State prevailing rates

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

Latest update: 08-01-2018
CPT code State Provider class Modifier Current pricing Effective date Past pricing Past effective date
0359T RI 01 00 $500.00 02/26/16
0359T RI 04 00 $500.00 02/26/16
0360T RI 01 00 $62.50 02/26/16
0360T RI 04 00 $62.50 02/26/16
0361T RI 01 00 $62.50 02/26/16
0361T RI 04 00 $62.50 02/26/16
0364T RI 01 00 $62.50 05/18/17
0364T RI 04 00 $62.50 05/18/17
0365T RI 01 00 $62.50 02/26/16
0365T RI 04 00 $62.50 02/26/16
0368T RI 01 00 $62.50 02/26/16
0368T RI 04 00 $62.50 02/26/16
0369T RI 01 00 $62.50 02/26/16
0369T RI 04 00 $62.50 02/26/16
0370T RI 01 00 $125.00 02/26/16
0370T RI 04 00 $125.00 02/26/16
15824 RI 01 00 $343.40 05/18/17
15824 RI 04 00 $343.40 05/18/17
15825 RI 01 00 $343.40 05/18/17
15825 RI 04 00 $343.40 05/18/17
15826 RI 01 00 $343.40 05/18/17
15826 RI 04 00 $343.40 05/18/17
15828 RI 01 00 $343.40 05/18/17
15828 RI 04 00 $343.40 05/18/17
15829 RI 01 00 $343.40 05/18/17
15829 RI 04 00 $343.40 05/18/17
15876 RI 01 00 $343.40 05/18/17
15876 RI 04 00 $343.40 05/18/17
15878 RI 01 00 $343.40 05/18/17
15878 RI 04 00 $343.40 05/18/17
15879 RI 01 00 $343.40 05/18/17
15879 RI 04 00 $343.40 05/18/17
17380 RI 01 00 $343.40 02/26/16
17380 RI 04 00 $343.40 02/26/16
21088 RI 01 00 $343.40 02/26/16
21088 RI 04 00 $343.40 02/26/16
21089 RI 01 00 $343.40 05/18/17
21089 RI 04 00 $343.40 05/18/17
22841 RI 01 00 $343.40 05/18/17
22841 RI 04 00 $343.40 05/18/17
24940 RI 01 00 $343.40 05/18/17
24940 RI 04 00 $343.40 05/18/17
26989 RI 01 00 $343.40 05/18/17
26989 RI 04 00 $343.40 05/18/17
32850 RI 01 00 $343.40 05/18/17
32850 RI 04 00 $343.40 05/18/17
33930 RI 01 00 $343.40 05/18/17
33930 RI 04 00 $343.40 05/18/17
33940 RI 01 00 $343.40 05/18/17
33940 RI 04 00 $343.40 05/18/17
41821 RI 01 00 $343.40 05/18/17
41821 RI 04 00 $343.40 05/18/17
41870 RI 01 00 $343.40 05/18/17
41870 RI 04 00 $343.40 05/18/17
43496 RI 01 00 $343.40 05/18/17
43496 RI 04 00 $343.40 05/18/17
47133 RI 01 00 $343.40 05/18/17
47133 RI 04 00 $343.40 05/18/17
48160 RI 01 00 $343.40 05/18/17
48160 RI 04 00 $343.40 05/18/17
48550 RI 01 00 $343.40 05/18/17
48550 RI 04 00 $343.40 05/18/17
49906 RI 01 00 $343.40 05/18/17
49906 RI 04 00 $343.40 05/18/17
50300 RI 01 00 $343.40 05/18/17
50300 RI 04 00 $343.40 05/18/17
55970 RI 01 00 $343.40 05/18/17
55970 RI 04 00 $343.40 05/18/17
55980 RI 01 00 $343.40 05/18/17
55980 RI 04 00 $343.40 05/18/17
58974 RI 01 00 $343.40 02/26/16
58974 RI 04 00 $343.40 02/26/16
65767 RI 01 00 $343.40 05/18/17
65767 RI 04 00 $343.40 05/18/17
