CPT code 36908: Stent placement, central dialysis segment2026 Medicare rate & RVUs in Puerto Rico
Reports endovascular stent placement in the central portion of a dialysis access circuit, such as for a central venous narrowing treated during access intervention.
In Puerto Rico, Medicare pays $1,404.33 for 36908 in the office and $181.58 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 36908 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 36908 covers
This add-on describes endovascular placement of one or more stents in the central dialysis segment, commonly to treat a narrowing that limits outflow from an arteriovenous fistula or graft. An interventional radiologist, vascular surgeon, or other qualified endovascular operator typically performs the work in an angiography suite or hybrid procedure room. Imaging and radiological supervision and interpretation for the stent placement are included, as is angioplasty within the same vessel when performed.
Report 36908 only with an appropriate primary dialysis-circuit procedure, selected according to the access work performed and whether thrombectomy, angioplasty, or peripheral-segment stenting was also done. The record should identify the central vessel and lesion treated, document stent deployment, and describe the related circuit procedure. Under the CMS payment rule, this add-on is paid within the primary procedure’s global period and is not reported by itself.
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 Puerto Rico compares for 36908
Across 109 of 109 payment localities, the office rate for 36908 runs from $1,206.57 in Arkansas to $1,939.25 in San Benito County, CA. Puerto Rico pays $1,404.33. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Puerto Rico · this page$1,404.33
- Los Angeles, CA · California$1,614.13+$209.80
- Washington, DC area · District of Columbia$1,620.13+$215.80
- Miami, FL · Florida$1,476.81+$72.48
- Chicago, IL · Illinois$1,428.11+$23.78
- Manhattan, NY · New York$1,612.73+$208.40
- Alaska · Alaska$1,529.88+$125.55
Other areas in Puerto Rico first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $1,227.42 | $169.15 |
| ArkansasArkansas | $1,206.57 | $167.65 |
| ArizonaArizona | $1,349.70 | $177.75 |
| Bakersfield, CACalifornia | $1,502.83 | $177.27 |
| Chico, CACalifornia | $1,500.87 | $175.31 |
| El Centro, CACalifornia | $1,500.98 | $175.43 |
| Fresno, CACalifornia | $1,500.87 | $175.31 |
| Hanford, CACalifornia | $1,500.87 | $175.31 |
| Madera, CACalifornia | $1,500.87 | $175.31 |
| Merced, CACalifornia | $1,500.87 | $175.31 |
| Modesto, CACalifornia | $1,500.87 | $175.31 |
| Napa, CACalifornia | $1,779.60 | $185.55 |
| Oxnard, CACalifornia | $1,610.16 | $180.59 |
| Redding, CACalifornia | $1,500.87 | $175.31 |
| Rest of CaliforniaCalifornia | $1,500.87 | $175.31 |
| Riverside, CACalifornia | $1,508.31 | $182.76 |
| Sacramento, CACalifornia | $1,585.89 | $179.31 |
| Salinas, CACalifornia | $1,580.28 | $178.53 |
| San Diego, CACalifornia | $1,625.79 | $179.29 |
| Marin County, CACalifornia | $1,896.04 | $190.72 |
| San Francisco, CACalifornia | $1,895.26 | $189.94 |
| San Benito County, CACalifornia | $1,939.25 | $195.22 |
| Santa Clara County, CACalifornia | $1,936.04 | $192.02 |
| San Luis Obispo, CACalifornia | $1,553.75 | $176.19 |
| Santa Cruz, CACalifornia | $1,647.77 | $178.29 |
| Santa Maria, CACalifornia | $1,588.48 | $178.26 |
| Santa Rosa, CACalifornia | $1,665.00 | $179.80 |
| Stockton, CACalifornia | $1,500.87 | $175.31 |
| Vallejo, CACalifornia | $1,778.47 | $184.42 |
| Visalia, CACalifornia | $1,500.87 | $175.31 |
