State prevailing rates

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

Latest update: 09-14-2018
CPT code State Provider class Modifier Current pricing Effective date Past pricing Past effective date
74300 WV 01 00 $995.00 04/19/17 $911.00 08/21/15
74300 WV 01 00 $1,072.00 07/17/18 $995.00 04/19/17
74300 WV 04 TC $308.64 07/17/18
74300 WV 01 TC $308.64 07/17/18
74300 WV 04 00 $327.25 07/17/18
76001 WV 01 00 $675.25 05/09/17
76001 WV 04 TC $428.93 05/09/17
76001 WV 04 00 $461.39 05/09/17
76001 WV 01 TC $428.93 05/09/17
86921 WV 01 00 $76.00 05/09/17
86921 WV 04 00 $76.00 05/09/17
90736 WV 01 NU $235.51 10/19/16 $208.09 05/07/15
90736 WV 04 NU $235.51 10/19/16 $208.09 05/07/15
90736 WV 04 00 $254.35 07/20/17
90736 WV 04 00 $235.51 07/19/17
90736 WV 01 00 $235.51 07/19/17
90736 WV 01 00 $254.35 07/20/17
92978 WV 01 00 $3,226.00 05/09/17 $2,885.50 08/26/15
92978 WV 04 00 $500.00 05/09/17
93299 WV 04 00 $114.00 05/09/17
93299 WV 01 00 $114.00 05/09/17
99000 WV 01 00 $25.00 07/17/18 $25.00 04/19/17
99000 WV 04 00 $25.00 07/17/18 $24.00 04/19/17
99000 WV 04 00 $24.00 04/19/17
99000 WV 01 00 $25.00 04/19/17
99001 WV 04 00 $80.00 05/09/17
99001 WV 01 00 $80.00 05/09/17
99455 WV 01 00 $400.00 05/09/17
99455 WV 04 00 $281.00 05/09/17
A0431 WV 01 00 $2,114.12 04/09/18 $2,487.20 12/08/16
A0431 WV 04 00 $2,114.12 04/09/18 $2,487.20 12/08/16
A0431 WV 01 00 $2,926.13 12/10/15
A0431 WV 04 00 $2,926.13 12/10/15
A0436 WV 01 00 $21.40 04/09/18 $25.18 12/08/16
A0436 WV 04 00 $21.40 04/09/18 $25.18 12/08/16
A0436 WV 01 00 $29.62 12/10/15
A0436 WV 04 00 $29.62 12/10/15
A4206 WV 04 00 $0.40 07/17/18
A4206 WV 01 00 $0.40 07/17/18
A4207 WV 04 00 $0.40 07/17/18
A4207 WV 01 00 $0.40 07/17/18
A4208 WV 01 00 $0.40 07/17/18
A4208 WV 04 00 $0.40 07/17/18
A4209 WV 01 00 $15.00 07/17/18
A4209 WV 04 00 $15.00 07/17/18
A4210 WV 04 00 $12.95 07/17/18
A4210 WV 01 00 $12.95 07/17/18
A4211 WV 04 00 $11.50 07/17/18
A4211 WV 01 00 $11.50 07/17/18
A4212 WV 01 00 $15.00 07/17/18
A4212 WV 04 00 $10.50 07/17/18
A4213 WV 01 00 $5.00 07/17/18
A4213 WV 04 00 $5.00 07/17/18
A4215 WV 01 00 $13.00 07/17/18
A4215 WV 04 00 $13.00 07/17/18
A4218 WV 01 00 $0.58 07/17/18
A4218 WV 04 00 $0.58 07/17/18
A4223 WV 01 00 $350.00 04/19/17 $120.00 08/29/15
A4223 WV 01 00 $350.00 07/17/18 $350.00 02/27/17
A4223 WV 01 00 $350.00 07/17/18 $350.00 04/19/17
A4223 WV 04 00 $350.00 04/19/17 $120.00 08/29/15
A4223 WV 04 00 $350.00 07/17/18 $350.00 04/19/17
A4244 WV 04 00 $1.80 07/17/18
A4244 WV 01 00 $1.80 07/17/18
A4245 WV 04 00 $3.50 07/17/18
A4245 WV 01 00 $3.50 07/17/18
A4246 WV 04 00 $8.00 07/17/18
A4246 WV 01 00 $8.00 07/17/18
A4247 WV 04 00 $1.75 07/17/18
A4247 WV 01 00 $1.75 07/17/18
A4250 WV 01 00 $41.30 07/17/18