65771 RI 01 00 $343.40 02/26/16
65771 RI 04 00 $343.40 02/26/16
69090 RI 01 00 $343.40 02/26/16
69090 RI 04 00 $343.40 02/26/16
69710 RI 01 00 $343.40 02/26/16
69710 RI 04 00 $343.40 02/26/16
69949 RI 01 00 $343.40 05/18/17
69949 RI 04 00 $343.40 05/18/17
69979 RI 01 00 $343.40 05/18/17
69979 RI 04 00 $343.40 05/18/17
76001 RI 01 00 $950.00 05/18/17
76001 RI 01 TC $915.97 05/18/17
76001 RI 04 00 $950.00 05/18/17
76001 RI 04 TC $915.97 05/18/17
78609 RI 01 00 $343.40 05/18/17
78609 RI 04 00 $343.40 05/18/17
79300 RI 01 00 $343.40 05/18/17
79300 RI 04 00 $343.40 05/18/17
86860 RI 01 00 $66.00 05/18/17
86860 RI 04 00 $66.00 05/18/17
86891 RI 01 00 $110.00 05/18/17
86891 RI 04 00 $110.00 05/18/17
86930 RI 01 00 $11.00 05/18/17
86930 RI 04 00 $11.00 05/18/17
86931 RI 01 00 $11.00 05/18/17
86931 RI 04 00 $11.00 05/18/17
86932 RI 01 00 $11.00 05/18/17
86932 RI 04 00 $11.00 05/18/17
86950 RI 01 00 $55.00 05/18/17
86950 RI 04 00 $55.00 05/18/17
86970 RI 01 00 $176.00 05/18/17
86970 RI 04 00 $176.00 05/18/17
86971 RI 01 00 $176.00 05/18/17
86971 RI 04 00 $176.00 05/18/17
86972 RI 01 00 $176.00 05/18/17
86972 RI 04 00 $176.00 05/18/17
86975 RI 01 00 $176.00 05/18/17
86975 RI 04 00 $176.00 05/18/17
86976 RI 01 00 $176.00 05/18/17
86976 RI 04 00 $176.00 05/18/17
86977 RI 01 00 $176.00 05/18/17
86977 RI 04 00 $176.00 05/18/17
86978 RI 01 00 $176.00 05/18/17
86978 RI 04 00 $176.00 05/18/17
90736 RI 01 00 $254.35 07/20/17
90736 RI 04 00 $254.35 07/20/17
90993 RI 01 00 $343.40 05/18/17
90993 RI 04 00 $343.40 05/18/17
92993 RI 01 00 $343.40 05/18/17
92993 RI 04 00 $343.40 05/18/17
99000 RI 01 00 $30.00 04/20/17
99000 RI 04 00 $30.00 04/20/17 $24.00 08/27/15
99001 RI 01 00 $71.78 05/18/17
99001 RI 04 00 $71.78 05/18/17
99071 RI 01 00 $10.00 04/20/17
99071 RI 04 00 $10.00 04/20/17
99075 RI 01 00 $2.30 02/26/16
99075 RI 04 00 $2.30 02/26/16
99455 RI 01 00 $343.40 02/26/16
99455 RI 04 00 $343.40 02/26/16
A0225 RI 01 00 $121.00 05/18/17
A0225 RI 04 00 $121.00 05/18/17
A1751 RI 01 00 $758.83 05/18/17
A1751 RI 04 00 $758.83 05/18/17
A4206 RI 01 00 $.29 05/18/17
A4206 RI 04 00 $.29 05/18/17
A4208 RI 01 00 $3.00 05/18/17
A4208 RI 04 00 $3.00 05/18/17
A4209 RI 01 00 $10.00 05/18/17
A4209 RI 04 00 $10.00 05/18/17
A4212 RI 01 00 $25.00 05/18/17
A4212 RI 04 00 $25.00 05/18/17
A4213 RI 01 00 $1.55 04/20/17
A4213 RI 04 00 $1.55 04/20/17
A4215 RI 01 00 $.43 05/18/17
A4215 RI 04 00 $.43 05/18/17
A4218 RI 01 00 $.58 05/18/17
A4218 RI 04 00 $.58 05/18/17
A4223 RI 01 00 $500.00 04/20/17
A4223 RI 04 00 $500.00 04/20/17
A4244 RI 01 00 $1.00 05/18/17
