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 OH 01 00 $500.00 2/26/2016
0359T OH 04 00 $500.00 2/26/2016
0360T OH 01 00 $62.50 2/26/2016
0360T OH 04 00 $62.50 2/26/2016
0361T OH 01 00 $62.50 2/26/2016
0361T OH 04 00 $62.50 2/26/2016
0364T OH 01 00 $62.50 1/1/2018
0364T OH 04 00 $62.50 1/1/2018
0364T OH 01 00 $62.50 7/13/2018
0364T OH 04 00 $62.50 7/13/2018
0365T OH 01 00 $62.50 2/26/2016
0365T OH 04 00 $62.50 2/26/2016
0368T OH 01 00 $62.50 2/26/2016
0368T OH 04 00 $62.50 2/26/2016
0369T OH 01 00 $62.50 2/26/2016
0369T OH 04 00 $62.50 2/26/2016
0370T OH 01 00 $125.00 2/26/2016
0370T OH 04 00 $125.00 2/26/2016
36468 OH 01 00 $600.00 2/26/2016
36468 OH 04 00 $600.00 2/26/2016
74300 OH 01 00 $1,015.20 4/19/2017
74300 OH 01 00 $1,081.00 1/1/2018
74300 OH 04 00 $533.25 1/1/2018
74300 OH 01 00 $1,081.00 7/13/2018
74300 OH 04 00 $533.25 7/13/2018
74300 OH 01 00 $687.00 1/1/2019
74300 OH 04 00 $687.00 1/1/2019
74300 OH 01 TC $514.60 1/1/2018
74300 OH 04 TC $514.60 1/1/2018
74300 OH 01 TC $514.60 7/13/2018
74300 OH 04 TC $514.60 7/13/2018
74328 OH 01 00 $862.00 1/1/2018
74328 OH 04 00 $769.00 1/1/2018
74328 OH 01 00 $862.00 7/13/2018
74328 OH 04 00 $769.00 7/13/2018
74328 OH 01 00 $855.36 1/1/2019
74328 OH 04 00 $855.36 1/1/2019
74328 OH 01 TC $735.28 1/1/2018
74328 OH 04 TC $735.28 1/1/2018
74328 OH 01 TC $735.28 7/13/2018
74328 OH 04 TC $735.28 7/13/2018
74330 OH 01 00 $675.00 1/1/2019
74330 OH 04 00 $675.00 1/1/2019
74340 OH 01 00 $813.00 1/1/2018
74340 OH 04 00 $523.00 1/1/2018
74340 OH 01 00 $813.00 7/13/2018
74340 OH 04 00 $523.00 7/13/2018
74340 OH 01 00 $676.00 1/1/2019
74340 OH 04 00 $676.00 1/1/2019
74340 OH 01 TC $497.33 1/1/2018
74340 OH 04 TC $497.33 1/1/2018
74340 OH 01 TC $497.33 7/13/2018
74340 OH 04 TC $497.33 7/13/2018
74360 OH 01 00 $358.00 1/1/2019
74360 OH 04 00 $358.00 1/1/2019
75894 OH 01 00 $5,658.00 1/1/2018
75894 OH 04 00 $5,658.00 1/1/2018
75894 OH 01 00 $5,658.00 7/13/2018
75894 OH 04 00 $5,658.00 7/13/2018
75894 OH 01 TC $5,590.81 1/1/2018
75894 OH 04 TC $5,590.81 1/1/2018
75894 OH 01 TC $5,590.81 7/13/2018
75894 OH 04 TC $5,590.81 7/13/2018
76001 OH 01 00 $1,813.00 4/19/2017
76001 OH 01 00 $1,813.00 1/1/2018
76001 OH 04 00 $542.00 1/1/2018
76001 OH 01 00 $1,813.00 7/13/2018
76001 OH 04 00 $542.00 7/13/2018
76001 OH 01 00 $1,765.00 1/1/2019
76001 OH 04 00 $1,765.00 1/1/2019
76001 OH 01 TC $509.66 1/1/2018
76001 OH 04 TC $509.66 1/1/2018
76001 OH 01 TC $509.66 7/13/2018
76001 OH 04 TC $509.66 7/13/2018
76998 OH 01 00 $800.00 2/26/2016
76998 OH 04 00 $757.00 2/26/2016
76998 OH 01 TC $787.91 2/26/2016
76998 OH 04 TC $787.91 2/26/2016
77371 OH 01 00 $52,743.75 1/1/2018
77371 OH 04 00 $52,743.75 1/1/2018
77371 OH 01 00 $52,743.75 7/13/2018
77371 OH 04 00 $52,743.75 7/13/2018
77385 OH 01 00 $1,500.00 2/26/2016
