CPT code 19283: Breast localization, first lesion, stereotactic guidance2026 Medicare rate & RVUs in New Mexico
Percutaneous placement of a localization device in a breast lesion using stereotactic imaging guidance, reported for the first lesion treated with that guidance method.
In New Mexico, Medicare pays $236.81 for 19283 in the office and $84.58 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 19283 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 19283 covers
A breast imaging physician or radiologist uses stereotactic imaging to guide a localization device through the skin to a breast lesion, commonly one that is not palpable and needs to be identified for surgical removal. The service is performed in a breast imaging department or other outpatient setting before the planned excision. The device helps the surgeon find the target; the code covers placement and the associated imaging guidance.
Report this code for the first lesion localized using stereotactic guidance. Documentation should identify the target, laterality, guidance method, and device placement; report 19284 for each additional stereotactically localized lesion. The code has a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and others are subject to the standard 50% reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment requires documented medical necessity; 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 New Mexico compares for 19283
Across 109 of 109 payment localities, the office rate for 19283 runs from $221.67 in Arkansas to $332.77 in San Benito County, CA. New Mexico pays $236.81. The RVUs are the same everywhere; the geographic indexes change the dollars.
- New Mexico · this page$236.81
- Los Angeles, CA · California$283.07+$46.26
- Washington, DC area · District of Columbia$286.17+$49.36
- Miami, FL · Florida$268.20+$31.39
- Chicago, IL · Illinois$260.60+$23.79
- Manhattan, NY · New York$287.29+$50.48
- Alaska · Alaska$291.16+$54.35
Other areas in New Mexico first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $224.88 | $79.62 |
| ArkansasArkansas | $221.67 | $79.07 |
| ArizonaArizona | $243.64 | $82.79 |
| Bakersfield, CACalifornia | $265.76 | $83.82 |
| Chico, CACalifornia | $265.12 | $83.18 |
| El Centro, CACalifornia | $265.15 | $83.21 |
| Fresno, CACalifornia | $265.12 | $83.18 |
| Hanford, CACalifornia | $265.12 | $83.18 |
| Madera, CACalifornia | $265.12 | $83.18 |
| Merced, CACalifornia | $265.12 | $83.18 |
| Modesto, CACalifornia | $265.12 | $83.18 |
| Napa, CACalifornia | $307.44 | $88.65 |
| Oxnard, CACalifornia | $281.75 | $85.54 |
| Redding, CACalifornia | $265.12 | $83.18 |
| Rest of CaliforniaCalifornia | $265.12 | $83.18 |
| Riverside, CACalifornia | $267.40 | $85.47 |
| Sacramento, CACalifornia | $278.28 | $85.22 |
| Salinas, CACalifornia | $277.24 | $84.85 |
| San Diego, CACalifornia | $283.81 | $85.27 |
| Marin County, CACalifornia | $325.56 | $91.49 |
| San Francisco, CACalifornia | $325.32 | $91.25 |
| San Benito County, CACalifornia | $332.77 | $93.39 |
| Santa Clara County, CACalifornia | $331.80 | $92.42 |
| San Luis Obispo, CACalifornia | $272.77 | $83.69 |
| Santa Cruz, CACalifornia | $286.56 | $84.87 |
| Santa Maria, CACalifornia | $278.29 | $84.74 |
| Santa Rosa, CACalifornia | $289.46 | $85.61 |
| Stockton, CACalifornia | $265.12 | $83.18 |
| Vallejo, CACalifornia | $307.09 | $88.30 |
| Visalia, CACalifornia | $265.12 | $83.18 |