A4244 RI 04 00 $1.00 05/18/17
A4247 RI 01 00 $10.00 05/18/17
A4247 RI 04 00 $10.00 05/18/17
A4250 RI 01 00 $68.59 05/18/17
A4250 RI 04 00 $68.59 05/18/17
A4262 RI 01 00 $46.00 05/18/17
A4262 RI 04 00 $46.00 05/18/17
A4263 RI 01 00 $60.00 05/18/17
A4263 RI 04 00 $60.00 05/18/17
A4285 RI 01 00 $9.19 05/18/17
A4285 RI 04 00 $9.19 05/18/17
A4305 RI 01 00 $51.63 05/18/17
A4305 RI 04 00 $51.63 05/18/17
A4550 RI 01 00 $80.00 04/20/17 $65.00 08/29/15
A4550 RI 04 00 $80.00 04/20/17 $65.00 08/29/15
A4554 RI 01 00 $.33 02/26/16
A4554 RI 04 00 $.33 02/26/16
A4570 RI 01 00 $60.00 05/18/17
A4570 RI 04 00 $60.00 05/18/17
A4627 RI 01 00 $34.00 05/18/17
A4627 RI 04 00 $34.00 05/18/17
A4657 RI 01 00 $10.00 04/20/17
A4657 RI 04 00 $10.00 04/20/17 $10.00 08/31/15
A4770 RI 01 00 $160.00 05/18/17
A4770 RI 04 00 $160.00 05/18/17
A4927 RI 01 00 $9.79 05/18/17
A4927 RI 04 00 $9.79 05/18/17
A4930 RI 01 00 $1.28 05/18/17
A4930 RI 04 00 $1.28 05/18/17
A6208 RI 01 00 $67.11 05/18/17
A6208 RI 04 00 $67.11 05/18/17
A6213 RI 01 00 $9.80 05/18/17
A6213 RI 04 00 $9.80 05/18/17
A6250 RI 01 00 $6.45 05/18/17
A6250 RI 04 00 $6.45 05/18/17
A6451 RI 01 00 $1.99 05/18/17
A6451 RI 04 00 $1.99 05/18/17
A6530 RI 01 00 $50.00 05/18/17
A6530 RI 04 00 $50.00 05/18/17
A6533 RI 01 00 $76.00 05/18/17
A6533 RI 04 00 $76.00 05/18/17
A6539 RI 01 00 $184.00 05/18/17
A6539 RI 04 00 $184.00 05/18/17
A9282 RI 01 00 $2,000.00 05/18/17
A9282 RI 04 00 $2,000.00 05/18/17
A9500 RI 01 00 $548.82 04/20/17 $497.79 09/01/15
A9500 RI 04 00 $150.00 05/18/17
A9502 RI 01 00 $522.68 04/20/17 $497.79 09/01/15
A9502 RI 04 00 $125.00 05/18/17
A9503 RI 01 00 $113.06 04/20/17
A9503 RI 04 00 $97.02 05/18/17
A9505 RI 01 00 $31.74 05/18/17
A9505 RI 04 00 $31.74 05/18/17
A9507 RI 01 00 $3,244.35 05/18/17
A9507 RI 04 00 $3,244.35 05/18/17
A9509 RI 01 00 $105.35 05/18/17
A9509 RI 04 00 $105.35 05/18/17
A9512 RI 01 00 $1.19 05/18/17 $1.13 09/03/15
A9512 RI 04 00 $1.13 05/18/17
A9516 RI 01 00 $26.82 05/18/17 $68.45 09/03/15
A9516 RI 04 00 $26.82 05/18/17 $68.45 09/03/15
A9517 RI 01 00 $33.31 05/18/17
A9517 RI 04 00 $33.31 05/18/17
A9521 RI 01 00 $567.61 05/18/17
A9521 RI 04 00 $567.61 05/18/17
A9530 RI 01 00 $28.91 05/18/17
A9530 RI 04 00 $28.91 05/18/17
A9537 RI 01 00 $525.84 04/20/17 $500.80 09/03/15
A9537 RI 04 00 $59.54 05/18/17
A9538 RI 01 00 $24.70 05/18/17
A9538 RI 04 00 $24.70 05/18/17
A9539 RI 01 00 $16.25 05/18/17
A9539 RI 04 00 $16.25 05/18/17
A9540 RI 01 00 $243.00 05/18/17
A9540 RI 04 00 $243.00 05/18/17
A9541 RI 01 00 $695.60 05/18/17 $662.47 09/16/15
A9541 RI 04 00 $75.35 05/18/17
