CPT code 51710: Tube change, complicated cystostomy exchange2026 Medicare rate & RVUs in Mississippi
Reports a complicated exchange of an established cystostomy tube, such as a suprapubic catheter, rather than routine tube replacement or new catheter insertion.
In Mississippi, Medicare pays $126.51 for 51710 in the office and $68.42 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 51710 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 51710 covers
This service covers exchanging a tube through an established cystostomy tract, typically the suprapubic route into the bladder. A urologist or another qualified clinician may perform the exchange in an office or facility. The code distinguishes a complicated exchange from a routine change; it does not describe creating a new tract or inserting a temporary urethral catheter.
Report 51710 when the documented circumstances and work support a complicated exchange rather than the simple change represented by 51705. The note should identify the existing cystostomy, the reason the exchange was complicated, and the work performed. The 0-day global period includes same-day preoperative and postoperative care. When multiple procedures occur in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this service; 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 Mississippi compares for 51710
Across 109 of 109 payment localities, the office rate for 51710 runs from $125.05 in Arkansas to $182.99 in San Benito County, CA. Mississippi pays $126.51. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Mississippi · this page$126.51
- Los Angeles, CA · California$157.14+$30.63
- Washington, DC area · District of Columbia$159.81+$33.30
- Miami, FL · Florida$153.02+$26.51
- Chicago, IL · Illinois$148.73+$22.22
- Manhattan, NY · New York$161.48+$34.97
- Alaska · Alaska$166.02+$39.51
Other areas in Mississippi first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $126.80 | $67.76 |
| ArkansasArkansas | $125.05 | $67.10 |
| ArizonaArizona | $136.98 | $71.61 |
| Bakersfield, CACalifornia | $147.96 | $74.01 |
| Chico, CACalifornia | $147.45 | $73.51 |
| El Centro, CACalifornia | $147.48 | $73.54 |
| Fresno, CACalifornia | $147.45 | $73.51 |
| Hanford, CACalifornia | $147.45 | $73.51 |
| Madera, CACalifornia | $147.45 | $73.51 |
| Merced, CACalifornia | $147.45 | $73.51 |
| Modesto, CACalifornia | $147.45 | $73.51 |
| Napa, CACalifornia | $169.49 | $80.57 |
| Oxnard, CACalifornia | $156.25 | $76.50 |
| Redding, CACalifornia | $147.45 | $73.51 |
| Rest of CaliforniaCalifornia | $147.45 | $73.51 |
| Riverside, CACalifornia | $149.30 | $75.35 |
| Sacramento, CACalifornia | $154.38 | $75.91 |
| Salinas, CACalifornia | $153.80 | $75.60 |
| San Diego, CACalifornia | $157.15 | $76.45 |
| Marin County, CACalifornia | $178.98 | $83.85 |
| San Francisco, CACalifornia | $178.79 | $83.66 |
| San Benito County, CACalifornia | $182.99 | $85.70 |
| Santa Clara County, CACalifornia | $182.20 | $84.91 |
| San Luis Obispo, CACalifornia | $151.36 | $74.51 |
| Santa Cruz, CACalifornia | $158.44 | $76.47 |
| Santa Maria, CACalifornia | $154.30 | $75.63 |
| Santa Rosa, CACalifornia | $160.02 | $77.17 |
| Stockton, CACalifornia | $147.45 | $73.51 |
| Vallejo, CACalifornia | $169.21 | $80.29 |
| Visalia, CACalifornia | $147.45 | $73.51 |
| Yuba City, CACalifornia | $147.45 | $73.51 |