A4250 WV 04 00 $41.30 07/17/18
A4262 WV 04 00 $74.00 07/17/18
A4262 WV 01 00 $74.00 07/17/18
A4263 WV 04 00 $80.00 07/17/18
A4263 WV 01 00 $80.00 07/17/18
A4300 WV 04 00 $15.00 07/17/18
A4300 WV 01 00 $15.00 07/17/18
A4305 WV 04 00 $15.00 07/17/18
A4305 WV 01 00 $15.00 07/17/18
A4465 WV 04 00 $4.95 07/17/18
A4465 WV 01 00 $4.95 07/17/18
A4466 WV 04 00 $68.00 04/21/17
A4466 WV 01 00 $68.00 04/21/17
A4470 WV 01 00 $4.95 07/17/18
A4470 WV 04 00 $4.95 07/17/18
A4483 WV 01 00 $10.50 07/17/18
A4483 WV 04 00 $10.50 07/17/18
A4490 WV 01 00 $19.00 07/17/18
A4490 WV 04 00 $19.00 07/17/18
A4495 WV 04 00 $21.25 07/17/18
A4495 WV 01 00 $21.25 07/17/18
A4500 WV 04 00 $19.00 07/17/18
A4500 WV 01 00 $19.00 07/17/18
A4510 WV 01 00 $80.00 07/17/18
A4510 WV 04 00 $80.00 07/17/18
A4550 WV 01 00 $60.00 07/17/18 $60.00 02/27/17
A4550 WV 01 00 $60.00 07/17/18 $60.00 04/19/17
A4550 WV 04 00 $60.00 04/19/17 $50.00 08/29/15
A4550 WV 04 00 $60.00 07/17/18 $60.00 02/27/17
A4550 WV 04 00 $60.00 07/17/18 $60.00 04/19/17
A4550 WV 01 00 $60.00 04/19/17
A4570 WV 04 00 $25.00 07/17/18
A4570 WV 01 00 $25.00 07/17/18
A4580 WV 01 00 $43.50 07/17/18
A4580 WV 04 00 $43.50 07/17/18
A4590 WV 04 00 $79.00 07/17/18
A4590 WV 01 00 $79.00 07/17/18
A4606 WV 01 00 $147.58 07/17/18
A4606 WV 04 00 $147.58 07/17/18
A4627 WV 04 00 $65.00 07/17/18
A4627 WV 01 00 $65.00 07/17/18
A4648 WV 01 00 $337.50 07/17/18
A4648 WV 04 00 $337.50 07/17/18
A4657 WV 01 00 $84.30 04/19/17 $55.64 08/31/15
A4657 WV 01 00 $90.25 07/17/18 $61.21 02/27/17
A4657 WV 01 00 $90.25 07/17/18 $84.30 04/19/17
A4657 WV 04 00 $84.30 04/19/17 $55.64 08/31/15
A4657 WV 04 00 $90.25 07/17/18 $61.21 02/27/17
A4657 WV 04 00 $90.25 07/17/18 $84.30 04/19/17
A4660 WV 01 00 $79.95 07/17/18
A4660 WV 04 00 $79.95 07/17/18
A4663 WV 04 00 $34.00 07/17/18
A4663 WV 01 00 $34.00 07/17/18
A4680 WV 01 00 $21.55 07/17/18
A4680 WV 04 00 $21.55 07/17/18
A4690 WV 04 00 $461.25 07/17/18
A4690 WV 01 00 $461.25 07/17/18
A4750 WV 04 00 $6.00 07/17/18
A4750 WV 01 00 $6.00 07/17/18
A4755 WV 04 00 $10.25 07/17/18
A4755 WV 01 00 $10.25 07/17/18
A4760 WV 01 00 $7.00 07/17/18
A4760 WV 04 00 $7.00 07/17/18
A4765 WV 04 00 $2.00 07/17/18
A4765 WV 01 00 $2.00 07/17/18
A4770 WV 01 00 $160.00 07/17/18
A4770 WV 04 00 $160.00 07/17/18
A4771 WV 01 00 $10.60 07/17/18
A4771 WV 04 00 $10.60 07/17/18
A4772 WV 04 00 $90.20 07/17/18
A4772 WV 01 00 $90.20 07/17/18
A4773 WV 01 00 $85.00 07/17/18
A4773 WV 04 00 $85.00 07/17/18
A4860 WV 01 00 $3.00 07/17/18
A4860 WV 04 00 $3.00 07/17/18
A4918 WV 04 00 $7.10 07/17/18
A4918 WV 01 00 $7.10 07/17/18
A4927 WV 01 00 $9.00 07/17/18
A4927 WV 04 00 $9.00 07/17/18
A6208 WV 04 00 $67.11 07/17/18
A6208 WV 01 00 $67.11 07/17/18
A6213 WV 01 00 $9.80 07/17/18
