CPT code 11921: Skin color correction, 6.1–20.0 sq cm2026 Medicare rate & RVUs in Utah
Reports intradermal pigment placement to camouflage a skin color defect when the treated area measures 6.1 through 20.0 square centimeters.
In Utah, Medicare pays $222.74 for 11921 in the office and $112.22 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 11921 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 11921 covers
This service places pigment within the skin to camouflage a color defect, such as hypopigmentation from vitiligo or a scar. Dermatologists and plastic surgeons may perform it in an office or other procedural setting. The area billed at this level measures 6.1 through 20.0 square centimeters; a smaller area uses the lower level, while additional area may require the add-on code.
Document the color defect, its location, the medical reason for treatment, and the measured area. Medicare payment is restricted to specific circumstances, so the record should support the applicable coverage basis. The 0-day global period includes same-day preoperative and postoperative care. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. An assistant is payable only when medical necessity is documented; co-surgeons and team surgery are not permitted.
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
How Utah compares for 11921
Across 109 of 109 payment localities, the office rate for 11921 runs from $205.39 in Arkansas to $305.23 in San Benito County, CA. Utah pays $222.74. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Utah · this page$222.74
- Los Angeles, CA · California$261.21+$38.47
- Washington, DC area · District of Columbia$266.48+$43.74
- Miami, FL · Florida$257.87+$35.13
- Chicago, IL · Illinois$249.85+$27.11
- Manhattan, NY · New York$270.10+$47.36
- Alaska · Alaska$269.95+$47.21
Other areas in Utah first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $208.53 | $105.65 |
| ArkansasArkansas | $205.39 | $104.39 |
| ArizonaArizona | $226.86 | $112.93 |
| Bakersfield, CACalifornia | $245.36 | $116.50 |
| Chico, CACalifornia | $244.38 | $115.52 |
| El Centro, CACalifornia | $244.44 | $115.58 |
| Fresno, CACalifornia | $244.38 | $115.52 |
| Hanford, CACalifornia | $244.38 | $115.52 |
| Madera, CACalifornia | $244.38 | $115.52 |
| Merced, CACalifornia | $244.38 | $115.52 |
| Modesto, CACalifornia | $244.38 | $115.52 |
| Napa, CACalifornia | $282.23 | $127.28 |
| Oxnard, CACalifornia | $259.76 | $120.79 |
| Redding, CACalifornia | $244.38 | $115.52 |
| Rest of CaliforniaCalifornia | $244.38 | $115.52 |
| Riverside, CACalifornia | $248.15 | $119.29 |
| Sacramento, CACalifornia | $256.22 | $119.49 |
| Salinas, CACalifornia | $255.27 | $119.01 |
| San Diego, CACalifornia | $261.16 | $120.55 |
| Marin County, CACalifornia | $298.30 | $132.52 |
| San Francisco, CACalifornia | $297.90 | $132.13 |
| San Benito County, CACalifornia | $305.23 | $135.69 |
| Santa Clara County, CACalifornia | $303.60 | $134.07 |
| San Luis Obispo, CACalifornia | $251.21 | $117.30 |
| Santa Cruz, CACalifornia | $263.55 | $120.70 |
