1.  Sections 1 to 4 and anything in this instrument not elsewhere covered by this table

The day after this instrument is registered.

23 March 2022

2.  Schedule 1, Parts 1 to 6

1 July 2022.

1 July 2022

3.  Schedule 1, Part 7

Immediately after the commencement of the provisions covered by table item 2.

1 July 2022

61563

Whole body prostate‑specific membrane antigen PET study performed for the initial staging of intermediate to high‑risk prostate adenocarcinoma, for a previously untreated patient who is considered suitable for locoregional therapy with curative intent

Applicable once per lifetime (R)

1,300.00

61564

Whole body prostate‑specific membrane antigen PET study performed for the restaging of recurrent prostate adenocarcinoma, for a patient who:

(a) has undergone prior locoregional therapy; and

(b) is considered suitable for further locoregional therapy to determine appropriate therapeutic pathways and timing of treatment initiation

Applicable twice per lifetime (R)

1,300.00

73325

Determination of JAK2 V617F variant allele frequency in the diagnostic work‑up by, or on behalf of, a specialist or consultant physician, for a patient with clinical and laboratory evidence of a myeloproliferative neoplasm

90.00

Genetic analysis, for a patient who is eligible for this service under clause 2.7.3A, of embryonic tissue from a sample from one embryo, if:

(a) the analysis is:

(i) requested by a specialist or consultant physician; and

(ii) for the purpose of providing a pre‑implantation genetic test; and

(iii) performed on an embryo that was produced in a single assisted reproductive treatment cycle; and

(b) the service is not a service to which item 73386 or 73387 applies for the same assisted reproductive treatment cycle

Applicable not more than once per embryo

Genetic analysis, for a patient who is eligible for this service under clause 2.7.3A, of embryonic tissue from samples from 2 embryos, if:

(a) the analysis is:

(i) requested by a specialist or consultant physician; and

(ii) for the purpose of providing a pre‑implantation genetic test; and

(iii) performed on embryos that were produced in a single assisted reproductive treatment cycle; and

(b) the service is not a service to which item 73385 or 73387 applies for the same assisted reproductive treatment cycle

Applicable not more than once per assisted reproductive treatment cycle for the 2 embryos tested

Genetic analysis, for a patient who is eligible for this service under clause 2.7.3A, of embryonic tissue from samples from 3 or more embryos, if:

(a) the analysis is:

(i) requested by a specialist or consultant physician; and

(ii) for the purpose of providing a pre‑implantation genetic test; and

(iii) performed on embryos that were produced in a single assisted reproductive treatment cycle; and

(b) the service is not a service to which item 73385 or 73386 applies for the same assisted reproductive treatment cycle

Applicable not more than once per assisted reproductive treatment cycle for the 3 or more embryos tested

73392

Characterisation of pathogenic or likely pathogenic germline gene variants, requested by a specialist or consultant physician:

(a) in at least the following genes:

(i) MYBPC3;

(ii) MYH7;

(iii) TNNI3;

(iv) TNNT2;

(v) TPM1;

(vi) ACTC1;

(vii) MYL2;

(viii) MYL3;

(ix) PRKAG2;

(x) LAMP2;

(xi) GLA;

(xii) LMNA;

(xiii) SCN5A;

(xiv) TTN;

(xv) RBM20;

(xvi) PLN;

(xvii) DSP;

(xviii) DSC2;

(xix) DSG2;

(xx) JUP;

(xxi) PKP2;

(xxii) TMEM43; and

(b) for a patient for whom clinical history, family history or laboratory findings suggest there is a high probability of one or more of the following heritable cardiomyopathies in the patient:

(i) hypertrophic cardiomyopathy;

(ii) dilated cardiomyopathy;

(iii) arrhythmogenic cardiomyopathy

Applicable once per lifetime

1,200.00

73393

Characterisation of one or more pathogenic or likely pathogenic germline gene variants, requested by a specialist or consultant physician, if:

