CPT code 53601: Urethral dilation, male, subsequent2026 Medicare rate & RVUs in Utah
Reports a subsequent session of urethral stricture dilation in a male patient using sounds or urethral dilators to widen the narrowed passage.
In Utah, Medicare pays $85.90 for 53601 in the office and $46.65 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 53601 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 53601 covers
A urologist typically reports this service when dilating a male patient’s urethral stricture during a subsequent treatment session. The clinician passes sounds or urethral dilators through the urethra to widen a narrowed segment, often to address obstructive urinary symptoms related to scar tissue. The service may be performed in an office or facility setting.
Select this code for the subsequent service in the male stricture-dilation family, rather than the family’s initial-service code. Documentation should identify the stricture, the dilation performed, and why this is a subsequent service. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are 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. Modifier 50 is inappropriate. Assistant-at-surgery payment is restricted, and co-surgeon and team-surgery billing 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 Utah compares for 53601
Across 109 of 109 payment localities, the office rate for 53601 runs from $80.04 in Arkansas to $114.80 in San Benito County, CA. Utah pays $85.90. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Utah · this page$85.90
- Los Angeles, CA · California$99.26+$13.36
- Washington, DC area · District of Columbia$101.21+$15.31
- Miami, FL · Florida$97.83+$11.93
- Chicago, IL · Illinois$95.20+$9.30
- Manhattan, NY · New York$102.57+$16.67
- Alaska · Alaska$107.22+$21.32
Other areas in Utah first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $81.09 | $44.56 |
| ArkansasArkansas | $80.04 | $44.17 |
| ArizonaArizona | $87.28 | $46.82 |
| Bakersfield, CACalifornia | $93.69 | $47.93 |
| Chico, CACalifornia | $93.33 | $47.57 |
| El Centro, CACalifornia | $93.35 | $47.59 |
| Fresno, CACalifornia | $93.33 | $47.57 |
| Hanford, CACalifornia | $93.33 | $47.57 |
| Madera, CACalifornia | $93.33 | $47.57 |
| Merced, CACalifornia | $93.33 | $47.57 |
| Modesto, CACalifornia | $93.33 | $47.57 |
| Napa, CACalifornia | $106.56 | $51.53 |
| Oxnard, CACalifornia | $98.63 | $49.28 |
| Redding, CACalifornia | $93.33 | $47.57 |
| Rest of CaliforniaCalifornia | $93.33 | $47.57 |
| Riverside, CACalifornia | $94.63 | $48.87 |
| Sacramento, CACalifornia | $97.52 | $48.96 |
| Salinas, CACalifornia | $97.15 | $48.76 |
| San Diego, CACalifornia | $99.12 | $49.18 |
| Marin County, CACalifornia | $112.30 | $53.43 |
| San Francisco, CACalifornia | $112.17 | $53.30 |
| San Benito County, CACalifornia | $114.80 | $54.60 |
| Santa Clara County, CACalifornia | $114.25 | $54.04 |
| San Luis Obispo, CACalifornia | $95.63 | $48.07 |
| Santa Cruz, CACalifornia | $99.82 | $49.09 |
| Santa Maria, CACalifornia | $97.42 | $48.74 |
| Santa Rosa, CACalifornia | $100.80 | $49.53 |
| Stockton, CACalifornia | $93.33 | $47.57 |
| Vallejo, CACalifornia | $106.36 | $51.33 |
| Visalia, CACalifornia | $93.33 | $47.57 |
| Yuba City, CACalifornia | $93.33 | $47.57 |
