CPT code 64447: Femoral nerve block, single injection2026 Medicare rate & RVUs in Kentucky
Report this code for a single-injection femoral nerve block, with imaging guidance included when performed, for perioperative or other targeted analgesia.
In Kentucky, Medicare pays $124.33 for 64447 in the office and $59.00 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 64447 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 64447 covers
This service is a single-injection block of the femoral nerve, commonly performed by an anesthesiologist or other qualified clinician for pain control around lower-extremity surgery, such as knee procedures. It may be performed in a preoperative area, procedure room, or facility operating setting. Imaging guidance, when used to place the injection, is included in the service. A catheter placed for continuous infusion is distinguished from this single-injection service.
Report the code when the documented target is the femoral nerve and the block is a single-injection technique. The record should identify the indication, side, nerve target, technique, and whether imaging was used. The CMS global period is zero days, so same-day preoperative and postoperative care is included. When multiple procedures occur in the same session, the highest-valued is paid in full and other procedures are subject to the standard 50% reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment is restricted; 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 Kentucky compares for 64447
Across 109 of 109 payment localities, the office rate for 64447 runs from $120.13 in Arkansas to $175.46 in San Benito County, CA. Kentucky pays $124.33. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Kentucky · this page$124.33
- Los Angeles, CA · California$150.55+$26.22
- Washington, DC area · District of Columbia$152.49+$28.16
- Miami, FL · Florida$143.95+$19.62
- Chicago, IL · Illinois$140.20+$15.87
- Manhattan, NY · New York$153.44+$29.11
- Alaska · Alaska$159.97+$35.64
Other areas in Kentucky first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $121.72 | $57.42 |
| ArkansasArkansas | $120.13 | $57.01 |
| ArizonaArizona | $131.01 | $59.81 |
| Bakersfield, CACalifornia | $141.84 | $61.30 |
| Chico, CACalifornia | $141.46 | $60.92 |
| El Centro, CACalifornia | $141.48 | $60.94 |
| Fresno, CACalifornia | $141.46 | $60.92 |
| Hanford, CACalifornia | $141.46 | $60.92 |
| Madera, CACalifornia | $141.46 | $60.92 |
| Merced, CACalifornia | $141.46 | $60.92 |
| Modesto, CACalifornia | $141.46 | $60.92 |
| Napa, CACalifornia | $162.57 | $65.72 |
| Oxnard, CACalifornia | $149.73 | $62.87 |
| Redding, CACalifornia | $141.46 | $60.92 |
| Rest of CaliforniaCalifornia | $141.46 | $60.92 |
| Riverside, CACalifornia | $142.77 | $62.24 |
| Sacramento, CACalifornia | $148.09 | $62.63 |
| Salinas, CACalifornia | $147.52 | $62.36 |
| San Diego, CACalifornia | $150.70 | $62.82 |
| Marin County, CACalifornia | $171.73 | $68.12 |
| San Francisco, CACalifornia | $171.59 | $67.98 |
| San Benito County, CACalifornia | $175.46 | $69.50 |
| Santa Clara County, CACalifornia | $174.90 | $68.94 |
| San Luis Obispo, CACalifornia | $145.18 | $61.48 |
| Santa Cruz, CACalifornia | $151.93 | $62.65 |
| Santa Maria, CACalifornia | $148.00 | $62.32 |
| Santa Rosa, CACalifornia | $153.45 | $63.21 |
| Stockton, CACalifornia | $141.46 | $60.92 |
| Vallejo, CACalifornia | $162.37 | $65.52 |