A6213 WV 04 00 $9.80 07/17/18
A6217 WV 01 00 $2.00 07/17/18
A6217 WV 04 00 $2.00 07/17/18
A6250 WV 01 00 $16.00 07/17/18
A6250 WV 04 00 $16.00 07/17/18
A6451 WV 01 00 $1.99 07/17/18
A6451 WV 04 00 $1.99 07/17/18
A6530 WV 04 00 $62.80 07/17/18
A6530 WV 01 00 $62.80 07/17/18
A6533 WV 04 00 $70.00 07/17/18
A6533 WV 01 00 $70.00 07/17/18
A6534 WV 04 00 $52.50 07/17/18
A6534 WV 01 00 $52.50 07/17/18
A6539 WV 01 00 $140.00 07/17/18
A6539 WV 04 00 $140.00 07/17/18
A9270 WV 01 00 $11.45 03/15/16
A9270 WV 04 00 $11.45 03/15/16
A9282 WV 04 00 $2,000.00 07/17/18
A9282 WV 01 00 $2,000.00 07/17/18
A9500 WV 01 00 $511.21 07/17/18 $335.00 02/27/17
A9500 WV 01 00 $511.21 07/17/18 $511.21 04/19/17
A9500 WV 04 00 $355.25 04/19/17 $300.00 09/01/15
A9500 WV 04 00 $361.35 07/17/18 $311.00 02/27/17
A9500 WV 04 00 $361.35 07/17/18 $355.25 04/19/17
A9500 WV 01 00 $511.21 04/19/17
A9502 WV 01 00 $275.00 07/17/18 $275.00 02/27/17
A9502 WV 01 00 $275.00 07/17/18 $275.00 04/19/17
A9502 WV 04 00 $222.75 07/17/18 $222.75 04/19/17
A9502 WV 04 00 $222.75 04/19/17
A9502 WV 01 00 $275.00 04/19/17
A9503 WV 01 00 $130.00 07/17/18 $130.00 02/27/17
A9503 WV 01 00 $130.00 07/17/18 $130.00 04/19/17
A9503 WV 04 00 $69.80 07/17/18
A9503 WV 01 00 $130.00 04/19/17
A9505 WV 01 00 $115.00 07/17/18
A9505 WV 04 00 $100.00 07/17/18
A9507 WV 01 00 $3,244.35 07/17/18
A9507 WV 04 00 $3,244.35 07/17/18
A9510 WV 01 00 $125.00 07/17/18
A9510 WV 04 00 $117.00 07/17/18
A9512 WV 04 00 $1.89 07/17/18
A9512 WV 01 00 $10.00 07/17/18
A9516 WV 01 00 $228.85 04/19/17 $190.00 09/03/15
A9516 WV 01 00 $229.95 07/17/18 $228.85 02/27/17
A9516 WV 01 00 $229.95 07/17/18 $228.85 04/19/17
A9516 WV 04 00 $68.45 07/17/18
A9517 WV 01 00 $43.13 07/17/18
A9517 WV 04 00 $33.31 07/17/18
A9521 WV 04 00 $567.61 07/17/18
A9521 WV 01 00 $567.61 07/17/18
A9528 WV 04 00 $88.66 07/17/18
A9528 WV 01 00 $88.66 07/17/18
A9530 WV 04 00 $28.91 07/17/18
A9530 WV 01 00 $28.91 07/17/18
A9537 WV 01 00 $229.00 04/19/17 $184.50 09/03/15
A9537 WV 01 00 $229.00 07/17/18 $229.00 02/27/17
A9537 WV 01 00 $229.00 07/17/18 $229.00 04/19/17
A9537 WV 04 00 $229.00 04/19/17 $59.54 09/03/15
A9537 WV 04 00 $229.00 07/17/18 $229.00 02/27/17
A9537 WV 04 00 $229.00 07/17/18 $229.00 04/19/17
A9538 WV 04 00 $24.70 07/17/18
A9538 WV 01 00 $24.70 07/17/18
A9539 WV 04 00 $16.25 07/17/18
A9539 WV 01 00 $16.25 07/17/18
A9540 WV 04 00 $57.00 07/17/18
A9540 WV 01 00 $73.00 07/17/18
A9541 WV 01 00 $243.50 07/17/18 $189.00 02/27/17
A9541 WV 01 00 $243.50 07/17/18 $243.50 04/19/17
A9541 WV 04 00 $75.35 07/17/18
A9541 WV 01 00 $243.50 04/19/17
A9542 WV 04 00 $2,769.63 07/17/18
A9542 WV 01 00 $2,769.63 07/17/18
A9551 WV 01 00 $126.63 07/17/18
A9551 WV 04 00 $126.63 07/17/18
A9552 WV 01 00 $1,541.00 04/19/17 $1,383.00 09/16/15