| ColoradoColorado | $92.44 | $48.02 |
| ConnecticutConnecticut | $95.11 | $50.15 |
| DelawareDelaware | $88.63 | $47.38 |
| Fort Lauderdale, FLFlorida | $93.45 | $51.15 |
| Rest of FloridaFlorida | $89.18 | $49.26 |
| Atlanta, GAGeorgia | $91.27 | $48.85 |
| Rest of GeorgiaGeorgia | $84.51 | $47.27 |
| Hawaii, Guam, HIHawaii | $95.15 | $47.68 |
| IowaIowa | $82.56 | $44.35 |
| IdahoIdaho | $83.13 | $44.72 |
| East St. Louis, ILIllinois | $89.30 | $50.89 |
| Rest of IllinoisIllinois | $87.12 | $49.00 |
| Suburban Chicago, ILIllinois | $94.28 | $51.40 |
| IndianaIndiana | $83.55 | $44.85 |
| KansasKansas | $82.40 | $44.65 |
| KentuckyKentucky | $83.24 | $46.12 |
| New Orleans, LALouisiana | $86.91 | $47.62 |
| Rest of LouisianaLouisiana | $83.20 | $46.25 |
| Metropolitan Boston, MAMassachusetts | $100.76 | $50.90 |
| Rest of MassachusettsMassachusetts | $92.05 | $48.08 |
| Baltimore area, MDMaryland | $94.88 | $50.08 |
| Rest of MarylandMaryland | $90.15 | $47.90 |
| Rest of MaineMaine | $83.72 | $45.31 |
| Southern Maine, MEMaine | $87.55 | $46.18 |
| Detroit, MIMichigan | $90.39 | $50.10 |
| Rest of MichiganMichigan | $85.38 | $47.26 |
| MinnesotaMinnesota | $88.24 | $45.28 |
| Metropolitan Kansas City, MOMissouri | $86.16 | $46.96 |
| Metropolitan St. Louis, MOMissouri | $86.96 | $47.21 |
| Rest of MissouriMissouri | $82.04 | $46.05 |
| MississippiMississippi | $81.04 | $45.09 |
| MontanaMontana | $89.51 | $47.76 |
| North CarolinaNorth Carolina | $84.49 | $45.53 |
| North DakotaNorth Dakota | $87.13 | $45.38 |
| NebraskaNebraska | $82.91 | $44.37 |
| New HampshireNew Hampshire | $91.20 | $47.74 |
| Northern New JerseyNew Jersey | $100.36 | $51.93 |
| Rest of New JerseyNew Jersey | $96.10 | $50.51 |
| New MexicoNew Mexico | $85.88 | $47.60 |
| NevadaNevada | $88.90 | $47.11 |
| NYC suburbs and Long Island, NYNew York | $105.10 | $55.46 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $96.88 | $51.16 |
| Queens, NYNew York | $103.06 | $53.71 |
| Rest of New YorkNew York | $85.65 | $45.99 |
| OhioOhio | $84.90 | $46.78 |
| OklahomaOklahoma | $82.90 | $45.62 |
| Portland, OROregon | $94.93 | $48.55 |
| Rest of OregonOregon | $88.11 | $46.53 |
| Metropolitan Philadelphia, PAPennsylvania | $93.06 | $49.59 |
| Rest of PennsylvaniaPennsylvania | $84.91 | $46.58 |
| Puerto RicoPuerto Rico | $90.04 | $47.83 |
| Rhode IslandRhode Island | $91.45 | $48.33 |
| South CarolinaSouth Carolina | $84.85 | $46.27 |
| South DakotaSouth Dakota | $86.85 | $45.10 |
| TennesseeTennessee | $82.80 | $44.84 |
| Austin, TXTexas | $92.22 | $48.05 |
| Beaumont, TXTexas | $84.42 | $46.43 |
| Brazoria, TXTexas | $88.41 | $47.03 |
| Dallas, TXTexas | $89.02 | $47.44 |
| Fort Worth, TXTexas | $88.54 | $47.37 |
| Galveston, TXTexas | $88.71 | $47.25 |
| Houston, TXTexas | $90.90 | $49.45 |
| Rest of TexasTexas | $86.40 | $46.78 |
| VirginiaVirginia | $87.43 | $46.39 |
| Virgin Islands, VIUnited States Virgin Islands | $90.04 | $47.83 |
| VermontVermont | $87.00 | $45.67 |
| Rest of WashingtonWashington | $91.81 | $47.84 |
| King County, WAWashington | $102.52 | $51.29 |
| WisconsinWisconsin | $84.50 | $44.50 |
| West VirginiaWest Virginia | $84.24 | $47.96 |
| WyomingWyoming | $88.47 | $46.72 |
53601 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.
