State prevailing rates

Please note that the CHAMPUS Maximum Allowable Charges (CMAC) take precedence over the state prevailing rates listed below.

Latest update: 03-13-2019
CPT code State Provider class Modifier Current pricing Effective date
0359T DE 01 00 $500.00 2/4/2016
0359T DE 04 00 $500.00 2/4/2016
0360T DE 01 00 $62.50 2/4/2016
0360T DE 04 00 $62.50 2/4/2016
0361T DE 01 00 $62.50 2/4/2016
0361T DE 04 00 $62.50 2/4/2016
0364T DE 01 00 $62.50 1/1/2018
0364T DE 04 00 $62.50 1/1/2018
0364T DE 01 00 $62.50 7/12/2018
0364T DE 04 00 $62.50 7/12/2018
0365T DE 01 00 $62.50 2/4/2016
0365T DE 04 00 $62.50 2/4/2016
0368T DE 01 00 $62.50 2/4/2016
0368T DE 04 00 $62.50 2/4/2016
0369T DE 01 00 $62.50 2/4/2016
0369T DE 04 00 $62.50 2/4/2016
0370T DE 01 00 $125.00 2/4/2016
0370T DE 04 00 $125.00 2/4/2016
15824 DE 01 00 $343.40 1/1/2018
15824 DE 04 00 $343.40 1/1/2018
15824 DE 01 00 $343.40 7/12/2018
15824 DE 04 00 $343.40 7/12/2018
15825 DE 01 00 $343.40 1/1/2018
15825 DE 04 00 $343.40 1/1/2018
15825 DE 01 00 $343.40 7/12/2018
15825 DE 04 00 $343.40 7/12/2018
15826 DE 01 00 $343.40 1/1/2018
15826 DE 04 00 $343.40 1/1/2018
15826 DE 01 00 $343.40 7/12/2018
15826 DE 04 00 $343.40 7/12/2018
15828 DE 01 00 $343.40 1/1/2018
15828 DE 04 00 $343.40 1/1/2018
15828 DE 01 00 $343.40 7/12/2018
15828 DE 04 00 $343.40 7/12/2018
15829 DE 01 00 $343.40 1/1/2018
15829 DE 04 00 $343.40 1/1/2018
15829 DE 01 00 $343.40 7/12/2018
15829 DE 04 00 $343.40 7/12/2018
15876 DE 01 00 $343.40 1/1/2018
15876 DE 04 00 $343.40 1/1/2018
15876 DE 01 00 $343.40 7/12/2018
15876 DE 04 00 $343.40 7/12/2018
15878 DE 01 00 $343.40 1/1/2018
15878 DE 04 00 $343.40 1/1/2018
15878 DE 01 00 $343.40 7/12/2018
15878 DE 04 00 $343.40 7/12/2018
15879 DE 01 00 $343.40 1/1/2018
15879 DE 04 00 $343.40 1/1/2018
15879 DE 01 00 $343.40 7/12/2018
15879 DE 04 00 $343.40 7/12/2018
17380 DE 01 00 $343.40 2/4/2016
17380 DE 04 00 $343.40 2/4/2016
21088 DE 01 00 $343.40 2/4/2016
21088 DE 04 00 $343.40 2/4/2016
21089 DE 01 00 $343.40 1/1/2018
21089 DE 04 00 $343.40 1/1/2018
21089 DE 01 00 $343.40 7/12/2018
21089 DE 04 00 $343.40 7/12/2018
22841 DE 01 00 $343.40 1/1/2018
22841 DE 04 00 $343.40 1/1/2018
22841 DE 01 00 $343.40 7/12/2018
22841 DE 04 00 $343.40 7/12/2018
24940 DE 01 00 $343.40 1/1/2018
24940 DE 04 00 $343.40 1/1/2018
24940 DE 01 00 $343.40 7/12/2018
24940 DE 04 00 $343.40 7/12/2018
26989 DE 01 00 $343.40 1/1/2018
26989 DE 04 00 $343.40 1/1/2018
26989 DE 01 00 $343.40 7/12/2018
26989 DE 04 00 $343.40 7/12/2018
32850 DE 01 00 $343.40 1/1/2018
32850 DE 04 00 $343.40 1/1/2018
32850 DE 01 00 $343.40 7/12/2018
32850 DE 04 00 $343.40 7/12/2018
33930 DE 01 00 $343.40 1/1/2018
33930 DE 04 00 $343.40 1/1/2018
33930 DE 01 00 $343.40 7/12/2018
33930 DE 04 00 $343.40 7/12/2018
33940 DE 01 00 $343.40 1/1/2018
33940 DE 04 00 $343.40 1/1/2018
33940 DE 01 00 $343.40 7/12/2018
33940 DE 04 00 $343.40 7/12/2018
41821 DE 01 00 $343.40 1/1/2018
41821 DE 04 00 $343.40 1/1/2018
41821 DE 01 00 $343.40 7/12/2018
41821 DE 04 00 $343.40 7/12/2018
41870 DE 01 00 $343.40 1/1/2018
41870 DE 04 00 $343.40 1/1/2018
41870 DE 01 00 $343.40 7/12/2018
41870 DE 04 00 $343.40 7/12/2018
43496 DE 01 00 $343.40 1/1/2018
43496 DE 04 00 $343.40 1/1/2018
43496 DE 01 00 $343.40 7/12/2018
43496 DE 04 00 $343.40 7/12/2018
47133 DE 01 00 $343.40 1/1/2018
47133 DE 04 00 $343.40 1/1/2018
47133 DE 01 00 $343.40 7/12/2018
47133 DE 04 00 $343.40 7/12/2018
48160 DE 01 00 $343.40 1/1/2018
48160 DE 04 00 $343.40 1/1/2018
48160 DE 01 00 $343.40 7/12/2018
48160 DE 04 00 $343.40 7/12/2018
48550 DE 01 00 $343.40 1/1/2018
48550 DE 04 00 $343.40 1/1/2018