77385 OH 04 00 $1,500.00 2/26/2016
77386 OH 01 00 $3,000.00 2/26/2016
77386 OH 04 00 $3,000.00 2/26/2016
80300 OH 01 00 $90.00 2/26/2016
80300 OH 04 00 $90.00 2/26/2016
80301 OH 01 00 $432.00 2/26/2016
80301 OH 04 00 $432.00 2/26/2016
80302 OH 01 00 $180.00 2/26/2016
80302 OH 04 00 $180.00 2/26/2016
80320 OH 01 00 $205.00 2/26/2016
80320 OH 04 00 $205.00 2/26/2016
80321 OH 01 00 $95.00 2/26/2016
80321 OH 04 00 $95.00 2/26/2016
80324 OH 01 00 $65.00 2/26/2016
80324 OH 04 00 $65.00 2/26/2016
80326 OH 01 00 $95.00 2/26/2016
80326 OH 04 00 $95.00 2/26/2016
80329 OH 01 00 $193.00 2/26/2016
80329 OH 04 00 $193.00 2/26/2016
80331 OH 01 00 $95.00 2/26/2016
80331 OH 04 00 $95.00 2/26/2016
80336 OH 01 00 $95.00 2/26/2016
80336 OH 04 00 $95.00 2/26/2016
80337 OH 01 00 $60.00 2/26/2016
80337 OH 04 00 $60.00 2/26/2016
80346 OH 01 00 $95.00 2/26/2016
80346 OH 04 00 $95.00 2/26/2016
80348 OH 01 00 $60.00 2/26/2016
80348 OH 04 00 $60.00 2/26/2016
80349 OH 01 00 $60.00 2/26/2016
80349 OH 04 00 $60.00 2/26/2016
80354 OH 01 00 $60.00 2/26/2016
80354 OH 04 00 $60.00 2/26/2016
80355 OH 01 00 $95.00 2/26/2016
80355 OH 04 00 $95.00 2/26/2016
80356 OH 01 00 $60.00 2/26/2016
80356 OH 04 00 $60.00 2/26/2016
80357 OH 01 00 $55.00 2/26/2016
80357 OH 04 00 $55.00 2/26/2016
80359 OH 01 00 $65.00 2/26/2016
80359 OH 04 00 $65.00 2/26/2016
80360 OH 01 00 $60.00 2/26/2016
80360 OH 04 00 $60.00 2/26/2016
80362 OH 01 00 $65.00 2/26/2016
80362 OH 04 00 $65.00 2/26/2016
80363 OH 01 00 $40.00 2/26/2016
80363 OH 04 00 $40.00 2/26/2016
80364 OH 01 00 $95.00 2/26/2016
80364 OH 04 00 $95.00 2/26/2016
80365 OH 01 00 $60.00 2/26/2016
80365 OH 04 00 $60.00 2/26/2016
80366 OH 01 00 $55.00 2/26/2016
80366 OH 04 00 $55.00 2/26/2016
80368 OH 01 00 $75.00 2/26/2016
80368 OH 04 00 $75.00 2/26/2016
80369 OH 01 00 $55.00 2/26/2016
80369 OH 04 00 $55.00 2/26/2016
80370 OH 01 00 $65.00 2/26/2016
80370 OH 04 00 $65.00 2/26/2016
80372 OH 01 00 $60.00 2/26/2016
80372 OH 04 00 $60.00 2/26/2016
80373 OH 01 00 $60.00 2/26/2016
80373 OH 04 00 $60.00 2/26/2016
80376 OH 01 00 $60.00 2/26/2016
80376 OH 04 00 $60.00 2/26/2016
80377 OH 01 00 $117.00 2/26/2016
80377 OH 04 00 $117.00 2/26/2016
81228 OH 01 00 $2,291.25 2/26/2016
81228 OH 04 00 $2,291.25 2/26/2016
81229 OH 01 00 $3,532.27 2/26/2016
81229 OH 04 00 $3,532.27 2/26/2016
81244 OH 01 00 $461.97 1/1/2018
81244 OH 04 00 $461.97 1/1/2018
81244 OH 01 00 $461.97 7/13/2018
81244 OH 04 00 $461.97 7/13/2018
81408 OH 01 00 $1,750.00 2/26/2016
81408 OH 04 00 $1,750.00 2/26/2016
86860 OH 01 00 $315.00 1/1/2018
86860 OH 04 00 $315.00 1/1/2018
86860 OH 01 00 $315.00 7/13/2018
86860 OH 04 00 $315.00 7/13/2018
86890 OH 01 00 $1,092.00 1/1/2018
86890 OH 04 00 $1,092.00 1/1/2018
86890 OH 01 00 $1,092.00 7/13/2018
