Jurisdiction A DME MAC
2010 DMEPOS Fee Schedule Updates 
Inclusion of a fee schedule amount for an item does not necessarily indicate coverage
Capped Rental
HCPCS Mod1 Mod2 CT DC DE MA MD ME NH NJ NY PA RI VT
E0165 RR    $19.51 $16.58 $16.80 $16.58 $16.58 $16.58 $16.58 $19.13 $19.51 $16.58 $19.51 $16.58
E0170 RR    $168.76 $168.76 $168.76 $168.76 $168.76 $168.76 $168.76 $168.76 $168.76 $168.76 $168.76 $168.76
E0171 RR    $30.37 $30.37 $30.37 $30.37 $30.37 $30.37 $30.37 $30.37 $30.37 $30.37 $30.37 $30.37
E0181 RR    $27.36 $27.36 $27.36 $27.36 $25.65 $27.36 $27.36 $27.36 $27.36 $27.36 $27.36 $27.36
E0182 RR    $23.37 $27.49 $27.49 $23.37 $27.49 $23.37 $23.37 $27.49 $23.54 $27.49 $23.37 $23.37
E0186 RR    $21.32 $21.32 $21.32 $18.12 $21.32 $18.12 $18.12 $21.32 $21.32 $21.32 $19.53 $18.12
E0187 RR    $24.37 $24.37 $24.37 $20.71 $24.37 $20.71 $20.71 $23.70 $24.37 $24.37 $20.71 $20.71
E0193 RR    $810.03 $723.95 $762.82 $817.63 $778.50 $817.63 $817.63 $786.82 $810.73 $817.63 $694.99 $817.63
E0194 RR    $3,417.06 $3,417.06 $3,417.06 $3,417.06 $2,942.59 $3,417.06 $3,417.06 $3,307.35 $2,904.50 $3,377.79 $3,193.01 $3,417.06
E0196 RR    $34.11 $34.11 $33.53 $28.99 $34.11 $28.99 $28.99 $28.99 $34.11 $34.11 $28.99 $28.99
E0202 RR    $56.93 $65.74 $65.74 $63.29 $65.74 $65.44 $60.08 $65.74 $65.74 $65.74 $55.88 $62.78
E0235 RR    $18.12 $18.12 $18.12 $16.55 $17.13 $17.02 $15.62 $18.12 $18.12 $18.12 $15.40 $16.33
E0236 RR    $41.19 $43.35 $41.84 $46.46 $41.30 $46.46 $46.46 $40.19 $40.45 $41.07 $39.49 $46.46
E0250 RR    $88.47 $75.20 $88.47 $88.47 $88.47 $88.47 $88.47 $84.09 $75.20 $88.47 $76.28 $88.47
E0251 RR    $67.04 $67.04 $67.04 $67.04 $67.04 $67.04 $67.04 $61.24 $61.19 $67.04 $67.04 $67.04
E0255 RR    $106.32 $101.02 $106.32 $106.32 $106.32 $106.32 $106.32 $91.93 $106.32 $103.50 $90.37 $106.32
E0256 RR    $75.43 $71.99 $71.01 $75.43 $74.29 $75.43 $75.43 $64.12 $75.43 $70.67 $75.43 $75.43
E0260 RR    $127.11 $127.12 $127.12 $127.12 $127.12 $127.11 $127.12 $127.12 $127.12 $127.12 $127.13 $127.11
E0261 RR    $123.93 $108.91 $123.93 $123.93 $108.39 $123.93 $123.93 $105.34 $123.93 $116.43 $105.34 $123.93
E0265 RR    $175.38 $180.89 $180.89 $180.89 $176.10 $180.89 $176.14 $173.87 $180.89 $180.89 $153.76 $180.89
E0266 RR    $139.33 $160.72 $136.61 $160.72 $159.95 $160.72 $160.72 $160.72 $160.72 $160.72 $136.61 $160.72
E0277 RR    $636.64 $584.96 $584.14 $636.64 $636.66 $636.64 $636.64 $584.14 $636.64 $584.14 $636.64 $636.64
