CPT code 19285: Breast localization, first lesion, ultrasound guidance2026 Medicare rate & RVUs in Idaho
Report percutaneous placement of a breast localization device for the first lesion when ultrasound guides targeting, commonly before surgical excision.
In Idaho, Medicare pays $324.09 for 19285 in the office and $67.82 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 19285 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 19285 covers
A breast radiologist or other qualified physician places a localization device in or near a breast lesion that can be targeted with ultrasound. The service is commonly performed in a breast imaging department before surgery to help the surgeon find a nonpalpable lesion. It includes the imaging guidance used to direct placement; it is localization, not tissue sampling such as a core biopsy.
Report this code for the first lesion localized with ultrasound. For each additional lesion localized with ultrasound, 19286 is the related add-on code. Documentation should identify the target, ultrasound guidance, device placement, and lesion count. The procedure has a 0-day global period, so same-day preoperative and postoperative care is included. For bilateral services, modifier 50 is paid at 150%. In a same-session multiple-procedure claim, the highest-valued procedure is paid in full and others at 50%. 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 Idaho compares for 19285
Across 109 of 109 payment localities, the office rate for 19285 runs from $306.72 in Arkansas to $481.39 in San Benito County, CA. Idaho pays $324.09. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Idaho · this page$324.09
- Los Angeles, CA · California$403.50+$79.41
- Washington, DC area · District of Columbia$405.48+$81.39
- Miami, FL · Florida$371.41+$47.32
- Chicago, IL · Illinois$359.99+$35.90
- Manhattan, NY · New York$404.25+$80.16
- Alaska · Alaska$394.18+$70.09
Other areas in Idaho first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $311.65 | $67.91 |
| ArkansasArkansas | $306.72 | $67.44 |
| ArizonaArizona | $340.55 | $70.63 |
| Bakersfield, CACalifornia | $376.81 | $71.51 |
| Chico, CACalifornia | $376.26 | $70.96 |
| El Centro, CACalifornia | $376.29 | $70.99 |
| Fresno, CACalifornia | $376.26 | $70.96 |
| Hanford, CACalifornia | $376.26 | $70.96 |
| Madera, CACalifornia | $376.26 | $70.96 |
| Merced, CACalifornia | $376.26 | $70.96 |
| Modesto, CACalifornia | $376.26 | $70.96 |
| Napa, CACalifornia | $442.79 | $75.64 |
| Oxnard, CACalifornia | $402.24 | $72.98 |
| Redding, CACalifornia | $376.26 | $70.96 |
| Rest of CaliforniaCalifornia | $376.26 | $70.96 |
| Riverside, CACalifornia | $378.23 | $72.92 |
| Sacramento, CACalifornia | $396.68 | $72.71 |
| Salinas, CACalifornia | $395.24 | $72.39 |
| San Diego, CACalifornia | $405.91 | $72.75 |
| Marin County, CACalifornia | $470.85 | $78.07 |
| San Francisco, CACalifornia | $470.64 | $77.87 |
| San Benito County, CACalifornia | $481.39 | $79.70 |
| Santa Clara County, CACalifornia | $480.55 | $78.86 |
| San Luis Obispo, CACalifornia | $388.69 | $71.40 |
| Santa Cruz, CACalifornia | $410.87 | $72.41 |
| Santa Maria, CACalifornia | $397.10 | $72.29 |
| Santa Rosa, CACalifornia | $415.12 | $73.05 |
| Stockton, CACalifornia | $376.26 | $70.96 |
| Vallejo, CACalifornia | $442.49 | $75.35 |
| Visalia, CACalifornia | $376.26 | $70.96 |
