CPT code 45380: Colonoscopy with biopsy, single or multiple forceps biopsies2026 Medicare rate & RVUs in Redding, CA
Flexible colonoscopy past the splenic flexure in which one or more tissue samples are taken with biopsy forceps, reported once per session regardless of sample count.
In Redding, CA, Medicare pays $509.04 for 45380 in the office and $177.74 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 45380 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 45380 covers
The endoscopist advances a flexible colonoscope through the rectum and colon, typically to the cecum, and uses biopsy forceps to sample mucosa or lesions. Common indications include suspected inflammatory bowel disease, chronic diarrhea with random biopsies for microscopic colitis, and evaluation of a mass. Small polyps removed with cold biopsy forceps are also reported with 45380. Gastroenterologists and general or colorectal surgeons perform the procedure, mostly in hospital outpatient departments and ambulatory surgery centers, with a smaller share in offices.
Report one unit per colonoscopy session regardless of the number of biopsies or sites sampled; document the sites and extent reached. Diagnostic colonoscopy 45378 is included and is not billed separately. When related colonoscopy procedures are reported together, endoscopy family pricing pays the highest-valued procedure in full and reduces each additional procedure by the family's base endoscopy value. The 0-day global includes routine same-day preoperative and postoperative care. Assistant-at-surgery payment is statutorily restricted; co-surgeons and team surgery are not permitted. Modifier 50 is inappropriate. Append modifier PT when a Medicare screening colonoscopy leads to biopsy.
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 Redding, CA compares for 45380
Across 109 of 109 payment localities, the office rate for 45380 runs from $423.81 in Arkansas to $640.93 in San Benito County, CA. Redding, CA pays $509.04. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Redding, CA · this page$509.04
- Bakersfield, CA · California$510.29+$1.25
- Chico, CA · California$509.04
- El Centro, CA · California$509.11+$0.07
- Fresno, CA · California$509.04
- Hanford, CA · California$509.04
- Los Angeles, CA · California$544.07+$35.03
Other areas in California first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| Madera, CACalifornia | $509.04 | $177.74 |
| Merced, CACalifornia | $509.04 | $177.74 |
| Modesto, CACalifornia | $509.04 | $177.74 |
| Napa, CACalifornia | $591.68 | $193.28 |
| Oxnard, CACalifornia | $541.64 | $184.34 |
| Rest of CaliforniaCalifornia | $509.04 | $177.74 |
| Riverside, CACalifornia | $513.60 | $182.30 |
| Sacramento, CACalifornia | $534.69 | $183.14 |
| Salinas, CACalifornia | $532.71 | $182.37 |
| San Diego, CACalifornia | $545.63 | $184.11 |
| Marin County, CACalifornia | $626.91 | $200.70 |
| San Francisco, CACalifornia | $626.43 | $200.22 |
| San Benito County, CACalifornia | $640.93 | $205.04 |
| Santa Clara County, CACalifornia | $638.98 | $203.09 |
| San Luis Obispo, CACalifornia | $524.09 | $179.79 |
| Santa Cruz, CACalifornia | $551.15 | $183.89 |
| Santa Maria, CACalifornia | $534.81 | $182.36 |
| Santa Rosa, CACalifornia | $556.75 | $185.55 |
| Stockton, CACalifornia | $509.04 | $177.74 |
| Vallejo, CACalifornia | $591.00 | $192.59 |
| Visalia, CACalifornia | $509.04 | $177.74 |
| Yuba City, CACalifornia | $509.04 | $177.74 |
| Washington, DC areaDistrict of Columbia | $550.12 | $194.04 |
| Miami, FLFlorida | $515.77 | $201.10 |
| Chicago, ILIllinois | $500.70 | $196.91 |
| Manhattan, NYNew York | $552.32 | $201.07 |
