CPT code 64647: Trunk chemodenervation, six or more muscles2026 Medicare rate & RVUs in North Carolina
Reports botulinum toxin chemodenervation of six or more trunk muscles, such as paraspinal or abdominal muscles, for a documented movement or tone disorder.
In North Carolina, Medicare pays $176.39 for 64647 in the office and $108.15 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 64647 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 64647 covers
This service involves injecting a chemodenervating agent, commonly botulinum toxin, into six or more distinct trunk muscles to reduce unwanted muscle activity. Neurologists, physiatrists, and other qualified clinicians may perform it in an office or outpatient facility for conditions such as trunk spasticity or dystonia. Paraspinal and abdominal muscles are examples of trunk targets; the treated muscles should be identified in the record.
Select this code based on the number of distinct trunk muscles treated, not the number of needle passes or injection points. Documentation should support the indication and identify the muscles injected; report the toxin product separately when applicable. The procedure 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 others at 50%. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery, and 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 North Carolina compares for 64647
Across 109 of 109 payment localities, the office rate for 64647 runs from $166.64 in Arkansas to $235.12 in San Benito County, CA. North Carolina pays $176.39. The RVUs are the same everywhere; the geographic indexes change the dollars.
- North Carolina · this page$176.39
- Los Angeles, CA · California$205.60+$29.21
- Washington, DC area · District of Columbia$213.48+$37.09
- Miami, FL · Florida$219.18+$42.79
- Chicago, IL · Illinois$212.01+$35.62
- Manhattan, NY · New York$220.40+$44.01
- Alaska · Alaska$223.04+$46.65
Other areas in North Carolina first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $169.15 | $105.15 |
| ArkansasArkansas | $166.64 | $103.80 |
| ArizonaArizona | $183.76 | $112.88 |
| Bakersfield, CACalifornia | $194.13 | $113.96 |
| Chico, CACalifornia | $192.78 | $112.61 |
| El Centro, CACalifornia | $192.86 | $112.69 |
| Fresno, CACalifornia | $192.78 | $112.61 |
| Hanford, CACalifornia | $192.78 | $112.61 |
| Madera, CACalifornia | $192.78 | $112.61 |
| Merced, CACalifornia | $192.78 | $112.61 |
| Modesto, CACalifornia | $192.78 | $112.61 |
| Napa, CACalifornia | $218.53 | $122.13 |
| Oxnard, CACalifornia | $203.92 | $117.46 |
| Redding, CACalifornia | $192.78 | $112.61 |
| Rest of CaliforniaCalifornia | $192.78 | $112.61 |
| Riverside, CACalifornia | $198.14 | $117.97 |
| Sacramento, CACalifornia | $201.04 | $115.97 |
| Salinas, CACalifornia | $200.28 | $115.50 |
| San Diego, CACalifornia | $204.16 | $116.67 |
| Marin County, CACalifornia | $229.47 | $126.34 |
| San Francisco, CACalifornia | $228.91 | $125.77 |
| San Benito County, CACalifornia | $235.12 | $129.64 |
| Santa Clara County, CACalifornia | $232.79 | $127.32 |
| San Luis Obispo, CACalifornia | $197.24 | $113.93 |
| Santa Cruz, CACalifornia | $205.41 | $116.54 |
| Santa Maria, CACalifornia | $200.80 | $115.51 |
| Santa Rosa, CACalifornia | $207.38 | $117.56 |
| Stockton, CACalifornia | $192.78 | $112.61 |
| Vallejo, CACalifornia | $217.72 | $121.31 |
| Visalia, CACalifornia | $192.78 | $112.61 |