$80.04
$107.22
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 | $107.22 | 1 |
| AL | $81.09 | 1 |
| AR | $80.04 | 1 |
| AZ | $87.28 | 1 |
| CA | $93.33–$114.80 | 29 |
| CO | $92.44 | 1 |
| CT | $95.11 | 1 |
| DC | $101.21 | 1 |
| DE | $88.63 | 1 |
| FL | $89.18–$97.83 | 3 |
| GA | $84.51–$91.27 | 2 |
| GU | $95.15 | 1 |
| HI | $95.15 | 1 |
| IA | $82.56 | 1 |
| ID | $83.13 | 1 |
| IL | $87.12–$95.20 | 4 |
| IN | $83.55 | 1 |
| KS | $82.40 | 1 |
| KY | $83.24 | 1 |
| LA | $83.20–$86.91 | 2 |
| MA | $92.05–$100.76 | 2 |
| MD | $90.15–$101.21 | 3 |
| ME | $83.72–$87.55 | 2 |
| MI | $85.38–$90.39 | 2 |
| MN | $88.24 | 1 |
| MO | $82.04–$86.96 | 3 |
| MS | $81.04 | 1 |
| MT | $89.51 | 1 |
| NC | $84.49 | 1 |
| ND | $87.13 | 1 |
| NE | $82.91 | 1 |
| NH | $91.20 | 1 |
| NJ | $96.10–$100.36 | 2 |
| NM | $85.88 | 1 |
| NV | $88.90 | 1 |
| NY | $85.65–$105.10 | 5 |
| OH | $84.90 | 1 |
| OK | $82.90 | 1 |
| OR | $88.11–$94.93 | 2 |
| PA | $84.91–$93.06 | 2 |
| PR | $90.04 | 1 |
| RI | $91.45 | 1 |
| SC | $84.85 | 1 |
| SD | $86.85 | 1 |
| TN | $82.80 | 1 |
| TX | $84.42–$92.22 | 8 |
| UT | $85.90 | 1 |
| VA | $87.43–$101.21 | 2 |
| VI | $90.04 | 1 |
| VT | $87.00 | 1 |
| WA | $91.81–$102.52 | 2 |
| WI | $84.50 | 1 |
| WV | $84.24 | 1 |
| WY | $88.47 | 1 |
How the 53601 rate is calculated
Each of 53601’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 · 53601
RVUs × geographic indexes × conversion factor
Work0.96
0.96 RVUs× 1.000 GPCI
Practice expense1.60
1.60 RVUs× 1.000 GPCI
Malpractice0.12
0.12 RVUs× 1.000 GPCI
Adjusted RVUs
2.6800
Conversion factor
$33.4009
Medicare rate
$89.51
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Utah inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
6,220
- Code
- 53601
- Physician work
- 0.96
- Practice expense
- 1.60
- Malpractice
- 0.12
GPCI2026.csv
104
- Locality
- Utah
- Physician work
- 1.000
- Practice expense
- 0.940
- Malpractice
- 0.898
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.96 | × 1.000 | 0.9600 |
| Practice expense | 1.60 | × 0.940 | 1.5040 |
| Malpractice | 0.12 | × 0.898 | 0.1078 |
| Total RVUs | 2.5718 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Utah$85.90
Office: (0.96 × 1 + 1.6 × 0.94 + 0.12 × 0.898) × $33.4009 = $85.90
Facility: (0.96 × 1 + 0.35 × 0.94 + 0.12 × 0.898) × $33.4009 = $46.65
Payment rules and modifiers for 53601
The CMS indicators that decide how 53601 is paid alongside other services.
CMS payment indicators · 53601
Urethral dilation, male, subsequent
| 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
53601 without 51 · national office
$89.51
Urethral dilation, male, subsequent
53601-51 · Second procedure: 50%
$44.76
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 53601 has changed in Utah
53601 · Office / nonfacility
$85.90
Effective 2026-10-01
The base rate is $5.62 higher than on 2025-10-01, moving from $80.28 to $85.90 (7.0%).