(a) a service described in item 73392 has not previously been performed for the patient; and

(b) the patient is a first‑degree biological relative (or a second‑degree biological relative if a first‑degree biological relative is unavailable) of a person who has a pathogenic or likely pathogenic germline gene variant that is confirmed by laboratory findings; and

(c) the service is performed for the purpose of assessing present or future risk of any of the following heritable cardiomyopathies in the patient:

(i) hypertrophic cardiomyopathy;

(ii) dilated cardiomyopathy;

(iii) arrhythmogenic cardiomyopathy

Applicable once per variant per lifetime

400.00

73394

Characterisation of one or more recessive pathogenic or likely pathogenic germline genes, requested by a specialist or consultant physician, for the purpose of determining the reproductive risk of heritable cardiomyopathy in a patient:

(a) who is a reproductive partner of a known carrier of a pathogenic or likely pathogenic germline gene that is confirmed by laboratory findings; and

(b) for whom carrier status of a pathogenic or likely pathogenic germline gene is unknown; and

(c) who has a clinical history, family history or laboratory findings suggesting there is a low probability of heritable cardiomyopathy

Applicable once per gene per lifetime

1,200.00

73395

Re‑analysis of whole exome or genome data that is obtained in performing a service to which item 73392 applies, for characterisation of previously unreported germline gene variants related to the clinical phenotype, if:

(a) the re‑analysis is requested by a consultant physician practising as a clinical geneticist or a cardiologist; and

(b) the patient is strongly suspected of having a heritable cardiomyopathy; and

(c) the re‑analysis is performed at least 18 months after a service to which item 73392 or this item applies is performed for the patient

Applicable twice per lifetime

500.00

73396

Characterisation of variants in the JAK2 exon 12 in the diagnostic work‑up of a patient with clinical and laboratory evidence of polycythaemia vera, requested by a specialist or consultant physician

90.00

73397

Characterisation of variants in both the CALR and MPL genes in the diagnostic work‑up of a patient with clinical and laboratory evidence of essential thrombocythaemia or primary myelofibrosis, requested by a specialist or consultant physician

200.00

73398

Characterisation of variants in at least 8 genes, which must include all of the following genes:

(a) JAK2 (including exons 12 and 14);

(b) CALR;

(c) MPL;

in the diagnostic work‑up of a patient with clinical and laboratory evidence of polycythaemia vera or essential thrombocythaemia, requested by a specialist or consultant physician

Applicable to one test per diagnostic episode

420.00

73399

Characterisation of variants in at least 20 genes, which must include all of the following genes:

(a) JAK2 (including exons 12 and 14);

(b) CALR;

(c) MPL;

in the diagnostic work‑up of a patient, with clinical and laboratory evidence of primary myelofibrosis, who is eligible for a stem cell transplant, requested by a specialist or consultant physician

Applicable to one test per diagnostic episode

700.00

73401

Characterisation, by whole exome or genome sequencing and analysis, of germline gene variants in one or more of the genes implicated in heritable cystic kidney disease, if:

(a) the service is requested by a consultant physician practising as:

(i) a clinical geneticist; or

(ii) a specialist nephrologist; and

(b) the patient has a renal abnormality and is strongly suspected of having a monogenic condition

Applicable once per lifetime

2,100.00

73402

Characterisation, by whole exome or genome sequencing and analysis, of germline gene variants in one or more of the genes implicated in heritable kidney disease, if:

(a) the service is requested by a consultant physician practising as:

(i) a clinical geneticist; or

(ii) a specialist nephrologist; and

(b) the patient has chronic kidney disease (other than cystic disease or Alport syndrome) and is strongly suspected of having a monogenic condition

Applicable once per lifetime

2,100.00

73403

Re‑analysis of genetic data obtained in performing a service to which item 73401 or 73402 applies, for characterisation of previously unreported germline gene variants related to the clinical phenotype, if:

(a) the re‑analysis is requested by a consultant physician practising as a clinical geneticist or a specialist paediatrician; and

(b) the patient has a strong clinical suspicion of a monogenic condition; and

(c) a service to which item 73401, 73402 or this item applies has not been performed for the patient in the previous 18 months

Applicable twice per lifetime

500.00

73404

Detection of a single gene variant in a patient, if:

(a) the service is requested by:

(i) a clinical geneticist; or

(ii) a specialist or consultant physician providing professional genetic counselling services; and

(b) the patient has a first‑degree relative with a known monogenic cause of kidney disease; and

(c) a service described in item 73401, 73402, or 73403 has identified the causative variant for the disease for the relative

Applicable once per variant per lifetime

400.00

73405

Detection of one or more variants of a single gene known to cause heritable kidney disease, for the purpose of reproductive decision making, if:

(a) the detection is requested by a consultant physician practising as:

(i) a clinical geneticist; or

(ii) a specialist nephrologist; and

(b) the patient is the reproductive partner of an individual known to be a carrier of a pathogenic variant that causes heritable kidney disease that has a recessive mode of inheritance; and

(c) a service described in item 73401, 73402, 73403 or 73404 has identified the causative gene for the patient’s partner; and

(d) the detection test methodology has sufficient diagnostic range and sensitivity to detect at least 95% of pathogenic variants likely to be present in the patient

1,200.00

73406

Testing of a pregnant patient, for the purpose of determining whether monogenic variants are present in the fetus, if:

(a) the service is requested by a consultant physician practising as:

(i) a clinical geneticist; or

(ii) a specialist nephrologist; and

(b) the patient or the patient’s reproductive partner (or both) are known to be affected by, or are carriers of, a known pathogenic variant that causes heritable kidney disease; and

(c) the fetus is at risk, of at least 25%, of inheriting a monogenic variant known to cause kidney disease

400.00

73410

Deletion testing of HBA1 and HBA2 for:

(a) the diagnosis of alpha thalassaemia in a patient of reproductive age:

(i) who has abnormal red cell indices; and

(ii) for whom thalassaemia screening for beta‑thalassaemia was not conclusive; and

(iii) who does not have a concurrent iron deficiency (or who, irrespective of iron status, is pregnant); and

(iv) who has no historic normal cell indices; or

(b) the determination of carrier status in a person:

(i) who is a reproductive partner of a person of child‑bearing potential with diagnosed alpha thalassaemia; and

(ii) who has abnormal red cell indices; and

(iii) who does not have a concurrent iron deficiency

100.00

73411

Sequencing of HBA1 or HBA2, if the results of deletion testing described in item 73410 were inconclusive and a less common or rare variant is suspected, either:

(a) for the diagnosis of alpha thalassaemia in a patient of reproductive age; or

(b) for the determination of carrier status in a reproductive partner of a person of child‑bearing potential with diagnosed alpha thalassaemia

Applicable once per gene per lifetime

400.00

73412

Deletion testing of HBA1 and HBA2, if the results of deletion testing described in item 73410 were inconclusive and a large deletion variant is suspected, either:

(a) for the diagnosis of alpha thalassaemia in a patient of reproductive age; or

(b) for the determination of carrier status in a reproductive partner of a person of child‑bearing potential with diagnosed alpha thalassaemia

250.00

73413

Non‑deletion testing of HBA1 and HBA2 using techniques other than sequencing, if the results of deletion testing described in item 73410 were inconclusive, either:

(a) for the diagnosis of alpha thalassaemia in a patient of reproductive age; or

(b) for the determination of carrier status in a reproductive partner of a person of child‑bearing potential with diagnosed alpha thalassaemia

250.00

73416

Detection of germline gene variants, including copy number variation, requested by a specialist or consultant physician:

(a) in at least the following genes:

(i) KCNQ1;

(ii) KCNH2;

(iii) SCN5A;

(iv) KCNE1;

(v) KCNE2;

(vi) KCNJ2;