| ColoradoColorado | $145.72 | $73.93 |
| ConnecticutConnecticut | $149.69 | $77.02 |
| DelawareDelaware | $139.17 | $72.51 |
| Fort Lauderdale, FLFlorida | $146.39 | $78.04 |
| Rest of FloridaFlorida | $139.48 | $74.98 |
| Atlanta, GAGeorgia | $143.34 | $74.80 |
| Rest of GeorgiaGeorgia | $131.90 | $71.71 |
| Hawaii, Guam, HIHawaii | $150.67 | $73.96 |
| IowaIowa | $129.47 | $67.74 |
| IdahoIdaho | $130.36 | $68.29 |
| East St. Louis, ILIllinois | $139.11 | $77.04 |
| Rest of IllinoisIllinois | $135.91 | $74.31 |
| Suburban Chicago, ILIllinois | $147.76 | $78.47 |
| IndianaIndiana | $131.07 | $68.52 |
| KansasKansas | $129.08 | $68.09 |
| KentuckyKentucky | $130.05 | $70.07 |
| New Orleans, LALouisiana | $136.03 | $72.54 |
| Rest of LouisianaLouisiana | $129.93 | $70.22 |
| Metropolitan Boston, MAMassachusetts | $159.43 | $78.87 |
| Rest of MassachusettsMassachusetts | $144.99 | $73.94 |
| Baltimore area, MDMaryland | $149.30 | $76.91 |
| Rest of MarylandMaryland | $141.68 | $73.40 |
| Rest of MaineMaine | $131.20 | $69.13 |
| Southern Maine, MEMaine | $137.70 | $70.84 |
| Detroit, MIMichigan | $141.33 | $76.22 |
| Rest of MichiganMichigan | $133.45 | $71.85 |
| MinnesotaMinnesota | $139.26 | $69.83 |
| Metropolitan Kansas City, MOMissouri | $134.95 | $71.59 |
| Metropolitan St. Louis, MOMissouri | $136.27 | $72.04 |
| Rest of MissouriMissouri | $127.93 | $69.77 |
| MontanaMontana | $140.61 | $73.14 |
| North CarolinaNorth Carolina | $132.48 | $69.53 |
| North DakotaNorth Dakota | $137.24 | $69.78 |
| NebraskaNebraska | $130.09 | $67.82 |
| New HampshireNew Hampshire | $143.63 | $73.40 |
| Northern New JerseyNew Jersey | $158.32 | $80.05 |
| Rest of New JerseyNew Jersey | $151.29 | $77.61 |
| New MexicoNew Mexico | $134.22 | $72.35 |
| NevadaNevada | $139.76 | $72.22 |
| NYC suburbs and Long Island, NYNew York | $165.48 | $85.25 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $152.43 | $78.55 |
| Queens, NYNew York | $162.48 | $82.73 |
| Rest of New YorkNew York | $134.39 | $70.29 |
| OhioOhio | $132.76 | $71.16 |
| OklahomaOklahoma | $129.63 | $69.38 |
| Portland, OROregon | $149.95 | $75.00 |
| Rest of OregonOregon | $138.57 | $71.37 |
| Metropolitan Philadelphia, PAPennsylvania | $146.23 | $76.00 |
| Rest of PennsylvaniaPennsylvania | $132.86 | $70.92 |
| Puerto RicoPuerto Rico | $141.53 | $73.32 |
| Rhode IslandRhode Island | $143.84 | $74.14 |
| South CarolinaSouth Carolina | $132.86 | $70.52 |
| South DakotaSouth Dakota | $136.85 | $69.38 |
| TennesseeTennessee | $129.72 | $68.39 |
| Austin, TXTexas | $145.33 | $73.94 |
| Beaumont, TXTexas | $132.04 | $70.64 |
| Brazoria, TXTexas | $138.90 | $72.04 |
| Dallas, TXTexas | $139.84 | $72.64 |
| Fort Worth, TXTexas | $139.01 | $72.48 |
| Galveston, TXTexas | $139.36 | $72.36 |
| Houston, TXTexas | $142.47 | $75.47 |
| Rest of TexasTexas | $135.43 | $71.40 |
| UtahUtah | $134.59 | $71.17 |
| VirginiaVirginia | $137.40 | $71.08 |
| Virgin Islands, VIUnited States Virgin Islands | $141.53 | $73.32 |
| VermontVermont | $136.90 | $70.11 |
| Rest of WashingtonWashington | $144.65 | $73.60 |
| King County, WAWashington | $162.41 | $79.62 |
| WisconsinWisconsin | $132.87 | $68.24 |
| West VirginiaWest Virginia | $131.16 | $72.53 |
| WyomingWyoming | $139.14 | $71.67 |
51710 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.