| Visalia, CACalifornia | $141.46 | $60.92 |
| Yuba City, CACalifornia | $141.46 | $60.92 |
| ColoradoColorado | $139.46 | $61.27 |
| ConnecticutConnecticut | $142.65 | $63.51 |
| DelawareDelaware | $133.05 | $60.45 |
| Fort Lauderdale, FLFlorida | $138.63 | $64.20 |
| Rest of FloridaFlorida | $132.48 | $62.23 |
| Atlanta, GAGeorgia | $136.59 | $61.93 |
| Rest of GeorgiaGeorgia | $125.70 | $60.15 |
| Hawaii, Guam, HIHawaii | $144.44 | $60.89 |
| IowaIowa | $124.50 | $57.27 |
| IdahoIdaho | $125.24 | $57.64 |
| East St. Louis, ILIllinois | $131.42 | $63.81 |
| Rest of IllinoisIllinois | $129.00 | $61.91 |
| Suburban Chicago, ILIllinois | $140.01 | $64.54 |
| IndianaIndiana | $125.90 | $57.78 |
| KansasKansas | $123.98 | $57.55 |
| New Orleans, LALouisiana | $129.71 | $60.57 |
| Rest of LouisianaLouisiana | $124.15 | $59.12 |
| Metropolitan Boston, MAMassachusetts | $152.41 | $64.67 |
| Rest of MassachusettsMassachusetts | $138.74 | $61.37 |
| Baltimore area, MDMaryland | $142.24 | $63.39 |
| Rest of MarylandMaryland | $135.42 | $61.05 |
| Rest of MaineMaine | $125.84 | $58.23 |
| Southern Maine, MEMaine | $132.01 | $59.19 |
| Detroit, MIMichigan | $133.99 | $63.08 |
| Rest of MichiganMichigan | $127.26 | $60.17 |
| MinnesotaMinnesota | $133.96 | $58.35 |
| Metropolitan Kansas City, MOMissouri | $128.90 | $59.90 |
| Metropolitan St. Louis, MOMissouri | $130.13 | $60.17 |
| Rest of MissouriMissouri | $122.23 | $58.89 |
| MississippiMississippi | $121.20 | $57.93 |
| MontanaMontana | $134.26 | $60.78 |
| North CarolinaNorth Carolina | $127.03 | $58.47 |
| North DakotaNorth Dakota | $131.89 | $58.41 |
| NebraskaNebraska | $125.12 | $57.29 |
| New HampshireNew Hampshire | $137.32 | $60.82 |
| Northern New JerseyNew Jersey | $151.14 | $65.90 |
| Rest of New JerseyNew Jersey | $144.37 | $64.13 |
| New MexicoNew Mexico | $127.90 | $60.51 |
| NevadaNevada | $133.69 | $60.13 |
| NYC suburbs and Long Island, NYNew York | $156.86 | $69.49 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $145.30 | $64.84 |
| Queens, NYNew York | $154.59 | $67.73 |
| Rest of New YorkNew York | $128.76 | $58.95 |
| OhioOhio | $126.78 | $59.69 |
| OklahomaOklahoma | $124.12 | $58.50 |
| Portland, OROregon | $143.55 | $61.91 |
| Rest of OregonOregon | $132.74 | $59.55 |
| Metropolitan Philadelphia, PAPennsylvania | $139.38 | $62.88 |
| Rest of PennsylvaniaPennsylvania | $126.96 | $59.50 |
| Puerto RicoPuerto Rico | $135.16 | $60.87 |
| Rhode IslandRhode Island | $137.52 | $61.62 |
| South CarolinaSouth Carolina | $127.10 | $59.20 |
| South DakotaSouth Dakota | $131.61 | $58.13 |
| TennesseeTennessee | $124.54 | $57.75 |
| Austin, TXTexas | $138.92 | $61.18 |
| Beaumont, TXTexas | $126.20 | $59.33 |
| Brazoria, TXTexas | $132.96 | $60.14 |
| Dallas, TXTexas | $133.75 | $60.56 |
| Fort Worth, TXTexas | $132.94 | $60.48 |
| Galveston, TXTexas | $133.33 | $60.36 |
| Houston, TXTexas | $135.52 | $62.56 |
| Rest of TexasTexas | $129.47 | $59.74 |
| UtahUtah | $128.67 | $59.60 |
| VirginiaVirginia | $131.62 | $59.39 |
| Virgin Islands, VIUnited States Virgin Islands | $135.16 | $60.87 |
| VermontVermont | $131.43 | $58.68 |
| Rest of WashingtonWashington | $138.47 | $61.09 |
| King County, WAWashington | $155.36 | $65.20 |
| WisconsinWisconsin | $127.86 | $57.47 |
| West VirginiaWest Virginia | $124.67 | $60.81 |
| WyomingWyoming | $133.23 | $59.75 |
64447 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.