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
$80.28changed to$85.90
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 0.98 changed to 0.96
- Practice expense RVU 1.48 changed to 1.60
- Malpractice RVU 0.13 changed to 0.12
- Practice expense GPCI 0.933 changed to 0.940
- Malpractice GPCI 0.930 changed to 0.898
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$82.30changed to$80.28
- Conversion factor 33.2875 changed to 32.3465
- Malpractice RVU 0.12 changed to 0.13
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$80.96changed to$82.30
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$81.91changed to$80.96
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 1.44 changed to 1.48
- Practice expense GPCI 0.926 changed to 0.933
- Malpractice GPCI 0.865 changed to 0.930
January 1, 2023
RVU23A
$81.80changed to$81.91
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 1.41 changed to 1.44
- Malpractice RVU 0.11 changed to 0.12
- Practice expense GPCI 0.919 changed to 0.926
- Malpractice GPCI 0.799 changed to 0.865
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$82.39changed to$81.80
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 1.39 changed to 1.41
- Malpractice RVU 0.13 changed to 0.11
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$79.91changed to$82.39
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 1.22 changed to 1.39
- Malpractice RVU 0.11 changed to 0.13
- Practice expense GPCI 0.923 changed to 0.919
- Malpractice GPCI 0.982 changed to 0.799
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$80.03changed to$79.91
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 1.20 changed to 1.22
- Practice expense GPCI 0.927 changed to 0.923
- Malpractice GPCI 1.165 changed to 0.982
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$81.61changed to$80.03
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 1.25 changed to 1.20
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$80.61changed to$81.61
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 1.23 changed to 1.25
- Practice expense GPCI 0.925 changed to 0.927
- Malpractice GPCI 1.167 changed to 1.165
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$79.64changed to$80.61
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 1.21 changed to 1.23
- Practice expense GPCI 0.922 changed to 0.925
- Malpractice GPCI 1.169 changed to 1.167
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$79.92changed to$79.64
- Conversion factor 35.9335 changed to 35.8043
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$79.53changed to$79.92
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$77.87changed to$79.53
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 1.20 changed to 1.21
- Malpractice RVU 0.08 changed to 0.11
- Practice expense GPCI 0.919 changed to 0.922
- Malpractice GPCI 1.136 changed to 1.169
Held through RVU15B.
January 1, 2014
RVU14A
$76.54changed to$77.87
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 1.29 changed to 1.20
- Practice expense GPCI 0.916 changed to 0.919
- Malpractice GPCI 1.102 changed to 1.136
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $76.54
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $85.90 | $46.65 | RVU26D |
| 2026-07-01 | $85.90 | $46.65 | RVU26C |
| 2026-04-01 | $85.90 | $46.65 | RVU26B |
| 2026-01-01 | $85.90 | $46.65 | RVU26A |
| 2025-10-01 | $80.28 | $50.40 | RVU25D |
| 2025-07-01 | $80.28 | $50.40 | RVU25C |
| 2025-04-01 | $80.28 | $50.40 | RVU25B |
| 2025-01-01 | $80.28 | $50.40 | RVU25A |
| 2024-10-01 | $82.30 | $51.24 | RVU24D |