$125.05
$166.02
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 | $166.02 | 1 |
| AL | $126.80 | 1 |
| AR | $125.05 | 1 |
| AZ | $136.98 | 1 |
| CA | $147.45–$182.99 | 29 |
| CO | $145.72 | 1 |
| CT | $149.69 | 1 |
| DC | $159.81 | 1 |
| DE | $139.17 | 1 |
| FL | $139.48–$153.02 | 3 |
| GA | $131.90–$143.34 | 2 |
| GU | $150.67 | 1 |
| HI | $150.67 | 1 |
| IA | $129.47 | 1 |
| ID | $130.36 | 1 |
| IL | $135.91–$148.73 | 4 |
| IN | $131.07 | 1 |
| KS | $129.08 | 1 |
| KY | $130.05 | 1 |
| LA | $129.93–$136.03 | 2 |
| MA | $144.99–$159.43 | 2 |
| MD | $141.68–$159.81 | 3 |
| ME | $131.20–$137.70 | 2 |
| MI | $133.45–$141.33 | 2 |
| MN | $139.26 | 1 |
| MO | $127.93–$136.27 | 3 |
| MS | $126.51 | 1 |
| MT | $140.61 | 1 |
| NC | $132.48 | 1 |
| ND | $137.24 | 1 |
| NE | $130.09 | 1 |
| NH | $143.63 | 1 |
| NJ | $151.29–$158.32 | 2 |
| NM | $134.22 | 1 |
| NV | $139.76 | 1 |
| NY | $134.39–$165.48 | 5 |
| OH | $132.76 | 1 |
| OK | $129.63 | 1 |
| OR | $138.57–$149.95 | 2 |
| PA | $132.86–$146.23 | 2 |
| PR | $141.53 | 1 |
| RI | $143.84 | 1 |
| SC | $132.86 | 1 |
| SD | $136.85 | 1 |
| TN | $129.72 | 1 |
| TX | $132.04–$145.33 | 8 |
| UT | $134.59 | 1 |
| VA | $137.40–$159.81 | 2 |
| VI | $141.53 | 1 |
| VT | $136.90 | 1 |
| WA | $144.65–$162.41 | 2 |
| WI | $132.87 | 1 |
| WV | $131.16 | 1 |
| WY | $139.14 | 1 |
How the 51710 rate is calculated
Each of 51710’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 · 51710
RVUs × geographic indexes × conversion factor
Work1.32
1.32 RVUs× 1.000 GPCI
Practice expense2.72
2.72 RVUs× 1.000 GPCI
Malpractice0.17
0.17 RVUs× 1.000 GPCI
Adjusted RVUs
4.2100
Conversion factor
$33.4009
Medicare rate
$140.62
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Mississippi inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
6,050
- Code
- 51710
- Physician work
- 1.32
- Practice expense
- 2.72
- Malpractice
- 0.17
GPCI2026.csv
67
- Locality
- Mississippi
- Physician work
- 1.000
- Practice expense
- 0.861
- Malpractice
- 0.739
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.32 | × 1.000 | 1.3200 |
| Practice expense | 2.72 | × 0.861 | 2.3419 |
| Malpractice | 0.17 | × 0.739 | 0.1256 |
| Total RVUs | 3.7876 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Mississippi$126.51
Office: (1.32 × 1 + 2.72 × 0.861 + 0.17 × 0.739) × $33.4009 = $126.51
Facility: (1.32 × 1 + 0.7 × 0.861 + 0.17 × 0.739) × $33.4009 = $68.42
Payment rules and modifiers for 51710
The CMS indicators that decide how 51710 is paid alongside other services.
CMS payment indicators · 51710
Tube change, complicated cystostomy exchange
| 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) | 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
51710 without 51 · national office
$140.62
Tube change, complicated cystostomy exchange
51710-51 · Second procedure: 50%
$70.31
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 51710 has changed in Mississippi
51710 · Office / nonfacility
$126.51
Effective 2026-10-01
The base rate is $8.59 higher than on 2025-10-01, moving from $117.92 to $126.51 (7.3%).
