CPT code 22512: Vertebroplasty, each additional vertebral body2026 Medicare rate & RVUs in Houston, TX
Reports treatment of each additional vertebral body during percutaneous vertebroplasty, alongside the primary code for the treated spinal region.
In Houston, TX, Medicare pays $745.82 for 22512 in the office and $191.26 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 22512 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 22512 covers
This add-on captures vertebroplasty performed on an additional vertebral body after the first body in the same session. The physician places a needle into the vertebra and injects bone cement to stabilize it, commonly for a painful compression fracture related to osteoporosis or tumor. Interventional radiologists and spine surgeons perform the procedure, usually in a hospital or ambulatory surgical setting. Vertebroplasty injects cement without the cavity-creation technique used for vertebral augmentation.
Report 22512 for each additional body treated after the appropriate primary vertebroplasty code: 22510 for the cervicothoracic region or 22511 for the lumbosacral region. The operative or procedure note should identify the vertebral levels treated and document the vertebroplasty technique. Do not report 22512 alone. CMS classifies it as an add-on code paid within the primary procedure's global period. Imaging guidance for the vertebroplasty is included in the procedure service.
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 Houston, TX compares for 22512
Across 109 of 109 payment localities, the office rate for 22512 runs from $645.61 in Arkansas to $1,001.80 in San Benito County, CA. Houston, TX pays $745.82. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Houston, TX · this page$745.82
- Austin, TX · Texas$771.31+$25.49
- Beaumont, TX · Texas$685.43−$60.39
- Brazoria, TX · Texas$730.31−$15.51
- Dallas, TX · Texas$735.25−$10.57
- Fort Worth, TX · Texas$729.70−$16.12
- Galveston, TX · Texas$732.64−$13.18
Other areas in Texas first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| Rest of TexasTexas | $707.64 | $177.65 |
| Los Angeles, CACalifornia | $844.24 | $183.58 |
| Washington, DC areaDistrict of Columbia | $853.80 | $195.93 |
| Miami, FLFlorida | $800.61 | $219.25 |
| Chicago, ILIllinois | $774.81 | $213.56 |
| Manhattan, NYNew York | $857.11 | $208.18 |
| AlaskaAlaska | $832.22 | $237.46 |
| AlabamaAlabama | $656.20 | $167.55 |
| ArkansasArkansas | $645.61 | $165.89 |
| ArizonaArizona | $718.22 | $177.07 |
| Bakersfield, CACalifornia | $789.11 | $177.04 |
| Chico, CACalifornia | $787.10 | $175.02 |
| El Centro, CACalifornia | $787.22 | $175.14 |
| Fresno, CACalifornia | $787.10 | $175.02 |
| Hanford, CACalifornia | $787.10 | $175.02 |
| Madera, CACalifornia | $787.10 | $175.02 |
| Merced, CACalifornia | $787.10 | $175.02 |
| Modesto, CACalifornia | $787.10 | $175.02 |
| Napa, CACalifornia | $922.40 | $186.34 |
| Oxnard, CACalifornia | $840.98 | $180.87 |
| Redding, CACalifornia | $787.10 | $175.02 |
| Rest of CaliforniaCalifornia | $787.10 | $175.02 |
| Riverside, CACalifornia | $794.85 | $182.77 |
| Sacramento, CACalifornia | $828.80 | $179.31 |
| Salinas, CACalifornia | $825.81 | $178.55 |
| San Diego, CACalifornia | $847.49 | $179.56 |
| Marin County, CACalifornia | $979.26 | $191.82 |
| San Francisco, CACalifornia | $978.44 | $191.01 |
| San Benito County, CACalifornia | $1,001.80 | $196.50 |
| Santa Clara County, CACalifornia | $998.46 | $193.15 |