| Yuba City, CACalifornia | $192.78 | $112.61 |
| ColoradoColorado | $193.20 | $115.37 |
| ConnecticutConnecticut | $202.26 | $123.48 |
| DelawareDelaware | $186.79 | $114.52 |
| Fort Lauderdale, FLFlorida | $204.23 | $130.13 |
| Rest of FloridaFlorida | $193.21 | $123.28 |
| Atlanta, GAGeorgia | $194.61 | $120.29 |
| Rest of GeorgiaGeorgia | $181.37 | $116.12 |
| Hawaii, Guam, HIHawaii | $196.58 | $113.41 |
| IowaIowa | $170.48 | $103.55 |
| IdahoIdaho | $172.27 | $104.98 |
| East St. Louis, ILIllinois | $198.01 | $130.71 |
| Rest of IllinoisIllinois | $189.75 | $122.96 |
| Suburban Chicago, ILIllinois | $205.56 | $130.44 |
| IndianaIndiana | $173.22 | $105.41 |
| KansasKansas | $171.13 | $105.00 |
| KentuckyKentucky | $176.43 | $111.40 |
| New Orleans, LALouisiana | $185.53 | $116.69 |
| Rest of LouisianaLouisiana | $176.74 | $112.00 |
| Metropolitan Boston, MAMassachusetts | $210.52 | $123.18 |
| Rest of MassachusettsMassachusetts | $192.60 | $115.57 |
| Baltimore area, MDMaryland | $202.03 | $123.54 |
| Rest of MarylandMaryland | $189.95 | $115.92 |
| Rest of MaineMaine | $174.76 | $107.46 |
| Southern Maine, MEMaine | $182.29 | $109.80 |
| Detroit, MIMichigan | $197.20 | $126.62 |
| Rest of MichiganMichigan | $182.50 | $115.72 |
| MinnesotaMinnesota | $180.64 | $105.37 |
| Metropolitan Kansas City, MOMissouri | $182.66 | $113.98 |
| Metropolitan St. Louis, MOMissouri | $184.43 | $114.79 |
| Rest of MissouriMissouri | $174.61 | $111.56 |
| MississippiMississippi | $170.59 | $107.61 |
| MontanaMontana | $189.35 | $116.20 |
| North DakotaNorth Dakota | $179.46 | $106.32 |
| NebraskaNebraska | $171.00 | $103.48 |
| New HampshireNew Hampshire | $191.55 | $115.41 |
| Northern New JerseyNew Jersey | $211.47 | $126.62 |
| Rest of New JerseyNew Jersey | $203.31 | $123.43 |
| New MexicoNew Mexico | $184.12 | $117.04 |
| NevadaNevada | $186.70 | $113.48 |
| NYC suburbs and Long Island, NYNew York | $227.73 | $140.76 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $205.85 | $125.76 |
| Queens, NYNew York | $220.07 | $133.61 |
| Rest of New YorkNew York | $179.23 | $109.74 |
| OhioOhio | $180.48 | $113.70 |
| OklahomaOklahoma | $174.54 | $109.22 |
| Portland, OROregon | $197.74 | $116.47 |
| Rest of OregonOregon | $184.01 | $111.15 |
| Metropolitan Philadelphia, PAPennsylvania | $198.10 | $121.96 |
| Rest of PennsylvaniaPennsylvania | $179.95 | $112.80 |
| Puerto RicoPuerto Rico | $190.28 | $116.32 |
| Rhode IslandRhode Island | $192.31 | $116.75 |
| South CarolinaSouth Carolina | $178.98 | $111.39 |
| South DakotaSouth Dakota | $178.29 | $105.15 |
| TennesseeTennessee | $172.20 | $105.71 |
| Austin, TXTexas | $193.64 | $116.25 |
| Beaumont, TXTexas | $178.85 | $112.28 |
| Brazoria, TXTexas | $185.32 | $112.83 |
| Dallas, TXTexas | $187.22 | $114.36 |
| Fort Worth, TXTexas | $186.39 | $114.27 |
| Galveston, TXTexas | $186.33 | $113.70 |
| Houston, TXTexas | $195.49 | $122.85 |
| Rest of TexasTexas | $182.47 | $113.05 |
| UtahUtah | $181.45 | $112.69 |
| VirginiaVirginia | $182.71 | $110.80 |
| Virgin Islands, VIUnited States Virgin Islands | $190.28 | $116.32 |
| VermontVermont | $180.09 | $107.68 |
| Rest of WashingtonWashington | $191.79 | $114.77 |
| King County, WAWashington | $213.35 | $123.59 |
| WisconsinWisconsin | $173.46 | $103.39 |
| West VirginiaWest Virginia | $182.97 | $119.41 |
| WyomingWyoming | $185.04 | $111.89 |
64647 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.