48550 DE 01 00 $343.40 7/12/2018
48550 DE 04 00 $343.40 7/12/2018
49906 DE 01 00 $343.40 1/1/2018
49906 DE 04 00 $343.40 1/1/2018
49906 DE 01 00 $343.40 7/12/2018
49906 DE 04 00 $343.40 7/12/2018
50300 DE 01 00 $343.40 1/1/2018
50300 DE 04 00 $343.40 1/1/2018
50300 DE 01 00 $343.40 7/12/2018
50300 DE 04 00 $343.40 7/12/2018
55970 DE 01 00 $343.40 1/1/2018
55970 DE 04 00 $343.40 1/1/2018
55970 DE 01 00 $343.40 7/12/2018
55970 DE 04 00 $343.40 7/12/2018
55980 DE 01 00 $343.40 1/1/2018
55980 DE 04 00 $343.40 1/1/2018
55980 DE 01 00 $343.40 7/12/2018
55980 DE 04 00 $343.40 7/12/2018
58974 DE 01 00 $343.40 2/4/2016
58974 DE 04 00 $343.40 2/4/2016
65767 DE 01 00 $343.40 1/1/2018
65767 DE 04 00 $343.40 1/1/2018
65767 DE 01 00 $343.40 7/12/2018
65767 DE 04 00 $343.40 7/12/2018
65771 DE 01 00 $343.40 2/4/2016
65771 DE 04 00 $343.40 2/4/2016
69090 DE 01 00 $343.40 2/4/2016
69090 DE 04 00 $343.40 2/4/2016
69710 DE 01 00 $343.40 2/4/2016
69710 DE 04 00 $343.40 2/4/2016
69949 DE 01 00 $343.40 1/1/2018
69949 DE 04 00 $343.40 1/1/2018
69949 DE 01 00 $343.40 7/12/2018
69949 DE 04 00 $343.40 7/12/2018
69979 DE 01 00 $343.40 1/1/2018
69979 DE 04 00 $343.40 1/1/2018
69979 DE 01 00 $343.40 7/12/2018
69979 DE 04 00 $343.40 7/12/2018
78609 DE 01 00 $343.40 1/1/2018
78609 DE 04 00 $343.40 1/1/2018
78609 DE 01 00 $343.40 7/12/2018
78609 DE 04 00 $343.40 7/12/2018
79300 DE 01 00 $343.40 1/1/2018
79300 DE 04 00 $343.40 1/1/2018
79300 DE 01 00 $343.40 7/12/2018
79300 DE 04 00 $343.40 7/12/2018
80300 DE 01 00 $30.00 2/4/2016
80300 DE 04 00 $30.00 2/4/2016
80301 DE 01 00 $356.00 2/4/2016
80301 DE 04 00 $356.00 2/4/2016
86860 DE 01 00 $54.00 1/1/2018
86860 DE 04 00 $54.00 1/1/2018
86860 DE 01 00 $54.00 7/12/2018
86860 DE 04 00 $54.00 7/12/2018
86891 DE 01 00 $90.00 1/1/2018
86891 DE 04 00 $90.00 1/1/2018
86891 DE 01 00 $90.00 7/12/2018
86891 DE 04 00 $90.00 7/12/2018
86921 DE 01 00 $421.00 1/1/2018
86921 DE 04 00 $421.00 1/1/2018
86921 DE 01 00 $421.00 7/12/2018
86921 DE 04 00 $421.00 7/12/2018
86921 DE 01 00 $569.00 1/1/2019
86921 DE 04 00 $569.00 1/1/2019
86930 DE 01 00 $9.00 1/1/2018
86930 DE 04 00 $9.00 1/1/2018
86930 DE 01 00 $9.00 7/12/2018
86930 DE 04 00 $9.00 7/12/2018
86931 DE 01 00 $9.00 1/1/2018
86931 DE 04 00 $9.00 1/1/2018
86931 DE 01 00 $9.00 7/12/2018
86931 DE 04 00 $9.00 7/12/2018
86932 DE 01 00 $9.00 1/1/2018
86932 DE 04 00 $9.00 1/1/2018
86932 DE 01 00 $9.00 7/12/2018
86932 DE 04 00 $9.00 7/12/2018
86950 DE 01 00 $45.00 1/1/2018
86950 DE 04 00 $45.00 1/1/2018
86950 DE 01 00 $45.00 7/12/2018
86950 DE 04 00 $45.00 7/12/2018
86970 DE 01 00 $144.00 1/1/2018
86970 DE 04 00 $144.00 1/1/2018
86970 DE 01 00 $144.00 7/12/2018
86970 DE 04 00 $144.00 7/12/2018
86971 DE 01 00 $144.00 1/1/2018
86971 DE 04 00 $144.00 1/1/2018
86971 DE 01 00 $144.00 7/12/2018
86971 DE 04 00 $144.00 7/12/2018
86972 DE 01 00 $144.00 1/1/2018
86972 DE 04 00 $144.00 1/1/2018
86972 DE 01 00 $144.00 7/12/2018
86972 DE 04 00 $144.00 7/12/2018
86975 DE 01 00 $144.00 1/1/2018
86975 DE 04 00 $144.00 1/1/2018
86975 DE 01 00 $144.00 7/12/2018
86975 DE 04 00 $144.00 7/12/2018
86976 DE 01 00 $144.00 1/1/2018
86976 DE 04 00 $144.00 1/1/2018
86976 DE 01 00 $144.00 7/12/2018
86976 DE 04 00 $144.00 7/12/2018
86977 DE 01 00 $144.00 1/1/2018
86977 DE 04 00 $144.00 1/1/2018
86977 DE 01 00 $144.00 7/12/2018
86977 DE 04 00 $144.00 7/12/2018
86978 DE 01 00 $144.00 1/1/2018
86978 DE 04 00 $144.00 1/1/2018
86978 DE 01 00 $144.00 7/12/2018
86978 DE 04 00 $144.00 7/12/2018
90681 DE 01 00 $260.00 1/1/2019
90681 DE 04 00 $260.00 1/1/2019
90696 DE 01 00 $145.00 1/1/2019
90696 DE 04 00 $145.00 1/1/2019
90736 DE 01 00 $235.51 7/19/2017