E0290 RR    $67.64 $57.49 $67.64 $67.64 $67.64 $67.64 $67.64 $57.49 $66.64 $67.64 $67.64 $67.64
E0291 RR    $49.14 $49.14 $49.14 $49.14 $49.14 $49.14 $49.14 $41.77 $49.14 $49.14 $49.14 $49.14
E0292 RR    $76.06 $71.64 $70.48 $76.06 $72.82 $76.06 $76.06 $64.65 $76.06 $73.37 $67.61 $76.06
E0293 RR    $64.72 $64.72 $64.72 $64.72 $64.72 $64.72 $64.72 $62.16 $64.72 $64.72 $55.01 $64.72
E0294 RR    $118.24 $108.59 $118.24 $118.24 $106.93 $118.24 $118.24 $100.88 $118.24 $118.24 $100.50 $118.24
E0295 RR    $98.83 $108.59 $115.25 $115.25 $98.83 $115.25 $115.25 $100.88 $115.25 $115.25 $97.96 $115.25
E0296 RR    $146.93 $148.60 $148.60 $148.60 $133.38 $148.60 $148.60 $127.56 $148.60 $148.60 $126.31 $148.60
E0297 RR    $110.87 $127.31 $108.21 $127.31 $120.62 $127.31 $125.60 $127.31 $127.31 $127.31 $108.21 $127.31
E0301 RR    $245.00 $245.00 $238.99 $245.00 $230.39 $245.00 $245.00 $228.58 $237.20 $234.09 $208.25 $245.00
E0302 RR    $647.47 $647.47 $647.47 $647.47 $647.47 $647.47 $647.47 $647.47 $647.47 $647.47 $647.47 $647.47
E0303 RR    $275.10 $275.10 $269.07 $275.10 $260.01 $275.10 $275.10 $258.68 $267.29 $264.17 $233.84 $275.10
E0304 RR    $697.46 $697.46 $697.46 $697.46 $697.46 $697.46 $697.46 $697.46 $697.46 $697.46 $697.46 $697.46
E0305 RR    $16.10 $16.10 $16.10 $16.10 $14.61 $16.10 $16.10 $13.69 $13.69 $14.48 $14.63 $16.10
E0316 RR    $191.21 $191.21 $191.21 $191.21 $186.58 $191.21 $191.21 $191.21 $191.21 $191.21 $191.21 $191.21
E0371 RR    $402.25 $402.25 $392.63 $402.25 $379.43 $402.25 $402.25 $377.47 $390.06 $385.49 $341.91 $402.25
E0372 RR    $488.10 $488.10 $476.46 $488.10 $460.41 $488.10 $488.10 $458.01 $473.30 $467.77 $414.89 $488.10
E0373 RR    $556.10 $556.10 $545.77 $556.10 $527.41 $556.10 $556.10 $524.67 $542.18 $535.84 $472.69 $556.10
E0459 RR    $53.43 $53.43 $53.43 $53.43 $53.43 $53.43 $53.43 $53.43 $53.43 $53.43 $53.43 $53.43
E0462 RR    $282.68 $305.97 $305.97 $260.07 $305.97 $260.07 $260.07 $305.97 $260.07 $305.97 $260.07 $260.07
E0470 RR    $217.00 $197.39 $197.39 $209.75 $197.39 $215.88 $207.99 $197.39 $232.22 $197.39 $215.29 $209.04
E0471 RR    $581.16 $493.99 $493.99 $581.16 $581.16 $581.16 $581.16 $493.99 $581.16 $493.99 $581.16 $581.16
E0472 RR    $581.16 $493.99 $493.99 $581.16 $581.16 $581.16 $581.16 $493.99 $581.16 $493.99 $581.16 $581.16
E0480 RR    $46.14 $46.14 $46.14 $46.14 $46.14 $46.14 $46.14 $46.14 $39.22 $46.14 $39.22 $46.14
E0482 RR    $451.52 $451.52 $440.72 $451.52 $425.91 $451.52 $451.52 $423.71 $437.83 $432.71 $383.79 $451.52