| San Luis Obispo, CACalifornia | $812.27 | $176.18 |
| Santa Cruz, CACalifornia | $857.29 | $178.76 |
| Santa Maria, CACalifornia | $829.51 | $178.35 |
| Santa Rosa, CACalifornia | $866.08 | $180.28 |
| Stockton, CACalifornia | $787.10 | $175.02 |
| Vallejo, CACalifornia | $921.22 | $185.17 |
| Visalia, CACalifornia | $787.10 | $175.02 |
| Yuba City, CACalifornia | $787.10 | $175.02 |
| ColoradoColorado | $773.60 | $179.39 |
| ConnecticutConnecticut | $792.57 | $191.11 |
| DelawareDelaware | $731.03 | $179.26 |
| Fort Lauderdale, FLFlorida | $766.87 | $201.15 |
| Rest of FloridaFlorida | $726.16 | $192.27 |
| Atlanta, GAGeorgia | $754.42 | $187.02 |
| Rest of GeorgiaGeorgia | $681.21 | $183.06 |
| Hawaii, Guam, HIHawaii | $809.92 | $174.95 |
| IowaIowa | $675.56 | $164.57 |
| IdahoIdaho | $680.31 | $166.53 |
| East St. Louis, ILIllinois | $717.37 | $203.59 |
| Rest of IllinoisIllinois | $702.43 | $192.55 |
| Suburban Chicago, ILIllinois | $775.12 | $201.57 |
| IndianaIndiana | $684.73 | $167.03 |
| KansasKansas | $671.69 | $166.84 |
| KentuckyKentucky | $672.79 | $176.32 |
| New Orleans, LALouisiana | $708.56 | $183.04 |
| Rest of LouisianaLouisiana | $671.49 | $177.25 |
| Metropolitan Boston, MAMassachusetts | $856.12 | $189.31 |
| Rest of MassachusettsMassachusetts | $768.06 | $180.00 |
| Baltimore area, MDMaryland | $790.36 | $191.13 |
| Rest of MarylandMaryland | $746.19 | $181.02 |
| Rest of MaineMaine | $683.90 | $170.11 |
| Southern Maine, MEMaine | $725.69 | $172.25 |
| Detroit, MIMichigan | $735.83 | $196.92 |
| Rest of MichiganMichigan | $691.99 | $182.12 |
| MinnesotaMinnesota | $739.88 | $165.22 |
| Metropolitan Kansas City, MOMissouri | $703.56 | $179.16 |
| Metropolitan St. Louis, MOMissouri | $711.77 | $180.12 |
| Rest of MissouriMissouri | $658.40 | $177.01 |
| MississippiMississippi | $652.17 | $171.33 |
| MontanaMontana | $739.78 | $181.32 |
| North CarolinaNorth Carolina | $691.92 | $170.87 |
| North DakotaNorth Dakota | $725.55 | $167.08 |
| NebraskaNebraska | $679.79 | $164.33 |
| New HampshireNew Hampshire | $760.83 | $179.47 |
| Northern New JerseyNew Jersey | $843.35 | $195.54 |
| Rest of New JerseyNew Jersey | $801.24 | $191.40 |
| New MexicoNew Mexico | $696.07 | $183.96 |
| NevadaNevada | $736.40 | $177.38 |
| NYC suburbs and Long Island, NYNew York | $879.44 | $215.43 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $806.37 | $194.85 |
| Queens, NYNew York | $865.36 | $205.26 |
| Rest of New YorkNew York | $703.41 | $172.87 |
| OhioOhio | $689.08 | $179.21 |
| OklahomaOklahoma | $671.82 | $173.11 |
| Portland, OROregon | $800.75 | $180.30 |
| Rest of OregonOregon | $730.35 | $174.12 |
| Metropolitan Philadelphia, PAPennsylvania | $770.82 | $189.46 |
| Rest of PennsylvaniaPennsylvania | $690.49 | $177.83 |
| Puerto RicoPuerto Rico | $745.91 | $181.30 |
| Rhode IslandRhode Island | $759.03 | $182.14 |
| South CarolinaSouth Carolina | $691.72 | $175.70 |
| South DakotaSouth Dakota | $723.86 | $165.40 |
| TennesseeTennessee | $675.41 | $167.77 |
| UtahUtah | $702.25 | $177.29 |
| VirginiaVirginia | $722.81 | $173.84 |
| Virgin Islands, VIUnited States Virgin Islands | $745.91 | $181.30 |
| VermontVermont | $722.09 | $169.22 |
| Rest of WashingtonWashington | $766.81 | $178.75 |
| King County, WAWashington | $874.85 | $189.62 |
| WisconsinWisconsin | $698.60 | $163.59 |
| West VirginiaWest Virginia | $673.49 | $188.19 |
| WyomingWyoming | $733.58 | $175.11 |
22512 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.