90736 DE 04 00 $235.51 7/19/2017
90736 DE 01 00 $254.35 7/20/2017
90736 DE 04 00 $254.35 7/20/2017
90736 DE 01 00 $254.35 1/1/2018
90736 DE 04 00 $254.35 1/1/2018
90736 DE 01 NU $235.51 10/19/2016
90736 DE 04 NU $235.51 10/19/2016
90993 DE 01 00 $343.40 1/1/2018
90993 DE 04 00 $343.40 1/1/2018
90993 DE 01 00 $343.40 7/12/2018
90993 DE 04 00 $343.40 7/12/2018
92594 DE 01 00 $138.00 1/1/2018
92594 DE 04 00 $138.00 1/1/2018
92594 DE 01 00 $138.00 7/12/2018
92594 DE 04 00 $138.00 7/12/2018
92993 DE 01 00 $343.40 1/1/2018
92993 DE 04 00 $343.40 1/1/2018
92993 DE 01 00 $343.40 7/12/2018
92993 DE 04 00 $343.40 7/12/2018
93010 DE 01 26 $34.00 1/1/2018
93010 DE 04 26 $34.00 1/1/2018
93010 DE 01 26 $34.00 7/12/2018
93010 DE 04 26 $34.00 7/12/2018
93010 DE 01 26 $134.00 1/1/2019
93010 DE 04 26 $134.00 1/1/2019
93299 DE 01 00 $113.00 4/18/2017
93299 DE 04 00 $113.00 4/18/2017
93299 DE 01 00 $113.00 1/1/2018
93299 DE 04 00 $113.00 1/1/2018
93299 DE 01 00 $113.00 7/12/2018
93299 DE 04 00 $113.00 7/12/2018
93299 DE 01 00 $68.00 1/1/2019
93299 DE 04 00 $68.00 1/1/2019
94772 DE 01 TC $212.50 1/1/2018
94772 DE 04 TC $212.50 1/1/2018
94772 DE 01 TC $212.50 7/12/2018
94772 DE 04 TC $212.50 7/12/2018
99000 DE 01 00 $25.00 4/18/2017
99000 DE 01 00 $37.50 1/1/2018
99000 DE 04 00 $25.00 1/1/2018
99000 DE 01 00 $37.50 7/12/2018
99000 DE 04 00 $25.00 7/12/2018
99001 DE 01 00 $6.00 1/1/2018
99001 DE 04 00 $6.00 1/1/2018
99001 DE 01 00 $6.00 7/12/2018
99001 DE 04 00 $6.00 7/12/2018
99071 DE 01 00 $2.30 2/4/2016
99071 DE 04 00 $2.30 2/4/2016
99075 DE 01 00 $2.30 2/4/2016
99075 DE 04 00 $2.30 2/4/2016
99455 DE 01 00 $343.40 2/4/2016
99455 DE 04 00 $343.40 2/4/2016
A0225 DE 01 00 $155.00 1/1/2018
A0225 DE 04 00 $155.00 1/1/2018
A0225 DE 01 00 $155.00 7/12/2018
A0225 DE 04 00 $155.00 7/12/2018
A0422 DE 01 00 $15.00 1/1/2018
A0422 DE 04 00 $15.00 1/1/2018
A0422 DE 01 00 $15.00 7/12/2018
A0422 DE 04 00 $15.00 7/12/2018
A0431 DE 01 00 $4,331.65 12/10/2015
A0431 DE 04 00 $4,331.65 12/10/2015
A0431 DE 01 00 $3,129.62 1/1/2018
A0431 DE 04 00 $3,129.62 1/1/2018
A0431 DE 01 00 $3,129.62 4/9/2018
A0431 DE 04 00 $3,129.62 4/9/2018
A0431 DE 01 00 $2,660.17 1/1/2019
A0431 DE 04 00 $2,660.17 1/1/2019
A0436 DE 01 00 $61.34 12/10/2015
A0436 DE 04 00 $61.34 12/10/2015
A0436 DE 01 00 $44.32 1/1/2018
A0436 DE 04 00 $44.32 1/1/2018
A0436 DE 01 00 $44.32 4/9/2018
A0436 DE 04 00 $44.32 4/9/2018
A0436 DE 01 00 $37.67 1/1/2019
A0436 DE 04 00 $37.67 1/1/2019
A4206 DE 01 00 $7.00 4/18/2017
A4206 DE 04 00 $7.00 4/18/2017
A4206 DE 01 00 $10.00 1/1/2018
A4206 DE 04 00 $10.00 1/1/2018
A4206 DE 01 00 $10.00 7/12/2018
A4206 DE 04 00 $10.00 7/12/2018
A4207 DE 01 00 $3.00 1/1/2018
A4207 DE 04 00 $3.00 1/1/2018
A4207 DE 01 00 $3.00 7/12/2018
A4207 DE 04 00 $3.00 7/12/2018
A4208 DE 01 00 $5.00 4/18/2017
A4208 DE 04 00 $5.00 4/18/2017
A4208 DE 01 00 $10.00 1/1/2018
A4208 DE 04 00 $10.00 1/1/2018
A4208 DE 01 00 $10.00 7/12/2018
A4208 DE 04 00 $10.00 7/12/2018
A4208 DE 01 00 $10.00 1/1/2019
A4208 DE 04 00 $10.00 1/1/2019
A4209 DE 01 00 $25.00 1/1/2018
A4209 DE 04 00 $25.00 1/1/2018
A4209 DE 01 00 $25.00 7/12/2018
A4209 DE 04 00 $25.00 7/12/2018
A4212 DE 01 00 $31.25 1/1/2018
A4212 DE 04 00 $31.25 1/1/2018
A4212 DE 01 00 $31.25 7/12/2018
A4212 DE 04 00 $31.25 7/12/2018
A4213 DE 01 00 $1.00 1/1/2018
A4213 DE 04 00 $1.00 1/1/2018
A4213 DE 01 00 $1.00 7/12/2018
A4213 DE 04 00 $1.00 7/12/2018
A4215 DE 01 00 $10.00 1/1/2018
A4215 DE 04 00 $10.00 1/1/2018
A4215 DE 01 00 $10.00 7/12/2018
A4215 DE 04 00 $10.00 7/12/2018
A4218 DE 01 00 $0.58 1/1/2018
A4218 DE 04 00 $0.58 1/1/2018
A4218 DE 01 00 $0.58 7/12/2018
A4218 DE 04 00 $0.58 7/12/2018