E0483 RR    $1,116.29 $1,116.29 $1,116.29 $1,116.29 $1,116.29 $1,116.29 $1,116.29 $1,116.29 $1,116.29 $1,116.29 $1,116.29 $1,116.29
E0550 RR    $44.74 $52.64 $52.64 $44.74 $44.74 $44.74 $44.74 $52.64 $52.64 $52.64 $44.74 $44.74
E0565 RR    $64.06 $54.45 $54.45 $64.06 $64.06 $64.06 $64.06 $54.45 $64.06 $64.06 $64.06 $64.06
E0570 RR    $16.91 $16.91 $16.91 $16.92 $16.91 $16.92 $16.92 $16.91 $16.91 $16.91 $16.91 $16.92
E0571 RR    $31.47 $31.47 $30.87 $31.47 $29.84 $31.47 $31.47 $29.69 $30.67 $30.30 $26.75 $31.47
E0572 RR    $39.99 $39.99 $39.25 $39.99 $37.94 $39.99 $39.99 $37.73 $38.99 $38.55 $33.99 $39.99
E0574 RR    $42.27 $42.27 $41.50 $42.27 $40.11 $42.27 $42.27 $39.87 $41.23 $40.74 $35.93 $42.27
E0585 RR    $36.82 $36.82 $36.82 $31.30 $36.82 $31.30 $31.30 $36.82 $36.82 $36.82 $36.82 $31.30
E0600 RR    $48.08 $48.08 $48.08 $48.08 $48.08 $48.08 $48.08 $46.23 $48.08 $48.08 $48.08 $48.08
E0601 RR    $92.53 $97.60 $94.20 $87.78 $101.10 $90.34 $87.04 $90.59 $101.10 $92.52 $101.10 $87.46
E0606 RR    $24.09 $20.48 $20.48 $24.09 $24.09 $24.09 $24.03 $20.48 $22.01 $20.48 $20.48 $24.09
E0617 RR    $319.25 $319.25 $319.25 $319.25 $319.25 $319.25 $319.25 $319.25 $319.25 $319.25 $319.25 $319.25
E0617 RR KF $354.45 $354.45 $354.45 $354.45 $354.45 $354.45 $354.45 $354.45 $354.45 $354.45 $354.45 $354.45
E0618 RR    $294.37 $277.47 $267.83 $294.37 $294.37 $294.37 $294.37 $257.49 $294.37 $262.99 $294.37 $294.37
E0630 RR    $92.06 $90.93 $106.98 $106.98 $104.27 $106.98 $96.69 $101.67 $106.98 $106.98 $102.32 $101.08
E0635 RR    $109.21 $109.21 $109.21 $128.48 $109.21 $128.48 $128.48 $109.21 $120.45 $109.21 $109.21 $128.48
E0636 RR    $1,107.29 $1,107.29 $1,107.29 $1,107.29 $1,107.29 $1,107.29 $1,107.29 $1,107.29 $1,107.29 $1,107.29 $1,107.29 $1,107.29
E0675 RR    $403.78 $403.78 $403.78 $403.78 $403.78 $403.78 $403.78 $403.78 $403.78 $403.78 $403.78 $403.78
E0744 RR    $89.51 $96.15 $96.15 $96.15 $81.73 $96.15 $96.15 $96.15 $96.15 $96.15 $81.73 $96.15
E0745 RR    $82.90 $89.67 $93.99 $93.99 $79.89 $93.99 $79.89 $93.99 $93.22 $93.99 $79.89 $79.89
E0749 RR KF $298.59 $298.59 $298.59 $298.59 $284.28 $298.59 $281.98 $298.59 $266.55 $298.59 $253.80 $294.76
E0779 RR    $17.57 $17.57 $17.25 $17.57 $16.66 $17.57 $17.57 $17.57 $17.14 $16.94 $15.44 $17.57
E0781 RR    $278.11 $278.11 $236.39 $236.39 $270.78 $236.39 $236.39 $236.39 $236.39 $236.39 $242.83 $236.39
E0784 RR    $438.45 $438.36 $438.45 $438.45 $438.36 $438.45 $438.45 $438.45 $438.45 $438.45 $438.45 $438.45