$645.61
$894.45
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 | $832.22 | 1 |
| AL | $656.20 | 1 |
| AR | $645.61 | 1 |
| AZ | $718.22 | 1 |
| CA | $787.10–$1,001.80 | 29 |
| CO | $773.60 | 1 |
| CT | $792.57 | 1 |
| DC | $853.80 | 1 |
| DE | $731.03 | 1 |
| FL | $726.16–$800.61 | 3 |
| GA | $681.21–$754.42 | 2 |
| GU | $809.92 | 1 |
| HI | $809.92 | 1 |
| IA | $675.56 | 1 |
| ID | $680.31 | 1 |
| IL | $702.43–$775.12 | 4 |
| IN | $684.73 | 1 |
| KS | $671.69 | 1 |
| KY | $672.79 | 1 |
| LA | $671.49–$708.56 | 2 |
| MA | $768.06–$856.12 | 2 |
| MD | $746.19–$853.80 | 3 |
| ME | $683.90–$725.69 | 2 |
| MI | $691.99–$735.83 | 2 |
| MN | $739.88 | 1 |
| MO | $658.40–$711.77 | 3 |
| MS | $652.17 | 1 |
| MT | $739.78 | 1 |
| NC | $691.92 | 1 |
| ND | $725.55 | 1 |
| NE | $679.79 | 1 |
| NH | $760.83 | 1 |
| NJ | $801.24–$843.35 | 2 |
| NM | $696.07 | 1 |
| NV | $736.40 | 1 |
| NY | $703.41–$879.44 | 5 |
| OH | $689.08 | 1 |
| OK | $671.82 | 1 |
| OR | $730.35–$800.75 | 2 |
| PA | $690.49–$770.82 | 2 |
| PR | $745.91 | 1 |
| RI | $759.03 | 1 |
| SC | $691.72 | 1 |
| SD | $723.86 | 1 |
| TN | $675.41 | 1 |
| TX | $685.43–$771.31 | 8 |
| UT | $702.25 | 1 |
| VA | $722.81–$853.80 | 2 |
| VI | $745.91 | 1 |
| VT | $722.09 | 1 |
| WA | $766.81–$874.85 | 2 |
| WI | $698.60 | 1 |
| WV | $673.49 | 1 |
| WY | $733.58 | 1 |
How the 22512 rate is calculated
Each of 22512’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 · 22512
RVUs × geographic indexes × conversion factor
Work3.90
3.90 RVUs× 1.000 GPCI
Practice expense17.53
17.53 RVUs× 1.000 GPCI
Malpractice0.72
0.72 RVUs× 1.000 GPCI
Adjusted RVUs
22.1500
Conversion factor
$33.4009
Medicare rate
$739.83
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Houston, TX inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
2,073
- Code
- 22512
- Physician work
- 3.90
- Practice expense
- 17.53
- Malpractice
- 0.72
GPCI2026.csv
102
- Locality
- Houston, TX
- Physician work
- 1.008
- Practice expense
- 0.993
- Malpractice
- 1.376
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.90 | × 1.008 | 3.9312 |
| Practice expense | 17.53 | × 0.993 | 17.4073 |
| Malpractice | 0.72 | × 1.376 | 0.9907 |
| Total RVUs | 22.3292 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Houston, TX$745.82
Office: (3.9 × 1.008 + 17.53 × 0.993 + 0.72 × 1.376) × $33.4009 = $745.82
Facility: (3.9 × 1.008 + 0.81 × 0.993 + 0.72 × 1.376) × $33.4009 = $191.26
Payment rules and modifiers for 22512
The CMS indicators that decide how 22512 is paid alongside other services.
