CPT code 67916: Ectropion repair, tarsal wedge excision2026 Medicare rate & RVUs in Alabama
Reports surgical correction of ectropion by removing a tarsal wedge to shorten and reposition an outward-turning eyelid, typically the lower lid.
In Alabama, Medicare pays $552.77 for 67916 in the office and $342.93 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 67916 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 67916 covers
An ophthalmic or oculoplastic surgeon uses this procedure to correct ectropion, in which the eyelid turns outward and may expose the ocular surface. The surgeon removes a wedge of tarsal tissue to shorten the lid and improve its position against the eye. It is commonly used for lower-lid laxity, including involutional ectropion, and may be performed in an operating room or an appropriately equipped office procedure setting.
Choose this code when the operative technique includes tarsal wedge excision, rather than a suture-only or thermocautery repair or a more extensive repair. The operative note should identify the affected eyelid, the ectropion being corrected, and the wedge excision and repair performed. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For bilateral surgery reported with modifier 50, CMS pays 150%. 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% reduction. 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 Alabama compares for 67916
Across 109 of 109 payment localities, the office rate for 67916 runs from $545.32 in Arkansas to $809.05 in San Benito County, CA. Alabama pays $552.77. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Alabama · this page$552.77
- Los Angeles, CA · California$690.36+$137.59
- Washington, DC area · District of Columbia$697.34+$144.57
- Miami, FL · Florida$651.70+$98.93
- Chicago, IL · Illinois$634.37+$81.60
- Manhattan, NY · New York$699.54+$146.77
- Alaska · Alaska$721.18+$168.41
Other areas in Alabama first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| ArkansasArkansas | $545.32 | $339.31 |
| ArizonaArizona | $596.44 | $364.06 |
| Bakersfield, CACalifornia | $649.23 | $386.39 |
| Chico, CACalifornia | $647.77 | $384.93 |
| El Centro, CACalifornia | $647.85 | $385.01 |
| Fresno, CACalifornia | $647.77 | $384.93 |
| Hanford, CACalifornia | $647.77 | $384.93 |
| Madera, CACalifornia | $647.77 | $384.93 |
| Merced, CACalifornia | $647.77 | $384.93 |
| Modesto, CACalifornia | $647.77 | $384.93 |
| Napa, CACalifornia | $748.39 | $432.31 |
| Oxnard, CACalifornia | $687.01 | $403.54 |
| Redding, CACalifornia | $647.77 | $384.93 |
| Rest of CaliforniaCalifornia | $647.77 | $384.93 |
| Riverside, CACalifornia | $652.72 | $389.88 |
| Sacramento, CACalifornia | $679.18 | $400.27 |
| Salinas, CACalifornia | $676.62 | $398.67 |
| San Diego, CACalifornia | $692.00 | $405.18 |
| Marin County, CACalifornia | $791.84 | $453.69 |
| San Francisco, CACalifornia | $791.33 | $453.18 |
| San Benito County, CACalifornia | $809.05 | $463.23 |
| Santa Clara County, CACalifornia | $806.96 | $461.14 |
| San Luis Obispo, CACalifornia | $665.76 | $392.60 |
| Santa Cruz, CACalifornia | $698.25 | $406.87 |
| Santa Maria, CACalifornia | $679.01 | $399.38 |
| Santa Rosa, CACalifornia | $705.29 | $410.79 |
| Stockton, CACalifornia | $647.77 | $384.93 |
| Vallejo, CACalifornia | $747.66 | $431.58 |
| Visalia, CACalifornia | $647.77 | $384.93 |
| Yuba City, CACalifornia | $647.77 | $384.93 |
