CPT code 62302: Myelography, cervical region2026 Medicare rate & RVUs in Washington, DC area
Reports cervical myelography performed by injecting contrast through a lumbar puncture, with radiological supervision and interpretation included.
In Washington, DC area, Medicare pays $278.69 for 62302 in the office and $110.69 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 62302 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 62302 covers
A physician or other qualified practitioner accesses the thecal sac through a lumbar puncture and injects contrast for imaging of the cervical spinal canal. The contrast is followed as it moves toward the neck, where imaging can help evaluate conditions such as cervical stenosis, nerve-root compression, or anatomy obscured by prior spinal hardware. The code covers the myelographic procedure and its radiological supervision and interpretation; it is not a therapeutic cervical epidural injection.
Select this code when the myelogram evaluates the cervical region, even though the needle entry is lumbar. The report should identify the lumbar access and contrast injection, the cervical region examined, and the imaging and interpretation performed. This code has a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple procedure reduction. Modifier 50 is inappropriate for this regional service. Medicare does not pay an assistant at surgery for it, 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 Washington, DC area compares for 62302
Across 109 of 109 payment localities, the office rate for 62302 runs from $218.28 in Arkansas to $321.66 in San Benito County, CA. Washington, DC area pays $278.69. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Washington, DC area · this page$278.69
- Los Angeles, CA · California$275.24−$3.45
- Miami, FL · Florida$262.75−$15.94
- Chicago, IL · Illinois$255.68−$23.01
- Manhattan, NY · New York$280.31+$1.62
- Alaska · Alaska$289.37+$10.68
- Alabama · Alabama$221.26−$57.43
Other areas in District of Columbia first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| ArkansasArkansas | $218.28 | $95.77 |
| ArizonaArizona | $238.72 | $100.52 |
| Bakersfield, CACalifornia | $259.02 | $102.70 |
| Chico, CACalifornia | $258.33 | $102.02 |
| El Centro, CACalifornia | $258.37 | $102.06 |
| Fresno, CACalifornia | $258.33 | $102.02 |
| Hanford, CACalifornia | $258.33 | $102.02 |
| Madera, CACalifornia | $258.33 | $102.02 |
| Merced, CACalifornia | $258.33 | $102.02 |
| Modesto, CACalifornia | $258.33 | $102.02 |
| Napa, CACalifornia | $297.74 | $109.76 |
| Oxnard, CACalifornia | $273.81 | $105.23 |
| Redding, CACalifornia | $258.33 | $102.02 |
| Rest of CaliforniaCalifornia | $258.33 | $102.02 |
| Riverside, CACalifornia | $260.74 | $104.42 |
| Sacramento, CACalifornia | $270.67 | $104.80 |
| Salinas, CACalifornia | $269.64 | $104.35 |
| San Diego, CACalifornia | $275.64 | $105.07 |
| Marin County, CACalifornia | $314.76 | $113.66 |
| San Francisco, CACalifornia | $314.51 | $113.41 |
| San Benito County, CACalifornia | $321.66 | $116.00 |
| Santa Clara County, CACalifornia | $320.64 | $114.97 |
| San Luis Obispo, CACalifornia | $265.34 | $102.90 |
| Santa Cruz, CACalifornia | $278.03 | $104.74 |
| Santa Maria, CACalifornia | $270.56 | $104.26 |
| Santa Rosa, CACalifornia | $280.82 | $105.68 |
| Stockton, CACalifornia | $258.33 | $102.02 |
| Vallejo, CACalifornia | $297.38 | $109.40 |
| Visalia, CACalifornia | $258.33 | $102.02 |
