0.381 1.90% 1.80

76940 26 60.00% 0.619 -1.90% 2.93

76

Documents

Professional/Technical Component Policy, Professional · 2020-02-05 · Reimbursement Policy CMS 1500 Policy Number 2020R0012A Proprietary information of UnitedHealthcare. Copyright