A9542 RI 01 00 $2,769.63 05/18/17
A9542 RI 04 00 $2,769.63 05/18/17
A9551 RI 01 00 $126.63 05/18/17
A9551 RI 04 00 $126.63 05/18/17
A9552 RI 01 00 $1,602.05 04/20/17 $1,525.76 09/16/15
A9552 RI 04 00 $1,255.00 05/18/17
A9556 RI 01 00 $32.04 05/18/17
A9556 RI 04 00 $32.04 05/18/17
A9558 RI 01 00 $38.96 05/18/17
A9558 RI 04 00 $38.96 05/18/17
A9560 RI 01 00 $114.00 05/18/17
A9560 RI 04 00 $114.00 05/18/17
A9561 RI 01 00 $34.56 05/18/17
A9561 RI 04 00 $34.56 05/18/17
A9562 RI 01 00 $507.05 05/18/17
A9562 RI 04 00 $445.51 05/18/17
A9600 RI 01 00 $1,014.13 05/18/17
A9600 RI 04 00 $1,014.13 05/18/17
B4160 RI 01 00 $4.37 05/18/17
B4160 RI 04 00 $4.37 05/18/17
B4161 RI 01 00 $14.69 05/18/17
B4161 RI 04 00 $14.69 05/18/17
B4172 RI 01 00 $195.00 05/18/17
B4172 RI 04 00 $195.00 05/18/17
B5200 RI 01 00 $4.94 05/18/17
B5200 RI 04 00 $4.94 05/18/17
C1713 RI 01 00 $1,197.00 05/18/17
C1713 RI 04 00 $1,197.00 05/18/17
C1726 RI 01 00 $2,067.19 05/18/17
C1726 RI 04 00 $2,067.19 05/18/17
C1729 RI 01 00 $370.14 05/18/17 $241.96 09/17/15
C1729 RI 04 00 $370.14 05/18/17 $241.96 09/17/15
C1730 RI 01 00 $517.82 05/18/17
C1730 RI 04 00 $517.82 05/18/17
C1751 RI 01 00 $758.83 05/18/17
C1751 RI 04 00 $758.83 05/18/17
C1758 RI 01 00 $454.61 05/18/17
C1758 RI 04 00 $454.61 05/18/17
C1760 RI 01 00 $1,004.82 05/18/17
C1760 RI 04 00 $1,004.82 05/18/17
C1766 RI 01 00 $385.00 05/18/17
C1766 RI 04 00 $385.00 05/18/17
C1769 RI 01 00 $374.38 05/18/17 $356.55 09/21/15
C1769 RI 04 00 $374.38 05/18/17 $356.55 09/21/15
C1771 RI 01 00 $3,397.00 05/18/17
C1771 RI 04 00 $3,397.00 05/18/17
C1776 RI 01 00 $2,600.00 05/18/17
C1776 RI 04 00 $2,600.00 05/18/17
C1781 RI 01 00 $2,195.00 05/18/17 $1,607.00 09/21/15
C1781 RI 04 00 $2,195.00 05/18/17 $1,607.00 09/21/15
C1788 RI 01 00 $1,320.00 05/18/17
C1788 RI 04 00 $1,320.00 05/18/17
C1874 RI 01 00 $18,370.36 05/18/17
C1874 RI 04 00 $18,370.36 05/18/17
C1887 RI 01 00 $275.63 05/18/17
C1887 RI 04 00 $275.63 05/18/17
C1892 RI 01 00 $570.00 05/18/17
C1892 RI 04 00 $570.00 05/18/17
C1893 RI 01 00 $363.45 05/18/17
C1893 RI 04 00 $363.45 05/18/17
C1894 RI 04 00 $363.45 05/18/17 $346.14 09/22/15
C2617 RI 01 00 $604.29 05/18/17
C2617 RI 04 00 $604.29 05/18/17
C2625 RI 01 00 $1,109.01 05/18/17
C2625 RI 04 00 $1,109.01 05/18/17
C2629 RI 01 00 $489.68 05/18/17
C2629 RI 04 00 $489.68 05/18/17
C8902 RI 01 00 $1,997.73 05/18/17
C8902 RI 04 00 $1,997.73 05/18/17
C8908 RI 01 00 $3,376.00 05/18/17
C8908 RI 04 00 $3,376.00 05/18/17
C8911 RI 01 00 $2,424.08 05/18/17
C8911 RI 04 00 $2,424.08 05/18/17
C8929 RI 01 00 $1,422.50 05/18/17