| Yuba City, CACalifornia | $258.33 | $102.02 |
| ColoradoColorado | $254.54 | $102.80 |
| ConnecticutConnecticut | $260.41 | $106.81 |
| DelawareDelaware | $242.50 | $101.59 |
| Fort Lauderdale, FLFlorida | $252.88 | $108.41 |
| Rest of FloridaFlorida | $241.35 | $105.01 |
| Atlanta, GAGeorgia | $249.14 | $104.23 |
| Rest of GeorgiaGeorgia | $228.64 | $101.42 |
| Hawaii, Guam, HIHawaii | $264.07 | $101.90 |
| IowaIowa | $226.54 | $96.04 |
| IdahoIdaho | $227.92 | $96.70 |
| East St. Louis, ILIllinois | $239.24 | $108.03 |
| Rest of IllinoisIllinois | $234.78 | $104.57 |
| Suburban Chicago, ILIllinois | $255.42 | $108.95 |
| IndianaIndiana | $229.15 | $96.94 |
| KansasKansas | $225.54 | $96.61 |
| KentuckyKentucky | $226.11 | $99.32 |
| New Orleans, LALouisiana | $236.21 | $102.00 |
| Rest of LouisianaLouisiana | $225.78 | $99.56 |
| Metropolitan Boston, MAMassachusetts | $278.70 | $108.40 |
| Rest of MassachusettsMassachusetts | $253.17 | $102.99 |
| Baltimore area, MDMaryland | $259.66 | $106.63 |
| Rest of MarylandMaryland | $246.93 | $102.59 |
| Rest of MaineMaine | $229.01 | $97.80 |
| Southern Maine, MEMaine | $240.65 | $99.31 |
| Detroit, MIMichigan | $244.16 | $106.53 |
| Rest of MichiganMichigan | $231.60 | $101.38 |
| MinnesotaMinnesota | $244.38 | $97.62 |
| Metropolitan Kansas City, MOMissouri | $234.72 | $100.79 |
| Metropolitan St. Louis, MOMissouri | $237.02 | $101.24 |
| Rest of MissouriMissouri | $222.14 | $99.20 |
| MississippiMississippi | $220.25 | $97.46 |
| MontanaMontana | $244.81 | $102.19 |
| North CarolinaNorth Carolina | $231.26 | $98.19 |
| North DakotaNorth Dakota | $240.46 | $97.84 |
| NebraskaNebraska | $227.71 | $96.07 |
| New HampshireNew Hampshire | $250.59 | $102.12 |
| Northern New JerseyNew Jersey | $276.10 | $110.66 |
| Rest of New JerseyNew Jersey | $263.52 | $107.77 |
| New MexicoNew Mexico | $232.78 | $101.99 |
| NevadaNevada | $243.76 | $101.00 |
| NYC suburbs and Long Island, NYNew York | $286.70 | $117.12 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $265.21 | $109.04 |
| Queens, NYNew York | $282.51 | $113.93 |
| Rest of New YorkNew York | $234.50 | $99.01 |
| OhioOhio | $230.71 | $100.49 |
| OklahomaOklahoma | $225.75 | $98.39 |
| Portland, OROregon | $262.23 | $103.78 |
| Rest of OregonOregon | $241.99 | $99.94 |
| Metropolitan Philadelphia, PAPennsylvania | $254.27 | $105.80 |
| Rest of PennsylvaniaPennsylvania | $231.06 | $100.13 |
| Puerto RicoPuerto Rico | $246.51 | $102.32 |
| Rhode IslandRhode Island | $250.83 | $103.50 |
| South CarolinaSouth Carolina | $231.34 | $99.56 |
| South DakotaSouth Dakota | $239.95 | $97.33 |
| TennesseeTennessee | $226.59 | $96.95 |
| Austin, TXTexas | $253.59 | $102.70 |
| Beaumont, TXTexas | $229.64 | $99.85 |
| Brazoria, TXTexas | $242.34 | $101.00 |
| Dallas, TXTexas | $243.80 | $101.75 |
| Fort Worth, TXTexas | $242.27 | $101.64 |
| Galveston, TXTexas | $243.02 | $101.40 |
| Houston, TXTexas | $247.05 | $105.42 |
| Rest of TexasTexas | $235.80 | $100.45 |
| UtahUtah | $234.30 | $100.23 |
| VirginiaVirginia | $239.90 | $99.70 |
| Virgin Islands, VIUnited States Virgin Islands | $246.51 | $102.32 |
| VermontVermont | $239.57 | $98.37 |
| Rest of WashingtonWashington | $252.68 | $102.50 |
| King County, WAWashington | $284.21 | $109.21 |
| WisconsinWisconsin | $232.90 | $96.27 |
| West VirginiaWest Virginia | $226.64 | $102.70 |
| WyomingWyoming | $242.92 | $100.30 |
62302 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.