| Yuba City, CACalifornia | $265.12 | $83.18 |
| ColoradoColorado | $260.81 | $84.19 |
| ConnecticutConnecticut | $266.66 | $87.87 |
| DelawareDelaware | $247.65 | $83.64 |
| Fort Lauderdale, FLFlorida | $258.15 | $89.99 |
| Rest of FloridaFlorida | $245.87 | $87.17 |
| Atlanta, GAGeorgia | $254.63 | $85.97 |
| Rest of GeorgiaGeorgia | $232.29 | $84.22 |
| Hawaii, Guam, HIHawaii | $271.61 | $82.86 |
| IowaIowa | $230.81 | $78.92 |
| IdahoIdaho | $232.23 | $79.51 |
| East St. Louis, ILIllinois | $243.04 | $90.32 |
| Rest of IllinoisIllinois | $238.63 | $87.07 |
| Suburban Chicago, ILIllinois | $260.85 | $90.37 |
| IndianaIndiana | $233.57 | $79.69 |
| KansasKansas | $229.60 | $79.54 |
| KentuckyKentucky | $229.82 | $82.24 |
| New Orleans, LALouisiana | $240.62 | $84.41 |
| Rest of LouisianaLouisiana | $229.41 | $82.49 |
| Metropolitan Boston, MAMassachusetts | $286.61 | $88.40 |
| Rest of MassachusettsMassachusetts | $259.23 | $84.43 |
| Baltimore area, MDMaryland | $265.87 | $87.75 |
| Rest of MarylandMaryland | $252.39 | $84.39 |
| Rest of MaineMaine | $233.28 | $80.56 |
| Southern Maine, MEMaine | $245.98 | $81.47 |
| Detroit, MIMichigan | $248.75 | $88.56 |
| Rest of MichiganMichigan | $235.59 | $84.03 |
| MinnesotaMinnesota | $250.40 | $79.58 |
| Metropolitan Kansas City, MOMissouri | $239.15 | $83.28 |
| Metropolitan St. Louis, MOMissouri | $241.64 | $83.61 |
| Rest of MissouriMissouri | $225.42 | $82.33 |
| MississippiMississippi | $223.60 | $80.67 |
| MontanaMontana | $250.16 | $84.16 |
| North CarolinaNorth Carolina | $235.71 | $80.83 |
| North DakotaNorth Dakota | $246.01 | $80.00 |
| NebraskaNebraska | $232.10 | $78.88 |
| New HampshireNew Hampshire | $256.60 | $83.79 |
| Northern New JerseyNew Jersey | $283.24 | $90.67 |
| Rest of New JerseyNew Jersey | $269.84 | $88.56 |
| NevadaNevada | $249.18 | $83.01 |
| NYC suburbs and Long Island, NYNew York | $294.00 | $96.62 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $271.49 | $89.72 |
| Queens, NYNew York | $289.84 | $93.63 |
| Rest of New YorkNew York | $239.19 | $81.49 |
| OhioOhio | $234.74 | $83.18 |
| OklahomaOklahoma | $229.56 | $81.32 |
| Portland, OROregon | $269.18 | $84.75 |
| Rest of OregonOregon | $247.38 | $82.04 |
| Metropolitan Philadelphia, PAPennsylvania | $260.00 | $87.19 |
| Rest of PennsylvaniaPennsylvania | $235.19 | $82.80 |
| Puerto RicoPuerto Rico | $252.03 | $84.20 |
| Rhode IslandRhode Island | $256.53 | $85.05 |
| South CarolinaSouth Carolina | $235.59 | $82.20 |
| South DakotaSouth Dakota | $245.52 | $79.51 |
| TennesseeTennessee | $230.72 | $79.83 |
| Austin, TXTexas | $259.83 | $84.20 |
| Beaumont, TXTexas | $233.65 | $82.59 |
| Brazoria, TXTexas | $247.55 | $83.04 |
| Dallas, TXTexas | $249.05 | $83.71 |
| Fort Worth, TXTexas | $247.36 | $83.68 |
| Galveston, TXTexas | $248.24 | $83.40 |
| Houston, TXTexas | $252.08 | $87.24 |
| Rest of TexasTexas | $240.41 | $82.88 |
| UtahUtah | $238.78 | $82.73 |
| VirginiaVirginia | $245.08 | $81.90 |
| Virgin Islands, VIUnited States Virgin Islands | $252.03 | $84.20 |
| VermontVermont | $244.93 | $80.59 |
| Rest of WashingtonWashington | $258.78 | $83.98 |
| King County, WAWashington | $292.56 | $88.87 |
| WisconsinWisconsin | $237.84 | $78.81 |
| West VirginiaWest Virginia | $229.87 | $85.62 |
| WyomingWyoming | $248.35 | $82.35 |
19283 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.