86890 OH 04 00 $1,092.00 7/13/2018
86921 OH 01 00 $85.00 4/19/2017
86921 OH 01 00 $175.48 1/1/2018
86921 OH 04 00 $37.49 1/1/2018
86921 OH 01 00 $175.48 7/13/2018
86921 OH 04 00 $37.49 7/13/2018
86921 OH 01 00 $149.00 1/1/2019
86921 OH 04 00 $149.00 1/1/2019
89258 OH 01 00 $751.00 2/26/2016
89258 OH 04 00 $751.00 2/26/2016
89280 OH 01 00 $2,178.00 2/26/2016
89280 OH 04 00 $2,178.00 2/26/2016
89353 OH 01 00 $35.00 2/26/2016
89353 OH 04 00 $35.00 2/26/2016
90681 OH 01 00 $227.00 1/1/2019
90681 OH 04 00 $227.00 1/1/2019
90696 OH 01 00 $125.00 1/1/2019
90696 OH 04 00 $125.00 1/1/2019
90736 OH 01 00 $235.51 7/19/2017
90736 OH 04 00 $235.51 7/19/2017
90736 OH 01 00 $254.35 7/20/2017
90736 OH 04 00 $254.35 7/20/2017
90736 OH 01 00 $254.35 1/1/2018
90736 OH 04 00 $254.35 1/1/2018
90736 OH 01 NU $235.51 10/19/2016
90736 OH 04 NU $235.51 10/19/2016
90882 OH 01 00 $82.00 2/26/2016
90882 OH 04 00 $82.00 2/26/2016
90993 OH 01 00 $5,584.00 1/1/2018
90993 OH 04 00 $5,584.00 1/1/2018
90993 OH 01 00 $5,584.00 7/13/2018
90993 OH 04 00 $5,584.00 7/13/2018
92594 OH 01 00 $59.25 1/1/2018
92594 OH 04 00 $59.25 1/1/2018
92594 OH 01 00 $59.25 7/13/2018
92594 OH 04 00 $59.25 7/13/2018
92921 OH 01 00 $7,897.00 1/1/2018
92921 OH 04 00 $7,897.00 1/1/2018
92921 OH 01 00 $7,897.00 7/13/2018
92921 OH 04 00 $7,897.00 7/13/2018
92929 OH 01 00 $7,116.00 1/1/2018
92929 OH 04 00 $7,116.00 1/1/2018
92929 OH 01 00 $7,116.00 7/13/2018
92929 OH 04 00 $7,116.00 7/13/2018
92978 OH 01 00 $4,357.00 1/1/2018
92978 OH 04 00 $3,222.00 1/1/2018
92978 OH 01 00 $4,357.00 7/13/2018
92978 OH 04 00 $3,222.00 7/13/2018
92978 OH 01 00 $5,103.00 1/1/2019
92978 OH 04 00 $5,103.00 1/1/2019
92978 OH 01 TC $3,147.39 1/1/2018
92978 OH 04 TC $3,147.39 1/1/2018
92978 OH 01 TC $3,147.39 7/13/2018
92978 OH 04 TC $3,147.39 7/13/2018
93299 OH 01 00 $276.00 4/19/2017
93299 OH 04 00 $276.00 4/19/2017
93299 OH 01 00 $276.00 1/1/2018
93299 OH 04 00 $276.00 1/1/2018
93299 OH 01 00 $276.00 7/13/2018
93299 OH 04 00 $276.00 7/13/2018
93299 OH 01 00 $195.00 1/1/2019
93299 OH 04 00 $195.00 1/1/2019
93531 OH 01 00 $12,960.09 1/1/2018
93531 OH 04 00 $12,087.73 1/1/2018
93531 OH 01 00 $12,960.09 7/13/2018
93531 OH 04 00 $12,087.73 7/13/2018
93531 OH 01 TC $13,852.40 1/1/2018
93531 OH 04 TC $13,852.40 1/1/2018
93531 OH 01 TC $13,852.40 7/13/2018
93531 OH 04 TC $13,852.40 7/13/2018
93533 OH 01 00 $11,654.00 1/1/2019
93533 OH 04 00 $11,654.00 1/1/2019
93609 OH 01 00 $5,155.00 1/1/2018
93609 OH 04 00 $3,240.00 1/1/2018
93609 OH 01 00 $5,155.00 7/13/2018
93609 OH 04 00 $3,240.00 7/13/2018
93609 OH 01 TC $2,981.00 1/1/2018
93609 OH 04 TC $2,981.00 1/1/2018
93609 OH 01 TC $2,981.00 7/13/2018
93609 OH 04 TC $2,981.00 7/13/2018
93620 OH 01 00 $26,106.64 1/1/2018
93620 OH 04 00 $8,190.00 1/1/2018
93620 OH 01 00 $26,106.64 7/13/2018