| Yuba City, CACalifornia | $376.26 | $70.96 |
| ColoradoColorado | $368.21 | $71.82 |
| ConnecticutConnecticut | $374.99 | $74.98 |
| DelawareDelaware | $346.58 | $71.36 |
| Fort Lauderdale, FLFlorida | $358.99 | $76.80 |
| Rest of FloridaFlorida | $340.69 | $74.38 |
| Atlanta, GAGeorgia | $356.37 | $73.35 |
| Rest of GeorgiaGeorgia | $320.33 | $71.85 |
| Hawaii, Guam, HIHawaii | $387.43 | $70.70 |
| IowaIowa | $322.19 | $67.31 |
| East St. Louis, ILIllinois | $333.36 | $77.08 |
| Rest of IllinoisIllinois | $328.62 | $74.30 |
| Suburban Chicago, ILIllinois | $363.21 | $77.12 |
| IndianaIndiana | $326.19 | $67.97 |
| KansasKansas | $319.66 | $67.84 |
| KentuckyKentucky | $317.79 | $70.15 |
| New Orleans, LALouisiana | $334.15 | $72.02 |
| Rest of LouisianaLouisiana | $316.90 | $70.37 |
| Metropolitan Boston, MAMassachusetts | $408.04 | $75.43 |
| Rest of MassachusettsMassachusetts | $365.35 | $72.03 |
| Baltimore area, MDMaryland | $373.78 | $74.88 |
| Rest of MarylandMaryland | $353.90 | $72.00 |
| Rest of MaineMaine | $324.99 | $68.71 |
| Southern Maine, MEMaine | $345.56 | $69.50 |
| Detroit, MIMichigan | $344.39 | $75.57 |
| Rest of MichiganMichigan | $326.02 | $71.69 |
| MinnesotaMinnesota | $354.52 | $67.88 |
| Metropolitan Kansas City, MOMissouri | $332.61 | $71.04 |
| Metropolitan St. Louis, MOMissouri | $336.52 | $71.33 |
| Rest of MissouriMissouri | $310.35 | $70.23 |
| MississippiMississippi | $308.65 | $68.80 |
| MontanaMontana | $350.36 | $71.80 |
| North CarolinaNorth Carolina | $328.85 | $68.95 |
| North DakotaNorth Dakota | $346.80 | $68.24 |
| NebraskaNebraska | $324.39 | $67.28 |
| New HampshireNew Hampshire | $361.47 | $71.48 |
| Northern New JerseyNew Jersey | $400.50 | $77.37 |
| Rest of New JerseyNew Jersey | $379.76 | $75.57 |
| New MexicoNew Mexico | $327.60 | $72.16 |
| NevadaNevada | $349.66 | $70.82 |
| NYC suburbs and Long Island, NYNew York | $413.68 | $82.47 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $381.58 | $76.55 |
| Queens, NYNew York | $409.16 | $79.90 |
| Rest of New YorkNew York | $334.14 | $69.51 |
| OhioOhio | $325.29 | $70.96 |
| OklahomaOklahoma | $318.12 | $69.36 |
| Portland, OROregon | $381.79 | $72.31 |
| Rest of OregonOregon | $347.43 | $69.98 |
| Metropolitan Philadelphia, PAPennsylvania | $364.38 | $74.39 |
| Rest of PennsylvaniaPennsylvania | $326.35 | $70.63 |
| Puerto RicoPuerto Rico | $353.46 | $71.84 |
| Rhode IslandRhode Island | $360.31 | $72.56 |
| South CarolinaSouth Carolina | $327.52 | $70.12 |
| South DakotaSouth Dakota | $346.38 | $67.82 |
| TennesseeTennessee | $321.30 | $68.09 |
| Austin, TXTexas | $366.56 | $71.84 |
| Beaumont, TXTexas | $323.95 | $70.45 |
| Brazoria, TXTexas | $346.90 | $70.84 |
| Dallas, TXTexas | $348.87 | $71.42 |
| Fort Worth, TXTexas | $346.05 | $71.39 |
| Galveston, TXTexas | $347.76 | $71.15 |
| Houston, TXTexas | $351.06 | $74.44 |
| Rest of TexasTexas | $335.06 | $70.70 |
| UtahUtah | $332.43 | $70.58 |
| VirginiaVirginia | $343.70 | $69.87 |
| Virgin Islands, VIUnited States Virgin Islands | $353.46 | $71.84 |
| VermontVermont | $344.52 | $68.74 |
| Rest of WashingtonWashington | $364.97 | $71.64 |
| King County, WAWashington | $417.63 | $75.83 |
| WisconsinWisconsin | $334.08 | $67.22 |
| West VirginiaWest Virginia | $315.12 | $73.05 |
| WyomingWyoming | $348.81 | $70.25 |
19285 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.