$166.64
$223.04
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 | $223.04 | 1 |
| AL | $169.15 | 1 |
| AR | $166.64 | 1 |
| AZ | $183.76 | 1 |
| CA | $192.78–$235.12 | 29 |
| CO | $193.20 | 1 |
| CT | $202.26 | 1 |
| DC | $213.48 | 1 |
| DE | $186.79 | 1 |
| FL | $193.21–$219.18 | 3 |
| GA | $181.37–$194.61 | 2 |
| GU | $196.58 | 1 |
| HI | $196.58 | 1 |
| IA | $170.48 | 1 |
| ID | $172.27 | 1 |
| IL | $189.75–$212.01 | 4 |
| IN | $173.22 | 1 |
| KS | $171.13 | 1 |
| KY | $176.43 | 1 |
| LA | $176.74–$185.53 | 2 |
| MA | $192.60–$210.52 | 2 |
| MD | $189.95–$213.48 | 3 |
| ME | $174.76–$182.29 | 2 |
| MI | $182.50–$197.20 | 2 |
| MN | $180.64 | 1 |
| MO | $174.61–$184.43 | 3 |
| MS | $170.59 | 1 |
| MT | $189.35 | 1 |
| NC | $176.39 | 1 |
| ND | $179.46 | 1 |
| NE | $171.00 | 1 |
| NH | $191.55 | 1 |
| NJ | $203.31–$211.47 | 2 |
| NM | $184.12 | 1 |
| NV | $186.70 | 1 |
| NY | $179.23–$227.73 | 5 |
| OH | $180.48 | 1 |
| OK | $174.54 | 1 |
| OR | $184.01–$197.74 | 2 |
| PA | $179.95–$198.10 | 2 |
| PR | $190.28 | 1 |
| RI | $192.31 | 1 |
| SC | $178.98 | 1 |
| SD | $178.29 | 1 |
| TN | $172.20 | 1 |
| TX | $178.85–$195.49 | 8 |
| UT | $181.45 | 1 |
| VA | $182.71–$213.48 | 2 |
| VI | $190.28 | 1 |
| VT | $180.09 | 1 |
| WA | $191.79–$213.35 | 2 |
| WI | $173.46 | 1 |
| WV | $182.97 | 1 |
| WY | $185.04 | 1 |
How the 64647 rate is calculated
Each of 64647’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 · 64647
RVUs × geographic indexes × conversion factor
Work2.06
2.06 RVUs× 1.000 GPCI
Practice expense3.11
3.11 RVUs× 1.000 GPCI
Malpractice0.50
0.50 RVUs× 1.000 GPCI
Adjusted RVUs
5.6700
Conversion factor
$33.4009
Medicare rate
$189.38
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact North Carolina inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
7,190
- Code
- 64647
- Physician work
- 2.06
- Practice expense
- 3.11
- Malpractice
- 0.50
GPCI2026.csv
83
- Locality
- North Carolina
- Physician work
- 1.000
- Practice expense
- 0.933
- Malpractice
- 0.639
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.06 | × 1.000 | 2.0600 |
| Practice expense | 3.11 | × 0.933 | 2.9016 |
| Malpractice | 0.50 | × 0.639 | 0.3195 |
| Total RVUs | 5.2811 | ||
| Conversion factor | × 33.4009 | ||
Office rate, North Carolina$176.39
Office: (2.06 × 1 + 3.11 × 0.933 + 0.5 × 0.639) × $33.4009 = $176.39
Facility: (2.06 × 1 + 0.92 × 0.933 + 0.5 × 0.639) × $33.4009 = $108.15
Payment rules and modifiers for 64647
The CMS indicators that decide how 64647 is paid alongside other services.