A4223 DE 01 00 $282.74 4/18/2017
A4223 DE 04 00 $282.74 4/18/2017
A4223 DE 01 00 $500.00 1/1/2018
A4223 DE 04 00 $500.00 1/1/2018
A4223 DE 01 00 $500.00 7/12/2018
A4223 DE 04 00 $500.00 7/12/2018
A4244 DE 01 00 $1.80 1/1/2018
A4244 DE 04 00 $1.80 1/1/2018
A4244 DE 01 00 $1.80 7/12/2018
A4244 DE 04 00 $1.80 7/12/2018
A4245 DE 01 00 $7.05 1/1/2018
A4245 DE 04 00 $7.05 1/1/2018
A4245 DE 01 00 $7.05 7/12/2018
A4245 DE 04 00 $7.05 7/12/2018
A4246 DE 01 00 $8.00 1/1/2018
A4246 DE 04 00 $8.00 1/1/2018
A4246 DE 01 00 $8.00 7/12/2018
A4246 DE 04 00 $8.00 7/12/2018
A4247 DE 01 00 $5.00 1/1/2018
A4247 DE 04 00 $5.00 1/1/2018
A4247 DE 01 00 $5.00 7/12/2018
A4247 DE 04 00 $5.00 7/12/2018
A4250 DE 01 00 $41.30 1/1/2018
A4250 DE 04 00 $41.30 1/1/2018
A4250 DE 01 00 $41.30 7/12/2018
A4250 DE 04 00 $41.30 7/12/2018
A4284 DE 01 00 $14.07 1/1/2018
A4284 DE 04 00 $14.07 1/1/2018
A4284 DE 01 00 $14.07 7/12/2018
A4284 DE 04 00 $14.07 7/12/2018
A4285 DE 01 00 $18.29 1/1/2018
A4285 DE 04 00 $18.29 1/1/2018
A4285 DE 01 00 $18.29 7/12/2018
A4285 DE 04 00 $18.29 7/12/2018
A4300 DE 01 00 $10.00 1/1/2018
A4300 DE 04 00 $10.00 1/1/2018
A4300 DE 01 00 $10.00 7/12/2018
A4300 DE 04 00 $10.00 7/12/2018
A4305 DE 01 00 $80.00 4/18/2017
A4305 DE 04 00 $80.00 4/18/2017
A4305 DE 01 00 $80.00 1/1/2018
A4305 DE 04 00 $80.00 1/1/2018
A4305 DE 01 00 $80.00 7/12/2018
A4305 DE 04 00 $80.00 7/12/2018
A4305 DE 01 00 $150.00 1/1/2019
A4305 DE 04 00 $150.00 1/1/2019
A4466 DE 01 00 $102.00 4/19/2017
A4466 DE 04 00 $102.00 4/19/2017
A4470 DE 01 00 $4.95 1/1/2018
A4470 DE 04 00 $4.95 1/1/2018
A4470 DE 01 00 $4.95 7/12/2018
A4470 DE 04 00 $4.95 7/12/2018
A4483 DE 01 00 $5.25 1/1/2018
A4483 DE 04 00 $5.25 1/1/2018
A4483 DE 01 00 $5.25 7/12/2018
A4483 DE 04 00 $5.25 7/12/2018
A4490 DE 01 00 $24.20 1/1/2018
A4490 DE 04 00 $24.20 1/1/2018
A4490 DE 01 00 $24.20 7/12/2018
A4490 DE 04 00 $24.20 7/12/2018
A4495 DE 01 00 $36.90 1/1/2018
A4495 DE 04 00 $36.90 1/1/2018
A4495 DE 01 00 $36.90 7/12/2018
A4495 DE 04 00 $36.90 7/12/2018
A4500 DE 01 00 $35.00 1/1/2018
A4500 DE 04 00 $35.00 1/1/2018
A4500 DE 01 00 $35.00 7/12/2018
A4500 DE 04 00 $35.00 7/12/2018
A4510 DE 01 00 $80.00 1/1/2018
A4510 DE 04 00 $80.00 1/1/2018
A4510 DE 01 00 $80.00 7/12/2018
A4510 DE 04 00 $80.00 7/12/2018
A4550 DE 01 00 $126.00 4/18/2017
A4550 DE 04 00 $126.00 4/18/2017
A4550 DE 01 00 $126.00 1/1/2018
A4550 DE 04 00 $126.00 1/1/2018
A4550 DE 01 00 $126.00 7/12/2018
A4550 DE 04 00 $126.00 7/12/2018
A4550 DE 01 00 $115.00 1/1/2019
A4550 DE 04 00 $115.00 1/1/2019
A4554 DE 01 00 $92.00 2/4/2016
A4554 DE 04 00 $92.00 2/4/2016
A4570 DE 01 00 $50.00 1/1/2018
A4570 DE 04 00 $50.00 1/1/2018
A4570 DE 01 00 $50.00 7/12/2018
A4570 DE 04 00 $50.00 7/12/2018
A4580 DE 01 00 $58.00 1/1/2018
A4580 DE 04 00 $58.00 1/1/2018
A4580 DE 01 00 $58.00 7/12/2018
A4580 DE 04 00 $58.00 7/12/2018
A4590 DE 01 00 $70.00 4/18/2017
A4590 DE 04 00 $70.00 4/18/2017
A4590 DE 01 00 $74.00 1/1/2018
A4590 DE 04 00 $74.00 1/1/2018
A4590 DE 01 00 $74.00 7/12/2018
A4590 DE 04 00 $74.00 7/12/2018
A4590 DE 01 00 $82.00 1/1/2019
A4590 DE 04 00 $82.00 1/1/2019
A4606 DE 01 00 $58.50 1/1/2018
A4606 DE 04 00 $58.50 1/1/2018
A4606 DE 01 00 $58.50 7/12/2018
A4606 DE 04 00 $58.50 7/12/2018
A4627 DE 01 00 $25.00 1/1/2018
A4627 DE 04 00 $25.00 1/1/2018
A4627 DE 01 00 $25.00 7/12/2018
A4627 DE 04 00 $25.00 7/12/2018
A4648 DE 01 00 $39.00 1/1/2018
A4648 DE 04 00 $39.00 1/1/2018
A4648 DE 01 00 $39.00 7/12/2018
A4648 DE 04 00 $39.00 7/12/2018
A4648 DE 01 00 $307.50 1/1/2019
A4648 DE 04 00 $307.50 1/1/2019
A4657 DE 01 00 $67.33 1/1/2018
A4657 DE 04 00 $67.33 1/1/2018