| ColoradoColorado | $637.18 | $382.02 |
| ConnecticutConnecticut | $650.49 | $392.21 |
| DelawareDelaware | $605.93 | $368.99 |
| Fort Lauderdale, FLFlorida | $629.15 | $386.22 |
| Rest of FloridaFlorida | $600.73 | $371.46 |
| Atlanta, GAGeorgia | $621.82 | $378.16 |
| Rest of GeorgiaGeorgia | $569.29 | $355.37 |
| Hawaii, Guam, HIHawaii | $662.53 | $389.86 |
| IowaIowa | $566.96 | $347.53 |
| IdahoIdaho | $570.20 | $349.56 |
| East St. Louis, ILIllinois | $593.36 | $372.72 |
| Rest of IllinoisIllinois | $583.65 | $364.70 |
| Suburban Chicago, ILIllinois | $635.71 | $389.42 |
| IndianaIndiana | $573.32 | $351.01 |
| KansasKansas | $563.97 | $347.17 |
| KentuckyKentucky | $563.87 | $350.68 |
| New Orleans, LALouisiana | $588.94 | $363.27 |
| Rest of LouisianaLouisiana | $562.85 | $350.61 |
| Metropolitan Boston, MAMassachusetts | $698.36 | $412.01 |
| Rest of MassachusettsMassachusetts | $633.54 | $381.01 |
| Baltimore area, MDMaryland | $648.51 | $391.19 |
| Rest of MarylandMaryland | $617.14 | $374.44 |
| Rest of MaineMaine | $572.43 | $351.80 |
| Southern Maine, MEMaine | $602.26 | $364.60 |
| Detroit, MIMichigan | $607.25 | $375.82 |
| Rest of MichiganMichigan | $577.13 | $358.17 |
| MinnesotaMinnesota | $613.12 | $366.34 |
| Metropolitan Kansas City, MOMissouri | $585.72 | $360.53 |
| Metropolitan St. Louis, MOMissouri | $591.53 | $363.22 |
| Rest of MissouriMissouri | $553.47 | $346.75 |
| MississippiMississippi | $549.52 | $343.04 |
| MontanaMontana | $611.54 | $371.72 |
| North CarolinaNorth Carolina | $578.13 | $354.38 |
| North DakotaNorth Dakota | $602.64 | $362.82 |
| NebraskaNebraska | $570.02 | $348.67 |
| New HampshireNew Hampshire | $626.84 | $377.19 |
| Northern New JerseyNew Jersey | $690.74 | $412.55 |
| Rest of New JerseyNew Jersey | $658.64 | $396.75 |
| New MexicoNew Mexico | $579.88 | $359.97 |
| NevadaNevada | $609.48 | $369.42 |
| NYC suburbs and Long Island, NYNew York | $714.90 | $429.76 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $662.48 | $399.88 |
| Queens, NYNew York | $705.74 | $422.27 |
| Rest of New YorkNew York | $586.20 | $358.37 |
| OhioOhio | $575.31 | $356.35 |
| OklahomaOklahoma | $563.47 | $349.32 |
| Portland, OROregon | $656.99 | $390.56 |
| Rest of OregonOregon | $605.43 | $366.57 |
| Metropolitan Philadelphia, PAPennsylvania | $634.83 | $385.18 |
| Rest of PennsylvaniaPennsylvania | $576.45 | $356.30 |
| Puerto RicoPuerto Rico | $615.94 | $373.49 |
| Rhode IslandRhode Island | $627.14 | $379.40 |
| South CarolinaSouth Carolina | $577.53 | $355.94 |
| South DakotaSouth Dakota | $601.59 | $361.77 |
| TennesseeTennessee | $566.56 | $348.56 |
| Austin, TXTexas | $634.47 | $380.74 |
| Beaumont, TXTexas | $572.87 | $354.63 |
| Brazoria, TXTexas | $605.93 | $368.27 |
| Dallas, TXTexas | $609.37 | $370.51 |
| Fort Worth, TXTexas | $605.38 | $368.92 |
| Galveston, TXTexas | $607.48 | $369.35 |
| Houston, TXTexas | $615.72 | $377.58 |
| Rest of TexasTexas | $588.79 | $361.20 |
| UtahUtah | $584.95 | $359.52 |
| VirginiaVirginia | $600.04 | $364.30 |
| Virgin Islands, VIUnited States Virgin Islands | $615.94 | $373.49 |
| VermontVermont | $599.96 | $362.54 |
| Rest of WashingtonWashington | $632.46 | $379.93 |
| King County, WAWashington | $712.66 | $418.41 |
| WisconsinWisconsin | $583.61 | $353.86 |
| West VirginiaWest Virginia | $563.27 | $354.86 |
| WyomingWyoming | $607.66 | $367.84 |
67916 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.