| Yuba City, CACalifornia | $1,500.87 | $175.31 |
| ColoradoColorado | $1,466.47 | $179.62 |
| ConnecticutConnecticut | $1,493.45 | $190.88 |
| DelawareDelaware | $1,374.75 | $179.82 |
| Fort Lauderdale, FLFlorida | $1,425.76 | $200.59 |
| Rest of FloridaFlorida | $1,348.63 | $192.40 |
| Atlanta, GAGeorgia | $1,415.87 | $187.07 |
| Rest of GeorgiaGeorgia | $1,262.75 | $183.93 |
| Hawaii, Guam, HIHawaii | $1,549.93 | $174.79 |
| IowaIowa | $1,272.72 | $166.07 |
| IdahoIdaho | $1,280.62 | $167.93 |
| East St. Louis, ILIllinois | $1,316.13 | $203.44 |
| Rest of IllinoisIllinois | $1,297.13 | $192.90 |
| Suburban Chicago, ILIllinois | $1,443.11 | $201.01 |
| IndianaIndiana | $1,289.52 | $168.37 |
| KansasKansas | $1,261.65 | $168.31 |
| KentuckyKentucky | $1,252.68 | $177.48 |
| New Orleans, LALouisiana | $1,321.72 | $183.63 |
| Rest of LouisianaLouisiana | $1,248.75 | $178.39 |
| Metropolitan Boston, MAMassachusetts | $1,632.87 | $188.79 |
| Rest of MassachusettsMassachusetts | $1,453.86 | $180.31 |
| Baltimore area, MDMaryland | $1,488.60 | $190.86 |
| Rest of MarylandMaryland | $1,405.40 | $181.44 |
| Rest of MaineMaine | $1,284.05 | $171.36 |
| Southern Maine, MEMaine | $1,371.57 | $173.01 |
| Detroit, MIMichigan | $1,363.91 | $196.80 |
| Rest of MichiganMichigan | $1,287.13 | $182.90 |
| MinnesotaMinnesota | $1,410.59 | $166.07 |
| Metropolitan Kansas City, MOMissouri | $1,315.60 | $179.93 |
| Metropolitan St. Louis, MOMissouri | $1,332.16 | $180.77 |
| Rest of MissouriMissouri | $1,220.83 | $178.29 |
| MississippiMississippi | $1,214.19 | $172.85 |
| MontanaMontana | $1,391.10 | $181.65 |
| North CarolinaNorth Carolina | $1,300.43 | $172.02 |
| North DakotaNorth Dakota | $1,377.46 | $168.01 |
| NebraskaNebraska | $1,282.12 | $165.80 |
| New HampshireNew Hampshire | $1,438.69 | $179.66 |
| Northern New JerseyNew Jersey | $1,598.20 | $195.24 |
| Rest of New JerseyNew Jersey | $1,512.06 | $191.34 |
| New MexicoNew Mexico | $1,293.70 | $184.64 |
| NevadaNevada | $1,388.53 | $177.87 |
| NYC suburbs and Long Island, NYNew York | $1,652.18 | $214.15 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $1,519.04 | $194.70 |
| Queens, NYNew York | $1,634.01 | $204.45 |
| Rest of New YorkNew York | $1,322.81 | $173.84 |
| OhioOhio | $1,284.34 | $180.11 |
| OklahomaOklahoma | $1,254.42 | $174.38 |
| Portland, OROregon | $1,523.97 | $180.28 |
| Rest of OregonOregon | $1,379.38 | $174.77 |
| Metropolitan Philadelphia, PAPennsylvania | $1,448.51 | $189.47 |
| Rest of PennsylvaniaPennsylvania | $1,289.03 | $178.76 |
| Rhode IslandRhode Island | $1,431.87 | $182.51 |
| South CarolinaSouth Carolina | $1,294.22 | $176.70 |
| South DakotaSouth Dakota | $1,375.84 | $166.40 |
| TennesseeTennessee | $1,268.56 | $169.18 |
| Austin, TXTexas | $1,460.13 | $180.53 |
| Beaumont, TXTexas | $1,278.83 | $178.23 |
| Brazoria, TXTexas | $1,376.12 | $177.55 |
| Dallas, TXTexas | $1,384.20 | $179.59 |
| Fort Worth, TXTexas | $1,372.20 | $179.69 |
| Galveston, TXTexas | $1,379.68 | $178.70 |
| Houston, TXTexas | $1,392.31 | $191.33 |
| Rest of TexasTexas | $1,326.19 | $178.43 |
| UtahUtah | $1,315.01 | $178.13 |
| VirginiaVirginia | $1,363.46 | $174.58 |
| Virgin Islands, VIUnited States Virgin Islands | $1,404.33 | $181.58 |
| VermontVermont | $1,367.46 | $170.11 |
| Rest of WashingtonWashington | $1,452.62 | $179.07 |
| King County, WAWashington | $1,673.01 | $189.02 |
| WisconsinWisconsin | $1,323.55 | $164.90 |
| West VirginiaWest Virginia | $1,239.97 | $188.96 |
| WyomingWyoming | $1,385.16 | $175.71 |
36908 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.