| Santa Maria, CACalifornia | $256.20 | $119.11 |
| Santa Rosa, CACalifornia | $266.18 | $121.80 |
| Stockton, CACalifornia | $244.38 | $115.52 |
| Vallejo, CACalifornia | $281.66 | $126.70 |
| Visalia, CACalifornia | $244.38 | $115.52 |
| Yuba City, CACalifornia | $244.38 | $115.52 |
| ColoradoColorado | $241.84 | $116.75 |
| ConnecticutConnecticut | $249.43 | $122.80 |
| DelawareDelaware | $230.70 | $114.54 |
| Fort Lauderdale, FLFlorida | $244.98 | $125.89 |
| Rest of FloridaFlorida | $232.36 | $119.96 |
| Atlanta, GAGeorgia | $238.55 | $119.10 |
| Rest of GeorgiaGeorgia | $218.55 | $113.67 |
| Hawaii, Guam, HIHawaii | $250.33 | $116.65 |
| IowaIowa | $212.91 | $105.33 |
| IdahoIdaho | $214.59 | $106.43 |
| East St. Louis, ILIllinois | $232.61 | $124.44 |
| Rest of IllinoisIllinois | $226.22 | $118.88 |
| Suburban Chicago, ILIllinois | $247.23 | $126.48 |
| IndianaIndiana | $215.86 | $106.87 |
| KansasKansas | $212.41 | $106.13 |
| KentuckyKentucky | $214.83 | $110.31 |
| New Orleans, LALouisiana | $225.68 | $115.05 |
| Rest of LouisianaLouisiana | $214.70 | $110.65 |
| Metropolitan Boston, MAMassachusetts | $265.60 | $125.22 |
| Rest of MassachusettsMassachusetts | $240.53 | $116.73 |
| Baltimore area, MDMaryland | $248.85 | $122.70 |
| Rest of MarylandMaryland | $235.05 | $116.07 |
| Rest of MaineMaine | $216.33 | $108.17 |
| Southern Maine, MEMaine | $227.73 | $111.21 |
| Detroit, MIMichigan | $235.93 | $122.47 |
| Rest of MichiganMichigan | $221.15 | $113.81 |
| MinnesotaMinnesota | $229.85 | $108.87 |
| Metropolitan Kansas City, MOMissouri | $223.51 | $113.11 |
| Metropolitan St. Louis, MOMissouri | $225.86 | $113.94 |
| Rest of MissouriMissouri | $211.23 | $109.88 |
| MississippiMississippi | $208.32 | $107.09 |
| MontanaMontana | $233.45 | $115.88 |
| North CarolinaNorth Carolina | $218.60 | $108.91 |
| North DakotaNorth Dakota | $226.53 | $108.96 |
| NebraskaNebraska | $213.96 | $105.44 |
| New HampshireNew Hampshire | $238.53 | $116.14 |
| Northern New JerseyNew Jersey | $263.66 | $127.28 |
| Rest of New JerseyNew Jersey | $251.74 | $123.36 |
| New MexicoNew Mexico | $222.63 | $114.81 |
| NevadaNevada | $231.68 | $113.99 |
| NYC suburbs and Long Island, NYNew York | $277.56 | $137.77 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $253.86 | $125.12 |
| Queens, NYNew York | $271.59 | $132.62 |
| Rest of New YorkNew York | $222.05 | $110.36 |
| OhioOhio | $219.73 | $112.39 |
| OklahomaOklahoma | $213.85 | $108.86 |
| Portland, OROregon | $249.13 | $118.51 |
| Rest of OregonOregon | $229.36 | $112.26 |
| Metropolitan Philadelphia, PAPennsylvania | $243.38 | $120.99 |
| Rest of PennsylvaniaPennsylvania | $219.79 | $111.86 |
| Puerto RicoPuerto Rico | $235.05 | $116.18 |
| Rhode IslandRhode Island | $238.65 | $117.20 |
| South CarolinaSouth Carolina | $219.64 | $111.00 |
| South DakotaSouth Dakota | $225.71 | $108.14 |
| TennesseeTennessee | $213.59 | $106.72 |
| Austin, TXTexas | $241.49 | $117.10 |
| Beaumont, TXTexas | $218.33 | $111.34 |
| Brazoria, TXTexas | $229.97 | $113.46 |
| Dallas, TXTexas | $231.74 | $114.64 |