93620 OH 04 00 $8,190.00 7/13/2018
93620 OH 01 00 $10,389.00 1/1/2019
93620 OH 04 00 $10,389.00 1/1/2019
93620 OH 01 TC $7,565.42 1/1/2018
93620 OH 04 TC $7,565.42 1/1/2018
93620 OH 01 TC $7,565.42 7/13/2018
93620 OH 04 TC $7,565.42 7/13/2018
93621 OH 01 00 $11,504.00 4/19/2017
93621 OH 01 00 $11,504.00 1/1/2018
93621 OH 04 00 $7,676.00 1/1/2018
93621 OH 01 00 $11,504.00 7/13/2018
93621 OH 04 00 $7,676.00 7/13/2018
93621 OH 01 00 $8,264.00 1/1/2019
93621 OH 04 00 $8,264.00 1/1/2019
93621 OH 01 TC $7,564.68 1/1/2018
93621 OH 04 TC $7,564.68 1/1/2018
93621 OH 01 TC $7,564.68 7/13/2018
93621 OH 04 TC $7,564.68 7/13/2018
93623 OH 01 00 $7,785.00 4/19/2017
93623 OH 01 00 $7,785.00 1/1/2018
93623 OH 04 00 $2,758.00 1/1/2018
93623 OH 01 00 $7,785.00 7/13/2018
93623 OH 04 00 $2,758.00 7/13/2018
93623 OH 01 00 $5,707.00 1/1/2019
93623 OH 04 00 $5,707.00 1/1/2019
93623 OH 01 TC $2,607.21 1/1/2018
93623 OH 04 TC $2,607.21 1/1/2018
93623 OH 01 TC $2,607.21 7/13/2018
93623 OH 04 TC $2,607.21 7/13/2018
93641 OH 01 00 $3,088.00 1/1/2018
93641 OH 04 00 $1,859.00 1/1/2018
93641 OH 01 00 $3,088.00 7/13/2018
93641 OH 04 00 $1,859.00 7/13/2018
93641 OH 01 TC $1,547.45 1/1/2018
93641 OH 04 TC $1,547.45 1/1/2018
93641 OH 01 TC $1,547.45 7/13/2018
93641 OH 04 TC $1,547.45 7/13/2018
93662 OH 01 00 $6,878.00 4/19/2017
93662 OH 01 00 $6,878.00 1/1/2018
93662 OH 04 00 $1,557.00 1/1/2018
93662 OH 01 00 $6,878.00 7/13/2018
93662 OH 04 00 $1,557.00 7/13/2018
93662 OH 01 00 $4,949.00 1/1/2019
93662 OH 04 00 $4,949.00 1/1/2019
94775 OH 01 00 $236.00 1/1/2018
94775 OH 04 00 $236.00 1/1/2018
94775 OH 01 00 $236.00 7/13/2018
94775 OH 04 00 $236.00 7/13/2018
94776 OH 01 00 $962.00 1/1/2018
94776 OH 04 00 $706.00 1/1/2018
94776 OH 01 00 $962.00 7/13/2018
94776 OH 04 00 $706.00 7/13/2018
97005 OH 01 00 $195.00 4/21/2017
97005 OH 04 00 $195.00 4/21/2017
99000 OH 01 00 $25.00 4/19/2017
99000 OH 04 00 $25.00 4/19/2017
99000 OH 01 00 $27.00 1/1/2018
99000 OH 04 00 $27.00 1/1/2018
99000 OH 01 00 $27.00 7/13/2018
99000 OH 04 00 $27.00 7/13/2018
99001 OH 01 00 $2,250.00 4/19/2017
99001 OH 04 00 $2,250.00 4/19/2017
99001 OH 01 00 $2,250.00 1/1/2018
99001 OH 04 00 $2,250.00 1/1/2018
99001 OH 01 00 $2,250.00 7/13/2018
99001 OH 04 00 $2,250.00 7/13/2018
99001 OH 01 00 $654.00 1/1/2019
99001 OH 04 00 $654.00 1/1/2019
99002 OH 01 00 $100.00 1/1/2018
99002 OH 04 00 $50.00 1/1/2018
99002 OH 01 00 $100.00 7/13/2018
99002 OH 04 00 $50.00 7/13/2018
99510 OH 01 00 $75.53 2/26/2016
99510 OH 04 00 $75.53 2/26/2016
99605 OH 01 00 $203.58 2/26/2016
99605 OH 04 00 $171.26 2/26/2016
99606 OH 01 00 $171.26 2/26/2016
99606 OH 04 00 $171.26 2/26/2016
99607 OH 01 00 $175.15 2/26/2016
99607 OH 04 00 $175.15 2/26/2016
A0130 OH 01 00 $62.00 3/24/2017
A0130 OH 04 00 $62.00 3/24/2017
