CPT code 50953: Ureteroscopy, with ureteral catheterization2026 Medicare rate & RVUs in El Centro, CA
Reports ureteroscopic examination through a ureterostomy with ureteral catheterization, including associated irrigation, instillation, or ureteropyelography when performed.
In El Centro, CA, Medicare pays $426.56 for 50953 in the office and $284.53 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 50953 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 50953 covers
A urologist passes an endoscope through an existing ureterostomy to examine the ureter and catheterize it. Irrigation, instillation, or ureteropyelography may accompany the procedure. This approach is distinct from reaching the ureter through the bladder and urethra; it uses the surgically created opening from the ureter to the body surface. It may be performed in a facility setting for evaluation or management of a ureteral problem when this access route is used.
Report the code when the documented service includes ureteroscopy through the ureterostomy and ureteral catheterization; the operative note should identify the access route and services performed. CMS applies endoscopy-family pricing when related endoscopies are performed together, so those services are not necessarily paid as separate full procedures. The 0-day global period includes same-day preoperative and postoperative care. For a bilateral procedure, 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 El Centro, CA compares for 50953
Across 109 of 109 payment localities, the office rate for 50953 runs from $377.87 in Arkansas to $518.92 in Alaska. El Centro, CA pays $426.56. The RVUs are the same everywhere; the geographic indexes change the dollars.
- El Centro, CA · this page$426.56
- Bakersfield, CA · California$428.76+$2.20
- Chico, CA · California$426.43−$0.13
- Fresno, CA · California$426.43−$0.13
- Hanford, CA · California$426.43−$0.13
- Los Angeles, CA · California$451.04+$24.48
- Madera, CA · California$426.43−$0.13
Other areas in California first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| Merced, CACalifornia | $426.43 | $284.40 |
| Modesto, CACalifornia | $426.43 | $284.40 |
| Napa, CACalifornia | $476.77 | $305.96 |
| Oxnard, CACalifornia | $447.13 | $293.95 |
| Redding, CACalifornia | $426.43 | $284.40 |
| Rest of CaliforniaCalifornia | $426.43 | $284.40 |
| Riverside, CACalifornia | $435.00 | $292.96 |
| Sacramento, CACalifornia | $442.88 | $292.16 |
| Salinas, CACalifornia | $441.12 | $290.92 |
| San Diego, CACalifornia | $448.03 | $293.04 |
| Marin County, CACalifornia | $499.26 | $316.53 |
| San Francisco, CACalifornia | $498.36 | $315.64 |
| San Benito County, CACalifornia | $510.35 | $323.48 |
| Santa Clara County, CACalifornia | $506.68 | $319.81 |
| San Luis Obispo, CACalifornia | $434.52 | $286.91 |
| Santa Cruz, CACalifornia | $449.62 | $292.16 |
| Santa Maria, CACalifornia | $441.83 | $290.72 |
| Santa Rosa, CACalifornia | $453.89 | $294.75 |
| Stockton, CACalifornia | $426.43 | $284.40 |
| Vallejo, CACalifornia | $475.47 | $304.67 |
| Visalia, CACalifornia | $426.43 | $284.40 |
| Yuba City, CACalifornia | $426.43 | $284.40 |
| Washington, DC areaDistrict of Columbia | $464.58 | $311.92 |
| Miami, FLFlorida | $465.23 | $330.32 |
| Chicago, ILIllinois | $453.71 | $323.46 |
| Manhattan, NYNew York | $476.08 | $325.49 |
| AlaskaAlaska | $518.92 | $380.91 |
| AlabamaAlabama | $382.22 | $268.82 |
| ArkansasArkansas | $377.87 | $266.54 |