A9552 WV 01 00 $1,789.00 07/17/18 $1,459.00 02/27/17
A9552 WV 01 00 $1,789.00 07/17/18 $1,541.00 04/19/17
A9552 WV 04 00 $313.00 07/17/18
A9556 WV 04 00 $32.04 07/17/18
A9556 WV 01 00 $32.04 07/17/18
A9558 WV 01 00 $38.96 07/17/18
A9558 WV 04 00 $38.96 07/17/18
A9560 WV 04 00 $114.00 07/17/18
A9560 WV 01 00 $114.00 07/17/18
A9561 WV 01 00 $327.00 07/17/18 $327.00 02/27/17
A9561 WV 04 00 $34.56 07/17/18
A9562 WV 01 00 $932.00 07/17/18
A9562 WV 04 00 $445.51 07/17/18
A9567 WV 04 00 $342.75 07/17/18
A9567 WV 01 00 $342.75 07/17/18
A9572 WV 01 00 $65.00 07/17/18
A9572 WV 04 00 $65.00 07/17/18
A9600 WV 01 00 $1,014.13 07/17/18
A9600 WV 04 00 $1,014.13 07/17/18
A9901 WV 04 00 $10.00 07/17/18
A9901 WV 01 00 $10.00 07/17/18
B4160 WV 01 00 $5.29 07/17/18
B4160 WV 04 00 $5.29 07/17/18
B4161 WV 04 00 $9.98 07/17/18
B4161 WV 01 00 $9.98 07/17/18
B5200 WV 04 00 $4.94 07/17/18
B5200 WV 01 00 $4.94 07/17/18
C1713 WV 01 00 $1,514.00 07/17/18
C1713 WV 04 00 $1,514.00 07/17/18
C1725 WV 04 00 $1,962.00 07/17/18
C1725 WV 01 00 $1,962.00 07/17/18
C1726 WV 04 00 $1,873.72 07/17/18
C1726 WV 01 00 $1,873.72 07/17/18
C1727 WV 04 00 $1,968.00 07/17/18
C1727 WV 01 00 $1,968.00 07/17/18
C1729 WV 01 00 $305.50 07/17/18
C1729 WV 04 00 $305.50 07/17/18
C1730 WV 04 00 $2,369.00 07/17/18
C1730 WV 01 00 $2,369.00 07/17/18
C1732 WV 01 00 $5,829.00 07/17/18
C1732 WV 04 00 $5,829.00 07/17/18
C1733 WV 01 00 $3,144.00 07/17/18
C1733 WV 04 00 $3,144.00 07/17/18
C1751 WV 04 00 $847.00 07/17/18
C1751 WV 01 00 $847.00 07/17/18
C1753 WV 01 00 $3,941.00 07/17/18
C1753 WV 04 00 $3,941.00 07/17/18
C1758 WV 01 00 $110.38 07/17/18
C1758 WV 04 00 $110.38 07/17/18
C1760 WV 04 00 $1,737.75 07/17/18
C1760 WV 01 00 $1,737.75 07/17/18
C1762 WV 04 00 $5,056.50 07/17/18
C1762 WV 01 00 $5,056.50 07/17/18
C1763 WV 01 00 $3,247.00 07/17/18
C1763 WV 04 00 $3,247.00 07/17/18
C1765 WV 01 00 $1,492.60 07/17/18
C1765 WV 04 00 $1,492.60 07/17/18
C1766 WV 01 00 $428.00 07/17/18
C1766 WV 04 00 $428.00 07/17/18
C1769 WV 04 00 $355.00 07/17/18
C1769 WV 01 00 $355.00 07/17/18
C1771 WV 04 00 $3,003.00 07/17/18
C1771 WV 01 00 $3,003.00 07/17/18
C1776 WV 01 00 $3,476.00 07/17/18
C1776 WV 04 00 $3,476.00 07/17/18
C1778 WV 04 00 $7,080.00 07/17/18
C1778 WV 01 00 $7,080.00 07/17/18
C1780 WV 04 00 $1,013.12 07/17/18
C1780 WV 01 00 $1,013.12 07/17/18
C1781 WV 04 00 $1,758.00 07/17/18
C1781 WV 01 00 $1,758.00 07/17/18
C1788 WV 01 00 $2,284.00 07/17/18
C1788 WV 04 00 $2,284.00 07/17/18
C1874 WV 01 00 $6,463.00 07/17/18
C1874 WV 04 00 $6,463.00 07/17/18
C1876 WV 01 00 $3,607.00 07/17/18
C1876 WV 04 00 $3,607.00 07/17/18
C1887 WV 01 00 $419.00 07/17/18
C1887 WV 04 00 $419.00 07/17/18
C1893 WV 01 00 $513.09 07/17/18