CMS payment indicators · 22512
Vertebroplasty, each additional vertebral body
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
How 22512 has changed in Houston, TX
22512 · Office / nonfacility
$745.82
Effective 2026-10-01
The base rate is $51.16 higher than on 2025-10-01, moving from $694.66 to $745.82 (7.4%).
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
$694.66changed to$745.82
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 4.00 changed to 3.90
- Practice expense RVU 16.37 changed to 17.53
- Malpractice RVU 0.71 changed to 0.72
- Work GPCI 1.014 changed to 1.008
- Practice expense GPCI 1.003 changed to 0.993
- Malpractice GPCI 1.409 changed to 1.376
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$734.37changed to$694.66
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 16.94 changed to 16.37
- Malpractice RVU 0.72 changed to 0.71
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$722.38changed to$734.37
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$763.59changed to$722.38
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 17.39 changed to 16.94
- Malpractice RVU 0.67 changed to 0.72
- Work GPCI 1.023 changed to 1.014
- Practice expense GPCI 1.016 changed to 1.003
- Malpractice GPCI 1.154 changed to 1.409
January 1, 2023
RVU23A
$800.20changed to$763.59
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 17.90 changed to 17.39
- Malpractice RVU 0.64 changed to 0.67
- Work GPCI 1.032 changed to 1.023
- Practice expense GPCI 1.029 changed to 1.016
- Malpractice GPCI 0.900 changed to 1.154
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$875.19changed to$800.20
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 19.83 changed to 17.90
- Malpractice RVU 0.61 changed to 0.64
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$898.92changed to$875.19
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 19.91 changed to 19.83
- Malpractice RVU 0.54 changed to 0.61
- Work GPCI 1.026 changed to 1.032
- Practice expense GPCI 1.020 changed to 1.029
- Malpractice GPCI 0.918 changed to 0.900
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$933.29changed to$898.92
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 21.04 changed to 19.91
- Malpractice RVU 0.56 changed to 0.54
- Work GPCI 1.020 changed to 1.026
- Practice expense GPCI 1.012 changed to 1.020
- Malpractice GPCI 0.936 changed to 0.918
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$989.80changed to$933.29
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 22.61 changed to 21.04
- Malpractice RVU 0.57 changed to 0.56
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$984.50changed to$989.80
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 22.60 changed to 22.61
- Malpractice RVU 0.58 changed to 0.57
- Practice expense GPCI 1.009 changed to 1.012
- Malpractice GPCI 0.946 changed to 0.936
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$1007.52changed to$984.50
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 23.36 changed to 22.60
- Malpractice RVU 0.59 changed to 0.58
- Work GPCI 1.019 changed to 1.020
- Practice expense GPCI 1.006 changed to 1.009
- Malpractice GPCI 0.955 changed to 0.946
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$1008.21changed to$1007.52
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 23.25 changed to 23.36
- Malpractice RVU 0.62 changed to 0.59
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$1003.19changed to$1008.21
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
No ratechanged to$1003.19
Held through RVU15B.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $745.82 | $191.26 | RVU26D |
| 2026-07-01 | $745.82 | $191.26 | RVU26C |
| 2026-04-01 | $745.82 | $191.26 | RVU26B |
| 2026-01-01 | $745.82 | $191.26 | RVU26A |
| 2025-10-01 | $694.66 | $210.60 | RVU25D |