A0130 OH 01 00 $65.21 1/1/2019
A0130 OH 04 00 $65.21 1/1/2019
A0430 OH 01 00 $3,608.89 12/10/2015
A0430 OH 04 00 $3,608.89 12/10/2015
A0430 OH 01 00 $2,607.43 1/1/2018
A0430 OH 04 00 $2,607.43 1/1/2018
A0430 OH 01 00 $2,607.43 4/9/2018
A0430 OH 04 00 $2,607.43 4/9/2018
A0430 OH 01 00 $2,216.31 1/1/2019
A0430 OH 04 00 $2,216.31 1/1/2019
A0431 OH 01 00 $3,067.74 12/10/2015
A0431 OH 04 00 $3,067.74 12/10/2015
A0431 OH 01 00 $2,216.43 1/1/2018
A0431 OH 04 00 $2,216.43 1/1/2018
A0431 OH 01 00 $2,216.43 4/9/2018
A0431 OH 04 00 $2,216.43 4/9/2018
A0431 OH 01 00 $1,883.97 1/1/2019
A0431 OH 04 00 $1,883.97 1/1/2019
A0435 OH 01 00 $7.23 12/10/2015
A0435 OH 04 00 $7.23 12/10/2015
A0435 OH 01 00 $5.22 1/1/2018
A0435 OH 04 00 $5.22 1/1/2018
A0435 OH 01 00 $5.22 4/9/2018
A0435 OH 04 00 $5.22 4/9/2018
A0435 OH 01 00 $4.44 1/1/2019
A0435 OH 04 00 $4.44 1/1/2019
A0436 OH 01 00 $46.96 12/10/2015
A0436 OH 04 00 $46.96 12/10/2015
A0436 OH 01 00 $33.93 1/1/2018
A0436 OH 04 00 $33.93 1/1/2018
A0436 OH 01 00 $33.93 4/9/2018
A0436 OH 04 00 $33.93 4/9/2018
A0436 OH 01 00 $28.84 1/1/2019
A0436 OH 04 00 $28.84 1/1/2019
A4206 OH 01 00 $10.00 4/19/2017
A4206 OH 04 00 $10.00 4/19/2017
A4206 OH 01 00 $10.00 1/1/2018
A4206 OH 04 00 $10.00 1/1/2018
A4206 OH 01 00 $10.00 7/13/2018
A4206 OH 04 00 $10.00 7/13/2018
A4206 OH 01 00 $0.94 1/1/2019
A4206 OH 04 00 $0.94 1/1/2019
A4207 OH 01 00 $0.40 1/1/2018
A4207 OH 04 00 $0.40 1/1/2018
A4207 OH 01 00 $0.40 7/13/2018
A4207 OH 04 00 $0.40 7/13/2018
A4208 OH 01 00 $5.00 4/19/2017
A4208 OH 04 00 $5.00 4/19/2017
A4208 OH 01 00 $5.00 1/1/2018
A4208 OH 04 00 $5.00 1/1/2018
A4208 OH 01 00 $5.00 7/13/2018
A4208 OH 04 00 $5.00 7/13/2018
A4208 OH 01 00 $5.00 1/1/2019
A4208 OH 04 00 $5.00 1/1/2019
A4209 OH 01 00 $8.00 4/19/2017
A4209 OH 04 00 $8.00 4/19/2017
A4209 OH 01 00 $8.00 1/1/2018
A4209 OH 04 00 $8.00 1/1/2018
A4209 OH 01 00 $8.00 7/13/2018
A4209 OH 04 00 $8.00 7/13/2018
A4209 OH 01 00 $5.00 1/1/2019
A4209 OH 04 00 $5.00 1/1/2019
A4210 OH 01 00 $12.95 1/1/2018
A4210 OH 04 00 $12.95 1/1/2018
A4210 OH 01 00 $12.95 7/13/2018
A4210 OH 04 00 $12.95 7/13/2018
A4211 OH 01 00 $222.48 1/1/2018
A4211 OH 04 00 $222.48 1/1/2018
A4211 OH 01 00 $222.48 7/13/2018
A4211 OH 04 00 $222.48 7/13/2018
A4212 OH 01 00 $26.00 4/19/2017
A4212 OH 04 00 $26.00 4/19/2017
A4212 OH 01 00 $26.00 1/1/2018
A4212 OH 04 00 $26.00 1/1/2018
A4212 OH 01 00 $26.00 7/13/2018
A4212 OH 04 00 $26.00 7/13/2018
A4212 OH 01 00 $10.00 1/1/2019
A4212 OH 04 00 $10.00 1/1/2019
A4213 OH 01 00 $5.16 4/19/2017
A4213 OH 04 00 $5.16 4/19/2017
A4213 OH 01 00 $5.16 1/1/2018
A4213 OH 04 00 $5.16 1/1/2018
A4213 OH 01 00 $5.16 7/13/2018
A4213 OH 04 00 $5.16 7/13/2018
A4213 OH 01 00 $3.24 1/1/2019
A4213 OH 04 00 $3.24 1/1/2019
A4215 OH 01 00 $11.00 4/19/2017