$221.67
$298.95
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 | $291.16 | 1 |
| AL | $224.88 | 1 |
| AR | $221.67 | 1 |
| AZ | $243.64 | 1 |
| CA | $265.12–$332.77 | 29 |
| CO | $260.81 | 1 |
| CT | $266.66 | 1 |
| DC | $286.17 | 1 |
| DE | $247.65 | 1 |
| FL | $245.87–$268.20 | 3 |
| GA | $232.29–$254.63 | 2 |
| GU | $271.61 | 1 |
| HI | $271.61 | 1 |
| IA | $230.81 | 1 |
| ID | $232.23 | 1 |
| IL | $238.63–$260.85 | 4 |
| IN | $233.57 | 1 |
| KS | $229.60 | 1 |
| KY | $229.82 | 1 |
| LA | $229.41–$240.62 | 2 |
| MA | $259.23–$286.61 | 2 |
| MD | $252.39–$286.17 | 3 |
| ME | $233.28–$245.98 | 2 |
| MI | $235.59–$248.75 | 2 |
| MN | $250.40 | 1 |
| MO | $225.42–$241.64 | 3 |
| MS | $223.60 | 1 |
| MT | $250.16 | 1 |
| NC | $235.71 | 1 |
| ND | $246.01 | 1 |
| NE | $232.10 | 1 |
| NH | $256.60 | 1 |
| NJ | $269.84–$283.24 | 2 |
| NM | $236.81 | 1 |
| NV | $249.18 | 1 |
| NY | $239.19–$294.00 | 5 |
| OH | $234.74 | 1 |
| OK | $229.56 | 1 |
| OR | $247.38–$269.18 | 2 |
| PA | $235.19–$260.00 | 2 |
| PR | $252.03 | 1 |
| RI | $256.53 | 1 |
| SC | $235.59 | 1 |
| SD | $245.52 | 1 |
| TN | $230.72 | 1 |
| TX | $233.65–$259.83 | 8 |
| UT | $238.78 | 1 |
| VA | $245.08–$286.17 | 2 |
| VI | $252.03 | 1 |
| VT | $244.93 | 1 |
| WA | $258.78–$292.56 | 2 |
| WI | $237.84 | 1 |
| WV | $229.87 | 1 |
| WY | $248.35 | 1 |
How the 19283 rate is calculated
Each of 19283’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 · 19283
RVUs × geographic indexes × conversion factor
Work1.95
1.95 RVUs× 1.000 GPCI
Practice expense5.33
5.33 RVUs× 1.000 GPCI
Malpractice0.21
0.21 RVUs× 1.000 GPCI
Adjusted RVUs
7.4900
Conversion factor
$33.4009
Medicare rate
$250.17
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact New Mexico inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
1,675
- Code
- 19283
- Physician work
- 1.95
- Practice expense
- 5.33
- Malpractice
- 0.21
GPCI2026.csv
77
- Locality
- New Mexico
- Physician work
- 1.000
- Practice expense
- 0.917
- Malpractice
- 1.201
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.95 | × 1.000 | 1.9500 |
| Practice expense | 5.33 | × 0.917 | 4.8876 |
| Malpractice | 0.21 | × 1.201 | 0.2522 |
| Total RVUs | 7.0898 | ||
| Conversion factor | × 33.4009 | ||
Office rate, New Mexico$236.81
Office: (1.95 × 1 + 5.33 × 0.917 + 0.21 × 1.201) × $33.4009 = $236.81
Facility: (1.95 × 1 + 0.36 × 0.917 + 0.21 × 1.201) × $33.4009 = $84.58
Payment rules and modifiers for 19283
The CMS indicators that decide how 19283 is paid alongside other services.