| 2025-07-01 | $694.66 | $210.60 | RVU25C |
| 2025-04-01 | $694.66 | $210.60 | RVU25B |
| 2025-01-01 | $694.66 | $210.60 | RVU25A |
| 2024-10-01 | $734.37 | $215.86 | RVU24D |
| 2024-07-01 | $734.37 | $215.86 | RVU24C |
| 2024-04-01 | $734.37 | $215.86 | RVU24B |
| 2024-03-09 | $734.37 | $215.86 | RVU24AR |
| 2024-01-01 | $722.38 | $212.34 | RVU24A |
| 2023-10-01 | $763.59 | $214.45 | RVU23D |
| 2023-07-01 | $763.59 | $214.45 | RVU23C |
| 2023-04-01 | $763.59 | $214.45 | RVU23B |
| 2023-01-01 | $763.59 | $214.45 | RVU23A |
| 2022-10-01 | $800.20 | $213.35 | RVU22D |
| 2022-07-01 | $800.20 | $213.35 | RVU22C |
| 2022-04-01 | $800.20 | $213.35 | RVU22B |
| 2022-01-01 | $800.20 | $213.35 | RVU22A |
| 2021-10-01 | $875.19 | $214.18 | RVU21D |
| 2021-07-01 | $875.19 | $214.18 | RVU21C |
| 2021-04-01 | $875.19 | $214.18 | RVU21B |
| 2021-01-01 | $875.19 | $214.18 | RVU21A |
| 2020-10-01 | $898.92 | $218.27 | RVU20D |
| 2020-07-01 | $898.92 | $218.27 | RVU20C |
| 2020-04-01 | $898.92 | $218.27 | RVU20B |
| 2020-01-01 | $898.92 | $218.27 | RVU20A |
| 2019-10-01 | $933.29 | $218.08 | RVU19D |
| 2019-07-01 | $933.29 | $218.08 | RVU19C |
| 2019-04-01 | $933.29 | $218.08 | RVU19B |
| 2019-01-01 | $933.29 | $218.08 | RVU19A |
| 2018-10-01 | $989.80 | $218.91 | RVU18D |
| 2018-07-01 | $989.80 | $218.91 | RVU18C |
| 2018-04-01 | $989.80 | $218.91 | RVU18B |
| 2018-01-01 | $989.80 | $218.91 | RVU18AR1 |
| 2017-10-01 | $984.50 | $220.07 | RVU17D |
| 2017-07-01 | $984.50 | $220.07 | RVU17C |
| 2017-04-01 | $984.50 | $220.07 | RVU17B |
| 2017-01-01 | $984.50 | $220.07 | RVU17A |
| 2016-10-01 | $1,007.52 | $220.14 | RVU16D |
| 2016-07-01 | $1,007.52 | $220.14 | RVU16C |
| 2016-04-01 | $1,007.52 | $220.14 | RVU16B |
| 2016-01-01 | $1,007.52 | $220.14 | RVU16A |
| 2015-10-01 | $1,008.21 | $221.96 | RVU15D |
| 2015-07-01 | $1,008.21 | $221.96 | RVU15C |
| 2015-04-01 | $1,003.19 | $220.86 | RVU15B |
| 2015-01-01 | $1,003.19 | $220.86 | RVU15A |
| 2014-10-01 | Not in this release | Not in this release | RVU14D |
| 2014-07-01 | Not in this release | Not in this release | RVU14C |
| 2014-04-01 | Not in this release | Not in this release | RVU14B |
| 2014-01-01 | Not in this release | Not in this release | 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 Houston, TX rate applies
Houston, TX is a Medicare payment area, not a city. Our Census mapping connects it to 46 cities and communities in Texas. Some span more than one payment area; confirm with the service ZIP.
- 22512 in Houston · multiple payment areas
- Aldine
- Atascocita
- Barrett
- 22512 in Baytown · multiple payment areas
- Bellaire
- Bunker Hill Village
- Channelview
22512 billing questions
Can 22512 be reported without a primary vertebroplasty code?
No. Report it only with 22510 or 22511 for the initial vertebral body treated in the applicable spinal region.
How many units of 22512 should be reported?
Report one unit for each additional vertebral body treated beyond the first body in the session.
How do I choose between 22510 and 22511 as the primary code?
Use 22510 for the cervicothoracic region and 22511 for the lumbosacral region; 22512 identifies additional treated bodies.
Is imaging guidance separately reported with 22512?
Imaging guidance for the vertebroplasty is included in the procedure service.
When is 22515 used instead of 22512?
Use 22515 for an additional body treated with vertebral augmentation involving cavity creation. Use 22512 for additional-body vertebroplasty.
What documentation supports reporting 22512?
Document the vertebral levels treated, which body was treated first, and that the additional bodies received vertebroplasty rather than vertebral augmentation.
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
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