| AlaskaAlaska | $554.38 | $232.45 |
| AlabamaAlabama | $430.13 | $165.63 |
| ArkansasArkansas | $423.81 | $164.15 |
| ArizonaArizona | $467.10 | $174.19 |
| ColoradoColorado | $500.69 | $179.07 |
| ConnecticutConnecticut | $512.19 | $186.63 |
| DelawareDelaware | $474.93 | $176.28 |
| Fort Lauderdale, FLFlorida | $495.86 | $189.65 |
| Rest of FloridaFlorida | $471.63 | $182.65 |
| Atlanta, GAGeorgia | $488.74 | $181.62 |
| Rest of GeorgiaGeorgia | $444.86 | $175.23 |
| Hawaii, Guam, HIHawaii | $522.02 | $178.33 |
| IowaIowa | $441.76 | $165.17 |
| IdahoIdaho | $444.57 | $166.48 |
| East St. Louis, ILIllinois | $466.19 | $188.10 |
| Rest of IllinoisIllinois | $457.42 | $181.44 |
| Suburban Chicago, ILIllinois | $501.06 | $190.62 |
| IndianaIndiana | $447.21 | $167.00 |
| KansasKansas | $439.41 | $166.15 |
| KentuckyKentucky | $439.92 | $171.20 |
| New Orleans, LALouisiana | $461.23 | $176.78 |
| Rest of LouisianaLouisiana | $439.13 | $171.61 |
| Metropolitan Boston, MAMassachusetts | $551.09 | $190.17 |
| Rest of MassachusettsMassachusetts | $497.53 | $179.23 |
| Baltimore area, MDMaryland | $510.70 | $186.36 |
| Rest of MarylandMaryland | $484.18 | $178.27 |
| Rest of MaineMaine | $446.66 | $168.57 |
| Southern Maine, MEMaine | $471.64 | $172.09 |
| Detroit, MIMichigan | $477.34 | $185.64 |
| Rest of MichiganMichigan | $451.33 | $175.35 |
| MinnesotaMinnesota | $480.25 | $169.20 |
| Metropolitan Kansas City, MOMissouri | $458.30 | $174.46 |
| Metropolitan St. Louis, MOMissouri | $463.20 | $175.43 |
| Rest of MissouriMissouri | $431.30 | $170.74 |
| MississippiMississippi | $427.65 | $167.39 |
| MontanaMontana | $479.94 | $177.66 |
| North CarolinaNorth Carolina | $451.45 | $169.43 |
| North DakotaNorth Dakota | $471.64 | $169.36 |
| NebraskaNebraska | $444.29 | $165.29 |
| New HampshireNew Hampshire | $492.57 | $177.90 |
| Northern New JerseyNew Jersey | $544.23 | $193.59 |
| Rest of New JerseyNew Jersey | $518.17 | $188.08 |
| New MexicoNew Mexico | $453.74 | $176.55 |
| NevadaNevada | $477.98 | $175.40 |
| NYC suburbs and Long Island, NYNew York | $565.57 | $206.16 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $521.39 | $190.39 |
| Queens, NYNew York | $557.30 | $200.00 |
| Rest of New YorkNew York | $458.30 | $171.14 |
| OhioOhio | $449.63 | $173.65 |
| OklahomaOklahoma | $439.39 | $169.45 |
| Portland, OROregon | $517.09 | $181.26 |
| Rest of OregonOregon | $474.40 | $173.34 |
| Metropolitan Philadelphia, PAPennsylvania | $499.12 | $184.44 |
| Rest of PennsylvaniaPennsylvania | $450.50 | $173.00 |
| Puerto RicoPuerto Rico | $483.61 | $178.01 |
| Rhode IslandRhode Island | $492.21 | $179.96 |
| South CarolinaSouth Carolina | $451.26 | $171.96 |
| South DakotaSouth Dakota | $470.66 | $168.38 |
| TennesseeTennessee | $441.62 | $166.85 |
| Austin, TXTexas | $498.91 | $179.10 |
| Beaumont, TXTexas | $447.47 | $172.40 |
| Brazoria, TXTexas | $474.66 | $175.10 |
| Dallas, TXTexas | $477.62 | $176.55 |
| Fort Worth, TXTexas | $474.30 | $176.26 |
| Galveston, TXTexas | $476.03 | $175.87 |
| Houston, TXTexas | $483.72 | $183.56 |
| Rest of TexasTexas | $460.76 | $173.90 |
| UtahUtah | $457.54 | $173.40 |
| VirginiaVirginia | $469.90 | $172.76 |
| Virgin Islands, VIUnited States Virgin Islands | $483.61 | $178.01 |
| VermontVermont | $469.54 | $170.29 |
| Rest of WashingtonWashington | $496.68 | $178.38 |
| King County, WAWashington | $562.66 | $191.76 |
| WisconsinWisconsin | $455.56 | $165.98 |
| West VirginiaWest Virginia | $440.16 | $177.48 |
| WyomingWyoming | $476.32 | $174.05 |
45380 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.