A4215 OH 04 00 $11.00 4/19/2017
A4215 OH 01 00 $11.00 1/1/2018
A4215 OH 04 00 $11.00 1/1/2018
A4215 OH 01 00 $11.00 7/13/2018
A4215 OH 04 00 $11.00 7/13/2018
A4215 OH 01 00 $0.85 1/1/2019
A4215 OH 04 00 $0.85 1/1/2019
A4218 OH 01 00 $5.00 1/1/2018
A4218 OH 04 00 $5.00 1/1/2018
A4218 OH 01 00 $5.00 7/13/2018
A4218 OH 04 00 $5.00 7/13/2018
A4220 OH 01 00 $150.00 1/1/2018
A4220 OH 04 00 $150.00 1/1/2018
A4220 OH 01 00 $150.00 7/13/2018
A4220 OH 04 00 $150.00 7/13/2018
A4220 OH 01 00 $50.00 1/1/2019
A4220 OH 04 00 $50.00 1/1/2019
A4223 OH 01 00 $246.30 4/19/2017
A4223 OH 04 00 $246.30 4/19/2017
A4223 OH 01 00 $246.30 1/1/2018
A4223 OH 04 00 $246.30 1/1/2018
A4223 OH 01 00 $246.30 7/13/2018
A4223 OH 04 00 $246.30 7/13/2018
A4223 OH 01 00 $61.80 1/1/2019
A4223 OH 04 00 $61.80 1/1/2019
A4223 OH 01 NU $246.30 1/1/2018
A4223 OH 04 NU $246.30 1/1/2018
A4223 OH 01 NU $246.30 7/13/2018
A4223 OH 04 NU $246.30 7/13/2018
A4230 OH 01 00 $40.21 4/19/2017
A4230 OH 04 00 $40.21 4/19/2017
A4230 OH 01 00 $40.21 1/1/2018
A4230 OH 04 00 $40.21 1/1/2018
A4230 OH 01 00 $40.21 7/13/2018
A4230 OH 04 00 $40.21 7/13/2018
A4230 OH 01 00 $38.69 1/1/2019
A4230 OH 04 00 $38.69 1/1/2019
A4231 OH 01 00 $44.41 4/19/2017
A4231 OH 04 00 $44.41 4/19/2017
A4231 OH 01 00 $44.41 1/1/2018
A4231 OH 04 00 $44.41 1/1/2018
A4231 OH 01 00 $44.41 7/13/2018
A4231 OH 04 00 $44.41 7/13/2018
A4232 OH 01 00 $11.17 4/19/2017
A4232 OH 04 00 $11.17 4/19/2017
A4232 OH 01 00 $11.17 1/1/2018
A4232 OH 04 00 $11.17 1/1/2018
A4232 OH 01 00 $11.17 7/13/2018
A4232 OH 04 00 $11.17 7/13/2018
A4232 OH 01 00 $11.39 1/1/2019
A4232 OH 04 00 $11.39 1/1/2019
A4244 OH 01 00 $5.00 4/19/2017
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R0075 OH 04 00 $94.00 7/13/2018
S0189 OH 01 00 $250.00 1/1/2019
S0189 OH 04 00 $250.00 1/1/2019
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S0257 OH 04 00 $179.04 2/26/2016
S0316 OH 01 00 $132.75 2/26/2016
S0316 OH 04 00 $132.75 2/26/2016
S0395 OH 01 00 $100.00 2/26/2016
S0395 OH 04 00 $35.00 2/26/2016
S0580 OH 01 00 $40.00 2/26/2016
S0580 OH 04 00 $40.00 2/26/2016
S0612 OH 01 00 $215.00 2/26/2016
S0612 OH 04 00 $138.00 2/26/2016
S1040 OH 01 00 $2,560.00 1/1/2018
S1040 OH 04 00 $2,560.00 1/1/2018
S1040 OH 01 00 $2,560.00 7/13/2018
S1040 OH 04 00 $2,560.00 7/13/2018
S1040 OH 01 00 $3,995.00 1/1/2019
S1040 OH 04 00 $3,995.00 1/1/2019
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S2900 OH 04 00 $6,126.00 2/26/2016
S5108 OH 01 00 $31.25 1/1/2018
S5108 OH 04 00 $31.25 1/1/2018
S5108 OH 01 00 $31.25 7/13/2018
S5108 OH 04 00 $31.25 7/13/2018
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S5110 OH 04 00 $31.25 1/1/2018
S5110 OH 01 00 $31.25 7/13/2018
S5110 OH 04 00 $31.25 7/13/2018
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S5115 OH 04 00 $31.25 1/1/2018