E0791 RR    $332.01 $282.21 $282.21 $332.01 $282.21 $332.01 $332.01 $282.21 $282.21 $282.21 $285.46 $332.01
E0910 RR    $18.10 $18.10 $18.10 $18.10 $18.10 $18.10 $18.10 $17.70 $18.10 $18.10 $18.10 $18.10
E0911 RR    $45.11 $45.11 $45.11 $45.11 $45.11 $45.11 $45.11 $45.11 $45.11 $45.11 $45.11 $45.11
E0912 RR    $103.60 $103.60 $103.60 $103.60 $103.60 $103.60 $103.60 $103.60 $103.60 $103.60 $103.60 $103.60
E0920 RR    $48.45 $44.93 $48.45 $48.45 $48.45 $48.45 $48.45 $41.67 $48.45 $48.45 $48.45 $48.45
E0930 RR    $47.97 $44.93 $43.38 $47.97 $47.97 $47.97 $47.97 $41.67 $42.48 $47.97 $47.97 $47.97
E0940 RR    $31.11 $26.75 $31.47 $31.47 $29.12 $31.47 $31.47 $28.67 $31.47 $26.75 $31.47 $31.47
E0941 RR    $45.58 $43.82 $42.32 $38.74 $45.58 $38.74 $38.74 $40.67 $45.58 $45.58 $45.58 $38.74
E0946 RR    $62.12 $62.12 $62.12 $62.12 $62.12 $62.12 $62.12 $62.12 $56.21 $62.12 $62.12 $62.12
E0958 RR    $45.81 $45.81 $45.81 $38.94 $38.94 $39.28 $38.94 $44.53 $45.52 $45.57 $38.94 $38.94
E0968 RR    $18.83 $18.83 $18.83 $17.79 $17.36 $18.33 $16.82 $18.83 $18.81 $18.83 $16.01 $17.59
E0983 RR    $262.43 $262.43 $256.69 $262.43 $248.06 $262.43 $262.43 $246.77 $255.00 $252.02 $223.07 $262.43
E1031 RR    $53.04 $53.04 $53.04 $51.54 $53.04 $53.04 $48.67 $53.04 $45.08 $53.04 $53.04 $50.86
E1035 RR    $643.86 $643.86 $643.86 $643.86 $643.86 $643.86 $643.86 $643.86 $643.86 $643.86 $643.86 $643.86
E1037 RR    $113.91 $113.91 $113.91 $113.91 $113.91 $113.91 $113.91 $113.91 $113.91 $113.91 $113.91 $113.91
E1038 RR    $18.93 $18.93 $18.93 $18.93 $18.93 $18.93 $18.93 $18.93 $18.93 $18.93 $18.93 $18.93
E1039 RR    $35.91 $35.91 $35.91 $35.91 $35.91 $35.91 $35.91 $35.91 $35.91 $35.91 $35.91 $35.91
E1050 RR    $106.93 $106.93 $106.93 $90.89 $90.89 $90.89 $90.89 $106.93 $106.62 $99.49 $90.89 $90.89
E1060 RR    $120.08 $132.37 $132.37 $132.37 $130.15 $132.37 $131.26 $118.97 $115.78 $132.37 $124.87 $132.37
E1070 RR    $115.01 $97.76 $97.76 $115.01 $97.76 $115.01 $102.13 $115.01 $109.16 $115.01 $109.06 $106.74
E1083 RR    $82.68 $82.68 $82.68 $76.36 $82.68 $78.53 $72.08 $75.78 $82.68 $82.68 $70.28 $75.34
E1084 RR    $103.01 $96.44 $103.01 $101.40 $103.01 $103.01 $95.74 $103.01 $96.75 $103.01 $87.56 $100.09
E1087 RR    $112.91 $132.84 $132.84 $132.84 $132.84 $132.84 $112.91 $121.80 $132.84 $114.56 $132.84 $112.91
E1088 RR    $134.56 $158.31 $158.31 $158.31 $134.56 $158.31 $134.56 $158.31 $158.31 $155.04 $158.31 $134.56
E1092 RR    $134.94 $134.94 $134.94 $114.70 $114.70 $114.70 $114.70 $134.94 $134.94 $134.94 $114.70 $114.70