$218.28
$290.00
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 | $289.37 | 1 |
| AL | $221.26 | 1 |
| AR | $218.28 | 1 |
| AZ | $238.72 | 1 |
| CA | $258.33–$321.66 | 29 |
| CO | $254.54 | 1 |
| CT | $260.41 | 1 |
| DC | $278.69 | 1 |
| DE | $242.50 | 1 |
| FL | $241.35–$262.75 | 3 |
| GA | $228.64–$249.14 | 2 |
| GU | $264.07 | 1 |
| HI | $264.07 | 1 |
| IA | $226.54 | 1 |
| ID | $227.92 | 1 |
| IL | $234.78–$255.68 | 4 |
| IN | $229.15 | 1 |
| KS | $225.54 | 1 |
| KY | $226.11 | 1 |
| LA | $225.78–$236.21 | 2 |
| MA | $253.17–$278.70 | 2 |
| MD | $246.93–$278.69 | 3 |
| ME | $229.01–$240.65 | 2 |
| MI | $231.60–$244.16 | 2 |
| MN | $244.38 | 1 |
| MO | $222.14–$237.02 | 3 |
| MS | $220.25 | 1 |
| MT | $244.81 | 1 |
| NC | $231.26 | 1 |
| ND | $240.46 | 1 |
| NE | $227.71 | 1 |
| NH | $250.59 | 1 |
| NJ | $263.52–$276.10 | 2 |
| NM | $232.78 | 1 |
| NV | $243.76 | 1 |
| NY | $234.50–$286.70 | 5 |
| OH | $230.71 | 1 |
| OK | $225.75 | 1 |
| OR | $241.99–$262.23 | 2 |
| PA | $231.06–$254.27 | 2 |
| PR | $246.51 | 1 |
| RI | $250.83 | 1 |
| SC | $231.34 | 1 |
| SD | $239.95 | 1 |
| TN | $226.59 | 1 |
| TX | $229.64–$253.59 | 8 |
| UT | $234.30 | 1 |
| VA | $239.90–$278.69 | 2 |
| VI | $246.51 | 1 |
| VT | $239.57 | 1 |
| WA | $252.68–$284.21 | 2 |
| WI | $232.90 | 1 |
| WV | $226.64 | 1 |
| WY | $242.92 | 1 |
How the 62302 rate is calculated
Each of 62302’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 · 62302
RVUs × geographic indexes × conversion factor
Work2.23
2.23 RVUs× 1.000 GPCI
Practice expense4.88
4.88 RVUs× 1.000 GPCI
Malpractice0.22
0.22 RVUs× 1.000 GPCI
Adjusted RVUs
7.3300
Conversion factor
$33.4009
Medicare rate
$244.83
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Washington, DC area inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
6,960
- Code
- 62302
- Physician work
- 2.23
- Practice expense
- 4.88
- Malpractice
- 0.22
GPCI2026.csv
39
- Locality
- Washington, DC area
- Physician work
- 1.054
- Practice expense
- 1.178
- Malpractice
- 1.113
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.23 | × 1.054 | 2.3504 |
| Practice expense | 4.88 | × 1.178 | 5.7486 |
| Malpractice | 0.22 | × 1.113 | 0.2449 |
| Total RVUs | 8.3439 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Washington, DC area$278.69
Office: (2.23 × 1.054 + 4.88 × 1.178 + 0.22 × 1.113) × $33.4009 = $278.69
Facility: (2.23 × 1.054 + 0.61 × 1.178 + 0.22 × 1.113) × $33.4009 = $110.69
Payment rules and modifiers for 62302
The CMS indicators that decide how 62302 is paid alongside other services.