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
$117.92changed to$126.51
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 1.35 changed to 1.32
- Practice expense RVU 2.55 changed to 2.72
- Malpractice RVU 0.16 changed to 0.17
- Practice expense GPCI 0.852 changed to 0.861
- Malpractice GPCI 0.768 changed to 0.739
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$122.17changed to$117.92
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 2.57 changed to 2.55
- Malpractice RVU 0.17 changed to 0.16
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$120.18changed to$122.17
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$123.04changed to$120.18
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 2.54 changed to 2.57
- Malpractice RVU 0.18 changed to 0.17
- Practice expense GPCI 0.847 changed to 0.852
- Malpractice GPCI 0.720 changed to 0.768
January 1, 2023
RVU23A
$124.68changed to$123.04
- Conversion factor 34.6062 changed to 33.8872
- Malpractice RVU 0.17 changed to 0.18
- Practice expense GPCI 0.842 changed to 0.847
- Malpractice GPCI 0.671 changed to 0.720
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$124.07changed to$124.68
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 2.50 changed to 2.54
- Malpractice RVU 0.15 changed to 0.17
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$121.67changed to$124.07
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 2.27 changed to 2.50
- Practice expense GPCI 0.856 changed to 0.842
- Malpractice GPCI 0.521 changed to 0.671
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$119.32changed to$121.67
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 2.19 changed to 2.27
- Practice expense GPCI 0.870 changed to 0.856
- Malpractice GPCI 0.370 changed to 0.521
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$119.50changed to$119.32
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 2.20 changed to 2.19
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$118.62changed to$119.50
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 2.17 changed to 2.20
- Practice expense GPCI 0.867 changed to 0.870
- Malpractice GPCI 0.492 changed to 0.370
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$118.14changed to$118.62
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 2.15 changed to 2.17
- Practice expense GPCI 0.864 changed to 0.867
- Malpractice GPCI 0.613 changed to 0.492
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$118.56changed to$118.14
- Conversion factor 35.9335 changed to 35.8043
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$117.97changed to$118.56
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$116.76changed to$117.97
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 2.12 changed to 2.15
- Malpractice RVU 0.11 changed to 0.15
- Practice expense GPCI 0.865 changed to 0.864
- Malpractice GPCI 0.687 changed to 0.613
Held through RVU15B.
January 1, 2014
RVU14A
$86.16changed to$116.76
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 1.26 changed to 2.12
- Malpractice RVU 0.12 changed to 0.11
- Practice expense GPCI 0.866 changed to 0.865
- Malpractice GPCI 0.761 changed to 0.687
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $86.16
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $126.51 | $68.42 | RVU26D |
| 2026-07-01 | $126.51 | $68.42 | RVU26C |
| 2026-04-01 | $126.51 | $68.42 | RVU26B |
| 2026-01-01 | $126.51 | $68.42 | RVU26A |
| 2025-10-01 | $117.92 | $72.17 | RVU25D |
| 2025-07-01 | $117.92 | $72.17 | RVU25C |
| 2025-04-01 | $117.92 | $72.17 | RVU25B |