| Fort Worth, TXTexas | $230.30 | $114.38 |
| Galveston, TXTexas | $230.85 | $114.10 |
| Houston, TXTexas | $237.26 | $120.51 |
| Rest of TexasTexas | $224.23 | $112.65 |
| VirginiaVirginia | $227.33 | $111.76 |
| Virgin Islands, VIUnited States Virgin Islands | $235.05 | $116.18 |
| VermontVermont | $226.11 | $109.71 |
| Rest of WashingtonWashington | $239.92 | $116.12 |
| King County, WAWashington | $270.56 | $126.30 |
| WisconsinWisconsin | $218.71 | $106.07 |
| West VirginiaWest Virginia | $217.68 | $115.51 |
| WyomingWyoming | $230.43 | $112.86 |
11921 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
$205.39
$274.81
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $269.95 | 1 |
| AL | $208.53 | 1 |
| AR | $205.39 | 1 |
| AZ | $226.86 | 1 |
| CA | $244.38–$305.23 | 29 |
| CO | $241.84 | 1 |
| CT | $249.43 | 1 |
| DC | $266.48 | 1 |
| DE | $230.70 | 1 |
| FL | $232.36–$257.87 | 3 |
| GA | $218.55–$238.55 | 2 |
| GU | $250.33 | 1 |
| HI | $250.33 | 1 |
| IA | $212.91 | 1 |
| ID | $214.59 | 1 |
| IL | $226.22–$249.85 | 4 |
| IN | $215.86 | 1 |
| KS | $212.41 | 1 |
| KY | $214.83 | 1 |
| LA | $214.70–$225.68 | 2 |
| MA | $240.53–$265.60 | 2 |
| MD | $235.05–$266.48 | 3 |
| ME | $216.33–$227.73 | 2 |
| MI | $221.15–$235.93 | 2 |
| MN | $229.85 | 1 |
| MO | $211.23–$225.86 | 3 |
| MS | $208.32 | 1 |
| MT | $233.45 | 1 |
| NC | $218.60 | 1 |
| ND | $226.53 | 1 |
| NE | $213.96 | 1 |
| NH | $238.53 | 1 |
| NJ | $251.74–$263.66 | 2 |
| NM | $222.63 | 1 |
| NV | $231.68 | 1 |
| NY | $222.05–$277.56 | 5 |
| OH | $219.73 | 1 |
| OK | $213.85 | 1 |
| OR | $229.36–$249.13 | 2 |
| PA | $219.79–$243.38 | 2 |
| PR | $235.05 | 1 |
| RI | $238.65 | 1 |
| SC | $219.64 | 1 |
| SD | $225.71 | 1 |
| TN | $213.59 | 1 |
| TX | $218.33–$241.49 | 8 |
| UT | $222.74 | 1 |
| VA | $227.33–$266.48 | 2 |
| VI | $235.05 | 1 |
| VT | $226.11 | 1 |
| WA | $239.92–$270.56 | 2 |
| WI | $218.71 | 1 |
| WV | $217.68 | 1 |
| WY | $230.43 | 1 |
How the 11921 rate is calculated
Each of 11921’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 11921
RVUs × geographic indexes × conversion factor
Work1.88
1.88 RVUs× 1.000 GPCI
Practice expense4.76
4.76 RVUs× 1.000 GPCI
Malpractice0.35
0.35 RVUs× 1.000 GPCI
Adjusted RVUs
6.9900
Conversion factor
$33.4009
Medicare rate
$233.47
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Utah inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
1,382
- Code
- 11921
- Physician work
- 1.88
- Practice expense
- 4.76
- Malpractice
- 0.35
GPCI2026.csv
104
- Locality
- Utah
- Physician work
- 1.000
- Practice expense
- 0.940
- Malpractice
- 0.898
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.88 | × 1.000 | 1.8800 |
| Practice expense | 4.76 | × 0.940 | 4.4744 |
| Malpractice | 0.35 | × 0.898 | 0.3143 |
| Total RVUs | 6.6687 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Utah$222.74
Office: (1.88 × 1 + 4.76 × 0.94 + 0.35 × 0.898) × $33.4009 = $222.74
Facility: (1.88 × 1 + 1.24 × 0.94 + 0.35 × 0.898) × $33.4009 = $112.22
Payment rules and modifiers for 11921
The CMS indicators that decide how 11921 is paid alongside other services.