$1,206.57
$1,720.06
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 | $1,529.88 | 1 |
| AL | $1,227.42 | 1 |
| AR | $1,206.57 | 1 |
| AZ | $1,349.70 | 1 |
| CA | $1,500.87–$1,939.25 | 29 |
| CO | $1,466.47 | 1 |
| CT | $1,493.45 | 1 |
| DC | $1,620.13 | 1 |
| DE | $1,374.75 | 1 |
| FL | $1,348.63–$1,476.81 | 3 |
| GA | $1,262.75–$1,415.87 | 2 |
| GU | $1,549.93 | 1 |
| HI | $1,549.93 | 1 |
| IA | $1,272.72 | 1 |
| ID | $1,280.62 | 1 |
| IL | $1,297.13–$1,443.11 | 4 |
| IN | $1,289.52 | 1 |
| KS | $1,261.65 | 1 |
| KY | $1,252.68 | 1 |
| LA | $1,248.75–$1,321.72 | 2 |
| MA | $1,453.86–$1,632.87 | 2 |
| MD | $1,405.40–$1,620.13 | 3 |
| ME | $1,284.05–$1,371.57 | 2 |
| MI | $1,287.13–$1,363.91 | 2 |
| MN | $1,410.59 | 1 |
| MO | $1,220.83–$1,332.16 | 3 |
| MS | $1,214.19 | 1 |
| MT | $1,391.10 | 1 |
| NC | $1,300.43 | 1 |
| ND | $1,377.46 | 1 |
| NE | $1,282.12 | 1 |
| NH | $1,438.69 | 1 |
| NJ | $1,512.06–$1,598.20 | 2 |
| NM | $1,293.70 | 1 |
| NV | $1,388.53 | 1 |
| NY | $1,322.81–$1,652.18 | 5 |
| OH | $1,284.34 | 1 |
| OK | $1,254.42 | 1 |
| OR | $1,379.38–$1,523.97 | 2 |
| PA | $1,289.03–$1,448.51 | 2 |
| PR | $1,404.33 | 1 |
| RI | $1,431.87 | 1 |
| SC | $1,294.22 | 1 |
| SD | $1,375.84 | 1 |
| TN | $1,268.56 | 1 |
| TX | $1,278.83–$1,460.13 | 8 |
| UT | $1,315.01 | 1 |
| VA | $1,363.46–$1,620.13 | 2 |
| VI | $1,404.33 | 1 |
| VT | $1,367.46 | 1 |
| WA | $1,452.62–$1,673.01 | 2 |
| WI | $1,323.55 | 1 |
| WV | $1,239.97 | 1 |
| WY | $1,385.16 | 1 |
How the 36908 rate is calculated
Each of 36908’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 · 36908
RVUs × geographic indexes × conversion factor
Work4.14
4.14 RVUs× 1.000 GPCI
Practice expense36.82
36.82 RVUs× 1.000 GPCI
Malpractice0.69
0.69 RVUs× 1.000 GPCI
Adjusted RVUs
41.6500
Conversion factor
$33.4009
Medicare rate
$1,391.15
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Puerto Rico inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
4,569
- Code
- 36908
- Physician work
- 4.14
- Practice expense
- 36.82
- Malpractice
- 0.69
GPCI2026.csv
91
- Locality
- Puerto Rico
- Physician work
- 1.000
- Practice expense
- 1.011
- Malpractice
- 0.985
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.14 | × 1.000 | 4.1400 |
| Practice expense | 36.82 | × 1.011 | 37.2250 |
| Malpractice | 0.69 | × 0.985 | 0.6796 |
| Total RVUs | 42.0447 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Puerto Rico$1404.33
Office: (4.14 × 1 + 36.82 × 1.011 + 0.69 × 0.985) × $33.4009 = $1404.33
Facility: (4.14 × 1 + 0.61 × 1.011 + 0.69 × 0.985) × $33.4009 = $181.58
Payment rules and modifiers for 36908
The CMS indicators that decide how 36908 is paid alongside other services.