$423.81
$574.99
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 | $554.38 | 1 |
| AL | $430.13 | 1 |
| AR | $423.81 | 1 |
| AZ | $467.10 | 1 |
| CA | $509.04–$640.93 | 29 |
| CO | $500.69 | 1 |
| CT | $512.19 | 1 |
| DC | $550.12 | 1 |
| DE | $474.93 | 1 |
| FL | $471.63–$515.77 | 3 |
| GA | $444.86–$488.74 | 2 |
| GU | $522.02 | 1 |
| HI | $522.02 | 1 |
| IA | $441.76 | 1 |
| ID | $444.57 | 1 |
| IL | $457.42–$501.06 | 4 |
| IN | $447.21 | 1 |
| KS | $439.41 | 1 |
| KY | $439.92 | 1 |
| LA | $439.13–$461.23 | 2 |
| MA | $497.53–$551.09 | 2 |
| MD | $484.18–$550.12 | 3 |
| ME | $446.66–$471.64 | 2 |
| MI | $451.33–$477.34 | 2 |
| MN | $480.25 | 1 |
| MO | $431.30–$463.20 | 3 |
| MS | $427.65 | 1 |
| MT | $479.94 | 1 |
| NC | $451.45 | 1 |
| ND | $471.64 | 1 |
| NE | $444.29 | 1 |
| NH | $492.57 | 1 |
| NJ | $518.17–$544.23 | 2 |
| NM | $453.74 | 1 |
| NV | $477.98 | 1 |
| NY | $458.30–$565.57 | 5 |
| OH | $449.63 | 1 |
| OK | $439.39 | 1 |
| OR | $474.40–$517.09 | 2 |
| PA | $450.50–$499.12 | 2 |
| PR | $483.61 | 1 |
| RI | $492.21 | 1 |
| SC | $451.26 | 1 |
| SD | $470.66 | 1 |
| TN | $441.62 | 1 |
| TX | $447.47–$498.91 | 8 |
| UT | $457.54 | 1 |
| VA | $469.90–$550.12 | 2 |
| VI | $483.61 | 1 |
| VT | $469.54 | 1 |
| WA | $496.68–$562.66 | 2 |
| WI | $455.56 | 1 |
| WV | $440.16 | 1 |
| WY | $476.32 | 1 |
How the 45380 rate is calculated
Each of 45380’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 · 45380
RVUs × geographic indexes × conversion factor
Work3.47
3.47 RVUs× 1.000 GPCI
Practice expense10.48
10.48 RVUs× 1.000 GPCI
Malpractice0.42
0.42 RVUs× 1.000 GPCI
Adjusted RVUs
14.3700
Conversion factor
$33.4009
Medicare rate
$479.97
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Redding, CA inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
5,516
- Code
- 45380
- Physician work
- 3.47
- Practice expense
- 10.48
- Malpractice
- 0.42
GPCI2026.csv
19
- Locality
- Redding, CA
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.47 | × 1.017 | 3.5290 |
| Practice expense | 10.48 | × 1.096 | 11.4861 |
| Malpractice | 0.42 | × 0.536 | 0.2251 |
| Total RVUs | 15.2402 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Redding, CA$509.04
Office: (3.47 × 1.017 + 10.48 × 1.096 + 0.42 × 0.536) × $33.4009 = $509.04
Facility: (3.47 × 1.017 + 1.43 × 1.096 + 0.42 × 0.536) × $33.4009 = $177.74
Payment rules and modifiers for 45380
The CMS indicators that decide how 45380 is paid alongside other services.