C8929 RI 04 00 $1,422.50 05/18/17
C9113 RI 01 00 $99.57 05/18/17
C9113 RI 04 00 $23.38 05/18/17
D0120 RI 01 00 $42.00 05/18/17
D0120 RI 04 00 $42.00 05/18/17
D0150 RI 01 00 $100.00 05/18/17
D0150 RI 04 00 $100.00 05/18/17
D1110 RI 01 00 $84.00 05/18/17
D1110 RI 04 00 $84.00 05/18/17
D1120 RI 01 00 $85.00 05/18/17
D1120 RI 04 00 $85.00 05/18/17
D1206 RI 01 00 $1,692.41 05/18/17
D1206 RI 04 00 $1,692.41 05/18/17
D1351 RI 01 00 $1,131.95 05/18/17
D1351 RI 04 00 $1,131.95 05/18/17
D2391 RI 01 00 $1,368.50 05/18/17
D2391 RI 04 00 $1,368.50 05/18/17
D2392 RI 01 00 $160.00 05/18/17
D2392 RI 04 00 $160.00 05/18/17
D7140 RI 01 00 $200.00 05/18/17
D7140 RI 04 00 $200.00 05/18/17
D7210 RI 01 00 $260.00 05/18/17
D7210 RI 04 00 $260.00 05/18/17
D7220 RI 01 00 $405.00 05/18/17
D7220 RI 04 00 $405.00 05/18/17
D7230 RI 01 00 $530.00 04/20/17
D7230 RI 04 00 $300.00 05/18/17
D7240 RI 01 00 $495.00 04/20/17 $475.00 09/23/15
D7240 RI 04 00 $350.00 05/18/17
D9220 RI 01 00 $450.00 05/18/17
D9220 RI 04 00 $300.00 05/18/17
D9221 RI 01 00 $200.00 05/18/17
D9221 RI 04 00 $150.00 05/18/17
D9223 RI 01 00 $250.00 04/20/17
D9223 RI 04 00 $250.00 04/20/17
E0246 RI 01 00 $90.00 02/26/16
E0246 RI 01 RR $7.50 02/26/16
E0246 RI 04 00 $90.00 02/26/16
E0246 RI 04 RR $7.50 02/26/16
E0352 RI 01 00 $45.53 05/18/17
E0352 RI 04 00 $45.53 05/18/17
E0430 RI 01 00 $300.00 05/18/17
E0430 RI 04 00 $300.00 05/18/17
E0440 RI 01 00 $3,000.00 05/18/17
E0440 RI 01 NU $3,000.00 05/18/17
E0440 RI 04 00 $3,000.00 05/18/17
E0440 RI 04 NU $3,000.00 05/18/17
E0445 RI 01 RR $1,282.31 05/18/17
E0445 RI 04 RR $1,282.31 05/18/17
E0486 RI 01 00 $2,650.00 05/18/17
E0486 RI 01 NU $2,650.00 05/18/17
E0486 RI 04 00 $2,650.00 05/18/17
E0486 RI 04 NU $2,650.00 05/18/17
E0604 RI 01 00 $198.24 05/18/17
E0604 RI 04 00 $198.24 05/18/17
E0619 RI 01 RR $329.00 05/18/17
E0619 RI 04 RR $329.00 05/18/17
E0970 RI 01 00 $126.00 05/18/17
E0970 RI 01 RR $10.50 05/18/17
E0970 RI 04 00 $126.00 05/18/17
E0970 RI 04 RR $10.50 05/18/17
E1085 RI 01 00 $880.20 05/18/17
E1085 RI 01 NU $880.20 05/18/17
E1085 RI 01 RR $73.35 05/18/17
E1085 RI 04 00 $880.20 05/18/17
E1085 RI 04 NU $880.20 05/18/17
E1085 RI 04 RR $73.35 05/18/17
E1086 RI 01 00 $1,485.00 05/18/17
E1086 RI 01 NU $1,485.00 05/18/17
E1086 RI 01 RR $123.75 05/18/17
E1086 RI 04 00 $1,485.00 05/18/17
E1086 RI 04 NU $1,485.00 05/18/17
E1086 RI 04 RR $123.75 05/18/17
E1089 RI 01 00 $1,800.00 05/18/17
E1089 RI 01 RR $150.00 05/18/17
E1089 RI 04 00 $1,800.00 05/18/17
E1089 RI 04 RR $150.00 05/18/17
E1090 RI 01 00 $1,225.00 05/18/17