$306.72
$428.83
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 | $394.18 | 1 |
| AL | $311.65 | 1 |
| AR | $306.72 | 1 |
| AZ | $340.55 | 1 |
| CA | $376.26–$481.39 | 29 |
| CO | $368.21 | 1 |
| CT | $374.99 | 1 |
| DC | $405.48 | 1 |
| DE | $346.58 | 1 |
| FL | $340.69–$371.41 | 3 |
| GA | $320.33–$356.37 | 2 |
| GU | $387.43 | 1 |
| HI | $387.43 | 1 |
| IA | $322.19 | 1 |
| ID | $324.09 | 1 |
| IL | $328.62–$363.21 | 4 |
| IN | $326.19 | 1 |
| KS | $319.66 | 1 |
| KY | $317.79 | 1 |
| LA | $316.90–$334.15 | 2 |
| MA | $365.35–$408.04 | 2 |
| MD | $353.90–$405.48 | 3 |
| ME | $324.99–$345.56 | 2 |
| MI | $326.02–$344.39 | 2 |
| MN | $354.52 | 1 |
| MO | $310.35–$336.52 | 3 |
| MS | $308.65 | 1 |
| MT | $350.36 | 1 |
| NC | $328.85 | 1 |
| ND | $346.80 | 1 |
| NE | $324.39 | 1 |
| NH | $361.47 | 1 |
| NJ | $379.76–$400.50 | 2 |
| NM | $327.60 | 1 |
| NV | $349.66 | 1 |
| NY | $334.14–$413.68 | 5 |
| OH | $325.29 | 1 |
| OK | $318.12 | 1 |
| OR | $347.43–$381.79 | 2 |
| PA | $326.35–$364.38 | 2 |
| PR | $353.46 | 1 |
| RI | $360.31 | 1 |
| SC | $327.52 | 1 |
| SD | $346.38 | 1 |
| TN | $321.30 | 1 |
| TX | $323.95–$366.56 | 8 |
| UT | $332.43 | 1 |
| VA | $343.70–$405.48 | 2 |
| VI | $353.46 | 1 |
| VT | $344.52 | 1 |
| WA | $364.97–$417.63 | 2 |
| WI | $334.08 | 1 |
| WV | $315.12 | 1 |
| WY | $348.81 | 1 |
How the 19285 rate is calculated
Each of 19285’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 · 19285
RVUs × geographic indexes × conversion factor
Work1.66
1.66 RVUs× 1.000 GPCI
Practice expense8.65
8.65 RVUs× 1.000 GPCI
Malpractice0.18
0.18 RVUs× 1.000 GPCI
Adjusted RVUs
10.4900
Conversion factor
$33.4009
Medicare rate
$350.38
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Idaho inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
1,677
- Code
- 19285
- Physician work
- 1.66
- Practice expense
- 8.65
- Malpractice
- 0.18
GPCI2026.csv
47
- Locality
- Idaho
- Physician work
- 1.000
- Practice expense
- 0.920
- Malpractice
- 0.473
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.66 | × 1.000 | 1.6600 |
| Practice expense | 8.65 | × 0.920 | 7.9580 |
| Malpractice | 0.18 | × 0.473 | 0.0851 |
| Total RVUs | 9.7031 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Idaho$324.09
Office: (1.66 × 1 + 8.65 × 0.92 + 0.18 × 0.473) × $33.4009 = $324.09
Facility: (1.66 × 1 + 0.31 × 0.92 + 0.18 × 0.473) × $33.4009 = $67.82
Payment rules and modifiers for 19285
The CMS indicators that decide how 19285 is paid alongside other services.