A4657 DE 01 00 $67.33 7/12/2018
A4657 DE 04 00 $67.33 7/12/2018
A4657 DE 01 00 $83.59 1/1/2019
A4657 DE 04 00 $83.59 1/1/2019
A4750 DE 01 00 $6.00 1/1/2018
A4750 DE 04 00 $6.00 1/1/2018
A4750 DE 01 00 $6.00 7/12/2018
A4750 DE 04 00 $6.00 7/12/2018
A4770 DE 01 00 $160.00 1/1/2018
A4770 DE 04 00 $160.00 1/1/2018
A4770 DE 01 00 $160.00 7/12/2018
A4770 DE 04 00 $160.00 7/12/2018
A4772 DE 01 00 $59.50 1/1/2018
A4772 DE 04 00 $59.50 1/1/2018
A4772 DE 01 00 $59.50 7/12/2018
A4772 DE 04 00 $59.50 7/12/2018
A4773 DE 01 00 $59.50 1/1/2018
A4773 DE 04 00 $59.50 1/1/2018
A4773 DE 01 00 $59.50 7/12/2018
A4773 DE 04 00 $59.50 7/12/2018
A4927 DE 01 00 $7.74 1/1/2018
A4927 DE 04 00 $7.74 1/1/2018
A4927 DE 01 00 $7.74 7/12/2018
A4927 DE 04 00 $7.74 7/12/2018
A6208 DE 01 00 $67.11 1/1/2018
A6208 DE 04 00 $67.11 1/1/2018
A6208 DE 01 00 $67.11 7/12/2018
A6208 DE 04 00 $67.11 7/12/2018
A6213 DE 01 00 $9.80 1/1/2018
A6213 DE 04 00 $9.80 1/1/2018
A6213 DE 01 00 $9.80 7/12/2018
A6213 DE 04 00 $9.80 7/12/2018
A6450 DE 01 00 $5.00 1/1/2018
A6450 DE 04 00 $5.00 1/1/2018
A6450 DE 01 00 $5.00 7/12/2018
A6450 DE 04 00 $5.00 7/12/2018
A6451 DE 01 00 $1.99 1/1/2018
A6451 DE 04 00 $1.99 1/1/2018
A6451 DE 01 00 $1.99 7/12/2018
A6451 DE 04 00 $1.99 7/12/2018
A6530 DE 01 00 $55.00 1/1/2018
A6530 DE 04 00 $55.00 1/1/2018
A6530 DE 01 00 $55.00 7/12/2018
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E1290 DE 01 00 $1,265.00 7/12/2018
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E1355 DE 01 RR $1.40 7/12/2018
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G0177 DE 01 00 $118.75 7/12/2018
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G0177 DE 01 00 $125.00 1/1/2019
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G0260 DE 01 00 $2,388.00 1/1/2018
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G0260 DE 01 00 $2,388.00 7/12/2018
G0260 DE 04 00 $2,388.00 7/12/2018
G0340 DE 01 00 $19,417.50 1/1/2018
G0340 DE 04 00 $19,417.50 1/1/2018
G0340 DE 01 00 $19,417.50 7/12/2018
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G0378 DE 01 00 $247.23 4/18/2017
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G0378 DE 01 00 $247.23 7/12/2018
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G0378 DE 01 00 $89.93 1/1/2019
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G0379 DE 01 00 $153.27 4/18/2017
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G0379 DE 01 00 $153.27 7/12/2018
G0379 DE 04 00 $153.27 7/12/2018
G0390 DE 01 00 $2,311.00 1/1/2018
G0390 DE 04 00 $1,950.00 1/1/2018
G0390 DE 01 00 $2,311.00 7/12/2018
G0390 DE 04 00 $1,950.00 7/12/2018
G0390 DE 01 00 $3,743.00 1/1/2019
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G0410 DE 01 00 $118.75 4/18/2017
G0410 DE 04 00 $118.75 4/18/2017
G0410 DE 01 00 $118.75 1/1/2018
G0410 DE 04 00 $118.75 1/1/2018
G0410 DE 01 00 $118.75 7/12/2018
G0410 DE 04 00 $118.75 7/12/2018
G0410 DE 01 00 $118.75 1/1/2019
G0410 DE 04 00 $118.75 1/1/2019
G0463 DE 01 00 $332.00 4/18/2017
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G0463 DE 01 00 $332.00 1/1/2018
G0463 DE 04 00 $332.00 1/1/2018
G0463 DE 01 00 $332.00 7/12/2018
G0463 DE 04 00 $332.00 7/12/2018
G0463 DE 01 00 $249.00 1/1/2019
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G8539 DE 01 00 $31.25 1/1/2018
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G8539 DE 01 00 $31.25 7/12/2018
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G8542 DE 01 00 $31.25 1/1/2018
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G8542 DE 01 00 $31.25 7/12/2018
G8542 DE 04 00 $31.25 7/12/2018
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H0015 DE 01 00 $282.00 1/1/2018