S5115 OH 01 00 $31.25 7/13/2018
S5115 OH 04 00 $31.25 7/13/2018
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S5498 OH 04 00 $80.00 2/26/2016
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S8270 OH 04 00 $368.13 4/19/2017
S8270 OH 01 00 $368.13 1/1/2018
S8270 OH 04 00 $368.13 1/1/2018
S8270 OH 01 00 $368.13 7/13/2018
S8270 OH 04 00 $368.13 7/13/2018
S9083 OH 01 00 $131.00 2/26/2016
S9083 OH 04 00 $120.00 2/26/2016
S9088 OH 01 00 $100.00 2/26/2016
S9088 OH 04 00 $100.00 2/26/2016
S9340 OH 01 00 $160.00 2/26/2016
S9340 OH 04 00 $160.00 2/26/2016
S9343 OH 01 00 $18.00 2/26/2016
S9343 OH 04 00 $18.00 2/26/2016
S9430 OH 01 00 $325.00 4/19/2017
S9430 OH 01 00 $325.00 1/1/2018
S9430 OH 04 00 $160.00 1/1/2018
S9430 OH 01 00 $325.00 7/13/2018
S9430 OH 04 00 $160.00 7/13/2018
S9430 OH 01 00 $201.25 1/1/2019
S9430 OH 04 00 $201.25 1/1/2019
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S9452 OH 04 00 $115.44 2/26/2016
S9480 OH 01 00 $251.00 2/24/2016
S9480 OH 04 00 $251.00 2/24/2016
S9480 OH 01 00 $265.00 9/18/2017
S9480 OH 04 00 $265.00 9/18/2017
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S9480 OH 04 00 $265.00 1/1/2018
S9480 OH 01 00 $272.00 10/1/2018
S9480 OH 04 00 $272.00 10/1/2018
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S9500 OH 04 00 $240.00 2/26/2016
S9502 OH 01 00 $350.00 2/26/2016
S9502 OH 04 00 $350.00 2/26/2016
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T1000 OH 01 00 $8.00 1/1/2018
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T1000 OH 04 00 $6.91 7/13/2018
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T1001 OH 04 00 $136.78 7/13/2018
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T1003 OH 04 00 $44.00 1/1/2018
T1003 OH 01 00 $70.00 7/13/2018
T1003 OH 04 00 $44.00 7/13/2018
T1015 OH 01 00 $115.06 1/1/2018
T1015 OH 04 00 $115.06 1/1/2018
T1015 OH 01 00 $115.06 7/13/2018
T1015 OH 04 00 $115.06 7/13/2018
T1016 OH 04 00 $28.36 2/26/2016
T1016 OH 01 00 $28.36 4/19/2017
T1016 OH 01 00 $30.53 1/1/2018
T1016 OH 01 00 $30.53 7/13/2018
T1019 OH 01 00 $4.63 2/26/2016
T1019 OH 04 00 $4.63 2/26/2016
T1023 OH 01 00 $150.00 1/1/2019
T1023 OH 04 00 $150.00 1/1/2019
T4527 OH 01 00 $3.34 1/1/2019
T4527 OH 04 00 $3.34 1/1/2019
T4530 OH 01 00 $1.53 1/1/2019
T4530 OH 04 00 $1.53 1/1/2019
T4533 OH 01 00 $1.23 1/1/2019
T4533 OH 04 00 $1.23 1/1/2019
T4534 OH 01 00 $2.72 1/1/2019
T4534 OH 04 00 $2.72 1/1/2019
T4541 OH 01 00 $0.84 4/19/2017
T4541 OH 04 00 $0.84 4/19/2017
T4541 OH 01 00 $1.33 1/1/2018
T4541 OH 04 00 $1.33 1/1/2018
T4541 OH 01 00 $1.33 7/13/2018
T4541 OH 04 00 $1.33 7/13/2018
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V2025 OH 04 00 $180.83 4/19/2017
V2025 OH 01 00 $180.83 1/1/2018
V2025 OH 04 00 $180.83 1/1/2018
V2025 OH 01 00 $180.83 7/13/2018