C1893 WV 04 00 $513.09 07/17/18
C1894 WV 01 00 $278.00 07/17/18
C1894 WV 04 00 $278.00 07/17/18
C2615 WV 04 00 $815.50 07/17/18
C2615 WV 01 00 $815.50 07/17/18
C2617 WV 01 00 $856.80 07/17/18
C2617 WV 04 00 $856.80 07/17/18
C2629 WV 04 00 $232.00 07/17/18
C2629 WV 01 00 $232.00 07/17/18
C8908 WV 04 00 $2,289.00 07/17/18
C8908 WV 01 00 $3,300.50 07/17/18
C8924 WV 01 00 $614.58 07/17/18
C8924 WV 04 00 $814.58 07/17/18
C8929 WV 04 00 $1,555.20 07/17/18
C8929 WV 01 00 $1,555.20 07/17/18
C8957 WV 04 00 $706.00 07/17/18
C8957 WV 01 00 $706.00 07/17/18
C9113 WV 01 00 $233.95 07/17/18
C9113 WV 04 00 $28.08 07/17/18
C9600 WV 01 00 $14,445.00 07/17/18 $11,249.00 04/19/17
C9600 WV 01 00 $11,249.00 04/19/17
C9600 WV 04 00 $11,249.00 07/17/18
D0120 WV 04 00 $27.00 07/17/18
D0120 WV 01 00 $46.00 07/17/18
D0140 WV 01 00 $75.00 07/17/18
D0140 WV 04 00 $75.00 07/17/18
D0150 WV 04 00 $40.00 07/17/18
D0150 WV 01 00 $65.00 07/17/18
D0220 WV 01 00 $24.00 07/17/18
D0220 WV 04 00 $15.00 07/17/18
D0230 WV 04 00 $23.00 07/17/18
D0230 WV 01 00 $23.00 07/17/18
D0272 WV 04 00 $31.00 07/17/18
D0272 WV 01 00 $31.00 07/17/18
D0274 WV 04 00 $60.00 07/17/18
D0274 WV 01 00 $60.00 07/17/18
D0330 WV 04 00 $90.00 07/17/18
D0330 WV 01 00 $90.00 07/17/18
D0470 WV 01 00 $99.00 07/17/18
D0470 WV 04 00 $99.00 07/17/18
D1110 WV 04 00 $50.00 07/17/18
D1110 WV 01 00 $73.00 07/17/18
D1120 WV 04 00 $40.00 07/17/18
D1120 WV 01 00 $40.00 07/17/18
D1206 WV 04 00 $33.00 07/17/18
D1206 WV 01 00 $33.00 07/17/18
D1208 WV 04 00 $29.00 07/17/18
D1208 WV 01 00 $29.00 07/17/18
D2391 WV 04 00 $135.00 07/17/18
D2391 WV 01 00 $135.00 07/17/18
D7140 WV 04 00 $90.00 07/17/18
D7140 WV 01 00 $151.00 07/17/18
D7210 WV 04 00 $161.00 07/17/18
D7210 WV 01 00 $200.00 07/17/18
D7220 WV 01 00 $245.00 07/17/18 $215.00 04/19/17
D7220 WV 04 00 $215.00 07/17/18
D7220 WV 01 00 $215.00 04/19/17
D7230 WV 01 00 $377.00 07/17/18 $303.00 02/27/17
D7230 WV 01 00 $377.00 07/17/18 $335.00 04/19/17
D7230 WV 01 00 $335.00 04/19/17
D7230 WV 04 00 $191.00 07/17/18
D7240 WV 01 00 $355.00 04/19/17 $335.00 09/23/15
D7240 WV 01 00 $366.00 07/17/18 $345.00 02/27/17
D7240 WV 01 00 $366.00 07/17/18 $355.00 04/19/17
D7240 WV 04 00 $366.00 07/17/18 $310.00 04/19/17
D7240 WV 04 00 $310.00 04/19/17
D7880 WV 04 00 $800.00 07/17/18
D7880 WV 01 00 $800.00 07/17/18
D9220 WV 04 00 $230.00 07/17/18
D9220 WV 01 00 $410.00 07/17/18
D9221 WV 04 00 $119.00 07/17/18
D9221 WV 01 00 $171.00 07/17/18
D9223 WV 01 00 $225.00 07/17/18 $225.00 04/19/17
D9223 WV 04 00 $225.00 07/17/18
D9241 WV 01 00 $250.00 07/17/18
D9241 WV 04 00 $250.00 07/17/18
D9242 WV 01 00 $90.00 07/17/18
D9242 WV 04 00 $90.00 07/17/18
E0118 WV 01 RR $50.00 07/17/18
E0118 WV 04 RR $50.00 07/17/18
E0245 WV 04 NU $150.00 07/17/18