$120.13
$159.97
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 | $159.97 | 1 |
| AL | $121.72 | 1 |
| AR | $120.13 | 1 |
| AZ | $131.01 | 1 |
| CA | $141.46–$175.46 | 29 |
| CO | $139.46 | 1 |
| CT | $142.65 | 1 |
| DC | $152.49 | 1 |
| DE | $133.05 | 1 |
| FL | $132.48–$143.95 | 3 |
| GA | $125.70–$136.59 | 2 |
| GU | $144.44 | 1 |
| HI | $144.44 | 1 |
| IA | $124.50 | 1 |
| ID | $125.24 | 1 |
| IL | $129.00–$140.20 | 4 |
| IN | $125.90 | 1 |
| KS | $123.98 | 1 |
| KY | $124.33 | 1 |
| LA | $124.15–$129.71 | 2 |
| MA | $138.74–$152.41 | 2 |
| MD | $135.42–$152.49 | 3 |
| ME | $125.84–$132.01 | 2 |
| MI | $127.26–$133.99 | 2 |
| MN | $133.96 | 1 |
| MO | $122.23–$130.13 | 3 |
| MS | $121.20 | 1 |
| MT | $134.26 | 1 |
| NC | $127.03 | 1 |
| ND | $131.89 | 1 |
| NE | $125.12 | 1 |
| NH | $137.32 | 1 |
| NJ | $144.37–$151.14 | 2 |
| NM | $127.90 | 1 |
| NV | $133.69 | 1 |
| NY | $128.76–$156.86 | 5 |
| OH | $126.78 | 1 |
| OK | $124.12 | 1 |
| OR | $132.74–$143.55 | 2 |
| PA | $126.96–$139.38 | 2 |
| PR | $135.16 | 1 |
| RI | $137.52 | 1 |
| SC | $127.10 | 1 |
| SD | $131.61 | 1 |
| TN | $124.54 | 1 |
| TX | $126.20–$138.92 | 8 |
| UT | $128.67 | 1 |
| VA | $131.62–$152.49 | 2 |
| VI | $135.16 | 1 |
| VT | $131.43 | 1 |
| WA | $138.47–$155.36 | 2 |
| WI | $127.86 | 1 |
| WV | $124.67 | 1 |
| WY | $133.23 | 1 |
How the 64447 rate is calculated
Each of 64447’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 · 64447
RVUs × geographic indexes × conversion factor
Work1.31
1.31 RVUs× 1.000 GPCI
Practice expense2.59
2.59 RVUs× 1.000 GPCI
Malpractice0.12
0.12 RVUs× 1.000 GPCI
Adjusted RVUs
4.0200
Conversion factor
$33.4009
Medicare rate
$134.27
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Kentucky inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
7,110
- Code
- 64447
- Physician work
- 1.31
- Practice expense
- 2.59
- Malpractice
- 0.12
GPCI2026.csv
55
- Locality
- Kentucky
- Physician work
- 1.000
- Practice expense
- 0.889
- Malpractice
- 0.915
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.31 | × 1.000 | 1.3100 |
| Practice expense | 2.59 | × 0.889 | 2.3025 |
| Malpractice | 0.12 | × 0.915 | 0.1098 |
| Total RVUs | 3.7223 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Kentucky$124.33
Office: (1.31 × 1 + 2.59 × 0.889 + 0.12 × 0.915) × $33.4009 = $124.33
Facility: (1.31 × 1 + 0.39 × 0.889 + 0.12 × 0.915) × $33.4009 = $59.00
Payment rules and modifiers for 64447
The CMS indicators that decide how 64447 is paid alongside other services.
CMS payment indicators · 64447
Femoral nerve block, single injection
| 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) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| 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 50 · payment effect
With and without the modifier
64447 without 50 · national office
$134.27
Femoral nerve block, single injection
64447-50 · Bilateral: 150%
$201.41
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 64447 has changed in Kentucky
64447 · Office / nonfacility
$124.33
Effective 2026-10-01
The base rate is $20.13 higher than on 2025-10-01, moving from $104.20 to $124.33 (19.3%).