V2025 OH 04 00 $180.83 7/13/2018
V2702 OH 01 00 $45.00 2/26/2016
V2702 OH 04 00 $45.00 2/26/2016
V2781 OH 01 00 $234.98 4/19/2017
V2781 OH 04 00 $234.98 4/19/2017
V2781 OH 01 00 $234.98 1/1/2018
V2781 OH 04 00 $234.98 1/1/2018
V2781 OH 01 00 $234.98 7/13/2018
V2781 OH 04 00 $234.98 7/13/2018
V2781 OH 01 00 $200.00 1/1/2019
V2781 OH 04 00 $200.00 1/1/2019
V2785 OH 01 00 $6,100.00 1/1/2018
V2785 OH 04 00 $6,100.00 1/1/2018
V2785 OH 01 00 $6,100.00 7/13/2018
V2785 OH 04 00 $6,100.00 7/13/2018
V2787 OH 01 00 $1,930.50 2/26/2016
V2787 OH 04 00 $1,930.50 2/26/2016
V2788 OH 01 00 $2,250.00 2/26/2016
V2788 OH 04 00 $2,250.00 2/26/2016
V5050 OH 01 00 $800.00 1/1/2018
V5050 OH 04 00 $800.00 1/1/2018
V5050 OH 01 00 $800.00 7/13/2018
V5050 OH 04 00 $800.00 7/13/2018
V5140 OH 01 00 $1,800.00 1/1/2018
V5140 OH 04 00 $1,800.00 1/1/2018
V5140 OH 01 00 $1,800.00 7/13/2018
V5140 OH 04 00 $1,800.00 7/13/2018
V5160 OH 01 00 $517.70 4/19/2017
V5160 OH 04 00 $517.70 4/19/2017
V5160 OH 01 00 $551.87 1/1/2018
V5160 OH 04 00 $551.87 1/1/2018
V5160 OH 01 00 $551.87 7/13/2018
V5160 OH 04 00 $551.87 7/13/2018
V5160 OH 01 00 $536.00 1/1/2019
V5160 OH 04 00 $536.00 1/1/2019
V5241 OH 01 00 $350.00 1/1/2018
V5241 OH 04 00 $350.00 1/1/2018
V5241 OH 01 00 $350.00 7/13/2018
V5241 OH 04 00 $350.00 7/13/2018
V5254 OH 01 00 $2,150.00 1/1/2018
V5254 OH 04 00 $2,150.00 1/1/2018
V5254 OH 01 00 $2,150.00 7/13/2018
V5254 OH 04 00 $2,150.00 7/13/2018
V5257 OH 01 00 $2,235.94 1/1/2018
V5257 OH 04 00 $2,235.94 1/1/2018
V5257 OH 01 00 $2,235.94 7/13/2018
V5257 OH 04 00 $2,235.94 7/13/2018
V5257 OH 01 00 $3,000.00 1/1/2019
V5257 OH 04 00 $3,000.00 1/1/2019
V5259 OH 01 00 $1,400.00 1/1/2018
V5259 OH 04 00 $1,400.00 1/1/2018
V5259 OH 01 00 $1,400.00 7/13/2018
V5259 OH 04 00 $1,400.00 7/13/2018
V5261 OH 01 00 $5,440.00 4/19/2017
V5261 OH 04 00 $5,440.00 4/19/2017
V5261 OH 01 00 $5,440.00 1/1/2018
V5261 OH 04 00 $5,440.00 1/1/2018
V5261 OH 01 00 $5,440.00 7/13/2018
V5261 OH 04 00 $5,440.00 7/13/2018
V5261 OH 01 00 $6,000.00 1/1/2019
V5261 OH 04 00 $6,000.00 1/1/2019
V5264 OH 01 00 $152.75 4/19/2017
V5264 OH 04 00 $152.75 4/19/2017
V5264 OH 01 00 $152.75 1/1/2018
V5264 OH 04 00 $152.75 1/1/2018
V5264 OH 01 00 $152.75 7/13/2018
V5264 OH 04 00 $152.75 7/13/2018
V5264 OH 01 00 $161.50 1/1/2019
V5264 OH 04 00 $161.50 1/1/2019
V5266 OH 01 00 $22.50 1/1/2018
V5266 OH 04 00 $22.50 1/1/2018
V5266 OH 01 00 $22.50 7/13/2018
V5266 OH 04 00 $22.50 7/13/2018
V5266 OH 01 00 $1.94 1/1/2019
V5266 OH 04 00 $1.94 1/1/2019
V5267 OH 01 00 $273.00 1/1/2018
V5267 OH 04 00 $273.00 1/1/2018
V5267 OH 01 00 $273.00 7/13/2018
V5267 OH 04 00 $273.00 7/13/2018
V5275 OH 01 00 $72.88 1/1/2018
V5275 OH 04 00 $72.88 1/1/2018
V5275 OH 01 00 $72.88 7/13/2018
V5275 OH 04 00 $72.88 7/13/2018