E0245 WV 01 00 $150.00 07/17/18
E0245 WV 01 NU $150.00 07/17/18
E0245 WV 04 00 $150.00 07/17/18
E0352 WV 04 00 $45.53 07/17/18
E0352 WV 01 00 $45.53 07/17/18
E0430 WV 01 00 $290.00 07/17/18
E0430 WV 04 00 $290.00 07/17/18
E0440 WV 04 NU $4,500.00 07/17/18
E0440 WV 01 NU $4,500.00 07/17/18
E0440 WV 01 00 $4,500.00 07/17/18
E0440 WV 04 00 $4,500.00 07/17/18
E0445 WV 01 RR $1,282.31 07/17/18 $1,282.31 04/19/17
E0445 WV 04 RR $1,282.31 07/17/18 $1,282.31 04/19/17
E0445 WV 04 RR $1,282.31 04/19/17
E0445 WV 01 RR $1,282.31 04/19/17
E0455 WV 01 RR $278.25 07/17/18
E0455 WV 04 RR $278.25 07/17/18
E0455 WV 01 00 $2,750.00 07/17/18
E0455 WV 04 00 $2,750.00 07/17/18
E0486 WV 04 00 $2,800.00 07/17/18
E0486 WV 04 NU $2,800.00 07/17/18
E0486 WV 01 NU $2,800.00 07/17/18
E0486 WV 01 00 $2,800.00 07/17/18
E0619 WV 04 RR $776.16 07/17/18
E0619 WV 01 RR $776.16 07/17/18
E1085 WV 04 NU $712.25 07/17/18
E1085 WV 01 NU $712.25 07/17/18
E1085 WV 01 00 $712.25 07/17/18
E1085 WV 04 RR $72.00 07/17/18
E1085 WV 04 00 $712.25 07/17/18
E1085 WV 01 RR $72.00 07/17/18
E1090 WV 01 RR $87.08 07/17/18
E1090 WV 04 00 $1,045.00 07/17/18
E1090 WV 04 NU $1,045.00 07/17/18
E1090 WV 01 00 $1,045.00 07/17/18
E1090 WV 01 NU $1,045.00 07/17/18
E1090 WV 04 RR $87.08 07/17/18
E1130 WV 01 RR $48.00 07/17/18
E1130 WV 04 00 $460.00 07/17/18
E1130 WV 04 NU $460.00 07/17/18
E1130 WV 01 00 $460.00 07/17/18
E1130 WV 04 RR $48.00 07/17/18
E1130 WV 01 NU $460.00 07/17/18
E1140 WV 04 RR $174.72 07/17/18
E1140 WV 04 00 $670.00 07/17/18
E1140 WV 01 RR $174.72 07/17/18
E1140 WV 04 NU $670.00 07/17/18
E1140 WV 01 NU $670.00 07/17/18
E1140 WV 01 00 $670.00 07/17/18
E1250 WV 01 RR $232.94 07/17/18
E1250 WV 04 RR $232.94 07/17/18
E1250 WV 01 NU $795.00 07/17/18
E1250 WV 04 00 $795.00 07/17/18
E1250 WV 01 00 $795.00 07/17/18
E1250 WV 04 NU $795.00 07/17/18
E1260 WV 04 00 $1,250.00 07/17/18
E1260 WV 01 RR $92.10 07/17/18
E1260 WV 01 00 $1,250.00 07/17/18
E1260 WV 04 NU $1,250.00 07/17/18
E1260 WV 04 RR $92.10 07/17/18
E1260 WV 01 NU $1,250.00 07/17/18
E1353 WV 01 RR $140.31 07/17/18
E1353 WV 04 RR $140.31 07/17/18
E2609 WV 01 00 $2,032.00 07/17/18
E2609 WV 04 00 $2,032.00 07/17/18
E2617 WV 04 00 $2,032.00 07/17/18
E2617 WV 01 00 $2,032.00 07/17/18
G0162 WV 04 00 $300.00 07/17/18
G0162 WV 01 00 $300.00 07/17/18
G0177 WV 01 00 $181.63 07/17/18
G0177 WV 04 00 $181.63 07/17/18
G0378 WV 01 00 $70.00 07/17/18 $61.07 02/27/17
G0378 WV 01 00 $70.00 07/17/18 $61.07 04/19/17
G0378 WV 04 00 $70.00 07/17/18 $56.25 02/27/17
G0378 WV 04 00 $70.00 07/17/18 $56.25 04/19/17
G0378 WV 01 00 $61.07 04/19/17
G0378 WV 04 00 $56.25 04/19/17
G0379 WV 01 00 $205.45 04/19/17 $152.60 09/29/15
G0379 WV 01 00 $386.79 07/17/18 $164.05 02/27/17