(vii) CACNA1C;

(viii) RYR2;

(ix) CASQ2;

(x) CAV3;

(xi) SCN4B;

(xii) AKAP9;

(xiii) SNTA1;

(xiv) KCNJ5;

(xv) ALG10;

(xvi) CALM1;

(xvii) CALM2;

(xviii) ANK2;

(xix) TECRL;

(xx) TRDN; and

(b) for a patient for whom clinical or family history criteria is suggestive of inherited cardiac arrhythmias or channelopathies that place the patient at greater than 10% risk of having a pathogenic variant

Applicable once per lifetime

1,200.00

73417

Characterisation of one or more pathogenic or likely pathogenic germline gene variants, requested by a specialist or consultant physician, if:

(a) the patient is a first‑degree or second‑degree biological relative of a person with a pathogenic or likely pathogenic germline gene variant that is confirmed by laboratory findings; and

(b) the service is performed for the purpose of assessing present or future risk of a cardiac arrhythmia or channelopathy; and

(c) a service to which item 73416 applies has not previously been performed for the patient

Applicable once per variant per lifetime

400.00

73418

Characterisation of one or more recessive pathogenic or likely pathogenic germline genes, requested by a specialist or consultant physician, for the purpose of determining the reproductive risk of cardiac arrhythmia or channelopathy in a patient:

(a) who is a reproductive partner of a person who is a known carrier of a pathogenic or likely pathogenic germline gene variant of a gene confirmed by laboratory findings; and

(b) for whom a service to which item 73416 applies has not previously been performed; and

(c) for whom carrier status of a pathogenic or likely pathogenic germline gene variant is unknown; and

(d) who has a clinical history, family history or laboratory findings suggesting there is a low probability of cardiac arrhythmia or channelopathy

Applicable once per variant per lifetime

400.00

73419

Re‑analysis of whole exome or genome data that was obtained in performing a service to which item 73416 applies, for characterisation of previously unreported germline gene variants related to the clinical phenotype, if:

(a) the re‑analysis is requested by a consultant physician practising as a clinical geneticist or a cardiologist; and

(b) the patient is strongly suspected of having inheritable cardiac arrhythmia or channelopathies; and

(c) the service is performed at least 18 months after a service to which item 73416 or this item applies was performed for the patient

Applicable twice per lifetime

500.00

73420

Non‑invasive prenatal testing of blood from an RhD negative pregnant patient for the detection of the RHD gene from fetal DNA circulating in maternal blood

56.00

73421

Non‑invasive prenatal testing of blood from an RhD negative pregnant patient (in a singleton pregnancy) for the detection of the RHD gene from fetal DNA circulating in maternal blood, if the patient is alloimmunised with immune Anti‑D

550.00

A test, including partial genotyping, for oncogenic human papillomavirus that may be associated with cervical pre‑cancer or cancer, if performed:

(a) on a self‑collected vaginal specimen; and

(b) for an asymptomatic patient who is at least 24 years and 9 months of age

For any particular patient, applicable once in 57 months

Left hemicolectomy, including the descending and sigmoid colon (including formation of stoma), if associated with a service to which item 32024, 32025, 32026 or 32028 applies (H) (Anaes.) (Assist.)

32026

Rectum, ultra‑low restorative resection, with or without covering stoma and with or without colonic reservoir, if the anastomosis is sited in the anorectal region and is 6 cm or less from the anal verge, not being a service associated with a service to which item 32000, 32030, 32106, 32117 or 32232 applies (H) (Anaes.) (Assist.)

2,160.65

32028

Rectum, low or ultra-low restorative resection, with per anal sutured coloanal anastomosis, with or without covering stoma and with or without colonic reservoir, not being a service associated with a service to which item 32000, 32030, 32106, 32117 or 32232 applies (H) (Anaes.) (Assist.)