$545.32
$728.41
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 | $721.18 | 1 |
| AL | $552.77 | 1 |
| AR | $545.32 | 1 |
| AZ | $596.44 | 1 |
| CA | $647.77–$809.05 | 29 |
| CO | $637.18 | 1 |
| CT | $650.49 | 1 |
| DC | $697.34 | 1 |
| DE | $605.93 | 1 |
| FL | $600.73–$651.70 | 3 |
| GA | $569.29–$621.82 | 2 |
| GU | $662.53 | 1 |
| HI | $662.53 | 1 |
| IA | $566.96 | 1 |
| ID | $570.20 | 1 |
| IL | $583.65–$635.71 | 4 |
| IN | $573.32 | 1 |
| KS | $563.97 | 1 |
| KY | $563.87 | 1 |
| LA | $562.85–$588.94 | 2 |
| MA | $633.54–$698.36 | 2 |
| MD | $617.14–$697.34 | 3 |
| ME | $572.43–$602.26 | 2 |
| MI | $577.13–$607.25 | 2 |
| MN | $613.12 | 1 |
| MO | $553.47–$591.53 | 3 |
| MS | $549.52 | 1 |
| MT | $611.54 | 1 |
| NC | $578.13 | 1 |
| ND | $602.64 | 1 |
| NE | $570.02 | 1 |
| NH | $626.84 | 1 |
| NJ | $658.64–$690.74 | 2 |
| NM | $579.88 | 1 |
| NV | $609.48 | 1 |
| NY | $586.20–$714.90 | 5 |
| OH | $575.31 | 1 |
| OK | $563.47 | 1 |
| OR | $605.43–$656.99 | 2 |
| PA | $576.45–$634.83 | 2 |
| PR | $615.94 | 1 |
| RI | $627.14 | 1 |
| SC | $577.53 | 1 |
| SD | $601.59 | 1 |
| TN | $566.56 | 1 |
| TX | $572.87–$634.47 | 8 |
| UT | $584.95 | 1 |
| VA | $600.04–$697.34 | 2 |
| VI | $615.94 | 1 |
| VT | $599.96 | 1 |
| WA | $632.46–$712.66 | 2 |
| WI | $583.61 | 1 |
| WV | $563.27 | 1 |
| WY | $607.66 | 1 |
How the 67916 rate is calculated
Each of 67916’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 · 67916
RVUs × geographic indexes × conversion factor
Work5.34
5.34 RVUs× 1.000 GPCI
Practice expense12.52
12.52 RVUs× 1.000 GPCI
Malpractice0.45
0.45 RVUs× 1.000 GPCI
Adjusted RVUs
18.3100
Conversion factor
$33.4009
Medicare rate
$611.57
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Alabama inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
7,516
- Code
- 67916
- Physician work
- 5.34
- Practice expense
- 12.52
- Malpractice
- 0.45
GPCI2026.csv
4
- Locality
- Alabama
- Physician work
- 1.000
- Practice expense
- 0.875
- Malpractice
- 0.566
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.34 | × 1.000 | 5.3400 |
| Practice expense | 12.52 | × 0.875 | 10.9550 |
| Malpractice | 0.45 | × 0.566 | 0.2547 |
| Total RVUs | 16.5497 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Alabama$552.77
Office: (5.34 × 1 + 12.52 × 0.875 + 0.45 × 0.566) × $33.4009 = $552.77
Facility: (5.34 × 1 + 5.34 × 0.875 + 0.45 × 0.566) × $33.4009 = $342.93
Payment rules and modifiers for 67916
67916 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 67916
Ectropion repair, tarsal wedge excision
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are 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. |
| Split (54/55/56) | 0.10/0.70/0.20 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 67916
Ectropion repair, tarsal wedge excision
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
67916 without 50 · national office
$611.57
Ectropion repair, tarsal wedge excision
67916-50 · Bilateral: 150%
$917.36
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 67916 has changed in Alabama
67916 · Office / nonfacility
$552.77
Effective 2026-10-01
The base rate is $28.43 higher than on 2025-10-01, moving from $524.34 to $552.77 (5.4%).