G0379 WV 01 00 $386.79 07/17/18 $205.45 04/19/17
G0379 WV 04 00 $176.35 07/17/18 $164.05 02/27/17
G0380 WV 04 00 $106.00 07/17/18
G0380 WV 01 00 $106.00 07/17/18
G0381 WV 04 00 $140.00 07/17/18
G0381 WV 01 00 $150.00 07/17/18
G0382 WV 01 00 $199.12 07/17/18 $173.00 02/27/17
G0382 WV 01 00 $199.12 07/17/18 $173.00 04/19/17
G0382 WV 04 00 $161.00 07/17/18
G0382 WV 01 00 $173.00 04/19/17
G0383 WV 01 00 $274.42 04/19/17 $211.50 09/30/15
G0383 WV 01 00 $322.44 07/17/18 $234.15 02/27/17
G0383 WV 01 00 $322.44 07/17/18 $274.42 04/19/17
G0383 WV 04 00 $193.00 07/17/18
G0390 WV 04 00 $1,097.00 07/17/18
G0390 WV 01 00 $1,097.00 07/17/18
G0463 WV 01 00 $135.00 07/17/18 $135.00 02/27/17
G0463 WV 01 00 $135.00 07/17/18 $135.00 04/19/17
G0463 WV 04 00 $135.00 07/17/18 $135.00 02/27/17
G0463 WV 04 00 $135.00 07/17/18 $135.00 04/19/17
G0463 WV 04 00 $135.00 04/19/17
G0463 WV 01 00 $135.00 04/19/17
G0467 WV 01 00 $207.00 07/17/18 $155.21 03/07/17
G0467 WV 01 00 $207.00 07/17/18 $207.00 04/19/17
G0467 WV 04 00 $207.00 07/17/18 $155.21 03/07/17
G0467 WV 04 00 $207.00 07/17/18 $207.00 04/19/17
G0467 WV 04 00 $155.21 03/07/17
G0467 WV 01 00 $155.21 03/07/17
G8539 WV 04 00 $31.25 07/17/18
G8539 WV 01 00 $31.25 07/17/18
G8542 WV 04 00 $31.25 07/17/18
G8542 WV 01 00 $31.25 07/17/18
H0004 WV 01 00 $17.00 07/17/18
H0004 WV 04 00 $17.00 07/17/18
H0015 WV 01 00 $282.00 09/18/17 $268.00 02/24/16
H0015 WV 04 00 $282.00 09/18/17 $268.00 02/24/16
H0015 WV 01 00 $268.00 02/24/16
H0015 WV 04 00 $268.00 02/24/16
H0031 WV 04 00 $120.00 07/17/18
H0031 WV 01 00 $120.00 07/17/18
H0032 WV 04 00 $105.00 03/15/16
H0032 WV 01 00 $105.00 03/15/16
H0035 WV 01 00 $268.00 09/22/15 $254.00 01/03/14
H0035 WV 01 00 $282.00 09/18/17 $268.00 09/22/15
H0035 WV 04 00 $268.00 09/22/15 $254.00 01/03/14
H0035 WV 04 00 $282.00 09/18/17 $268.00 09/22/15
H0037 WV 01 00 $357.00 09/22/15 $339.00 01/03/14
H0037 WV 01 00 $377.00 09/18/17 $357.00 09/22/15
H0037 WV 04 00 $357.00 09/22/15 $339.00 01/03/14
H0037 WV 04 00 $377.00 09/18/17 $357.00 09/22/15
H1003 WV 04 00 $110.00 07/17/18
H1003 WV 01 00 $110.00 07/17/18
H2019 WV 04 00 $12.50 07/17/18
H2019 WV 01 00 $18.75 07/17/18
K0739 WV 01 00 $14.87 12/01/15 $14.55 12/19/13
K0739 WV 01 00 $15.26 01/24/18 $15.02 12/29/16
K0739 WV 04 00 $14.87 12/01/15 $14.55 12/19/13
K0739 WV 04 00 $15.26 01/24/18 $15.02 12/29/16
L3215 WV 04 00 $76.64 03/15/16
L3215 WV 01 00 $76.64 03/15/16
L3216 WV 04 00 $122.00 03/15/16
L3216 WV 01 00 $122.00 03/15/16
L3217 WV 04 00 $95.00 03/15/16
L3217 WV 01 00 $95.00 03/15/16
L3219 WV 04 00 $88.16 03/15/16
L3219 WV 01 00 $88.16 03/15/16
L3221 WV 01 00 $163.80 03/15/16
L3221 WV 04 00 $163.80 03/15/16
L3222 WV 01 00 $115.00 03/15/16
L3222 WV 04 00 $115.00 03/15/16