CMS payment indicators · 19283
Breast localization, first lesion, stereotactic guidance
| 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) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| 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 50 · payment effect
With and without the modifier
19283 without 50 · national office
$250.17
Breast localization, first lesion, stereotactic guidance
19283-50 · Bilateral: 150%
$375.26
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
How 19283 has changed in New Mexico
19283 · Office / nonfacility
$236.81
Effective 2026-10-01
The base rate is $4.76 higher than on 2025-10-01, moving from $232.05 to $236.81 (2.1%).
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
$232.05changed to$236.81
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 2.00 changed to 1.95
- Practice expense RVU 5.44 changed to 5.33
- Malpractice RVU 0.20 changed to 0.21
- Practice expense GPCI 0.908 changed to 0.917
- Malpractice GPCI 1.172 changed to 1.201
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$241.61changed to$232.05
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 5.52 changed to 5.44
- Malpractice RVU 0.21 changed to 0.20
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$237.67changed to$241.61
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$248.09changed to$237.67
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 5.64 changed to 5.52
- Malpractice RVU 0.20 changed to 0.21
- Practice expense GPCI 0.902 changed to 0.908
- Malpractice GPCI 1.169 changed to 1.172
January 1, 2023
RVU23A
$251.54changed to$248.09
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 5.62 changed to 5.64
- Practice expense GPCI 0.896 changed to 0.902
- Malpractice GPCI 1.166 changed to 1.169
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$259.26changed to$251.54
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 5.80 changed to 5.62
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$262.33changed to$259.26
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 5.55 changed to 5.80
- Malpractice RVU 0.19 changed to 0.20
- Practice expense GPCI 0.908 changed to 0.896
- Malpractice GPCI 1.207 changed to 1.166
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$264.74changed to$262.33
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 5.52 changed to 5.55
- Malpractice RVU 0.21 changed to 0.19
- Practice expense GPCI 0.921 changed to 0.908
- Malpractice GPCI 1.247 changed to 1.207
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$264.11changed to$264.74
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 5.51 changed to 5.52
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$262.12changed to$264.11
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 5.49 changed to 5.51
- Practice expense GPCI 0.920 changed to 0.921
- Malpractice GPCI 1.204 changed to 1.247
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$259.34changed to$262.12
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 5.44 changed to 5.49
- Practice expense GPCI 0.919 changed to 0.920
- Malpractice GPCI 1.161 changed to 1.204
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$263.40changed to$259.34
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 5.56 changed to 5.44
- Malpractice RVU 0.19 changed to 0.21
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$262.09changed to$263.40
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$263.15changed to$262.09
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 5.60 changed to 5.56
- Practice expense GPCI 0.918 changed to 0.919
- Malpractice GPCI 1.079 changed to 1.161
Held through RVU15B.
January 1, 2014
RVU14A
No ratechanged to$263.15
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $236.81 | $84.58 | RVU26D |
| 2026-07-01 | $236.81 | $84.58 | RVU26C |
| 2026-04-01 | $236.81 | $84.58 | RVU26B |