CMS payment indicators · 11921
Skin color correction, 6.1–20.0 sq cm
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
11921 without 51 · national office
$233.47
Skin color correction, 6.1–20.0 sq cm
11921-51 · Second procedure: 50%
$116.74
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
How 11921 has changed in Utah
11921 · Office / nonfacility
$222.74
Effective 2026-10-01
The base rate is $19.41 higher than on 2025-10-01, moving from $203.33 to $222.74 (9.5%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
January 1, 2026
RVU26A
$203.33changed to$222.74
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 1.93 changed to 1.88
- Practice expense RVU 4.32 changed to 4.76
- Practice expense GPCI 0.933 changed to 0.940
- Malpractice GPCI 0.930 changed to 0.898
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$211.42changed to$203.33
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 4.39 changed to 4.32
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$207.97changed to$211.42
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$214.67changed to$207.97
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 4.43 changed to 4.39
- Practice expense GPCI 0.926 changed to 0.933
- Malpractice GPCI 0.865 changed to 0.930
January 1, 2023
RVU23A
$213.90changed to$214.67
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 4.33 changed to 4.43
- Malpractice RVU 0.34 changed to 0.35
- Practice expense GPCI 0.919 changed to 0.926
- Malpractice GPCI 0.799 changed to 0.865
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$211.18changed to$213.90
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 4.19 changed to 4.33
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$208.62changed to$211.18
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 3.81 changed to 4.19
- Practice expense GPCI 0.923 changed to 0.919
- Malpractice GPCI 0.982 changed to 0.799
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$202.75changed to$208.62
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 3.61 changed to 3.81
- Malpractice RVU 0.30 changed to 0.34
- Practice expense GPCI 0.927 changed to 0.923
- Malpractice GPCI 1.165 changed to 0.982
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$195.52changed to$202.75
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 3.40 changed to 3.61
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$194.12changed to$195.52
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 3.37 changed to 3.40
- Malpractice RVU 0.31 changed to 0.30
- Practice expense GPCI 0.925 changed to 0.927
- Malpractice GPCI 1.167 changed to 1.165
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$193.41changed to$194.12
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 3.36 changed to 3.37
- Malpractice RVU 0.32 changed to 0.31
- Practice expense GPCI 0.922 changed to 0.925
- Malpractice GPCI 1.169 changed to 1.167
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$193.69changed to$193.41
- Conversion factor 35.9335 changed to 35.8043
- Malpractice RVU 0.31 changed to 0.32
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$192.73changed to$193.69
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$192.68changed to$192.73
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 3.32 changed to 3.36
- Malpractice RVU 0.35 changed to 0.31
- Practice expense GPCI 0.919 changed to 0.922
- Malpractice GPCI 1.136 changed to 1.169
Held through RVU15B.
January 1, 2014
RVU14A
$194.54changed to$192.68
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 3.69 changed to 3.32
- Malpractice RVU 0.37 changed to 0.35
- Practice expense GPCI 0.916 changed to 0.919
- Malpractice GPCI 1.102 changed to 1.136
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $194.54
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $222.74 | $112.22 | RVU26D |
| 2026-07-01 | $222.74 | $112.22 | RVU26C |
| 2026-04-01 | $222.74 | $112.22 | RVU26B |