E1093 RR    $116.05 $116.05 $116.05 $98.64 $103.73 $98.64 $98.64 $116.05 $116.05 $116.05 $98.64 $98.64
E1100 RR    $109.00 $109.00 $109.00 $109.00 $109.00 $109.00 $102.13 $109.00 $102.35 $109.00 $104.84 $106.74
E1110 RR    $90.73 $90.73 $90.73 $106.74 $99.12 $106.74 $102.13 $106.74 $101.39 $105.35 $106.74 $106.74
E1150 RR    $73.42 $85.66 $85.66 $85.66 $85.62 $78.88 $85.66 $82.07 $85.66 $85.66 $72.81 $85.66
E1160 RR    $65.63 $65.63 $65.63 $65.63 $65.63 $58.34 $55.79 $64.53 $65.63 $65.63 $65.63 $57.77
E1170 RR    $93.78 $93.78 $93.78 $93.78 $79.71 $93.78 $93.78 $90.63 $86.75 $79.71 $79.71 $93.78
E1171 RR    $84.16 $77.68 $75.00 $84.16 $77.96 $84.16 $84.16 $72.10 $80.50 $73.65 $75.39 $84.16
E1172 RR    $102.85 $102.85 $96.44 $102.85 $102.85 $102.85 $102.13 $92.72 $102.85 $93.40 $87.42 $102.85
E1180 RR    $106.41 $105.42 $90.45 $106.41 $90.45 $106.41 $106.41 $99.11 $106.41 $90.45 $90.45 $106.41
E1190 RR    $122.92 $110.34 $122.92 $113.32 $104.48 $111.05 $107.01 $114.51 $122.92 $107.07 $104.48 $111.86
E1195 RR    $131.91 $131.91 $112.12 $131.91 $121.87 $131.91 $131.91 $112.12 $131.91 $112.12 $112.12 $131.91
E1200 RR    $77.66 $83.21 $80.34 $91.36 $91.36 $91.36 $78.08 $85.27 $91.36 $91.36 $77.66 $81.62
E1221 RR    $42.41 $49.89 $49.89 $49.89 $49.89 $49.88 $48.06 $44.02 $49.89 $42.41 $42.41 $49.89
E1222 RR    $71.18 $71.18 $71.18 $71.18 $71.18 $71.06 $68.45 $71.18 $71.18 $71.18 $60.50 $71.18
E1223 RR    $77.72 $77.72 $77.72 $77.72 $72.08 $77.72 $76.00 $77.72 $76.15 $76.23 $66.06 $77.72
E1224 RR    $85.21 $85.21 $85.21 $85.21 $85.03 $85.21 $85.21 $85.21 $72.43 $85.21 $72.43 $85.21
E1225 RR    $47.46 $47.46 $47.46 $40.34 $47.46 $40.34 $40.34 $47.46 $47.46 $47.46 $40.34 $40.34
E1228 RR    $29.42 $25.01 $25.01 $29.42 $25.01 $29.42 $29.42 $25.01 $25.01 $25.01 $25.01 $29.42
E1240 RR    $108.17 $91.94 $108.17 $108.17 $92.12 $108.17 $103.50 $108.17 $99.12 $97.11 $91.94 $108.17
E1270 RR    $82.89 $82.89 $70.46 $82.89 $79.51 $82.89 $82.89 $80.68 $73.90 $82.89 $70.46 $82.89
E1280 RR    $137.82 $137.82 $117.15 $137.82 $137.82 $137.82 $137.82 $128.96 $137.82 $137.82 $118.67 $137.82
E1295 RR    $127.54 $126.34 $121.95 $127.54 $116.57 $127.54 $127.54 $124.10 $127.54 $124.30 $116.32 $127.54
E1800 RR    $109.34 $128.63 $109.34 $109.34 $128.63 $109.50 $109.34 $109.34 $109.34 $109.34 $109.34 $109.34
E1801 RR    $135.45 $135.45 $132.23 $135.45 $127.77 $135.45 $135.45 $127.14 $131.34 $129.83 $115.13 $135.45
E1802 RR    $343.14 $343.14 $343.14 $343.14 $343.14 $343.14 $343.14 $343.14 $343.14 $343.14 $343.14 $343.14