| 2026-01-01 | $236.81 | $84.58 | RVU26A |
| 2025-10-01 | $232.05 | $93.72 | RVU25D |
| 2025-07-01 | $232.05 | $93.72 | RVU25C |
| 2025-04-01 | $232.05 | $93.72 | RVU25B |
| 2025-01-01 | $232.05 | $93.72 | RVU25A |
| 2024-10-01 | $241.61 | $96.23 | RVU24D |
| 2024-07-01 | $241.61 | $96.23 | RVU24C |
| 2024-04-01 | $241.61 | $96.23 | RVU24B |
| 2024-03-09 | $241.61 | $96.23 | RVU24AR |
| 2024-01-01 | $237.67 | $94.66 | RVU24A |
| 2023-10-01 | $248.09 | $98.01 | RVU23D |
| 2023-07-01 | $248.09 | $98.01 | RVU23C |
| 2023-04-01 | $248.09 | $98.01 | RVU23B |
| 2023-01-01 | $248.09 | $98.01 | RVU23A |
| 2022-10-01 | $251.54 | $99.61 | RVU22D |
| 2022-07-01 | $251.54 | $99.61 | RVU22C |
| 2022-04-01 | $251.54 | $99.61 | RVU22B |
| 2022-01-01 | $251.54 | $99.61 | RVU22A |
| 2021-10-01 | $259.26 | $100.43 | RVU21D |
| 2021-07-01 | $259.26 | $100.43 | RVU21C |
| 2021-04-01 | $259.26 | $100.43 | RVU21B |
| 2021-01-01 | $259.26 | $100.43 | RVU21A |
| 2020-10-01 | $262.33 | $104.70 | RVU20D |
| 2020-07-01 | $262.33 | $104.70 | RVU20C |
| 2020-04-01 | $262.33 | $104.70 | RVU20B |
| 2020-01-01 | $262.33 | $104.70 | RVU20A |
| 2019-10-01 | $264.74 | $105.41 | RVU19D |
| 2019-07-01 | $264.74 | $105.41 | RVU19C |
| 2019-04-01 | $264.74 | $105.41 | RVU19B |
| 2019-01-01 | $264.74 | $105.41 | RVU19A |
| 2018-10-01 | $264.11 | $105.30 | RVU18D |
| 2018-07-01 | $264.11 | $105.30 | RVU18C |
| 2018-04-01 | $264.11 | $105.30 | RVU18B |
| 2018-01-01 | $264.11 | $105.30 | RVU18AR1 |
| 2017-10-01 | $262.12 | $105.61 | RVU17D |
| 2017-07-01 | $262.12 | $105.61 | RVU17C |
| 2017-04-01 | $262.12 | $105.61 | RVU17B |
| 2017-01-01 | $262.12 | $105.61 | RVU17A |
| 2016-10-01 | $259.34 | $104.69 | RVU16D |
| 2016-07-01 | $259.34 | $104.69 | RVU16C |
| 2016-04-01 | $259.34 | $104.69 | RVU16B |
| 2016-01-01 | $259.34 | $104.69 | RVU16A |
| 2015-10-01 | $263.40 | $104.89 | RVU15D |
| 2015-07-01 | $263.40 | $104.89 | RVU15C |
| 2015-04-01 | $262.09 | $104.37 | RVU15B |
| 2015-01-01 | $262.09 | $104.37 | RVU15A |
| 2014-10-01 | $263.15 | $104.31 | RVU14D |
| 2014-07-01 | $263.15 | $104.31 | RVU14C |
| 2014-04-01 | $263.15 | $104.31 | RVU14B |
| 2014-01-01 | $263.15 | $104.31 | RVU14A |
| 2013-10-01 | Not in this release | Not in this release | RVU13D |
| 2013-07-01 | Not in this release | Not in this release | RVU13C |
| 2013-04-01 | Not in this release | Not in this release | RVU13B |
| 2013-01-01 | Not in this release | Not in this release | RVU13AR |
Where the New Mexico rate applies
New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.
- Abeytas
- Abiquiu
- Acomita Lake
- Adelino
- Agua Fria
- Alamillo
- Alamo
- Alamogordo
19283 billing questions
How is 19283 different from 19281?
Both describe percutaneous localization of a first breast lesion, but 19283 uses stereotactic guidance. Use 19281 when the guidance method is mammographic rather than stereotactic.
When is 19284 reported with 19283?
Report 19283 for the first lesion localized stereotactically and 19284 for each additional lesion localized by that method.
Can imaging guidance be billed separately?
The imaging guidance for the localization is included in 19283. The record should support the stereotactic guidance and device placement.
What documentation supports 19283?
Document the breast and lesion targeted, the stereotactic guidance method, and the localization device placement. Record additional targets separately when reporting 19284.
How is bilateral localization reported?
For bilateral procedures, modifier 50 is paid at 150%. The record should support localization in both breasts.
Are assistant surgeons or co-surgeons payable?
Assistant-at-surgery payment requires documentation of medical necessity. Co-surgeons and team surgery are not permitted 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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