| ArizonaArizona | $407.55 | $281.97 |
| ColoradoColorado | $425.87 | $287.98 |
| ConnecticutConnecticut | $441.25 | $301.68 |
| DelawareDelaware | $413.27 | $285.23 |
| Fort Lauderdale, FLFlorida | $440.94 | $309.66 |
| Rest of FloridaFlorida | $422.18 | $298.28 |
| Atlanta, GAGeorgia | $426.10 | $294.43 |
| Rest of GeorgiaGeorgia | $401.93 | $286.34 |
| Hawaii, Guam, HIHawaii | $431.83 | $284.48 |
| IowaIowa | $385.28 | $266.70 |
| IdahoIdaho | $388.23 | $269.00 |
| East St. Louis, ILIllinois | $428.89 | $309.66 |
| Rest of IllinoisIllinois | $415.67 | $297.35 |
| Suburban Chicago, ILIllinois | $444.04 | $310.95 |
| IndianaIndiana | $389.89 | $269.75 |
| KansasKansas | $386.04 | $268.88 |
| KentuckyKentucky | $394.06 | $278.85 |
| New Orleans, LALouisiana | $409.67 | $287.72 |
| Rest of LouisianaLouisiana | $394.44 | $279.75 |
| Metropolitan Boston, MAMassachusetts | $459.07 | $304.33 |
| Rest of MassachusettsMassachusetts | $425.03 | $288.57 |
| Baltimore area, MDMaryland | $440.40 | $301.35 |
| Rest of MarylandMaryland | $419.30 | $288.15 |
| Rest of MaineMaine | $392.16 | $272.93 |
| Southern Maine, MEMaine | $405.75 | $277.32 |
| Detroit, MIMichigan | $428.70 | $303.64 |
| Rest of MichiganMichigan | $404.22 | $285.90 |
| MinnesotaMinnesota | $404.05 | $270.70 |
| Metropolitan Kansas City, MOMissouri | $405.10 | $283.41 |
| Metropolitan St. Louis, MOMissouri | $408.20 | $284.83 |
| Rest of MissouriMissouri | $390.54 | $278.83 |
| MississippiMississippi | $384.15 | $272.57 |
| MontanaMontana | $417.12 | $287.53 |
| North CarolinaNorth Carolina | $395.05 | $274.14 |
| North DakotaNorth Dakota | $401.50 | $271.91 |
| NebraskaNebraska | $386.29 | $266.67 |
| New HampshireNew Hampshire | $421.59 | $286.68 |
| Northern New JerseyNew Jersey | $461.83 | $311.50 |
| Rest of New JerseyNew Jersey | $445.15 | $303.63 |
| New MexicoNew Mexico | $406.87 | $288.03 |
| NevadaNevada | $412.96 | $283.23 |
| NYC suburbs and Long Island, NYNew York | $488.31 | $334.22 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $449.71 | $307.80 |
| Queens, NYNew York | $476.04 | $322.86 |
| Rest of New YorkNew York | $399.94 | $276.82 |
| OhioOhio | $401.03 | $282.71 |
| OklahomaOklahoma | $391.17 | $275.44 |
| Portland, OROregon | $434.54 | $290.56 |
| Rest of OregonOregon | $408.59 | $279.51 |
| Metropolitan Philadelphia, PAPennsylvania | $433.63 | $298.72 |
| Rest of PennsylvaniaPennsylvania | $400.31 | $281.34 |
| Puerto RicoPuerto Rico | $418.85 | $287.83 |
| Rhode IslandRhode Island | $424.39 | $290.51 |
| South CarolinaSouth Carolina | $398.93 | $279.18 |
| South DakotaSouth Dakota | $399.66 | $270.06 |
| TennesseeTennessee | $387.85 | $270.05 |
| Austin, TXTexas | $425.48 | $288.37 |
| Beaumont, TXTexas | $398.38 | $280.45 |
| Brazoria, TXTexas | $411.30 | $282.87 |
| Dallas, TXTexas | $414.50 | $285.43 |
| Fort Worth, TXTexas | $412.97 | $285.18 |
| Galveston, TXTexas | $412.94 | $284.26 |
| Houston, TXTexas | $427.40 | $298.72 |
| Rest of TexasTexas | $405.03 | $282.04 |
| UtahUtah | $403.20 | $281.38 |
| VirginiaVirginia | $406.22 | $278.83 |
| Virgin Islands, VIUnited States Virgin Islands | $418.85 | $287.83 |
| VermontVermont | $402.26 | $273.96 |
| Rest of WashingtonWashington | $423.47 | $287.01 |
| King County, WAWashington | $465.17 | $306.16 |
| WisconsinWisconsin | $391.02 | $266.87 |
| West VirginiaWest Virginia | $403.92 | $291.30 |
| WyomingWyoming | $410.32 | $280.72 |
50953 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.