CMS payment indicators · 64647
Trunk chemodenervation, six or more muscles
| 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
64647 without 51 · national office
$189.38
Trunk chemodenervation, six or more muscles
64647-51 · Second procedure: 50%
$94.69
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 64647 has changed in North Carolina
64647 · Office / nonfacility
$176.39
Effective 2026-10-01
The base rate is $11.84 higher than on 2025-10-01, moving from $164.55 to $176.39 (7.2%).
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
$164.55changed to$176.39
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 2.11 changed to 2.06
- Practice expense RVU 2.82 changed to 3.11
- Malpractice RVU 0.55 changed to 0.50
- Practice expense GPCI 0.926 changed to 0.933
- Malpractice GPCI 0.665 changed to 0.639
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$171.15changed to$164.55
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 2.85 changed to 2.82
- Malpractice RVU 0.59 changed to 0.55
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$168.35changed to$171.15
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$173.04changed to$168.35
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 2.76 changed to 2.85
- Practice expense GPCI 0.927 changed to 0.926
- Malpractice GPCI 0.742 changed to 0.665
January 1, 2023
RVU23A
$176.53changed to$173.04
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 2.72 changed to 2.76
- Malpractice RVU 0.57 changed to 0.59
- Practice expense GPCI 0.928 changed to 0.927
- Malpractice GPCI 0.819 changed to 0.742
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$174.22changed to$176.53
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 2.63 changed to 2.72
- Malpractice RVU 0.54 changed to 0.57
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$172.67changed to$174.22
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 2.42 changed to 2.63
- Malpractice RVU 0.56 changed to 0.54
- Practice expense GPCI 0.930 changed to 0.928
- Malpractice GPCI 0.757 changed to 0.819
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$171.76changed to$172.67
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 2.39 changed to 2.42
- Malpractice RVU 0.62 changed to 0.56
- Practice expense GPCI 0.931 changed to 0.930
- Malpractice GPCI 0.695 changed to 0.757
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$171.15changed to$171.76
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 2.37 changed to 2.39
- Malpractice RVU 0.63 changed to 0.62
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$170.82changed to$171.15
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 2.39 changed to 2.37
- Malpractice RVU 0.58 changed to 0.63
- Malpractice GPCI 0.732 changed to 0.695
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$171.48changed to$170.82
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 2.46 changed to 2.39
- Malpractice RVU 0.51 changed to 0.58
- Practice expense GPCI 0.930 changed to 0.931
- Malpractice GPCI 0.768 changed to 0.732
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$171.83changed to$171.48
- Conversion factor 35.9335 changed to 35.8043
- Malpractice RVU 0.50 changed to 0.51
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$170.97changed to$171.83
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$166.42changed to$170.97
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 2.43 changed to 2.46
- Malpractice RVU 0.38 changed to 0.50
- Practice expense GPCI 0.929 changed to 0.930
- Malpractice GPCI 0.732 changed to 0.768
Held through RVU15B.