L3230 WV 04 00 $274.56 03/15/16
L3230 WV 01 00 $274.56 03/15/16
L3250 WV 04 00 $231.77 03/15/16
L3250 WV 01 00 $231.77 03/15/16
L3251 WV 04 00 $288.00 03/15/16
L3251 WV 01 00 $288.00 03/15/16
L3252 WV 04 00 $187.20 03/15/16
L3252 WV 01 00 $187.20 03/15/16
L3253 WV 04 00 $89.00 03/15/16
L3253 WV 01 00 $89.00 03/15/16
L3260 WV 04 00 $65.00 07/17/18
L3260 WV 01 00 $65.00 07/17/18
L3320 WV 04 00 $60.00 07/17/18
L3320 WV 01 00 $60.00 07/17/18
L3485 WV 01 00 $19.00 07/17/18
L3485 WV 04 00 $19.00 07/17/18
L4205 WV 01 00 $22.13 12/01/15 $21.66 12/19/13
L4205 WV 01 00 $22.71 01/24/18 $22.35 12/29/16
L4205 WV 04 00 $22.13 12/01/15 $21.66 12/19/13
L4205 WV 04 00 $22.71 01/24/18 $22.35 12/29/16
L7520 WV 01 00 $30.08 12/01/15 $29.43 12/19/13
L7520 WV 01 00 $30.87 01/24/18 $30.38 12/29/16
L7520 WV 04 00 $30.08 12/01/15 $29.43 12/19/13
L7520 WV 04 00 $30.87 01/24/18 $30.38 12/29/16
L8010 WV 04 00 $43.43 07/17/18
L8010 WV 01 00 $43.43 07/17/18
L8680 WV 04 00 $1,430.00 07/17/18
L8680 WV 01 00 $1,430.00 07/17/18
P9016 WV 04 00 $349.00 07/17/18
P9016 WV 01 00 $349.00 07/17/18
P9035 WV 01 00 $2,606.65 07/17/18
P9035 WV 04 00 $2,606.65 07/17/18
P9037 WV 04 00 $2,424.80 07/17/18
P9037 WV 01 00 $2,424.80 07/17/18
P9040 WV 04 00 $918.15 07/17/18
P9040 WV 01 00 $918.15 07/17/18
P9603 WV 01 00 $1.03 07/17/18 $1.01 02/27/17
P9603 WV 01 00 $1.03 07/17/18 $1.03 04/19/17
P9603 WV 01 00 $1.03 04/19/17
P9603 WV 04 00 $1.01 07/17/18
P9604 WV 01 00 $9.60 07/17/18
P9604 WV 04 00 $9.60 07/17/18
Q0081 WV 04 00 $397.20 07/17/18
Q0081 WV 01 00 $397.20 07/17/18
Q2004 WV 04 00 $26.00 05/09/17
Q2004 WV 01 00 $26.00 05/09/17
Q9951 WV 01 00 $2.33 05/09/17
Q9951 WV 04 00 $2.33 05/09/17
R0070 WV 04 00 $99.00 05/09/17
R0070 WV 01 00 $99.00 05/09/17
R0075 WV 04 00 $49.50 05/09/17
R0075 WV 01 00 $49.50 05/09/17
S5108 WV 01 00 $31.25 05/09/17
S5108 WV 04 00 $31.25 05/09/17
S5110 WV 04 00 $31.25 05/09/17
S5110 WV 01 00 $31.25 05/09/17
S5115 WV 04 00 $31.25 05/09/17
S5115 WV 01 00 $31.25 05/09/17
S9430 WV 01 00 $385.00 07/17/18 $385.00 04/19/17
S9430 WV 04 00 $300.00 07/17/18
S9430 WV 01 00 $385.00 04/19/17
S9480 WV 01 00 $282.00 09/18/17 $268.00 02/24/16
S9480 WV 04 00 $282.00 09/18/17 $268.00 02/24/16
S9480 WV 04 00 $268.00 02/24/16
S9480 WV 01 00 $268.00 02/24/16
T1015 WV 01 00 $110.78 05/09/17
T1015 WV 04 00 $80.00 05/09/17
V2781 WV 01 00 $97.50 05/09/17
V2781 WV 04 00 $97.50 05/09/17
V5050 WV 04 00 $800.00 05/09/17
V5050 WV 01 00 $800.00 05/09/17
V5261 WV 04 00 $4,200.00 05/09/17
V5261 WV 01 00 $4,200.00 05/09/17
V5264 WV 01 00 $79.00 07/17/18 $79.00 05/09/17
V5264 WV 04 00 $79.00 07/17/18 $79.00 05/09/17
V5264 WV 01 00 $79.00 05/09/17
V5264 WV 04 00 $79.00 05/09/17
V5266 WV 01 00 $2.25 05/09/17
V5266 WV 04 00 $2.25 05/09/17