CMS payment indicators · 45380
Colonoscopy with biopsy, single or multiple forceps biopsies
| 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 | 3 | Endoscopy family rules apply. |
| 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. |
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
45380 without 51 · national office
$479.97
Colonoscopy with biopsy, single or multiple forceps biopsies
45380-51 · Second procedure: 50%
$239.99
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 45380 has changed in Redding, CA
45380 · Office / nonfacility
$509.04
Effective 2026-10-01
The base rate is $72.99 higher than on 2025-10-01, moving from $436.05 to $509.04 (16.7%).
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
$436.05changed to$509.04
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 3.56 changed to 3.47
- Practice expense RVU 8.79 changed to 10.48
- Malpractice RVU 0.47 changed to 0.42
- Work GPCI 1.014 changed to 1.017
- Practice expense GPCI 1.093 changed to 1.096
- Malpractice GPCI 0.560 changed to 0.536
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$455.45changed to$436.05
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 8.99 changed to 8.79
- Malpractice RVU 0.44 changed to 0.47
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$448.02changed to$455.45
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$462.35changed to$448.02
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 9.04 changed to 8.99
- Work GPCI 1.021 changed to 1.014
- Practice expense GPCI 1.079 changed to 1.093
- Malpractice GPCI 0.579 changed to 0.560
January 1, 2023
RVU23A
$478.86changed to$462.35
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 9.33 changed to 9.04
- Malpractice RVU 0.41 changed to 0.44
- Work GPCI 1.027 changed to 1.021
- Practice expense GPCI 1.065 changed to 1.079
- Malpractice GPCI 0.597 changed to 0.579
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$480.06changed to$478.86
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 9.25 changed to 9.33
- Malpractice RVU 0.42 changed to 0.41
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$455.25changed to$480.06
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 8.16 changed to 9.25
- Malpractice RVU 0.41 changed to 0.42
- Work GPCI 1.024 changed to 1.027
- Practice expense GPCI 1.070 changed to 1.065
- Malpractice GPCI 0.580 changed to 0.597
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$440.74changed to$455.25
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 7.76 changed to 8.16
- Malpractice RVU 0.47 changed to 0.41
- Work GPCI 1.020 changed to 1.024
- Practice expense GPCI 1.074 changed to 1.070
- Malpractice GPCI 0.562 changed to 0.580
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$430.80changed to$440.74
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 7.51 changed to 7.76
- Malpractice RVU 0.48 changed to 0.47
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$430.22changed to$430.80
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 7.46 changed to 7.51
- Work GPCI 1.024 changed to 1.020
- Practice expense GPCI 1.079 changed to 1.074
- Malpractice GPCI 0.610 changed to 0.562
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
No ratechanged to$430.22
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 | $509.04 | $177.74 | RVU26D |
| 2026-07-01 | $509.04 | $177.74 | RVU26C |
| 2026-04-01 | $509.04 | $177.74 | RVU26B |
| 2026-01-01 | $509.04 | $177.74 | RVU26A |
| 2025-10-01 | $436.05 | $193.51 | RVU25D |
| 2025-07-01 | $436.05 | $193.51 | RVU25C |
| 2025-04-01 | $436.05 | $193.51 | RVU25B |
| 2025-01-01 | $436.05 | $193.51 | RVU25A |
| 2024-10-01 | $455.45 | $198.22 | RVU24D |
| 2024-07-01 | $455.45 | $198.22 | RVU24C |
| 2024-04-01 | $455.45 | $198.22 | RVU24B |
| 2024-03-09 | $455.45 | $198.22 | RVU24AR |
| 2024-01-01 | $448.02 | $194.99 | RVU24A |
| 2023-10-01 | $462.35 | $200.91 | RVU23D |