CMS payment indicators · 36908
Stent placement, central dialysis segment
| 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 36908 has changed in Puerto Rico
36908 · Office / nonfacility
$1404.33
Effective 2026-10-01
The base rate is $98.71 higher than on 2025-10-01, moving from $1305.62 to $1404.33 (7.6%).
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
$1305.62changed to$1404.33
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 4.25 changed to 4.14
- Practice expense RVU 35.17 changed to 36.82
- Malpractice RVU 0.71 changed to 0.69
- Practice expense GPCI 1.007 changed to 1.011
- Malpractice GPCI 0.982 changed to 0.985
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$1390.53changed to$1305.62
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 36.57 changed to 35.17
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$1367.83changed to$1390.53
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$1455.84changed to$1367.83
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 37.75 changed to 36.57
- Malpractice RVU 0.67 changed to 0.71
- Practice expense GPCI 1.008 changed to 1.007
- Malpractice GPCI 0.984 changed to 0.982
October 1, 2023
RVU23D
$1445.97changed to$1455.84
- Practice expense GPCI 1.000 changed to 1.008
- Malpractice GPCI 1.000 changed to 0.984
January 1, 2023
RVU23A
$1540.84changed to$1445.97
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 39.30 changed to 37.75
- Practice expense GPCI 1.008 changed to 1.000
- Malpractice GPCI 0.986 changed to 1.000
Held through RVU23B, RVU23C.
January 1, 2022
RVU22A
$1911.34changed to$1540.84
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 49.50 changed to 39.30
- Malpractice RVU 0.64 changed to 0.67
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$2167.56changed to$1911.34
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 54.75 changed to 49.50
- Malpractice RVU 0.63 changed to 0.64
- Malpractice GPCI 0.988 changed to 0.986
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$2467.08changed to$2167.56
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 63.14 changed to 54.75
- Practice expense GPCI 1.007 changed to 1.008
- Malpractice GPCI 0.990 changed to 0.988
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$2780.84changed to$2467.08
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 71.84 changed to 63.14
- Malpractice RVU 0.66 changed to 0.63
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$2344.37changed to$2780.84
- Conversion factor 35.8887 changed to 35.9996
- Work RVU 3.73 changed to 4.25
- Practice expense RVU 71.49 changed to 71.84
- Malpractice RVU 0.62 changed to 0.66
- Practice expense GPCI 0.856 changed to 1.007
- Malpractice GPCI 0.642 changed to 0.990
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
No ratechanged to$2344.37
Held through RVU17B, RVU17C, RVU17D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $1,404.33 | $181.58 | RVU26D |
| 2026-07-01 | $1,404.33 | $181.58 | RVU26C |
| 2026-04-01 | $1,404.33 | $181.58 | RVU26B |
| 2026-01-01 | $1,404.33 | $181.58 | RVU26A |
| 2025-10-01 | $1,305.62 | $196.18 | RVU25D |
| 2025-07-01 | $1,305.62 | $196.18 | RVU25C |
| 2025-04-01 | $1,305.62 | $196.18 | RVU25B |
| 2025-01-01 | $1,305.62 | $196.18 | RVU25A |
| 2024-10-01 | $1,390.53 | $200.55 | RVU24D |
| 2024-07-01 | $1,390.53 | $200.55 | RVU24C |