E1805 RR    $132.66 $132.66 $122.76 $132.66 $132.66 $132.66 $130.81 $118.01 $121.95 $120.53 $112.76 $132.64
E1806 RR    $111.21 $111.21 $108.54 $111.21 $104.90 $111.21 $111.21 $104.34 $107.82 $106.56 $94.53 $111.21
E1810 RR    $111.19 $130.81 $122.76 $111.19 $130.81 $111.19 $130.81 $118.01 $121.95 $120.53 $111.19 $130.81
E1811 RR    $140.83 $140.83 $137.49 $140.83 $132.88 $140.83 $140.83 $132.16 $136.58 $134.98 $119.71 $140.83
E1812 RR    $90.29 $90.29 $90.29 $90.29 $90.29 $90.29 $90.29 $90.29 $90.29 $90.29 $90.29 $90.29
E1815 RR    $132.66 $132.66 $122.76 $132.66 $132.66 $132.66 $130.81 $118.01 $121.95 $120.53 $112.76 $132.64
E1816 RR    $143.05 $143.05 $139.62 $143.05 $134.94 $143.05 $143.05 $134.24 $138.71 $137.10 $121.59 $143.05
E1818 RR    $146.04 $146.04 $142.56 $146.04 $137.77 $146.04 $146.04 $137.05 $141.60 $139.95 $124.13 $146.04
E1825 RR    $132.66 $132.66 $122.76 $132.66 $132.66 $132.66 $130.81 $118.01 $121.95 $120.53 $112.76 $132.64
E1830 RR    $132.66 $132.66 $122.76 $132.66 $132.66 $132.66 $130.81 $118.01 $121.95 $120.53 $112.76 $132.64
E1840 RR    $401.85 $401.85 $401.85 $401.85 $390.92 $401.85 $401.85 $390.41 $401.85 $398.69 $341.57 $401.85
E1841 RR    $475.65 $475.65 $475.65 $475.65 $475.65 $475.65 $475.65 $475.65 $475.65 $475.65 $475.65 $475.65
E2000 RR    $54.42 $54.42 $53.10 $54.42 $51.30 $54.42 $54.42 $51.05 $52.76 $52.13 $46.26 $54.42
E2120 RR    $297.70 $297.70 $297.70 $297.70 $297.70 $297.70 $297.70 $297.70 $297.70 $297.70 $297.70 $297.70
E2402 RR    $1,553.40 $1,553.40 $1,553.40 $1,553.40 $1,553.40 $1,553.40 $1,553.40 $1,553.40 $1,553.40 $1,553.40 $1,553.40 $1,553.40
K0001 RR    $50.75 $55.93 $55.93 $55.93 $55.93 $55.93 $53.84 $55.10 $54.14 $55.93 $55.93 $48.75
K0002 RR    $81.49 $85.92 $85.92 $79.37 $85.92 $81.70 $74.96 $85.92 $85.47 $85.92 $73.03 $78.33
K0003 RR    $94.07 $93.06 $79.96 $94.07 $84.70 $94.07 $93.20 $94.07 $84.23 $94.07 $79.96 $94.07
K0004 RR    $119.73 $129.49 $119.27 $140.32 $119.27 $140.32 $134.21 $119.83 $140.32 $134.84 $140.32 $140.32
K0006 RR    $131.68 $131.68 $111.93 $131.68 $111.93 $131.68 $131.68 $128.51 $131.68 $131.68 $111.93 $131.68
K0007 RR    $187.43 $187.43 $185.46 $187.43 $179.21 $187.43 $187.43 $178.30 $184.24 $182.10 $159.32 $187.43
K0010 RR    $447.29 $447.29 $383.73 $447.29 $429.84 $447.29 $447.29 $380.20 $380.20 $380.53 $380.20 $447.29
K0011 RR    $537.89 $537.89 $537.86 $537.89 $524.61 $537.89 $537.89 $521.87 $537.88 $532.97 $472.71 $537.89