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
$524.34changed to$552.77
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 5.48 changed to 5.34
- Practice expense RVU 12.03 changed to 12.52
- Malpractice RVU 0.48 changed to 0.45
- Practice expense GPCI 0.869 changed to 0.875
- Malpractice GPCI 0.575 changed to 0.566
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$546.54changed to$524.34
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 12.29 changed to 12.03
- Malpractice RVU 0.45 changed to 0.48
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$537.62changed to$546.54
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$561.92changed to$537.62
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 12.27 changed to 12.29
- Malpractice RVU 0.44 changed to 0.45
- Practice expense GPCI 0.878 changed to 0.869
- Malpractice GPCI 0.748 changed to 0.575
January 1, 2023
RVU23A
$577.96changed to$561.92
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 12.18 changed to 12.27
- Practice expense GPCI 0.888 changed to 0.878
- Malpractice GPCI 0.921 changed to 0.748
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$584.93changed to$577.96
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 12.24 changed to 12.18
- Malpractice RVU 0.45 changed to 0.44
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$569.62changed to$584.93
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 11.24 changed to 12.24
- Malpractice RVU 0.44 changed to 0.45
- Practice expense GPCI 0.889 changed to 0.888
- Malpractice GPCI 0.707 changed to 0.921
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$562.43changed to$569.62
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 11.14 changed to 11.24
- Malpractice RVU 0.43 changed to 0.44
- Practice expense GPCI 0.890 changed to 0.889
- Malpractice GPCI 0.492 changed to 0.707
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$556.23changed to$562.43
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 10.96 changed to 11.14
- Malpractice RVU 0.44 changed to 0.43
Held through RVU19B, RVU19C, RVU19D.
April 1, 2018
RVU18B
No ratechanged to$556.23
Held through RVU18C, RVU18D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D, RVU18AR1.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $552.77 | $342.93 | RVU26D |
| 2026-07-01 | $552.77 | $342.93 | RVU26C |
| 2026-04-01 | $552.77 | $342.93 | RVU26B |
| 2026-01-01 | $552.77 | $342.93 | RVU26A |
| 2025-10-01 | $524.34 | $379.58 | RVU25D |
| 2025-07-01 | $524.34 | $379.58 | RVU25C |
| 2025-04-01 | $524.34 | $379.58 | RVU25B |
| 2025-01-01 | $524.34 | $379.58 | RVU25A |
| 2024-10-01 | $546.54 | $389.18 | RVU24D |
| 2024-07-01 | $546.54 | $389.18 | RVU24C |
| 2024-04-01 | $546.54 | $389.18 | RVU24B |
| 2024-03-09 | $546.54 | $389.18 | RVU24AR |
| 2024-01-01 | $537.62 | $382.83 | RVU24A |
| 2023-10-01 | $561.92 | $396.50 | RVU23D |
| 2023-07-01 | $561.92 | $396.50 | RVU23C |
| 2023-04-01 | $561.92 | $396.50 | RVU23B |
| 2023-01-01 | $561.92 | $396.50 | RVU23A |
| 2022-10-01 | $577.96 | $403.41 | RVU22D |
| 2022-07-01 | $577.96 | $403.41 | RVU22C |
| 2022-04-01 | $577.96 | $403.41 | RVU22B |
| 2022-01-01 | $577.96 | $403.41 | RVU22A |
| 2021-10-01 | $584.93 | $405.84 | RVU21D |
| 2021-07-01 | $584.93 | $405.84 | RVU21C |
| 2021-04-01 | $584.93 | $405.84 | RVU21B |
| 2021-01-01 | $584.93 | $405.84 | RVU21A |
| 2020-10-01 | $569.62 | $408.88 | RVU20D |
| 2020-07-01 | $569.62 | $408.88 | RVU20C |