CMS payment indicators · 19285
Breast localization, first lesion, ultrasound 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
19285 without 50 · national office
$350.38
Breast localization, first lesion, ultrasound guidance
19285-50 · Bilateral: 150%
$525.57
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 19285 has changed in Idaho
19285 · Office / nonfacility
$324.09
Effective 2026-10-01
The base rate is $10.02 higher than on 2025-10-01, moving from $314.07 to $324.09 (3.2%).
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
$314.07changed to$324.09
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 1.70 changed to 1.66
- Practice expense RVU 8.74 changed to 8.65
- Malpractice RVU 0.16 changed to 0.18
- Practice expense GPCI 0.908 changed to 0.920
- Malpractice GPCI 0.461 changed to 0.473
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$332.43changed to$314.07
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 9.04 changed to 8.74
- Malpractice RVU 0.17 changed to 0.16
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$327.01changed to$332.43
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$343.23changed to$327.01
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 9.35 changed to 9.04
- Malpractice RVU 0.18 changed to 0.17
- Practice expense GPCI 0.893 changed to 0.908
- Malpractice GPCI 0.439 changed to 0.461
January 1, 2023
RVU23A
$352.63changed to$343.23
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 9.60 changed to 9.35
- Malpractice RVU 0.17 changed to 0.18
- Practice expense GPCI 0.877 changed to 0.893
- Malpractice GPCI 0.416 changed to 0.439
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$392.91changed to$352.63
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 10.83 changed to 9.60
- Malpractice RVU 0.15 changed to 0.17
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$421.20changed to$392.91
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 11.12 changed to 10.83
- Malpractice RVU 0.16 changed to 0.15
- Practice expense GPCI 0.890 changed to 0.877
- Malpractice GPCI 0.464 changed to 0.416
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$451.89changed to$421.20
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 11.92 changed to 11.12
- Malpractice RVU 0.17 changed to 0.16
- Practice expense GPCI 0.902 changed to 0.890
- Malpractice GPCI 0.512 changed to 0.464
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$481.92changed to$451.89
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 12.86 changed to 11.92
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$477.56changed to$481.92
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 12.80 changed to 12.86
- Practice expense GPCI 0.900 changed to 0.902
- Malpractice GPCI 0.510 changed to 0.512
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$473.90changed to$477.56
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 12.75 changed to 12.80
- Practice expense GPCI 0.898 changed to 0.900
- Malpractice GPCI 0.508 changed to 0.510
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$411.86changed to$473.90
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 10.78 changed to 12.75
- Malpractice RVU 0.16 changed to 0.17
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$409.81changed to$411.86
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$427.43changed to$409.81
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 11.32 changed to 10.78
- Practice expense GPCI 0.896 changed to 0.898
- Malpractice GPCI 0.556 changed to 0.508
Held through RVU15B.