| 2023-07-01 | $462.35 | $200.91 | RVU23C |
| 2023-04-01 | $462.35 | $200.91 | RVU23B |
| 2023-01-01 | $462.35 | $200.91 | RVU23A |
| 2022-10-01 | $478.86 | $204.65 | RVU22D |
| 2022-07-01 | $478.86 | $204.65 | RVU22C |
| 2022-04-01 | $478.86 | $204.65 | RVU22B |
| 2022-01-01 | $478.86 | $204.65 | RVU22A |
| 2021-10-01 | $480.06 | $205.81 | RVU21D |
| 2021-07-01 | $480.06 | $205.81 | RVU21C |
| 2021-04-01 | $480.06 | $205.81 | RVU21B |
| 2021-01-01 | $480.06 | $205.81 | RVU21A |
| 2020-10-01 | $455.25 | $210.43 | RVU20D |
| 2020-07-01 | $455.25 | $210.43 | RVU20C |
| 2020-04-01 | $455.25 | $210.43 | RVU20B |
| 2020-01-01 | $455.25 | $210.43 | RVU20A |
| 2019-10-01 | $440.74 | $211.60 | RVU19D |
| 2019-07-01 | $440.74 | $211.60 | RVU19C |
| 2019-04-01 | $440.74 | $211.60 | RVU19B |
| 2019-01-01 | $440.74 | $211.60 | RVU19A |
| 2018-10-01 | $430.80 | $212.73 | RVU18D |
| 2018-07-01 | $430.80 | $212.73 | RVU18C |
| 2018-04-01 | $430.80 | $212.73 | RVU18B |
| 2018-01-01 | $430.80 | $212.73 | RVU18AR1 |
| 2017-10-01 | $430.22 | $213.36 | RVU17D |
| 2017-07-01 | $430.22 | $213.36 | RVU17C |
| 2017-04-01 | $430.22 | $213.36 | RVU17B |
| 2017-01-01 | $430.22 | $213.36 | RVU17A |
| 2016-10-01 | Rate data unavailable | Rate data unavailable | RVU16D |
| 2016-07-01 | Rate data unavailable | Rate data unavailable | RVU16C |
| 2016-04-01 | Rate data unavailable | Rate data unavailable | RVU16B |
| 2016-01-01 | Rate data unavailable | Rate data unavailable | RVU16A |
| 2015-10-01 | Rate data unavailable | Rate data unavailable | RVU15D |
| 2015-07-01 | Rate data unavailable | Rate data unavailable | RVU15C |
| 2015-04-01 | Rate data unavailable | Rate data unavailable | RVU15B |
| 2015-01-01 | Rate data unavailable | Rate data unavailable | RVU15A |
| 2014-10-01 | Rate data unavailable | Rate data unavailable | RVU14D |
| 2014-07-01 | Rate data unavailable | Rate data unavailable | RVU14C |
| 2014-04-01 | Rate data unavailable | Rate data unavailable | RVU14B |
| 2014-01-01 | Rate data unavailable | Rate data unavailable | RVU14A |
| 2013-10-01 | Rate data unavailable | Rate data unavailable | RVU13D |
| 2013-07-01 | Rate data unavailable | Rate data unavailable | RVU13C |
| 2013-04-01 | Rate data unavailable | Rate data unavailable | RVU13B |
| 2013-01-01 | Rate data unavailable | Rate data unavailable | RVU13AR |
Where the Redding, CA rate applies
Redding, CA is a Medicare payment area, not a city. Our Census mapping connects it to 32 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.
- Redding
- Anderson
- Bella Vista
- Big Bend
- Burney
- Cassel
- Castella
- Centerville
45380 billing questions
How many units are reported when several biopsies are taken from different segments?
One unit. The code covers single or multiple biopsies during the same colonoscopy, so random biopsies from the ascending, transverse, and sigmoid colon are still a single line.
Can 45380 be billed with snare polypectomy 45385 in the same session?
Yes, when the biopsy is of a different lesion than the one removed by snare. Append modifier 59 or XS to 45380 and document separate lesions; biopsy of the same lesion before snaring is not separately reported.
Which code applies when a small polyp is removed with cold biopsy forceps?
Cold forceps removal is reported with 45380. Hot biopsy forceps removal goes to 45384, and snare removal, hot or cold, goes to 45385.
What modifier is needed when a Medicare screening colonoscopy turns into a biopsy?
Report 45380 with modifier PT to identify the procedure as a screening colonoscopy converted to biopsy. The Medicare Part B deductible is waived.
Is the pathology work included in 45380?
No. The endoscopist's code covers obtaining the tissue only; the pathologist separately reports the specimen examination, commonly with 88305 for each separately submitted specimen.
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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