| 2020-04-01 | $569.62 | $408.88 | RVU20B |
| 2020-01-01 | $569.62 | $408.88 | RVU20A |
| 2019-10-01 | $562.43 | $408.15 | RVU19D |
| 2019-07-01 | $562.43 | $408.15 | RVU19C |
| 2019-04-01 | $562.43 | $408.15 | RVU19B |
| 2019-01-01 | $562.43 | $408.15 | RVU19A |
| 2018-10-01 | $556.23 | $409.48 | RVU18D |
| 2018-07-01 | $556.23 | $409.48 | RVU18C |
| 2018-04-01 | $556.23 | $409.48 | RVU18B |
| 2018-01-01 | Rate data unavailable | Rate data unavailable | RVU18AR1 |
| 2017-10-01 | Rate data unavailable | Rate data unavailable | RVU17D |
| 2017-07-01 | Rate data unavailable | Rate data unavailable | RVU17C |
| 2017-04-01 | Rate data unavailable | Rate data unavailable | RVU17B |
| 2017-01-01 | Rate data unavailable | Rate data unavailable | RVU17A |
| 2016-10-01 | Rate data unavailable | Rate data unavailable | RVU16D |
| 2016-07-01 | Rate data unavailable | Rate data unavailable | RVU16C |
| 2016-04-01 | Rate data unavailable | Rate data unavailable | RVU16B |
| 2016-01-01 | Rate data unavailable | Rate data unavailable | RVU16A |
| 2015-10-01 | Rate data unavailable | Rate data unavailable | RVU15D |
| 2015-07-01 | Rate data unavailable | Rate data unavailable | RVU15C |
| 2015-04-01 | Rate data unavailable | Rate data unavailable | RVU15B |
| 2015-01-01 | Rate data unavailable | Rate data unavailable | RVU15A |
| 2014-10-01 | Rate data unavailable | Rate data unavailable | RVU14D |
| 2014-07-01 | Rate data unavailable | Rate data unavailable | RVU14C |
| 2014-04-01 | Rate data unavailable | Rate data unavailable | RVU14B |
| 2014-01-01 | Rate data unavailable | Rate data unavailable | RVU14A |
| 2013-10-01 | Rate data unavailable | Rate data unavailable | RVU13D |
| 2013-07-01 | Rate data unavailable | Rate data unavailable | RVU13C |
| 2013-04-01 | Rate data unavailable | Rate data unavailable | RVU13B |
| 2013-01-01 | Rate data unavailable | Rate data unavailable | RVU13AR |
Where the Alabama rate applies
Alabama is a Medicare payment area, not a city. Our Census mapping connects it to 595 cities and communities in Alabama. Some span more than one payment area; confirm with the service ZIP.
- Abanda
- Abbeville
- Adamsville
- Addison
- Akron
- Alabaster
- Albertville
- Alexander City
67916 billing questions
When should 67916 be chosen over 67914 or 67915?
Use 67916 when the documented ectropion repair includes excision of a tarsal wedge. Suture-only repair and thermocautery repair are represented by 67914 and 67915, respectively.
How does 67916 differ from 67917?
67916 represents ectropion correction by tarsal wedge excision. Choose 67917 when the operative method is an extensive ectropion repair, such as a tarsal strip operation.
Can 67916 be reported for both eyelids?
For bilateral surgery, report modifier 50; CMS pays the bilateral procedure at 150%. Document the side treated and the work performed on each eyelid.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. The procedure's routine closure and care are part of the repair.
How are other procedures in the same session paid?
CMS pays the highest-valued procedure in full and applies the standard multiple-procedure reduction to the others, which are paid at 50% when performed in the same session.
Can an assistant or co-surgeon be reported for 67916?
CMS has a statutory restriction on assistant-at-surgery payment 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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