2,295.15

Restorative proctectomy, involving rectal resection with formation of ileal reservoir and ileoanal anastomosis, including ileostomy mobilisation, with or without mucosectomy or temporary loop ileostomy, 1 surgeon (H) (Anaes.) (Assist.)

Anterolateral intraperitoneal rectal tumour, per anal excision of, using rectoscopy digital viewing system and pneumorectum, if:

(a) clinically appropriate; and

(b) removal requires dissection within the peritoneal cavity;

excluding use of a colonoscope as the operating platform and not being a service associated with a service to which item 32024, 32025 or 32232 applies (Anaes.) (Assist.)

32117

Rectal prolapse, abdominal rectopexy of, excluding ventral mesh rectopexy, not being a service associated with a service to which item 32025 or 32026 applies (H) (Anaes.) (Assist.)

1,328.00

Treatment of haemorrhoids or rectal prolapse, including rubber band ligation or sclerotherapy for, not being a service to which item 32139 applies (Anaes.)

Operative treatment of haemorrhoids involving third‑degree or fourth‑degree haemorrhoids, including excision of anal skin tags when performed, not being a service associated with a service to which item 32135 or 32233 applies (H) (Anaes.) (Assist.)

Operation for anal fissure, including excision, injection of Botulinum toxin or sphincterotomy, excluding dilatation (Anaes.) (Assist.)

Operative treatment of anal fistula, repair by mucosal advancement flap, including ligation of inter‑sphincteric fistula tract (LIFT) or other complex sphincter sparing surgery (Anaes.) (Assist.)

Sacral nerve lead or leads, placement of, percutaneous or open, including intraoperative test stimulation and programming, for the management of faecal incontinence (H) (Anaes.)

Sacral nerve electrode or electrodes, management, adjustment and electronic programming of the neurostimulator by a medical practitioner, to manage faecal incontinence, not being a service associated with a service to which item 32213, 32216, 32218 or 32237 applies

Applicable once per day for the same patient by the same practitioner

Sacral nerve lead or leads, inserted for the management of faecal incontinence in a patient with faecal incontinence refractory to conservative non‑surgical treatment, either:

(a) percutaneous surgical repositioning of the lead or leads, using fluoroscopic guidance; or

(b) open surgical repositioning of the lead or leads;

to correct displacement or unsatisfactory positioning (including intraoperative test stimulation), not being a service associated with a service to which item 32213 applies (H) (Anaes.)

Sacral nerve lead or leads, removal (H) (Anaes.)

32231

Rectal tumour, per anal excision of (H) (Anaes.) (Assist.)

352.30

32232

Rectal tumour, per anal excision of, using a rectoscopy digital viewing system and pneumorectum if clinically appropriate and excluding use of a colonoscope as the operating platform, not being a service associated with a service to which item 32024, 32025 or 32106 applies (H) (Anaes.) (Assist.)

955.15

32233

Perineal repair of rectal prolapse, not being a service associated with a service to which item 32139 applies (H) (Anaes.) (Assist.)

678.40

32234

Rectal stricture, treatment of (H) (Anaes.)

134.15

32235

Anal skin tags or anal polyps, excision of one or more of (Anaes.)

129.50

32236

Anal warts, removal of, under general anaesthesia, or under regional or field nerve block (excluding pudendal block), not being a service associated with a service to which item 35507 or 35508 applies (H) (Anaes.)

184.20

32237

Neurostimulator or receiver, subcutaneous placement of, replacement of, or removal of, including programming and placement and connection of an extension wire or wires to sacral nerve electrode(s), for the management of faecal incontinence (H) (Anaes.) (Assist.)