January 1, 2014
RVU14A
No ratechanged to$166.42
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $176.39 | $108.15 | RVU26D |
| 2026-07-01 | $176.39 | $108.15 | RVU26C |
| 2026-04-01 | $176.39 | $108.15 | RVU26B |
| 2026-01-01 | $176.39 | $108.15 | RVU26A |
| 2025-10-01 | $164.55 | $119.92 | RVU25D |
| 2025-07-01 | $164.55 | $119.92 | RVU25C |
| 2025-04-01 | $164.55 | $119.92 | RVU25B |
| 2025-01-01 | $164.55 | $119.92 | RVU25A |
| 2024-10-01 | $171.15 | $123.98 | RVU24D |
| 2024-07-01 | $171.15 | $123.98 | RVU24C |
| 2024-04-01 | $171.15 | $123.98 | RVU24B |
| 2024-03-09 | $171.15 | $123.98 | RVU24AR |
| 2024-01-01 | $168.35 | $121.96 | RVU24A |
| 2023-10-01 | $173.04 | $126.55 | RVU23D |
| 2023-07-01 | $173.04 | $126.55 | RVU23C |
| 2023-04-01 | $173.04 | $126.55 | RVU23B |
| 2023-01-01 | $173.04 | $126.55 | RVU23A |
| 2022-10-01 | $176.53 | $130.28 | RVU22D |
| 2022-07-01 | $176.53 | $130.28 | RVU22C |
| 2022-04-01 | $176.53 | $130.28 | RVU22B |
| 2022-01-01 | $176.53 | $130.28 | RVU22A |
| 2021-10-01 | $174.22 | $130.18 | RVU21D |
| 2021-07-01 | $174.22 | $130.18 | RVU21C |
| 2021-04-01 | $174.22 | $130.18 | RVU21B |
| 2021-01-01 | $174.22 | $130.18 | RVU21A |
| 2020-10-01 | $172.67 | $132.40 | RVU20D |
| 2020-07-01 | $172.67 | $132.40 | RVU20C |
| 2020-04-01 | $172.67 | $132.40 | RVU20B |
| 2020-01-01 | $172.67 | $132.40 | RVU20A |
| 2019-10-01 | $171.76 | $132.84 | RVU19D |
| 2019-07-01 | $171.76 | $132.84 | RVU19C |
| 2019-04-01 | $171.76 | $132.84 | RVU19B |
| 2019-01-01 | $171.76 | $132.84 | RVU19A |
| 2018-10-01 | $171.15 | $133.95 | RVU18D |
| 2018-07-01 | $171.15 | $133.95 | RVU18C |
| 2018-04-01 | $171.15 | $133.95 | RVU18B |
| 2018-01-01 | $171.15 | $133.95 | RVU18AR1 |
| 2017-10-01 | $170.82 | $134.40 | RVU17D |
| 2017-07-01 | $170.82 | $134.40 | RVU17C |
| 2017-04-01 | $170.82 | $134.40 | RVU17B |
| 2017-01-01 | $170.82 | $134.40 | RVU17A |
| 2016-10-01 | $171.48 | $133.86 | RVU16D |
| 2016-07-01 | $171.48 | $133.86 | RVU16C |
| 2016-04-01 | $171.48 | $133.86 | RVU16B |
| 2016-01-01 | $171.48 | $133.86 | RVU16A |
| 2015-10-01 | $171.83 | $134.06 | RVU15D |
| 2015-07-01 | $171.83 | $134.06 | RVU15C |
| 2015-04-01 | $170.97 | $133.40 | RVU15B |
| 2015-01-01 | $170.97 | $133.40 | RVU15A |
| 2014-10-01 | $166.42 | $129.81 | RVU14D |
| 2014-07-01 | $166.42 | $129.81 | RVU14C |
| 2014-04-01 | $166.42 | $129.81 | RVU14B |
| 2014-01-01 | $166.42 | $129.81 | 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 North Carolina rate applies
North Carolina is a Medicare payment area, not a city. Our Census mapping connects it to 785 cities and communities in North Carolina. Some span more than one payment area; confirm with the service ZIP.
- Aberdeen
- Advance
- Ahoskie
- Alamance
- Albemarle
- Alexis
- Alliance
- Altamahaw
64647 billing questions
When should this code be selected instead of 64646?
Use 64647 when six or more trunk muscles are treated. Code 64646 is for one to five trunk muscles.
Do injection points determine the muscle count?
No. Select the code by the number of distinct muscles treated, not the number of needle passes or injection points. Document the muscles injected.
Can modifier 50 be used for injections on both sides of the trunk?
No. The CMS bilateral adjustment does not apply to this code, and modifier 50 is inappropriate.
Is the botulinum toxin product included in this service?
The code represents the chemodenervation procedure. Report the toxin product separately under its applicable drug code when separately reportable.
How does the 0-day global period affect same-day care?
Same-day preoperative and postoperative care is included in the procedure's payment.
Can an assistant or co-surgeon be reported?
Medicare 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
Show the CMS file lines behind this rate
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