$377.87
$518.92
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 | $518.92 | 1 |
| AL | $382.22 | 1 |
| AR | $377.87 | 1 |
| AZ | $407.55 | 1 |
| CA | $426.43–$510.35 | 29 |
| CO | $425.87 | 1 |
| CT | $441.25 | 1 |
| DC | $464.58 | 1 |
| DE | $413.27 | 1 |
| FL | $422.18–$465.23 | 3 |
| GA | $401.93–$426.10 | 2 |
| GU | $431.83 | 1 |
| HI | $431.83 | 1 |
| IA | $385.28 | 1 |
| ID | $388.23 | 1 |
| IL | $415.67–$453.71 | 4 |
| IN | $389.89 | 1 |
| KS | $386.04 | 1 |
| KY | $394.06 | 1 |
| LA | $394.44–$409.67 | 2 |
| MA | $425.03–$459.07 | 2 |
| MD | $419.30–$464.58 | 3 |
| ME | $392.16–$405.75 | 2 |
| MI | $404.22–$428.70 | 2 |
| MN | $404.05 | 1 |
| MO | $390.54–$408.20 | 3 |
| MS | $384.15 | 1 |
| MT | $417.12 | 1 |
| NC | $395.05 | 1 |
| ND | $401.50 | 1 |
| NE | $386.29 | 1 |
| NH | $421.59 | 1 |
| NJ | $445.15–$461.83 | 2 |
| NM | $406.87 | 1 |
| NV | $412.96 | 1 |
| NY | $399.94–$488.31 | 5 |
| OH | $401.03 | 1 |
| OK | $391.17 | 1 |
| OR | $408.59–$434.54 | 2 |
| PA | $400.31–$433.63 | 2 |
| PR | $418.85 | 1 |
| RI | $424.39 | 1 |
| SC | $398.93 | 1 |
| SD | $399.66 | 1 |
| TN | $387.85 | 1 |
| TX | $398.38–$427.40 | 8 |
| UT | $403.20 | 1 |
| VA | $406.22–$464.58 | 2 |
| VI | $418.85 | 1 |
| VT | $402.26 | 1 |
| WA | $423.47–$465.17 | 2 |
| WI | $391.02 | 1 |
| WV | $403.92 | 1 |
| WY | $410.32 | 1 |
How the 50953 rate is calculated
Each of 50953’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 · 50953
RVUs × geographic indexes × conversion factor
Work6.07
6.07 RVUs× 1.000 GPCI
Practice expense5.63
5.63 RVUs× 1.000 GPCI
Malpractice0.79
0.79 RVUs× 1.000 GPCI
Adjusted RVUs
12.4900
Conversion factor
$33.4009
Medicare rate
$417.18
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact El Centro, CA inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
6,006
- Code
- 50953
- Physician work
- 6.07
- Practice expense
- 5.63
- Malpractice
- 0.79
GPCI2026.csv
10
- Locality
- El Centro, CA
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.541
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 6.07 | × 1.017 | 6.1732 |
| Practice expense | 5.63 | × 1.096 | 6.1705 |
| Malpractice | 0.79 | × 0.541 | 0.4274 |
| Total RVUs | 12.7711 | ||
| Conversion factor | × 33.4009 | ||
Office rate, El Centro, CA$426.56
Office: (6.07 × 1.017 + 5.63 × 1.096 + 0.79 × 0.541) × $33.4009 = $426.56
Facility: (6.07 × 1.017 + 1.75 × 1.096 + 0.79 × 0.541) × $33.4009 = $284.53
Payment rules and modifiers for 50953
The CMS indicators that decide how 50953 is paid alongside other services.
CMS payment indicators · 50953
Ureteroscopy, with ureteral catheterization
| 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) | 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
50953 without 50 · national office
$417.18
Ureteroscopy, with ureteral catheterization
50953-50 · Bilateral: 150%
$625.77
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 50953 has changed in El Centro, CA
50953 · Office / nonfacility
$426.56
Effective 2026-10-01
The base rate is $26.84 higher than on 2025-10-01, moving from $399.72 to $426.56 (6.7%).
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
$399.72changed to$426.56
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 6.23 changed to 6.07
- Practice expense RVU 5.13 changed to 5.63
- Malpractice RVU 0.76 changed to 0.79
- Work GPCI 1.014 changed to 1.017
- Practice expense GPCI 1.093 changed to 1.096
- Malpractice GPCI 0.570 changed to 0.541
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$406.43changed to$399.72
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 5.00 changed to 5.13
- Malpractice RVU 0.75 changed to 0.76
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$399.80changed to$406.43
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$408.54changed to$399.80
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 4.87 changed to 5.00
- Malpractice RVU 0.74 changed to 0.75
- Work GPCI 1.021 changed to 1.014
- Practice expense GPCI 1.079 changed to 1.093
- Malpractice GPCI 0.595 changed to 0.570
January 1, 2023
RVU23A
$413.62changed to$408.54
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 4.79 changed to 4.87
- Malpractice RVU 0.73 changed to 0.74
- Work GPCI 1.027 changed to 1.021
- Practice expense GPCI 1.065 changed to 1.079
- Malpractice GPCI 0.620 changed to 0.595
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$417.63changed to$413.62
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 4.82 changed to 4.79
- Malpractice RVU 0.71 changed to 0.73
- Malpractice GPCI 0.616 changed to 0.620
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$421.63changed to$417.63
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 4.56 changed to 4.82