298.75

1

Table item 1

27.40

27.85

2

Table item 1

2.15

2.20

3

Table item 2

27.40

27.85

4

Table item 2

2.15

2.20

5

Table item 3

27.40

27.85

6

Table item 3

2.15

2.20

7

Table item 4

27.40

27.85

8

Table item 4

2.15

2.20

9

Table item 10

26.90

27.35

10

Table item 10

2.10

2.15

11

Table item 11

26.90

27.35

12

Table item 11

2.10

2.15

13

Table item 12

26.90

27.35

14

Table item 12

2.10

2.15

15

Table item 13

26.90

27.35

16

Table item 13

2.10

2.15

17

Table item 14

27.00

27.45

18

Table item 14

2.10

2.15

19

Table item 15

27.00

27.45

20

Table item 15

2.10

2.15

21

Table item 16

27.00

27.45

22

Table item 16

2.10

2.15

23

Table item 17

27.00

27.45

24

Table item 17

2.10

2.15

25

Table item 18

27.00

27.45

26

Table item 18

2.10

2.15

27

Table item 19

27.00

27.45

28

Table item 19

2.10

2.15

29

Table item 20

27.00

27.45

30

Table item 20

2.10

2.15

31

Table item 21

27.00

27.45

32

Table item 21

2.10

2.15

33

Table item 22

27.00

27.45

34

Table item 22

2.10

2.15

35

Table item 23

27.00

27.45

36

Table item 23

2.10

2.15

37

Table item 24

48.60

49.40

38

Table item 24

3.45

3.50

39

Table item 25

27.00

27.45

40

Table item 25

2.10

2.15

41

Table item 26

48.60

49.40

42

Table item 26

3.45

3.50

43

Table item 27

27.00

27.45

44

Table item 27

2.10

2.15

45

Table item 28

48.60

49.40

46

Table item 28

3.45

3.50

47

Table item 29

27.00

27.45

48

Table item 29

2.10

2.15

49

Table item 30

48.60

49.40

50

Table item 30

3.45

3.50

51

Table item 39

27.00

27.45

52

Table item 39

2.10

2.15

53

Table item 40

27.00

27.45

54

Table item 40

2.10

2.15

55

Table item 41

21.60

21.95

56

Table item 41

1.70

1.75

57

Table item 42

21.60

21.95

58

Table item 42

1.70

1.75

1

Table item 1

27.00

27.45

2

Table item 1

2.10

2.15

3

Table item 2

27.00

27.45

4

Table item 2

2.10

2.15

1

Table item 1

17.75

18.05

2

Table item 2

19.30

19.60

3

Table item 3

19.55

19.85

4

Table item 4

23.60

24.00

5

Table item 5

49.20

50.00

6

Table item 6

33.20

33.75

7

Table item 7

39.50

40.15

8

Table item 8

39.50

40.15

9

Table item 9

39.50

40.15

10

Table item 10

39.50

40.15

11

Table item 11

39.50

40.15

12

Table item 12

39.50

40.15

13

Table item 13

39.50

40.15

14

Table item 14

39.50

40.15

15

Table item 15

39.50

40.15

16

Table item 16

39.50

40.15

1

Item 90254

59.70

60.65

2

Item 90255

87.90

89.30

3

Item 90256

75.80

77.00

4

Item 90257

111.65

113.45

5

Item 90265

59.70

60.65

6

Item 90275

77.20

78.45

7

Item 90277

110.50

112.25

8

Item 90281

77.20

78.45

9

Item 90282

110.50

112.25

1

Item 20100

103.00

104.75

2

Item 20102

123.60

125.70

3

Item 20104

82.40

83.80

4

Item 20120

103.00

104.75

5

Item 20124

82.40

83.80

6

Item 20140

103.00

104.75

7

Item 20142

103.00

104.75

8

Item 20143

123.60

125.70

9

Item 20144

144.20

146.65

10

Item 20145

144.20

146.65

11

Item 20146

103.00

104.75

12

Item 20147

123.60

125.70

13

Item 20148

82.40

83.80

14

Item 20160

123.60

125.70

15

Item 20162

144.20