E1090 RI 01 NU $1,225.00 05/18/17
E1090 RI 01 RR $102.08 05/18/17
E1090 RI 04 00 $1,225.00 05/18/17
E1090 RI 04 NU $1,225.00 05/18/17
E1090 RI 04 RR $102.08 05/18/17
E1130 RI 01 00 $499.00 05/18/17
E1130 RI 01 NU $499.00 05/18/17
E1130 RI 01 RR $41.58 05/18/17
E1130 RI 04 00 $499.00 05/18/17
E1130 RI 04 NU $499.00 05/18/17
E1130 RI 04 RR $41.58 05/18/17
E1140 RI 01 00 $912.00 05/18/17
E1140 RI 01 NU $912.00 05/18/17
E1140 RI 01 RR $192.19 05/18/17
E1140 RI 04 00 $912.00 05/18/17
E1140 RI 04 NU $912.00 05/18/17
E1140 RI 04 RR $192.19 05/18/17
E1250 RI 01 00 $725.00 05/18/17
E1250 RI 01 NU $725.00 05/18/17
E1250 RI 01 RR $60.42 05/18/17
E1250 RI 04 00 $725.00 05/18/17
E1250 RI 04 NU $725.00 05/18/17
E1250 RI 04 RR $60.42 05/18/17
E1260 RI 01 00 $943.00 05/18/17
E1260 RI 01 NU $943.00 05/18/17
E1260 RI 01 RR $78.58 05/18/17
E1260 RI 04 00 $943.00 05/18/17
E1260 RI 04 NU $943.00 05/18/17
E1260 RI 04 RR $78.58 05/18/17
E1285 RI 01 00 $2,000.00 05/18/17
E1285 RI 01 NU $2,000.00 05/18/17
E1285 RI 01 RR $166.67 05/18/17
E1285 RI 04 00 $2,000.00 05/18/17
E1285 RI 04 NU $2,000.00 05/18/17
E1285 RI 04 RR $166.67 05/18/17
E1290 RI 01 00 $2,000.00 05/18/17
E1290 RI 01 NU $2,000.00 05/18/17
E1290 RI 04 00 $2,000.00 05/18/17
E1290 RI 04 NU $2,000.00 05/18/17
E1353 RI 01 RR $140.31 05/18/17
E1353 RI 04 RR $140.31 05/18/17
G0129 RI 01 00 $264.00 04/20/17
G0129 RI 04 00 $264.00 05/18/17
G0176 RI 01 00 $298.00 04/20/17
G0176 RI 04 00 $298.00 04/20/17 $239.50 09/29/15
G0177 RI 01 00 $297.51 04/20/17 $256.49 09/29/15
G0177 RI 04 00 $270.00 04/20/17 $232.63 09/29/15
G0378 RI 01 00 $176.00 04/20/17
G0378 RI 04 00 $176.00 04/20/17
G0410 RI 01 00 $270.00 04/20/17 $256.49 09/30/15
G0410 RI 04 00 $270.00 04/20/17 $239.50 09/30/15
G0463 RI 01 00 $539.69 04/20/17 $326.32 09/30/15
G0463 RI 04 00 $523.89 04/20/17 $326.32 09/30/15
G8539 RI 01 00 $31.25 05/18/17
G8539 RI 04 00 $31.25 05/18/17
G8542 RI 01 00 $31.25 05/18/17
G8542 RI 04 00 $31.25 05/18/17
H0015 RI 01 00 $276.00 09/18/17 $262.00 02/24/16
H0015 RI 01 00 $262.00 02/24/16
H0015 RI 04 00 $276.00 09/18/17 $262.00 02/24/16
H0015 RI 04 00 $262.00 02/24/16
H0035 RI 01 00 $262.00 09/22/15 $248.00 01/03/14
H0035 RI 01 00 $276.00 09/18/17 $262.00 09/22/15
H0035 RI 04 00 $262.00 09/22/15 $248.00 01/03/14
H0035 RI 04 00 $276.00 09/18/17 $262.00 09/22/15
H0037 RI 01 00 $349.00 09/22/15 $331.00 01/03/14
H0037 RI 01 00 $368.00 09/18/17 $349.00 09/22/15
H0037 RI 04 00 $349.00 09/22/15 $331.00 01/03/14
H0037 RI 04 00 $368.00 09/18/17 $349.00 09/22/15
H2000 RI 01 00 $584.24 05/18/17
H2000 RI 04 00 $584.24 05/18/17