K0011 RR KF $597.19 $597.19 $597.17 $597.19 $582.44 $597.19 $597.19 $579.42 $597.20 $591.73 $524.82 $597.19
K0012 RR    $341.17 $341.17 $333.02 $341.17 $321.80 $341.17 $341.17 $320.12 $330.79 $326.96 $289.99 $341.17
K0195 RR    $16.21 $19.07 $19.07 $16.21 $18.41 $16.21 $16.21 $16.21 $16.21 $19.07 $16.21 $18.27
K0195 RR KE $18.80 $22.12 $22.12 $18.80 $21.36 $18.80 $18.80 $18.80 $18.80 $22.12 $18.80 $21.20
K0606 RR KF $2,644.18 $2,644.18 $2,644.18 $2,644.18 $2,644.18 $2,644.18 $2,644.18 $2,644.18 $2,644.18 $2,644.18 $2,644.18 $2,644.18
K0813 RR    $218.32 $218.32 $218.32 $218.32 $218.32 $218.32 $218.32 $218.32 $218.32 $218.32 $218.32 $218.32
K0814 RR    $279.45 $279.45 $279.45 $279.45 $279.45 $279.45 $279.45 $279.45 $279.45 $279.45 $279.45 $279.45
K0815 RR    $318.23 $318.23 $318.23 $318.23 $318.23 $318.23 $318.23 $318.23 $318.23 $318.23 $318.23 $318.23
K0816 RR    $304.75 $304.75 $304.75 $304.75 $304.75 $304.75 $304.75 $304.75 $304.75 $304.75 $304.75 $304.75
K0820 RR    $233.18 $233.18 $233.18 $233.18 $233.18 $233.18 $233.18 $233.18 $233.18 $233.18 $233.18 $233.18
K0821 RR    $299.35 $299.35 $299.35 $299.35 $299.35 $299.35 $299.35 $299.35 $299.35 $299.35 $299.35 $299.35
K0822 RR    $361.77 $361.77 $361.77 $361.77 $361.77 $361.77 $361.77 $361.77 $361.77 $361.77 $361.77 $361.77
K0823 RR    $364.14 $364.14 $364.14 $364.14 $364.14 $364.14 $364.14 $364.14 $364.14 $364.14 $364.14 $364.14
K0824 RR    $438.26 $438.26 $438.26 $438.26 $438.26 $438.26 $438.26 $438.26 $438.26 $438.26 $438.26 $438.26
K0825 RR    $401.20 $401.20 $401.20 $401.20 $401.20 $401.20 $401.20 $401.20 $401.20 $401.20 $401.20 $401.20
K0826 RR    $567.37 $567.37 $567.37 $567.37 $567.37 $567.37 $567.37 $567.37 $567.37 $567.37 $567.37 $567.37
K0827 RR    $482.45 $482.45 $482.45 $482.45 $482.45 $482.45 $482.45 $482.45 $482.45 $482.45 $482.45 $482.45
K0828 RR    $625.19 $625.19 $625.19 $625.19 $625.19 $625.19 $625.19 $625.19 $625.19 $625.19 $625.19 $625.19
K0829 RR    $574.10 $574.10 $574.10 $574.10 $574.10 $574.10 $574.10 $574.10 $574.10 $574.10 $574.10 $574.10
K0835 RR    $367.19 $367.19 $367.19 $367.19 $367.19 $367.19 $367.19 $367.19 $367.19 $367.19 $367.19 $367.19
K0836 RR    $380.78 $380.78 $380.78 $380.78 $380.78 $380.78 $380.78 $380.78 $380.78 $380.78 $380.78 $380.78
K0837 RR    $438.26 $438.26 $438.26 $438.26 $438.26 $438.26 $438.26 $438.26 $438.26 $438.26 $438.26 $438.26
K0838 RR    $392.07 $392.07 $392.07 $392.07 $392.07 $392.07 $392.07 $392.07 $392.07 $392.07 $392.07 $392.07