CMS payment indicators · 62302
Myelography, cervical region
| 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
62302 without 51 · national office
$244.83
Myelography, cervical region
62302-51 · Second procedure: 50%
$122.42
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 62302 has changed in Washington, DC area
62302 · Office / nonfacility
$278.69
Effective 2026-10-01
The base rate is $0.83 higher than on 2025-10-01, moving from $277.86 to $278.69 (0.3%).
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
$277.86changed to$278.69
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 2.29 changed to 2.23
- Practice expense RVU 4.97 changed to 4.88
- Malpractice RVU 0.21 changed to 0.22
- Work GPCI 1.057 changed to 1.054
- Practice expense GPCI 1.192 changed to 1.178
- Malpractice GPCI 1.168 changed to 1.113
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$290.69changed to$277.86
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 5.08 changed to 4.97
- Malpractice RVU 0.22 changed to 0.21
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$285.95changed to$290.69
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$306.28changed to$285.95
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 5.23 changed to 5.08
- Work GPCI 1.056 changed to 1.057
- Practice expense GPCI 1.214 changed to 1.192
- Malpractice GPCI 1.231 changed to 1.168
January 1, 2023
RVU23A
$321.32changed to$306.28
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 5.35 changed to 5.23
- Malpractice RVU 0.20 changed to 0.22
- Work GPCI 1.054 changed to 1.056
- Practice expense GPCI 1.236 changed to 1.214
- Malpractice GPCI 1.294 changed to 1.231
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$321.83changed to$321.32
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 5.30 changed to 5.35
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$310.93changed to$321.83
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 4.89 changed to 5.30
- Malpractice RVU 0.19 changed to 0.20
- Work GPCI 1.049 changed to 1.054
- Practice expense GPCI 1.221 changed to 1.236
- Malpractice GPCI 1.277 changed to 1.294
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$296.83changed to$310.93
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 4.64 changed to 4.89
- Malpractice RVU 0.20 changed to 0.19
- Work GPCI 1.045 changed to 1.049
- Practice expense GPCI 1.205 changed to 1.221
- Malpractice GPCI 1.261 changed to 1.277
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$286.99changed to$296.83
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 4.41 changed to 4.64
- Malpractice RVU 0.21 changed to 0.20
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$285.99changed to$286.99
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 4.40 changed to 4.41
- Work GPCI 1.048 changed to 1.045
- Malpractice GPCI 1.271 changed to 1.261
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$284.77changed to$285.99
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 4.38 changed to 4.40
- Work GPCI 1.051 changed to 1.048
- Malpractice GPCI 1.280 changed to 1.271
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$288.99changed to$284.77
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 4.39 changed to 4.38
- Malpractice RVU 0.27 changed to 0.21
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$287.55changed to$288.99
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
No ratechanged to$287.55
Held through RVU15B.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $278.69 | $110.69 | RVU26D |