| 2024-07-01 | $82.30 | $51.24 | RVU24C |
| 2024-04-01 | $82.30 | $51.24 | RVU24B |
| 2024-03-09 | $82.30 | $51.24 | RVU24AR |
| 2024-01-01 | $80.96 | $50.41 | RVU24A |
| 2023-10-01 | $81.91 | $51.48 | RVU23D |
| 2023-07-01 | $81.91 | $51.48 | RVU23C |
| 2023-04-01 | $81.91 | $51.48 | RVU23B |
| 2023-01-01 | $81.91 | $51.48 | RVU23A |
| 2022-10-01 | $81.80 | $51.27 | RVU22D |
| 2022-07-01 | $81.80 | $51.27 | RVU22C |
| 2022-04-01 | $81.80 | $51.27 | RVU22B |
| 2022-01-01 | $81.80 | $51.27 | RVU22A |
| 2021-10-01 | $82.39 | $52.25 | RVU21D |
| 2021-07-01 | $82.39 | $52.25 | RVU21C |
| 2021-04-01 | $82.39 | $52.25 | RVU21B |
| 2021-01-01 | $82.39 | $52.25 | RVU21A |
| 2020-10-01 | $79.91 | $54.26 | RVU20D |
| 2020-07-01 | $79.91 | $54.26 | RVU20C |
| 2020-04-01 | $79.91 | $54.26 | RVU20B |
| 2020-01-01 | $79.91 | $54.26 | RVU20A |
| 2019-10-01 | $80.03 | $55.30 | RVU19D |
| 2019-07-01 | $80.03 | $55.30 | RVU19C |
| 2019-04-01 | $80.03 | $55.30 | RVU19B |
| 2019-01-01 | $80.03 | $55.30 | RVU19A |
| 2018-10-01 | $81.61 | $55.58 | RVU18D |
| 2018-07-01 | $81.61 | $55.58 | RVU18C |
| 2018-04-01 | $81.61 | $55.58 | RVU18B |
| 2018-01-01 | $81.61 | $55.58 | RVU18AR1 |
| 2017-10-01 | $80.61 | $55.05 | RVU17D |
| 2017-07-01 | $80.61 | $55.05 | RVU17C |
| 2017-04-01 | $80.61 | $55.05 | RVU17B |
| 2017-01-01 | $80.61 | $55.05 | RVU17A |
| 2016-10-01 | $79.64 | $54.55 | RVU16D |
| 2016-07-01 | $79.64 | $54.55 | RVU16C |
| 2016-04-01 | $79.64 | $54.55 | RVU16B |
| 2016-01-01 | $79.64 | $54.55 | RVU16A |
| 2015-10-01 | $79.92 | $54.74 | RVU15D |
| 2015-07-01 | $79.92 | $54.74 | RVU15C |
| 2015-04-01 | $79.53 | $54.47 | RVU15B |
| 2015-01-01 | $79.53 | $54.47 | RVU15A |
| 2014-10-01 | $77.87 | $53.18 | RVU14D |
| 2014-07-01 | $77.87 | $53.18 | RVU14C |
| 2014-04-01 | $77.87 | $53.18 | RVU14B |
| 2014-01-01 | $77.87 | $53.18 | RVU14A |
| 2013-10-01 | $76.54 | $50.99 | RVU13D |
| 2013-07-01 | $76.54 | $50.99 | RVU13C |
| 2013-04-01 | $76.54 | $50.99 | RVU13B |
| 2013-01-01 | $76.54 | $50.99 | RVU13AR |
Where the Utah rate applies
Utah is a Medicare payment area, not a city. Our Census mapping connects it to 334 cities and communities in Utah. Some span more than one payment area; confirm with the service ZIP.
- Alpine
- Alta
- Altamont
- Alton
- Amalga
- American Fork
- Aneth
- Annabella
53601 billing questions
When should 53601 be chosen instead of 53600?
Use 53601 for the subsequent male urethral stricture dilation service; 53600 represents the initial service in this code family. Documentation should support the service’s place in the treatment sequence.
How does 53601 differ from 53605?
53601 identifies a subsequent male stricture dilation using sounds or a urethral dilator. Code 53605 is the related male code for dilation requiring a guide wire.
Is same-day preoperative or postoperative care separately included?
The 0-day global period includes same-day preoperative and postoperative care in the procedure payment.
Can modifier 50 be reported?
No. CMS identifies bilateral adjustment as inappropriate for this code, so modifier 50 should not be used.
How are other procedures in the same session paid?
Under the standard multiple-procedure reduction, the highest-valued procedure is paid in full and the other procedures are paid at 50% when performed in the same session.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment is subject to a statutory restriction. Co-surgeons and team surgery are not permitted for this 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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