| 2026-01-01 | $222.74 | $112.22 | RVU26A |
| 2025-10-01 | $203.33 | $123.06 | RVU25D |
| 2025-07-01 | $203.33 | $123.06 | RVU25C |
| 2025-04-01 | $203.33 | $123.06 | RVU25B |
| 2025-01-01 | $203.33 | $123.06 | RVU25A |
| 2024-10-01 | $211.42 | $125.70 | RVU24D |
| 2024-07-01 | $211.42 | $125.70 | RVU24C |
| 2024-04-01 | $211.42 | $125.70 | RVU24B |
| 2024-03-09 | $211.42 | $125.70 | RVU24AR |
| 2024-01-01 | $207.97 | $123.65 | RVU24A |
| 2023-10-01 | $214.67 | $126.50 | RVU23D |
| 2023-07-01 | $214.67 | $126.50 | RVU23C |
| 2023-04-01 | $214.67 | $126.50 | RVU23B |
| 2023-01-01 | $214.67 | $126.50 | RVU23A |
| 2022-10-01 | $213.90 | $125.17 | RVU22D |
| 2022-07-01 | $213.90 | $125.17 | RVU22C |
| 2022-04-01 | $213.90 | $125.17 | RVU22B |
| 2022-01-01 | $213.90 | $125.17 | RVU22A |
| 2021-10-01 | $211.18 | $126.21 | RVU21D |
| 2021-07-01 | $211.18 | $126.21 | RVU21C |
| 2021-04-01 | $211.18 | $126.21 | RVU21B |
| 2021-01-01 | $211.18 | $126.21 | RVU21A |
| 2020-10-01 | $208.62 | $133.00 | RVU20D |
| 2020-07-01 | $208.62 | $133.00 | RVU20C |
| 2020-04-01 | $208.62 | $133.00 | RVU20B |
| 2020-01-01 | $208.62 | $133.00 | RVU20A |
| 2019-10-01 | $202.75 | $134.60 | RVU19D |
| 2019-07-01 | $202.75 | $134.60 | RVU19C |
| 2019-04-01 | $202.75 | $134.60 | RVU19B |
| 2019-01-01 | $202.75 | $134.60 | RVU19A |
| 2018-10-01 | $195.52 | $135.79 | RVU18D |
| 2018-07-01 | $195.52 | $135.79 | RVU18C |
| 2018-04-01 | $195.52 | $135.79 | RVU18B |
| 2018-01-01 | $195.52 | $135.79 | RVU18AR1 |
| 2017-10-01 | $194.12 | $135.70 | RVU17D |
| 2017-07-01 | $194.12 | $135.70 | RVU17C |
| 2017-04-01 | $194.12 | $135.70 | RVU17B |
| 2017-01-01 | $194.12 | $135.70 | RVU17A |
| 2016-10-01 | $193.41 | $135.64 | RVU16D |
| 2016-07-01 | $193.41 | $135.64 | RVU16C |
| 2016-04-01 | $193.41 | $135.64 | RVU16B |
| 2016-01-01 | $193.41 | $135.64 | RVU16A |
| 2015-10-01 | $193.69 | $135.71 | RVU15D |
| 2015-07-01 | $193.69 | $135.71 | RVU15C |
| 2015-04-01 | $192.73 | $135.04 | RVU15B |
| 2015-01-01 | $192.73 | $135.04 | RVU15A |
| 2014-10-01 | $192.68 | $136.05 | RVU14D |
| 2014-07-01 | $192.68 | $136.05 | RVU14C |
| 2014-04-01 | $192.68 | $136.05 | RVU14B |
| 2014-01-01 | $192.68 | $136.05 | RVU14A |
| 2013-10-01 | $194.54 | $134.08 | RVU13D |
| 2013-07-01 | $194.54 | $134.08 | RVU13C |
| 2013-04-01 | $194.54 | $134.08 | RVU13B |
| 2013-01-01 | $194.54 | $134.08 | RVU13AR |
Where the Utah rate applies
Utah is a Medicare payment area, not a city. Our Census mapping connects it to 334 cities and communities in Utah. Some span more than one payment area; confirm with the service ZIP.
- Alpine
- Alta
- Altamont
- Alton
- Amalga
- American Fork
- Aneth
- Annabella
11921 billing questions
How is 11921 distinguished from 11920?
Choose 11921 when the treated skin area measures 6.1 through 20.0 square centimeters. The lower-level code is for an area of 6.0 square centimeters or less.
When is 11922 reported with 11921?
Use 11922 for additional treated area beyond the primary area, in increments of up to 20.0 square centimeters or part thereof. Document the total area treated.
What documentation supports Medicare payment?
Record the condition causing the color defect, the treated body site, the measured area, and the medical rationale. Medicare pays this service only in specific circumstances.
Can modifier 50 be used for treatment on both sides?
No. CMS identifies bilateral adjustment as inappropriate for this code, so do not use modifier 50.
What care is included in the global period?
The 0-day global period includes same-day preoperative and postoperative care. Care on a later date is not included by that global period.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment requires documentation of medical necessity. CMS does not permit co-surgeons or team surgery for this code.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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