| 2026-07-01 | $278.69 | $110.69 | RVU26C |
| 2026-04-01 | $278.69 | $110.69 | RVU26B |
| 2026-01-01 | $278.69 | $110.69 | RVU26A |
| 2025-10-01 | $277.86 | $125.94 | RVU25D |
| 2025-07-01 | $277.86 | $125.94 | RVU25C |
| 2025-04-01 | $277.86 | $125.94 | RVU25B |
| 2025-01-01 | $277.86 | $125.94 | RVU25A |
| 2024-10-01 | $290.69 | $128.81 | RVU24D |
| 2024-07-01 | $290.69 | $128.81 | RVU24C |
| 2024-04-01 | $290.69 | $128.81 | RVU24B |
| 2024-03-09 | $290.69 | $128.81 | RVU24AR |
| 2024-01-01 | $285.95 | $126.70 | RVU24A |
| 2023-10-01 | $306.28 | $132.68 | RVU23D |
| 2023-07-01 | $306.28 | $132.68 | RVU23C |
| 2023-04-01 | $306.28 | $132.68 | RVU23B |
| 2023-01-01 | $306.28 | $132.68 | RVU23A |
| 2022-10-01 | $321.32 | $135.26 | RVU22D |
| 2022-07-01 | $321.32 | $135.26 | RVU22C |
| 2022-04-01 | $321.32 | $135.26 | RVU22B |
| 2022-01-01 | $321.32 | $135.26 | RVU22A |
| 2021-10-01 | $321.83 | $136.38 | RVU21D |
| 2021-07-01 | $321.83 | $136.38 | RVU21C |
| 2021-04-01 | $321.83 | $136.38 | RVU21B |
| 2021-01-01 | $321.83 | $136.38 | RVU21A |
| 2020-10-01 | $310.93 | $140.40 | RVU20D |
| 2020-07-01 | $310.93 | $140.40 | RVU20C |
| 2020-04-01 | $310.93 | $140.40 | RVU20B |
| 2020-01-01 | $310.93 | $140.40 | RVU20A |
| 2019-10-01 | $296.83 | $139.63 | RVU19D |
| 2019-07-01 | $296.83 | $139.63 | RVU19C |
| 2019-04-01 | $296.83 | $139.63 | RVU19B |
| 2019-01-01 | $296.83 | $139.63 | RVU19A |
| 2018-10-01 | $286.99 | $140.36 | RVU18D |
| 2018-07-01 | $286.99 | $140.36 | RVU18C |
| 2018-04-01 | $286.99 | $140.36 | RVU18B |
| 2018-01-01 | $286.99 | $140.36 | RVU18AR1 |
| 2017-10-01 | $285.99 | $141.12 | RVU17D |
| 2017-07-01 | $285.99 | $141.12 | RVU17C |
| 2017-04-01 | $285.99 | $141.12 | RVU17B |
| 2017-01-01 | $285.99 | $141.12 | RVU17A |
| 2016-10-01 | $284.77 | $140.67 | RVU16D |
| 2016-07-01 | $284.77 | $140.67 | RVU16C |
| 2016-04-01 | $284.77 | $140.67 | RVU16B |
| 2016-01-01 | $284.77 | $140.67 | RVU16A |
| 2015-10-01 | $288.99 | $144.37 | RVU15D |
| 2015-07-01 | $288.99 | $144.37 | RVU15C |
| 2015-04-01 | $287.55 | $143.65 | RVU15B |
| 2015-01-01 | $287.55 | $143.65 | 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 Washington, DC area rate applies
Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.
- Washington
62302 billing questions
Why is a lumbar puncture used for a cervical myelogram?
The lumbar puncture provides access to the spinal fluid for contrast injection. Code 62302 is selected because the cervical region is examined, not because the needle enters at the neck.
How do I distinguish 62302 from 62303 or 62304?
Choose by the region evaluated: 62302 is cervical, 62303 thoracic, and 62304 lumbosacral. Code 62305 is for examination of two or more regions.
Is the radiological interpretation included?
Yes. The code includes radiological supervision and interpretation for the myelographic examination.
Can modifier 50 be reported?
No. The service concerns a spinal region rather than a paired anatomic structure, so modifier 50 is inappropriate.
How does Medicare handle other procedures performed in the same session?
The highest-valued procedure is paid in full; other procedures in that session are subject to the standard multiple procedure reduction. Same-day preoperative and postoperative care is included in this code's 0-day global period.
Can an assistant, co-surgeon, or surgical team be billed?
Medicare does not pay an assistant at surgery for this service. Co-surgeon and team-surgery billing 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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