146.65

16

Item 20164

82.40

83.80

17

Item 20170

123.60

125.70

18

Item 20172

144.20

146.65

19

Item 20174

185.40

188.55

20

Item 20176

206.00

209.50

21

Item 20190

103.00

104.75

22

Item 20192

206.00

209.50

23

Item 20210

309.00

314.25

24

Item 20212

103.00

104.75

25

Item 20214

185.40

188.55

26

Item 20216

412.00

419.00

27

Item 20220

206.00

209.50

28

Item 20222

123.60

125.70

29

Item 20225

247.20

251.40

30

Item 20300

103.00

251.40

31

Item 20305

309.00

314.25

32

Item 20320

123.60

125.70

33

Item 20321

206.00

209.50

34

Item 20330

164.80

167.60

35

Item 20350

206.00

209.50

36

Item 20352

103.00

104.75

37

Item 20355

247.20

251.40

38

Item 20400

61.80

62.85

39

Item 20401

82.40

83.80

40

Item 20402

103.00

104.75

41

Item 20403

103.00

104.75

42

Item 20404

123.60

125.70

43

Item 20405

164.80

167.60

44

Item 20406

267.80

272.35

45

Item 20410

82.40

83.80

46

Item 20420

103.00

104.75

47

Item 20440

82.40

83.80

48

Item 20450

103.00

104.75

49

Item 20452

123.60

125.70

50

Item 20470

123.60

125.70

51

Item 20472

206.00

209.50

52

Item 20474

267.80

272.35

53

Item 20475

206.00

209.50

54

Item 20500

309.00

314.25

55

Item 20520

123.60

125.70

56

Item 20522

82.40

83.80

57

Item 20524

82.40

83.80

58

Item 20526

206.00

209.50

59

Item 20528

164.80

167.60

60

Item 20540

267.80

272.35

61

Item 20542

309.00

314.25

62

Item 20546

309.00

314.25

63

Item 20548

309.00

314.25

64

Item 20560

412.00

419.00

65

Item 20600

206.00

209.50

66

Item 20604

267.80

272.35

67

Item 20620

206.00

209.50

68

Item 20622

267.80

272.35

69

Item 20630

164.80

167.60

70

Item 20632

144.20

146.65

71

Item 20634

206.00

209.50

72

Item 20670

267.80

272.35

73

Item 20680

61.80

62.85

74

Item 20690

103.00

104.75

75

Item 20700

61.80

62.85

76

Item 20702

82.40

83.80

77

Item 20703

82.40

83.80

78

Item 20704

206.00

209.50

79

Item 20706

144.20

146.65

80

Item 20730

103.00

104.75

81

Item 20740

103.00

104.75

82

Item 20745

144.20

146.65

83

Item 20750

103.00

104.75

84

Item 20752

123.60

125.70

85

Item 20754

144.20

146.65

86

Item 20756

185.40

188.55

87

Item 20770

309.00

314.25

88

Item 20790

164.80

167.60

89

Item 20791

206.00

209.50

90

Item 20792

267.80

272.35

91

Item 20793

309.00

314.25

92

Item 20794

247.20

251.40

93

Item 20798

206.00

209.50

94

Item 20799

123.60

125.70

95

Item 20800

61.80

62.85

96

Item 20802

103.00

104.75

97

Item 20803

82.40

83.80

98

Item 20804

206.00

209.50

99

Item 20806

144.20

146.65

100

Item 20810

82.40

83.80

101

Item 20815

123.60

125.70

102

Item 20820

103.00

104.75

103

Item 20830

82.40

83.80

104

Item 20832

123.60

125.70

105

Item 20840

123.60

125.70

106

Item 20841

164.80

167.60

107

Item 20842

82.40

83.80

108

Item 20844

206.00

209.50

109

Item 20845

206.00

209.50

110

Item 20846

206.00

209.50

111

Item 20847

206.00

209.50

112

Item 20848

206.00

209.50

113

Item 20850

247.20

251.40

114

Item 20855

309.00

314.25

115

Item 20860

123.60

125.70

116

Item 20862