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
$104.20changed to$124.33
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 1.34 changed to 1.31
- Practice expense RVU 2.01 changed to 2.59
- Malpractice RVU 0.13 changed to 0.12
- Practice expense GPCI 0.877 changed to 0.889
- Malpractice GPCI 0.913 changed to 0.915
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$107.21changed to$104.20
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 2.03 changed to 2.01
- Malpractice RVU 0.11 changed to 0.13
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$105.46changed to$107.21
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$108.71changed to$105.46
- Conversion factor 33.8872 changed to 32.7442
- Practice expense GPCI 0.873 changed to 0.877
- Malpractice GPCI 0.870 changed to 0.913
January 1, 2023
RVU23A
$83.95changed to$108.71
- Conversion factor 34.6062 changed to 33.8872
- Work RVU 1.10 changed to 1.34
- Practice expense RVU 1.44 changed to 2.03
- Malpractice RVU 0.09 changed to 0.11
- Practice expense GPCI 0.869 changed to 0.873
- Malpractice GPCI 0.827 changed to 0.870
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$84.95changed to$83.95
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 1.45 changed to 1.44
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$84.64changed to$84.95
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 1.34 changed to 1.45
- Practice expense GPCI 0.874 changed to 0.869
- Malpractice GPCI 0.823 changed to 0.827
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$115.96changed to$84.64
- Conversion factor 36.0391 changed to 36.0896
- Work RVU 1.50 changed to 1.10
- Practice expense RVU 1.84 changed to 1.34
- Malpractice RVU 0.12 changed to 0.09
- Practice expense GPCI 0.880 changed to 0.874
- Malpractice GPCI 0.819 changed to 0.823
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$115.83changed to$115.96
- Conversion factor 35.9996 changed to 36.0391
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$112.64changed to$115.83
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 1.76 changed to 1.84
- Practice expense GPCI 0.876 changed to 0.880
- Malpractice GPCI 0.807 changed to 0.819
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$113.01changed to$112.64
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 1.79 changed to 1.76
- Practice expense GPCI 0.872 changed to 0.876
- Malpractice GPCI 0.795 changed to 0.807
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$112.79changed to$113.01
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 1.77 changed to 1.79
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$112.23changed to$112.79
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$111.14changed to$112.23
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 1.74 changed to 1.77
- Malpractice RVU 0.11 changed to 0.12
- Malpractice GPCI 0.774 changed to 0.795
Held through RVU15B.
January 1, 2014
RVU14A
$111.93changed to$111.14
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 1.96 changed to 1.74
- Practice expense GPCI 0.871 changed to 0.872
- Malpractice GPCI 0.752 changed to 0.774
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $111.93
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $124.33 | $59.00 | RVU26D |
| 2026-07-01 | $124.33 | $59.00 | RVU26C |
| 2026-04-01 | $124.33 | $59.00 | RVU26B |
| 2026-01-01 | $124.33 | $59.00 | RVU26A |
| 2025-10-01 | $104.20 | $59.38 | RVU25D |
| 2025-07-01 | $104.20 | $59.38 | RVU25C |
| 2025-04-01 | $104.20 | $59.38 | RVU25B |
| 2025-01-01 | $104.20 | $59.38 | RVU25A |