H0015 DE 04 00 $282.00 1/1/2018
H0015 DE 01 00 $291.00 10/1/2018
H0015 DE 04 00 $291.00 10/1/2018
H0035 DE 01 00 $268.00 9/22/2015
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H0035 DE 01 00 $282.00 9/18/2017
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H0035 DE 01 00 $282.00 1/1/2018
H0035 DE 04 00 $282.00 1/1/2018
H0035 DE 01 00 $291.00 10/1/2018
H0035 DE 04 00 $291.00 10/1/2018
H0037 DE 01 00 $357.00 9/22/2015
H0037 DE 04 00 $357.00 9/22/2015
H0037 DE 01 00 $377.00 9/18/2017
H0037 DE 04 00 $377.00 9/18/2017
H0037 DE 01 00 $377.00 1/1/2018
H0037 DE 04 00 $377.00 1/1/2018
H0037 DE 01 00 $388.00 10/1/2018
H0037 DE 04 00 $388.00 10/1/2018
H2016 DE 01 00 $1,344.78 2/4/2016
H2016 DE 04 00 $1,344.78 2/4/2016
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H2019 DE 04 00 $12.50 1/1/2018
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H2024 DE 01 00 $222.04 2/4/2016
H2024 DE 04 00 $222.04 2/4/2016
J7300 DE 01 00 $1,650.00 1/1/2019
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K0739 DE 01 00 $27.38 12/1/2015
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K0739 DE 01 00 $28.09 1/1/2018
K0739 DE 04 00 $28.09 1/1/2018
K0739 DE 01 00 $28.09 1/24/2018
K0739 DE 04 00 $28.09 1/24/2018
K0739 DE 01 00 $28.90 1/1/2019
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L3201 DE 01 00 $38.00 1/1/2018
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L3201 DE 01 00 $38.00 7/12/2018
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L3201 DE 01 RR $3.16 7/12/2018
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L3202 DE 01 00 $45.00 1/1/2018
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L3202 DE 01 00 $45.00 7/12/2018
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L3202 DE 01 RR $3.75 7/12/2018
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L3204 DE 01 00 $34.50 1/1/2018
L3204 DE 04 00 $34.50 1/1/2018
L3204 DE 01 00 $34.50 7/12/2018
L3204 DE 04 00 $34.50 7/12/2018
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L3204 DE 01 RR $2.88 7/12/2018
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L3206 DE 01 00 $47.00 1/1/2018
L3206 DE 04 00 $47.00 1/1/2018
L3206 DE 01 00 $47.00 7/12/2018
L3206 DE 04 00 $47.00 7/12/2018
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L3206 DE 01 RR $3.92 7/12/2018
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L3215 DE 01 00 $88.00 2/4/2016
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L3215 DE 04 RR $7.33 2/4/2016
L3222 DE 01 00 $127.40 2/4/2016
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L3222 DE 01 RR $10.62 2/4/2016
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L3230 DE 01 00 $497.00 2/4/2016
L3230 DE 04 00 $497.00 2/4/2016
L3230 DE 01 RR $41.42 2/4/2016
L3230 DE 04 RR $41.42 2/4/2016
L3250 DE 01 00 $210.00 2/4/2016
L3250 DE 04 00 $210.00 2/4/2016
L3250 DE 01 RR $17.50 2/4/2016
L3250 DE 04 RR $17.50 2/4/2016
L3252 DE 01 00 $170.00 2/4/2016
L3252 DE 04 00 $170.00 2/4/2016
L3252 DE 01 RR $14.16 2/4/2016
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L3260 DE 01 00 $35.00 1/1/2018
L3260 DE 04 00 $35.00 1/1/2018
L3260 DE 01 00 $35.00 7/12/2018
L3260 DE 04 00 $35.00 7/12/2018
L3260 DE 01 00 $50.00 1/1/2019
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L3260 DE 01 RR $7.63 1/1/2018
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L3260 DE 01 RR $7.63 7/12/2018
L3260 DE 04 RR $7.63 7/12/2018
L3265 DE 01 00 $98.00 2/4/2016
L3265 DE 04 00 $98.00 2/4/2016
L3265 DE 01 RR $8.16 2/4/2016
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L3320 DE 01 00 $90.00 1/1/2018
L3320 DE 04 00 $90.00 1/1/2018