| 2024-04-01 | $1,390.53 | $200.55 | RVU24B |
| 2024-03-09 | $1,390.53 | $200.55 | RVU24AR |
| 2024-01-01 | $1,367.83 | $197.27 | RVU24A |
| 2023-10-01 | $1,455.84 | $203.59 | RVU23D |
| 2023-07-01 | $1,445.97 | $203.66 | RVU23C |
| 2023-04-01 | $1,445.97 | $203.66 | RVU23B |
| 2023-01-01 | $1,445.97 | $203.66 | RVU23A |
| 2022-10-01 | $1,540.84 | $208.66 | RVU22D |
| 2022-07-01 | $1,540.84 | $208.66 | RVU22C |
| 2022-04-01 | $1,540.84 | $208.66 | RVU22B |
| 2022-01-01 | $1,540.84 | $208.66 | RVU22A |
| 2021-10-01 | $1,911.34 | $210.06 | RVU21D |
| 2021-07-01 | $1,911.34 | $210.06 | RVU21C |
| 2021-04-01 | $1,911.34 | $210.06 | RVU21B |
| 2021-01-01 | $1,911.34 | $210.06 | RVU21A |
| 2020-10-01 | $2,167.56 | $217.32 | RVU20D |
| 2020-07-01 | $2,167.56 | $217.32 | RVU20C |
| 2020-04-01 | $2,167.56 | $217.32 | RVU20B |
| 2020-01-01 | $2,167.56 | $217.32 | RVU20A |
| 2019-10-01 | $2,467.08 | $217.38 | RVU19D |
| 2019-07-01 | $2,467.08 | $217.38 | RVU19C |
| 2019-04-01 | $2,467.08 | $217.38 | RVU19B |
| 2019-01-01 | $2,467.08 | $217.38 | RVU19A |
| 2018-10-01 | $2,780.84 | $219.66 | RVU18D |
| 2018-07-01 | $2,780.84 | $219.66 | RVU18C |
| 2018-04-01 | $2,780.84 | $219.66 | RVU18B |
| 2018-01-01 | $2,780.84 | $219.66 | RVU18AR1 |
| 2017-10-01 | $2,344.37 | $180.71 | RVU17D |
| 2017-07-01 | $2,344.37 | $180.71 | RVU17C |
| 2017-04-01 | $2,344.37 | $180.71 | RVU17B |
| 2017-01-01 | $2,344.37 | $180.71 | RVU17A |
| 2016-10-01 | Not in this release | Not in this release | RVU16D |
| 2016-07-01 | Not in this release | Not in this release | RVU16C |
| 2016-04-01 | Not in this release | Not in this release | RVU16B |
| 2016-01-01 | Not in this release | Not in this release | RVU16A |
| 2015-10-01 | Not in this release | Not in this release | RVU15D |
| 2015-07-01 | Not in this release | Not in this release | RVU15C |
| 2015-04-01 | Not in this release | Not in this release | RVU15B |
| 2015-01-01 | Not in this release | Not in this release | 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 Puerto Rico rate applies
Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.
- Aceitunas
- Adjuntas
- Aguada
- Aguadilla
- Aguas Buenas
- Aguas Claras
- Aguilita
- Aibonito
36908 billing questions
Can 36908 be reported by itself?
No. It is an add-on code and must be billed with an appropriate primary dialysis-circuit procedure, such as a code from 36901–36906.
Is angioplasty in the stented vessel separately reported?
Angioplasty within the same central vessel is included in 36908 when performed. The code also includes the related imaging and radiological supervision and interpretation.
How does 36908 differ from 36907?
36908 reports central-segment stent placement; 36907 reports central-segment balloon angioplasty. Angioplasty in the same vessel as the 36908 stent is included.
Which code applies when the stent is in the peripheral dialysis segment?
Use 36903 for peripheral-segment stent placement without thrombectomy, or 36906 when thrombectomy and peripheral-segment stent placement are performed.
What should the procedure note support?
Document the central vessel and lesion treated, stent deployment, and the primary dialysis-circuit work that supports the required companion 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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