H2019 RI 01 00 $18.75 05/18/17
H2019 RI 04 00 $12.50 05/18/17
K0739 RI 01 00 $17.72 12/01/15 $17.34 12/19/13
K0739 RI 01 00 $18.19 01/24/18 $17.90 12/29/16
K0739 RI 04 00 $17.72 12/01/15 $17.34 12/19/13
K0739 RI 04 00 $18.19 01/24/18 $17.90 12/29/16
L3260 RI 01 00 $66.00 05/18/17 $40.00 09/30/15
L3260 RI 04 00 $66.00 05/18/17 $35.00 09/30/15
L4205 RI 01 00 $22.81 12/01/15 $22.32 12/19/13
L4205 RI 01 00 $23.41 01/24/18 $23.04 12/29/16
L4205 RI 04 00 $22.81 12/01/15 $22.32 12/19/13
L4205 RI 04 00 $23.41 01/24/18 $23.04 12/29/16
L7520 RI 01 00 $30.08 12/01/15 $29.43 12/19/13
L7520 RI 01 00 $30.87 01/24/18 $30.38 12/29/16
L7520 RI 04 00 $30.08 12/01/15 $29.43 12/19/13
L7520 RI 04 00 $30.87 01/24/18 $30.38 12/29/16
L8010 RI 01 00 $70.00 05/18/17
L8010 RI 04 00 $70.00 05/18/17
P9016 RI 01 00 $449.00 04/20/17
P9016 RI 04 00 $380.00 05/18/17
P9031 RI 01 00 $302.15 05/18/17
P9031 RI 04 00 $274.05 05/18/17
P9035 RI 01 00 $1,519.35 05/18/17
P9035 RI 04 00 $1,519.35 05/18/17
P9603 RI 01 00 $15.92 05/18/17
P9603 RI 04 00 $15.24 05/18/17
P9604 RI 01 00 $60.00 04/20/17
P9604 RI 04 00 $30.00 05/18/17
S0257 RI 01 00 $50.00 02/26/16
S0257 RI 04 00 $50.00 02/26/16
S0621 RI 01 00 $145.00 02/26/16 $140.00 09/12/14
S0621 RI 04 00 $140.00 02/26/16
S1040 RI 01 00 $3,300.00 05/18/17
S1040 RI 04 00 $3,300.00 05/18/17
S5000 RI 01 00 $12.19 02/26/16
S5000 RI 04 00 $8.62 02/26/16
S5001 RI 01 00 $44.88 02/26/16 $35.28 09/12/14
S5001 RI 04 00 $35.28 02/26/16
S5108 RI 01 00 $31.25 05/18/17
S5108 RI 04 00 $31.25 05/18/17
S5110 RI 01 00 $31.25 05/18/17
S5110 RI 04 00 $31.25 05/18/17
S5115 RI 01 00 $31.25 05/18/17
S5115 RI 04 00 $31.25 05/18/17
S9083 RI 01 00 $118.00 02/26/16
S9083 RI 04 00 $105.00 02/26/16
S9480 RI 01 00 $276.00 09/18/17 $262.00 02/24/16
S9480 RI 01 00 $262.00 02/24/16
S9480 RI 04 00 $276.00 09/18/17 $262.00 02/24/16
S9480 RI 04 00 $262.00 02/24/16
T1002 RI 01 00 $25.74 05/18/17
T1002 RI 04 00 $25.74 05/18/17
T1016 RI 01 00 $44.00 04/20/17
T1016 RI 04 00 $44.00 04/20/17
T1023 RI 01 00 $157.32 04/20/17
T1023 RI 04 00 $49.94 05/18/17
T1024 RI 01 00 $74.90 04/20/17
T1024 RI 04 00 $74.90 04/20/17
T1027 RI 01 00 $74.90 04/20/17
T1027 RI 04 00 $29.96 04/20/17
V2781 RI 01 00 $106.00 05/18/17
V2781 RI 04 00 $106.00 05/18/17
V5261 RI 01 00 $4,032.78 05/18/17
V5261 RI 04 00 $4,032.78 05/18/17
V5264 RI 01 00 $99.00 05/18/17
V5264 RI 04 00 $99.00 05/18/17
V5266 RI 01 00 $100.00 05/18/17
V5266 RI 04 00 $100.00 05/18/17
V5267 RI 01 00 $20.00 05/18/17
V5267 RI 04 00 $20.00 05/18/17
V5275 RI 01 00 $58.35 05/18/17
V5275 RI 04 00 $58.35 05/18/17