L3320 DE 01 00 $90.00 7/12/2018
L3320 DE 04 00 $90.00 7/12/2018
L3320 DE 01 RR $7.50 1/1/2018
L3320 DE 04 RR $7.50 1/1/2018
L3320 DE 01 RR $7.50 7/12/2018
L3320 DE 04 RR $7.50 7/12/2018
L3485 DE 01 00 $39.00 1/1/2018
L3485 DE 04 00 $39.00 1/1/2018
L3485 DE 01 00 $39.00 7/12/2018
L3485 DE 04 00 $39.00 7/12/2018
L3485 DE 01 RR $3.25 1/1/2018
L3485 DE 04 RR $3.25 1/1/2018
L3485 DE 01 RR $3.25 7/12/2018
L3485 DE 04 RR $3.25 7/12/2018
L4205 DE 01 00 $22.13 12/1/2015
L4205 DE 04 00 $22.13 12/1/2015
L4205 DE 01 00 $22.71 1/1/2018
L4205 DE 04 00 $22.71 1/1/2018
L4205 DE 01 00 $22.71 1/24/2018
L4205 DE 04 00 $22.71 1/24/2018
L4205 DE 01 00 $23.37 1/1/2019
L4205 DE 04 00 $23.37 1/1/2019
L7520 DE 01 00 $30.08 12/1/2015
L7520 DE 04 00 $30.08 12/1/2015
L7520 DE 01 00 $30.87 1/1/2018
L7520 DE 04 00 $30.87 1/1/2018
L7520 DE 01 00 $30.87 1/24/2018
L7520 DE 04 00 $30.87 1/24/2018
L7520 DE 01 00 $31.77 1/1/2019
L7520 DE 04 00 $31.77 1/1/2019
L8010 DE 01 00 $41.95 1/1/2018
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L8010 DE 01 00 $41.95 7/12/2018
L8010 DE 04 00 $41.95 7/12/2018
L8680 DE 01 00 $1,200.00 1/1/2018
L8680 DE 04 00 $1,200.00 1/1/2018
L8680 DE 01 00 $1,200.00 7/12/2018
L8680 DE 04 00 $1,200.00 7/12/2018
P9016 DE 01 00 $287.00 4/18/2017
P9016 DE 01 00 $344.00 1/1/2018
P9016 DE 04 00 $287.00 1/1/2018
P9016 DE 01 00 $344.00 7/12/2018
P9016 DE 04 00 $287.00 7/12/2018
P9016 DE 01 00 $550.00 1/1/2019
P9016 DE 04 00 $550.00 1/1/2019
P9037 DE 01 00 $1,987.00 1/1/2018
P9037 DE 04 00 $1,987.00 1/1/2018
P9037 DE 01 00 $1,987.00 7/12/2018
P9037 DE 04 00 $1,987.00 7/12/2018
P9037 DE 01 00 $2,321.00 1/1/2019
P9037 DE 04 00 $2,321.00 1/1/2019
P9040 DE 01 00 $764.00 1/1/2018
P9040 DE 04 00 $578.00 1/1/2018
P9040 DE 01 00 $764.00 7/12/2018
P9040 DE 04 00 $578.00 7/12/2018
P9053 DE 01 00 $1,441.50 1/1/2018
P9053 DE 04 00 $1,441.50 1/1/2018
P9053 DE 01 00 $1,441.50 7/12/2018
P9053 DE 04 00 $1,441.50 7/12/2018
P9058 DE 01 00 $460.00 1/1/2018
P9058 DE 04 00 $460.00 1/1/2018
P9058 DE 01 00 $460.00 7/12/2018
P9058 DE 04 00 $460.00 7/12/2018
P9059 DE 01 00 $137.00 1/1/2018
P9059 DE 04 00 $137.00 1/1/2018
P9059 DE 01 00 $137.00 7/12/2018
P9059 DE 04 00 $137.00 7/12/2018
Q9959 DE 01 00 $4.00 1/1/2018
Q9959 DE 04 00 $4.00 1/1/2018
Q9959 DE 01 00 $4.00 7/12/2018
Q9959 DE 04 00 $4.00 7/12/2018
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Q9962 DE 04 00 $35.00 1/1/2018
Q9962 DE 01 00 $35.00 7/12/2018
Q9962 DE 04 00 $35.00 7/12/2018
S0189 DE 01 00 $225.00 1/1/2019
S0189 DE 04 00 $225.00 1/1/2019
S0630 DE 01 00 $135.00 2/4/2016
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S1040 DE 01 00 $3,984.42 1/1/2018
S1040 DE 04 00 $3,984.42 1/1/2018
S1040 DE 01 00 $3,984.42 7/12/2018
S1040 DE 04 00 $3,984.42 7/12/2018
S2900 DE 01 00 $8,745.00 2/4/2016
S2900 DE 04 00 $8,745.00 2/4/2016
S5108 DE 01 00 $31.25 1/1/2018
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S5108 DE 01 00 $31.25 7/12/2018
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S5110 DE 01 00 $31.25 1/1/2018
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S5110 DE 01 00 $31.25 7/12/2018
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S5115 DE 01 00 $31.25 1/1/2018
S5115 DE 04 00 $31.25 1/1/2018
S5115 DE 01 00 $31.25 7/12/2018
S5115 DE 04 00 $31.25 7/12/2018
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S9083 DE 04 00 $150.00 2/4/2016
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S9430 DE 01 00 $35.00 7/12/2018
S9430 DE 04 00 $35.00 7/12/2018
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S9480 DE 01 00 $291.00 10/1/2018
S9480 DE 04 00 $291.00 10/1/2018
T1015 DE 01 00 $162.14 1/1/2018