- Malpractice RVU 0.70 changed to 0.71
- Work GPCI 1.024 changed to 1.027
- Practice expense GPCI 1.070 changed to 1.065
- Malpractice GPCI 0.606 changed to 0.616
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$421.62changed to$421.63
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 4.61 changed to 4.56
- Malpractice RVU 0.69 changed to 0.70
- Work GPCI 1.020 changed to 1.024
- Practice expense GPCI 1.074 changed to 1.070
- Malpractice GPCI 0.570 changed to 0.606
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$423.43changed to$421.62
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 4.66 changed to 4.61
- Malpractice RVU 0.71 changed to 0.69
- Malpractice GPCI 0.567 changed to 0.570
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$418.87changed to$423.43
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 4.52 changed to 4.66
- Malpractice RVU 0.68 changed to 0.71
- Work GPCI 1.024 changed to 1.020
- Practice expense GPCI 1.079 changed to 1.074
- Malpractice GPCI 0.610 changed to 0.567
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
No ratechanged to$418.87
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 | $426.56 | $284.53 | RVU26D |
| 2026-07-01 | $426.56 | $284.53 | RVU26C |
| 2026-04-01 | $426.56 | $284.53 | RVU26B |
| 2026-01-01 | $426.56 | $284.53 | RVU26A |
| 2025-10-01 | $399.72 | $314.16 | RVU25D |
| 2025-07-01 | $399.72 | $314.16 | RVU25C |
| 2025-04-01 | $399.72 | $314.16 | RVU25B |
| 2025-01-01 | $399.72 | $314.16 | RVU25A |
| 2024-10-01 | $406.43 | $320.57 | RVU24D |
| 2024-07-01 | $406.43 | $320.57 | RVU24C |
| 2024-04-01 | $406.43 | $320.57 | RVU24B |
| 2024-03-09 | $406.43 | $320.57 | RVU24AR |
| 2024-01-01 | $399.80 | $315.33 | RVU24A |
| 2023-10-01 | $408.54 | $324.08 | RVU23D |
| 2023-07-01 | $408.54 | $324.08 | RVU23C |
| 2023-04-01 | $408.54 | $324.08 | RVU23B |
| 2023-01-01 | $408.54 | $324.08 | RVU23A |
| 2022-10-01 | $413.62 | $328.85 | RVU22D |
| 2022-07-01 | $413.62 | $328.85 | RVU22C |
| 2022-04-01 | $413.62 | $328.85 | RVU22B |
| 2022-01-01 | $413.62 | $328.85 | RVU22A |
| 2021-10-01 | $417.63 | $331.79 | RVU21D |
| 2021-07-01 | $417.63 | $331.79 | RVU21C |
| 2021-04-01 | $417.63 | $331.79 | RVU21B |
| 2021-01-01 | $417.63 | $331.79 | RVU21A |
| 2020-10-01 | $421.63 | $341.31 | RVU20D |
| 2020-07-01 | $421.63 | $341.31 | RVU20C |
| 2020-04-01 | $421.63 | $341.31 | RVU20B |
| 2020-01-01 | $421.63 | $341.31 | RVU20A |
| 2019-10-01 | $421.62 | $341.50 | RVU19D |
| 2019-07-01 | $421.62 | $341.50 | RVU19C |
| 2019-04-01 | $421.62 | $341.50 | RVU19B |
| 2019-01-01 | $421.62 | $341.50 | RVU19A |
| 2018-10-01 | $423.43 | $343.39 | RVU18D |
| 2018-07-01 | $423.43 | $343.39 | RVU18C |
| 2018-04-01 | $423.43 | $343.39 | RVU18B |
| 2018-01-01 | $423.43 | $343.39 | RVU18AR1 |
| 2017-10-01 | $418.87 | $341.42 | RVU17D |
| 2017-07-01 | $418.87 | $341.42 | RVU17C |
| 2017-04-01 | $418.87 | $341.42 | RVU17B |
| 2017-01-01 | $418.87 | $341.42 | 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 El Centro, CA rate applies
El Centro, CA is a Medicare payment area, not a city. Our Census mapping connects it to 18 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.
- El Centro
- Bombay Beach
- Brawley
- Calexico
- Calipatria
- Desert Shores
- El Centro Naval Air Facility
- Heber
50953 billing questions
How does this differ from diagnostic ureteroscopy code 50951?
This code includes ureteral catheterization along with endoscopic access through a ureterostomy. Use 50951 when the documented service is diagnostic ureteroscopy through that route without the catheterization service.
When should a biopsy code be used instead?
Choose the applicable biopsy code, such as 50955, when the procedure includes taking a ureteral tissue sample. This code describes catheterization with ureteroscopic access, not biopsy.
Can related ureter endoscopies be separately paid when performed together?
CMS applies endoscopy-family pricing when related endoscopies are performed together. The payment treatment follows that family pricing rather than assuming each related endoscopy receives separate full payment.
What should the operative note establish?
Document that the endoscope entered through a ureterostomy, that the ureter was catheterized, and any associated irrigation, instillation, or ureteropyelography performed.
How is a bilateral procedure reported?
CMS identifies this as a bilateral procedure; modifier 50 is paid at 150%.
Can an assistant surgeon be reported?
Assistant-at-surgery payment is available only when medical necessity is documented. Co-surgeons and team surgery are not permitted.
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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