| 2024-10-01 | $107.21 | $60.21 | RVU24D |
| 2024-07-01 | $107.21 | $60.21 | RVU24C |
| 2024-04-01 | $107.21 | $60.21 | RVU24B |
| 2024-03-09 | $107.21 | $60.21 | RVU24AR |
| 2024-01-01 | $105.46 | $59.23 | RVU24A |
| 2023-10-01 | $108.71 | $60.78 | RVU23D |
| 2023-07-01 | $108.71 | $60.78 | RVU23C |
| 2023-04-01 | $108.71 | $60.78 | RVU23B |
| 2023-01-01 | $108.71 | $60.78 | RVU23A |
| 2022-10-01 | $83.95 | $51.17 | RVU22D |
| 2022-07-01 | $83.95 | $51.17 | RVU22C |
| 2022-04-01 | $83.95 | $51.17 | RVU22B |
| 2022-01-01 | $83.95 | $51.17 | RVU22A |
| 2021-10-01 | $84.95 | $51.59 | RVU21D |
| 2021-07-01 | $84.95 | $51.59 | RVU21C |
| 2021-04-01 | $84.95 | $51.59 | RVU21B |
| 2021-01-01 | $84.95 | $51.59 | RVU21A |
| 2020-10-01 | $84.64 | $53.10 | RVU20D |
| 2020-07-01 | $84.64 | $53.10 | RVU20C |
| 2020-04-01 | $84.64 | $53.10 | RVU20B |
| 2020-01-01 | $84.64 | $53.10 | RVU20A |
| 2019-10-01 | $115.96 | $66.80 | RVU19D |
| 2019-07-01 | $115.96 | $66.80 | RVU19C |
| 2019-04-01 | $115.96 | $66.80 | RVU19B |
| 2019-01-01 | $115.96 | $66.80 | RVU19A |
| 2018-10-01 | $115.83 | $66.72 | RVU18D |
| 2018-07-01 | $115.83 | $66.72 | RVU18C |
| 2018-04-01 | $115.83 | $66.72 | RVU18B |
| 2018-01-01 | $115.83 | $66.72 | RVU18AR1 |
| 2017-10-01 | $112.64 | $66.11 | RVU17D |
| 2017-07-01 | $112.64 | $66.11 | RVU17C |
| 2017-04-01 | $112.64 | $66.11 | RVU17B |
| 2017-01-01 | $112.64 | $66.11 | RVU17A |
| 2016-10-01 | $113.01 | $65.86 | RVU16D |
| 2016-07-01 | $113.01 | $65.86 | RVU16C |
| 2016-04-01 | $113.01 | $65.86 | RVU16B |
| 2016-01-01 | $113.01 | $65.86 | RVU16A |
| 2015-10-01 | $112.79 | $65.79 | RVU15D |
| 2015-07-01 | $112.79 | $65.79 | RVU15C |
| 2015-04-01 | $112.23 | $65.46 | RVU15B |
| 2015-01-01 | $112.23 | $65.46 | RVU15A |
| 2014-10-01 | $111.14 | $65.53 | RVU14D |
| 2014-07-01 | $111.14 | $65.53 | RVU14C |
| 2014-04-01 | $111.14 | $65.53 | RVU14B |
| 2014-01-01 | $111.14 | $65.53 | RVU14A |
| 2013-10-01 | $111.93 | $62.74 | RVU13D |
| 2013-07-01 | $111.93 | $62.74 | RVU13C |
| 2013-04-01 | $111.93 | $62.74 | RVU13B |
| 2013-01-01 | $111.93 | $62.74 | RVU13AR |
Where the Kentucky rate applies
Kentucky is a Medicare payment area, not a city. Our Census mapping connects it to 553 cities and communities in Kentucky. Some span more than one payment area; confirm with the service ZIP.
- Adairville
- Ages
- Albany
- Alexandria
- Allen
- Allensville
- Anchorage
- Annville
64447 billing questions
When should 64447 be selected instead of 64448?
Use 64447 for a single-injection femoral nerve block. Use 64448 when a catheter is placed for continuous femoral nerve infusion.
Is imaging guidance separately reported?
Imaging guidance used to perform the femoral block is included in 64447. Do not report a separate guidance service for that work.
How is a bilateral femoral block reported?
Report the bilateral procedure with modifier 50. CMS pays the bilateral service at 150%.
Can a sciatic nerve block be reported on the same date?
A sciatic block may be reported separately when it is performed to address the sciatic nerve territory as well as the femoral nerve territory. The documentation should support each distinct nerve block.
What same-session payment reduction applies?
When multiple procedures are performed in the same session, CMS pays the highest-valued procedure in full and applies the standard 50% reduction to the others.
Can an assistant or co-surgeon be reported for this service?
CMS does not pay an assistant at surgery for this code. 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
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