T1015 DE 04 00 $133.00 1/1/2018
T1015 DE 01 00 $162.14 7/12/2018
T1015 DE 04 00 $133.00 7/12/2018
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T4542 DE 01 00 $1.25 2/4/2016
T4542 DE 04 00 $1.25 2/4/2016
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V2781 DE 04 00 $199.50 1/1/2018
V2781 DE 01 00 $199.50 7/12/2018
V2781 DE 04 00 $199.50 7/12/2018
V2787 DE 01 00 $1,100.00 2/4/2016
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V5030 DE 04 00 $550.00 1/1/2018
V5030 DE 01 00 $550.00 7/12/2018
V5030 DE 04 00 $550.00 7/12/2018
V5040 DE 01 00 $550.00 1/1/2018
V5040 DE 04 00 $550.00 1/1/2018
V5040 DE 01 00 $550.00 7/12/2018
V5040 DE 04 00 $550.00 7/12/2018
V5050 DE 01 00 $597.00 1/1/2018
V5050 DE 04 00 $597.00 1/1/2018
V5050 DE 01 00 $597.00 7/12/2018
V5050 DE 04 00 $597.00 7/12/2018
V5060 DE 01 00 $615.00 1/1/2018
V5060 DE 04 00 $615.00 1/1/2018
V5060 DE 01 00 $615.00 7/12/2018
V5060 DE 04 00 $615.00 7/12/2018
V5070 DE 01 00 $550.00 1/1/2018
V5070 DE 04 00 $550.00 1/1/2018
V5070 DE 01 00 $550.00 7/12/2018
V5070 DE 04 00 $550.00 7/12/2018
V5080 DE 01 00 $550.00 1/1/2018
V5080 DE 04 00 $550.00 1/1/2018
V5080 DE 01 00 $550.00 7/12/2018
V5080 DE 04 00 $550.00 7/12/2018
V5100 DE 01 00 $500.00 1/1/2018
V5100 DE 04 00 $500.00 1/1/2018
V5100 DE 01 00 $500.00 7/12/2018
V5100 DE 04 00 $500.00 7/12/2018
V5120 DE 01 00 $1,100.00 1/1/2018
V5120 DE 04 00 $1,100.00 1/1/2018
V5120 DE 01 00 $1,100.00 7/12/2018
V5120 DE 04 00 $1,100.00 7/12/2018
V5130 DE 01 00 $1,000.00 1/1/2018
V5130 DE 04 00 $1,000.00 1/1/2018
V5130 DE 01 00 $1,000.00 7/12/2018
V5130 DE 04 00 $1,000.00 7/12/2018
V5140 DE 01 00 $1,000.00 1/1/2018
V5140 DE 04 00 $1,000.00 1/1/2018
V5140 DE 01 00 $1,000.00 7/12/2018
V5140 DE 04 00 $1,000.00 7/12/2018
V5150 DE 01 00 $1,100.00 1/1/2018
V5150 DE 04 00 $1,100.00 1/1/2018
V5150 DE 01 00 $1,100.00 7/12/2018
V5150 DE 04 00 $1,100.00 7/12/2018
V5160 DE 01 00 $1,073.00 1/1/2018
V5160 DE 04 00 $1,073.00 1/1/2018
V5160 DE 01 00 $1,073.00 7/12/2018
V5160 DE 04 00 $1,073.00 7/12/2018
V5170 DE 01 00 $650.00 1/1/2018
V5170 DE 04 00 $650.00 1/1/2018
V5170 DE 01 00 $650.00 7/12/2018
V5170 DE 04 00 $650.00 7/12/2018
V5180 DE 01 00 $650.00 1/1/2018
V5180 DE 04 00 $650.00 1/1/2018
V5180 DE 01 00 $650.00 7/12/2018
V5180 DE 04 00 $650.00 7/12/2018
V5190 DE 01 00 $650.00 1/1/2018
V5190 DE 04 00 $650.00 1/1/2018
V5190 DE 01 00 $650.00 7/12/2018
V5190 DE 04 00 $650.00 7/12/2018
V5210 DE 01 00 $1,180.00 1/1/2018
V5210 DE 04 00 $1,180.00 1/1/2018
V5210 DE 01 00 $1,180.00 7/12/2018
V5210 DE 04 00 $1,180.00 7/12/2018
V5220 DE 01 00 $1,180.00 1/1/2018
V5220 DE 04 00 $1,180.00 1/1/2018
V5220 DE 01 00 $1,180.00 7/12/2018
V5220 DE 04 00 $1,180.00 7/12/2018
V5230 DE 01 00 $1,180.00 1/1/2018
V5230 DE 04 00 $1,180.00 1/1/2018
V5230 DE 01 00 $1,180.00 7/12/2018
V5230 DE 04 00 $1,180.00 7/12/2018
V5257 DE 01 00 $4,800.00 1/1/2018
V5257 DE 04 00 $4,800.00 1/1/2018
V5257 DE 01 00 $4,800.00 7/12/2018
V5257 DE 04 00 $4,800.00 7/12/2018
V5261 DE 01 00 $9,600.00 1/1/2018
V5261 DE 04 00 $9,600.00 1/1/2018
V5261 DE 01 00 $9,600.00 7/12/2018
V5261 DE 04 00 $9,600.00 7/12/2018
V5264 DE 01 00 $150.00 1/1/2018
V5264 DE 04 00 $150.00 1/1/2018
V5264 DE 01 00 $150.00 7/12/2018
V5264 DE 04 00 $150.00 7/12/2018
V5266 DE 01 00 $10.00 4/18/2017
V5266 DE 04 00 $10.00 4/18/2017
V5266 DE 01 00 $10.00 1/1/2018
V5266 DE 04 00 $10.00 1/1/2018
V5266 DE 01 00 $10.00 7/12/2018
V5266 DE 04 00 $10.00 7/12/2018
V5266 DE 01 00 $10.00 1/1/2019
V5266 DE 04 00 $10.00 1/1/2019
V5267 DE 01 00 $400.00 1/1/2018
V5267 DE 04 00 $400.00 1/1/2018
V5267 DE 01 00 $400.00 7/12/2018
V5267 DE 04 00 $400.00 7/12/2018