144.20

146.65

117

Item 20863

206.00

209.50

118

Item 20864

206.00

209.50

119

Item 20866

206.00

209.50

120

Item 20867

206.00

209.50

121

Item 20868

206.00

209.50

122

Item 20880

309.00

314.25

123

Item 20882

206.00

209.50

124

Item 20884

103.00

104.75

125

Item 20886

123.60

125.70

126

Item 20900

61.80

62.85

127

Item 20902

82.40

83.80

128

Item 20904

144.20

146.65

129

Item 20905

206.00

209.50

130

Item 20906

82.40

83.80

131

Item 20910

82.40

83.80

132

Item 20911

103.00

104.75

133

Item 20912

103.00

104.75

134

Item 20914

144.20

146.65

135

Item 20916

144.20

146.65

136

Item 20920

82.40

83.80

137

Item 20924

82.40

83.80

138

Item 20926

82.40

83.80

139

Item 20928

123.60

125.70

140

Item 20930

82.40

83.80

141

Item 20932

82.40

83.80

142

Item 20934

123.60

125.70

143

Item 20936

164.80

167.60

144

Item 20938

82.40

83.80

145

Item 20940

82.40

83.80

146

Item 20942

103.00

104.75

147

Item 20943

82.40

83.80

148

Item 20944

123.60

125.70

149

Item 20946

164.80

167.60

150

Item 20948

82.40

83.80

151

Item 20950

103.00

104.75

152

Item 20952

82.40

83.80

153

Item 20954

206.00

209.50

154

Item 20956

82.40

83.80

155

Item 20958

103.00

104.75

156

Item 20960

144.20

146.65

157

Item 21100

61.80

62.85

158

Item 21110

103.00

104.75

159

Item 21112

82.40

83.80

160

Item 21114

103.00

104.75

161

Item 21116

123.60

125.70

162

Item 21120

123.60

125.70

163

Item 21130

61.80

62.85

164

Item 21140

309.00

314.25

165

Item 21150

206.00

209.50

166

Item 21155

206.00

209.50

167

Item 21160

82.40

83.80

168

Item 21170

164.80

167.60

169

Item 21195

61.80

62.85

170

Item 21199

82.40

83.80

171

Item 21200

82.40

83.80

172

Item 21202

82.40

83.80

173

Item 21210

123.60

125.70

174

Item 21212

206.00

209.50

175

Item 21214

206.00

209.50

176

Item 21216

288.40

293.30

177

Item 21220

82.40

83.80

178

Item 21230

123.60

125.70

179

Item 21232

103.00

104.75

180

Item 21234

164.80

167.60

181

Item 21260

82.40

83.80

182

Item 21270

164.80

167.60

183

Item 21272

82.40

83.80

184

Item 21274

123.60

125.70

185

Item 21275

206.00

209.50

186

Item 21280

309.00

314.25

187

Item 21300

61.80

62.85

188

Item 21321

82.40

83.80

189

Item 21340

82.40

83.80

190

Item 21360

103.00

104.75

191

Item 21380

61.80

62.85

192

Item 21382

82.40

83.80

193

Item 21390

61.80

62.85

194

Item 21392

82.40

83.80

195

Item 21400

82.40

83.80

196

Item 21402

144.20

146.65

197

Item 21403

206.00

209.50

198

Item 21404

103.00

104.75

199

Item 21420

61.80

62.85

200

Item 21430

82.40

83.80

201

Item 21432

103.00

104.75

202

Item 21440

164.80

167.60

203

Item 21445

206.00

209.50

204

Item 21460

61.80

62.85

205

Item 21461

82.40

83.80

206

Item 21462

61.80

62.85

207

Item 21464

82.40

83.80

208

Item 21472

103.00

104.75

209

Item 21474

103.00

104.75

210

Item 21480

82.40

83.80

211

Item 21482

103.00

104.75

212

Item 21484

103.00

104.75

213

Item 21486

144.20

146.65

214

Item 21490

61.80

62.85

215

Item 21500

164.80

167.60