January 1, 2014
RVU14A
No ratechanged to$427.43
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 | $324.09 | $67.82 | RVU26D |
| 2026-07-01 | $324.09 | $67.82 | RVU26C |
| 2026-04-01 | $324.09 | $67.82 | RVU26B |
| 2026-01-01 | $324.09 | $67.82 | RVU26A |
| 2025-10-01 | $314.07 | $75.58 | RVU25D |
| 2025-07-01 | $314.07 | $75.58 | RVU25C |
| 2025-04-01 | $314.07 | $75.58 | RVU25B |
| 2025-01-01 | $314.07 | $75.58 | RVU25A |
| 2024-10-01 | $332.43 | $77.33 | RVU24D |
| 2024-07-01 | $332.43 | $77.33 | RVU24C |
| 2024-04-01 | $332.43 | $77.33 | RVU24B |
| 2024-03-09 | $332.43 | $77.33 | RVU24AR |
| 2024-01-01 | $327.01 | $76.07 | RVU24A |
| 2023-10-01 | $343.23 | $79.05 | RVU23D |
| 2023-07-01 | $343.23 | $79.05 | RVU23C |
| 2023-04-01 | $343.23 | $79.05 | RVU23B |
| 2023-01-01 | $343.23 | $79.05 | RVU23A |
| 2022-10-01 | $352.63 | $79.79 | RVU22D |
| 2022-07-01 | $352.63 | $79.79 | RVU22C |
| 2022-04-01 | $352.63 | $79.79 | RVU22B |
| 2022-01-01 | $352.63 | $79.79 | RVU22A |
| 2021-10-01 | $392.91 | $80.47 | RVU21D |
| 2021-07-01 | $392.91 | $80.47 | RVU21C |
| 2021-04-01 | $392.91 | $80.47 | RVU21B |
| 2021-01-01 | $392.91 | $80.47 | RVU21A |
| 2020-10-01 | $421.20 | $84.27 | RVU20D |
| 2020-07-01 | $421.20 | $84.27 | RVU20C |
| 2020-04-01 | $421.20 | $84.27 | RVU20B |
| 2020-01-01 | $421.20 | $84.27 | RVU20A |
| 2019-10-01 | $451.89 | $84.88 | RVU19D |
| 2019-07-01 | $451.89 | $84.88 | RVU19C |
| 2019-04-01 | $451.89 | $84.88 | RVU19B |
| 2019-01-01 | $451.89 | $84.88 | RVU19A |
| 2018-10-01 | $481.92 | $84.79 | RVU18D |
| 2018-07-01 | $481.92 | $84.79 | RVU18C |
| 2018-04-01 | $481.92 | $84.79 | RVU18B |
| 2018-01-01 | $481.92 | $84.79 | RVU18AR1 |
| 2017-10-01 | $477.56 | $84.79 | RVU17D |
| 2017-07-01 | $477.56 | $84.79 | RVU17C |
| 2017-04-01 | $477.56 | $84.79 | RVU17B |
| 2017-01-01 | $477.56 | $84.79 | RVU17A |
| 2016-10-01 | $473.90 | $84.22 | RVU16D |
| 2016-07-01 | $473.90 | $84.22 | RVU16C |
| 2016-04-01 | $473.90 | $84.22 | RVU16B |
| 2016-01-01 | $473.90 | $84.22 | RVU16A |
| 2015-10-01 | $411.86 | $84.98 | RVU15D |
| 2015-07-01 | $411.86 | $84.98 | RVU15C |
| 2015-04-01 | $409.81 | $84.56 | RVU15B |
| 2015-01-01 | $409.81 | $84.56 | RVU15A |
| 2014-10-01 | $427.43 | $84.95 | RVU14D |
| 2014-07-01 | $427.43 | $84.95 | RVU14C |
| 2014-04-01 | $427.43 | $84.95 | RVU14B |
| 2014-01-01 | $427.43 | $84.95 | 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 Idaho rate applies
Idaho is a Medicare payment area, not a city. Our Census mapping connects it to 235 cities and communities in Idaho. Some span more than one payment area; confirm with the service ZIP.
- Aberdeen
- Acequia
- Albion
- American Falls
- Ammon
- Arbon Valley
- Arco
- Arimo
19285 billing questions
When should 19285 be used instead of 19283?
Use 19285 when ultrasound guides placement for the first lesion. Code 19283 is for first-lesion placement using stereotactic guidance.
How is a second ultrasound-localized lesion reported?
Report 19286 for each additional lesion localized with ultrasound, following 19285 for the first lesion.
Can the ultrasound guidance be billed separately?
The imaging guidance used to place the localization device is included in 19285.
Does 19285 include a breast biopsy?
No. It reports placement of a localization device, not tissue sampling. A separately performed biopsy is a distinct service when supported by the applicable coding and documentation.
What documentation supports reporting 19285?
Document the breast target, ultrasound guidance, device placement, and that this was the first lesion localized with that guidance modality.
How is bilateral placement handled?
For a bilateral service, CMS pays 19285 with modifier 50 at 150%. Same-session procedures are also subject to the standard multiple-procedure reduction.
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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