| 2025-01-01 | $117.92 | $72.17 | RVU25A |
| 2024-10-01 | $122.17 | $73.96 | RVU24D |
| 2024-07-01 | $122.17 | $73.96 | RVU24C |
| 2024-04-01 | $122.17 | $73.96 | RVU24B |
| 2024-03-09 | $122.17 | $73.96 | RVU24AR |
| 2024-01-01 | $120.18 | $72.75 | RVU24A |
| 2023-10-01 | $123.04 | $73.96 | RVU23D |
| 2023-07-01 | $123.04 | $73.96 | RVU23C |
| 2023-04-01 | $123.04 | $73.96 | RVU23B |
| 2023-01-01 | $123.04 | $73.96 | RVU23A |
| 2022-10-01 | $124.68 | $73.98 | RVU22D |
| 2022-07-01 | $124.68 | $73.98 | RVU22C |
| 2022-04-01 | $124.68 | $73.98 | RVU22B |
| 2022-01-01 | $124.68 | $73.98 | RVU22A |
| 2021-10-01 | $124.07 | $74.12 | RVU21D |
| 2021-07-01 | $124.07 | $74.12 | RVU21C |
| 2021-04-01 | $124.07 | $74.12 | RVU21B |
| 2021-01-01 | $124.07 | $74.12 | RVU21A |
| 2020-10-01 | $121.67 | $75.64 | RVU20D |
| 2020-07-01 | $121.67 | $75.64 | RVU20C |
| 2020-04-01 | $121.67 | $75.64 | RVU20B |
| 2020-01-01 | $121.67 | $75.64 | RVU20A |
| 2019-10-01 | $119.32 | $75.74 | RVU19D |
| 2019-07-01 | $119.32 | $75.74 | RVU19C |
| 2019-04-01 | $119.32 | $75.74 | RVU19B |
| 2019-01-01 | $119.32 | $75.74 | RVU19A |
| 2018-10-01 | $119.50 | $76.28 | RVU18D |
| 2018-07-01 | $119.50 | $76.28 | RVU18C |
| 2018-04-01 | $119.50 | $76.28 | RVU18B |
| 2018-01-01 | $119.50 | $76.28 | RVU18AR1 |
| 2017-10-01 | $118.62 | $76.30 | RVU17D |
| 2017-07-01 | $118.62 | $76.30 | RVU17C |
| 2017-04-01 | $118.62 | $76.30 | RVU17B |
| 2017-01-01 | $118.62 | $76.30 | RVU17A |
| 2016-10-01 | $118.14 | $76.38 | RVU16D |
| 2016-07-01 | $118.14 | $76.38 | RVU16C |
| 2016-04-01 | $118.14 | $76.38 | RVU16B |
| 2016-01-01 | $118.14 | $76.38 | RVU16A |
| 2015-10-01 | $118.56 | $76.65 | RVU15D |
| 2015-07-01 | $118.56 | $76.65 | RVU15C |
| 2015-04-01 | $117.97 | $76.27 | RVU15B |
| 2015-01-01 | $117.97 | $76.27 | RVU15A |
| 2014-10-01 | $116.76 | $75.55 | RVU14D |
| 2014-07-01 | $116.76 | $75.55 | RVU14C |
| 2014-04-01 | $116.76 | $75.55 | RVU14B |
| 2014-01-01 | $116.76 | $75.55 | RVU14A |
| 2013-10-01 | $86.16 | $74.08 | RVU13D |
| 2013-07-01 | $86.16 | $74.08 | RVU13C |
| 2013-04-01 | $86.16 | $74.08 | RVU13B |
| 2013-01-01 | $86.16 | $74.08 | RVU13AR |
Where the Mississippi rate applies
Mississippi is a Medicare payment area, not a city. Our Census mapping connects it to 427 cities and communities in Mississippi. Some span more than one payment area; confirm with the service ZIP.
- Abbeville
- Aberdeen
- Ackerman
- Agricola
- Alcorn State University
- Algoma
- Alligator
- Amory
51710 billing questions
When should 51710 be chosen over 51705?
Use 51710 when the cystostomy tube exchange is complicated, as supported by the documented circumstances and work. A routine simple tube change is reported with 51705.
Does 51710 describe placement of a new catheter?
No. It describes changing a tube through an established cystostomy tract. Temporary urethral catheter insertion is a different service.
What documentation supports reporting the complicated service?
Document the established cystostomy, why the exchange was complicated, and the work performed. The note should make clear why the service was not a routine simple change.
Can modifier 50 be used for bilateral tube changes?
No. CMS identifies bilateral adjustment as inappropriate for this code.
How does the multiple-procedure rule affect payment?
For procedures performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction.
Can an assistant or co-surgeon be reported?
Medicare does not pay an assistant at surgery for this service, and 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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