K0839 RR    $567.37 $567.37 $567.37 $567.37 $567.37 $567.37 $567.37 $567.37 $567.37 $567.37 $567.37 $567.37
K0840 RR    $859.60 $859.60 $859.60 $859.60 $859.60 $859.60 $859.60 $859.60 $859.60 $859.60 $859.60 $859.60
K0841 RR    $390.83 $390.83 $390.83 $390.83 $390.83 $390.83 $390.83 $390.83 $390.83 $390.83 $390.83 $390.83
K0842 RR    $390.83 $390.83 $390.83 $390.83 $390.83 $390.83 $390.83 $390.83 $390.83 $390.83 $390.83 $390.83
K0843 RR    $470.56 $470.56 $470.56 $470.56 $470.56 $470.56 $470.56 $470.56 $470.56 $470.56 $470.56 $470.56
K0848 RR    $478.24 $478.24 $478.24 $478.24 $478.24 $478.24 $478.24 $478.24 $478.24 $478.24 $478.24 $478.24
K0849 RR    $459.80 $459.80 $459.80 $459.80 $459.80 $459.80 $459.80 $459.80 $459.80 $459.80 $459.80 $459.80
K0850 RR    $554.75 $554.75 $554.75 $554.75 $554.75 $554.75 $554.75 $554.75 $554.75 $554.75 $554.75 $554.75
K0851 RR    $533.38 $533.38 $533.38 $533.38 $533.38 $533.38 $533.38 $533.38 $533.38 $533.38 $533.38 $533.38
K0852 RR    $640.98 $640.98 $640.98 $640.98 $640.98 $640.98 $640.98 $640.98 $640.98 $640.98 $640.98 $640.98
K0853 RR    $658.44 $658.44 $658.44 $658.44 $658.44 $658.44 $658.44 $658.44 $658.44 $658.44 $658.44 $658.44
K0854 RR    $872.29 $872.29 $872.29 $872.29 $872.29 $872.29 $872.29 $872.29 $872.29 $872.29 $872.29 $872.29
K0855 RR    $824.01 $824.01 $824.01 $824.01 $824.01 $824.01 $824.01 $824.01 $824.01 $824.01 $824.01 $824.01
K0856 RR    $513.34 $513.34 $513.34 $513.34 $513.34 $513.34 $513.34 $513.34 $513.34 $513.34 $513.34 $513.34
K0857 RR    $523.63 $523.63 $523.63 $523.63 $523.63 $523.63 $523.63 $523.63 $523.63 $523.63 $523.63 $523.63
K0858 RR    $636.90 $636.90 $636.90 $636.90 $636.90 $636.90 $636.90 $636.90 $636.90 $636.90 $636.90 $636.90
K0859 RR    $607.41 $607.41 $607.41 $607.41 $607.41 $607.41 $607.41 $607.41 $607.41 $607.41 $607.41 $607.41
K0860 RR    $909.90 $909.90 $909.90 $909.90 $909.90 $909.90 $909.90 $909.90 $909.90 $909.90 $909.90 $909.90
K0861 RR    $514.17 $514.17 $514.17 $514.17 $514.17 $514.17 $514.17 $514.17 $514.17 $514.17 $514.17 $514.17
K0861 RR KF $662.31 $662.31 $662.31 $662.31 $662.31 $662.31 $662.31 $662.31 $662.31 $662.31 $662.31 $662.31
K0862 RR    $636.90 $636.90 $636.90 $636.90 $636.90 $636.90 $636.90 $636.90 $636.90 $636.90 $636.90 $636.90
K0863 RR    $909.90 $909.90 $909.90 $909.90 $909.90 $909.90 $909.90 $909.90 $909.90 $909.90 $909.90 $909.90
K0864 RR    $1,082.79 $1,082.79 $1,082.79 $1,082.79 $1,082.79 $1,082.79 $1,082.79 $1,082.79 $1,082.79 $1,082.79 $1,082.79 $1,082.79