1                                               NEW CEILINGS/FLOORS FOR YEAR 2008                  09:03 FRIDAY, FEBRUARY 1, 2008 174

                           OBS    HCPCS    MOD    MOD2    CATG    CEILING     FLOOR    FEHPFLG    OXNATFLG

                             2    E0461    RR              FS      954.52    811.34       0          N
1                                                     NEW FEES AFTER REV PROCESS                   09:03 FRIDAY, FEBRUARY 1, 2008 175

      OBS HCPCS MOD MOD2 CATG CARR CEILING ORIGCEIL  FLOOR ORGFLOOR   BASE  JURIS ORIGJUR ORIGSTAT HCPSTAT PRICECY ORIGPRIC DIFF

        1 E0461 RR        FS   AK   954.52          811.34           601.43   D                       A     781.48            0
        2 E0461 RR        FS   AL   954.52          811.34           462.98   D                       A     811.34            0
        3 E0461 RR        FS   AR   954.52          811.34           717.09   D                       A     931.77            0
        4 E0461 RR        FS   AZ   954.52          811.34           814.53   D                       A     954.52            0
        5 E0461 RR        FS   CA   954.52          811.34           595.48   D                       A     811.34            0
        6 E0461 RR        FS   CO   954.52          811.34           442.87   D                       A     811.34            0
        7 E0461 RR        FS   CT   954.52          811.34           735.25   D                       A     954.52            0
        8 E0461 RR        FS   DC   954.52          811.34           661.45   D                       A     859.47            0
        9 E0461 RR        FS   DE   954.52          811.34          1017.00   D                       A     954.52            0
       10 E0461 RR        FS   FL   954.52          811.34           777.38   D                       A     954.52            0
       11 E0461 RR        FS   GA   954.52          811.34           734.58   D                       A     954.52            0
       12 E0461 RR        FS   HI   954.52          811.34           643.12   D                       A     835.66            0
       13 E0461 RR        FS   IA   954.52          811.34           697.53   D                       A     906.35            0
       14 E0461 RR        FS   ID   954.52          811.34           630.00   D                       A     818.61            0
       15 E0461 RR        FS   IL   954.52          811.34           791.48   D                       A     954.52            0
       16 E0461 RR        FS   IN   954.52          811.34           581.65   D                       A     811.34            0
       17 E0461 RR        FS   KS   954.52          811.34           707.27   D                       A     919.02            0
       18 E0461 RR        FS   KY   954.52          811.34           995.13   D                       A     954.52            0
       19 E0461 RR        FS   LA   954.52          811.34           644.22   D                       A     837.10            0
       20 E0461 RR        FS   MA   954.52          811.34           912.43   D                       A     954.52            0
       21 E0461 RR        FS   MD   954.52          811.34           622.80   D                       A     811.34            0
       22 E0461 RR        FS   ME   954.52          811.34           683.16   D                       A     887.68            0
       23 E0461 RR        FS   MI   954.52          811.34          1124.00   D                       A     954.52            0
       24 E0461 RR        FS   MN   954.52          811.34           783.48   D                       A     954.52            0
       25 E0461 RR        FS   MO   954.52          811.34           684.76   D                       A     889.78            0
       26 E0461 RR        FS   MS   954.52          811.34           508.72   D                       A     811.34            0
       27 E0461 RR        FS   MT   954.52          811.34           641.69   D                       A     833.79            0
       28 E0461 RR        FS   NC   954.52          811.34           798.09   D                       A     954.52            0
       29 E0461 RR        FS   ND   954.52          811.34           900.00   D                       A     954.52            0
       30 E0461 RR        FS   NE   954.52          811.34           709.93   D                       A     922.49            0
       31 E0461 RR        FS   NH   954.52          811.34           900.00   D                       A     954.52            0
       32 E0461 RR        FS   NJ   954.52          811.34           737.35   D                       A     954.52            0
       33 E0461 RR        FS   NM   954.52          811.34           708.14   D                       A     920.15            0
       34 E0461 RR        FS   NV   954.52          811.34           784.82   D                       A     954.52            0
       35 E0461 RR        FS   NY   954.52          811.34           889.31   D                       A     954.52            0
       36 E0461 RR        FS   OH   954.52          811.34           767.51   D                       A     954.52            0
       37 E0461 RR        FS   OK   954.52          811.34          1202.50   D                       A     954.52            0
       38 E0461 RR        FS   OR   954.52          811.34           719.92   D                       A     935.45            0
       39 E0461 RR        FS   PA   954.52          811.34           768.35   D                       A     954.52            0
       40 E0461 RR        FS   PR   954.52          811.34          1221.36   D                       A    1587.02            0
       41 E0461 RR        FS   RI   954.52          811.34           816.64   D                       A     954.52            0
       42 E0461 RR        FS   SC   954.52          811.34           538.93   D                       A     811.34            0
       43 E0461 RR        FS   SD   954.52          811.34           900.00   D                       A     954.52            0
       44 E0461 RR        FS   TN   954.52          811.34           788.22   D                       A     954.52            0
       45 E0461 RR        FS   TX   954.52          811.34           779.05   D                       A     954.52            0
       46 E0461 RR        FS   UT   954.52          811.34           674.61   D                       A     876.58            0
       47 E0461 RR        FS   VA   954.52          811.34           733.81   D                       A     953.50            0
       48 E0461 RR        FS   VI   954.52          811.34           889.31   D                       A     954.52            0
       49 E0461 RR        FS   VT   954.52          811.34           644.59   D                       A     837.57            0
       50 E0461 RR        FS   WA   954.52          811.34           618.36   D                       A     811.34            0
       51 E0461 RR        FS   WI   954.52          811.34           628.71   D                       A     816.93            0
       52 E0461 RR        FS   WV   954.52          811.34           824.86   D                       A     954.52            0
       53 E0461 RR        FS   WY   954.52          811.34           900.00   D                       A     954.52            0
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