CPT code 69220: Mastoid cleaning, simple cavity cleaning2026 Medicare rate & RVUs in South Carolina
Reports routine cleaning of a postmastoidectomy cavity, typically by an otolaryngologist removing debris during an office visit.
In South Carolina, Medicare pays $74.29 for 69220 in the office and $42.81 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 69220 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 69220 covers
An otolaryngologist typically uses direct visualization to remove debris, crusting, or accumulated material from a mastoid cavity created by prior surgery. This is the routine, simple cleaning service for a patient who returns for ongoing cavity care; it is not a procedure to remove impacted cerumen from the external ear canal. The service is commonly performed in an office, though it may also occur in a facility setting.
Document the mastoid cavity being treated, the material removed, and the work performed so the record supports simple rather than complicated cleaning. The code has 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% reduction. For bilateral treatment, modifier 50 is paid at 150%. Medicare does not pay an assistant at surgery for this service; 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 South Carolina compares for 69220
Across 109 of 109 payment localities, the office rate for 69220 runs from $69.86 in Arkansas to $100.57 in San Benito County, CA. South Carolina pays $74.29. The RVUs are the same everywhere; the geographic indexes change the dollars.
- South Carolina · this page$74.29
- Los Angeles, CA · California$86.93+$12.64
- Washington, DC area · District of Columbia$88.85+$14.56
- Miami, FL · Florida$86.57+$12.28
- Chicago, IL · Illinois$84.11+$9.82
- Manhattan, NY · New York$90.26+$15.97
- Alaska · Alaska$93.30+$19.01
Other areas in South Carolina first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $70.82 | $41.01 |
| ArkansasArkansas | $69.86 | $40.60 |
| ArizonaArizona | $76.44 | $43.43 |
| Bakersfield, CACalifornia | $81.99 | $44.65 |
| Chico, CACalifornia | $81.65 | $44.31 |
| El Centro, CACalifornia | $81.67 | $44.33 |
| Fresno, CACalifornia | $81.65 | $44.31 |
| Hanford, CACalifornia | $81.65 | $44.31 |
| Madera, CACalifornia | $81.65 | $44.31 |
| Merced, CACalifornia | $81.65 | $44.31 |
| Modesto, CACalifornia | $81.65 | $44.31 |
| Napa, CACalifornia | $93.31 | $48.40 |
| Oxnard, CACalifornia | $86.37 | $46.10 |
| Redding, CACalifornia | $81.65 | $44.31 |
| Rest of CaliforniaCalifornia | $81.65 | $44.31 |
| Riverside, CACalifornia | $82.94 | $45.60 |
| Sacramento, CACalifornia | $85.34 | $45.72 |
| Salinas, CACalifornia | $85.01 | $45.53 |
| San Diego, CACalifornia | $86.76 | $46.02 |
| Marin County, CACalifornia | $98.34 | $50.30 |
| San Francisco, CACalifornia | $98.20 | $50.17 |
| San Benito County, CACalifornia | $100.57 | $51.44 |
| Santa Clara County, CACalifornia | $100.01 | $50.89 |
| San Luis Obispo, CACalifornia | $83.68 | $44.88 |
| Santa Cruz, CACalifornia | $87.40 | $46.00 |
| Santa Maria, CACalifornia | $85.26 | $45.54 |
| Santa Rosa, CACalifornia | $88.26 | $46.42 |
| Stockton, CACalifornia | $81.65 | $44.31 |
| Vallejo, CACalifornia | $93.11 | $48.21 |
| Visalia, CACalifornia | $81.65 | $44.31 |
| Yuba City, CACalifornia | $81.65 | $44.31 |
| ColoradoColorado | $80.97 | $44.73 |
| ConnecticutConnecticut | $83.53 | $46.83 |
| DelawareDelaware | $77.65 | $43.99 |
| Fort Lauderdale, FLFlorida | $82.35 | $47.84 |
| Rest of FloridaFlorida | $78.42 | $45.85 |
| Atlanta, GAGeorgia | $80.14 | $45.52 |
| Rest of GeorgiaGeorgia | $74.14 | $43.75 |
| Hawaii, Guam, HIHawaii | $83.30 | $44.57 |
| IowaIowa | $72.04 | $40.87 |
| IdahoIdaho | $72.59 | $41.24 |
| East St. Louis, ILIllinois | $78.76 | $47.42 |
| Rest of IllinoisIllinois | $76.62 | $45.52 |
| Suburban Chicago, ILIllinois | $83.06 | $48.07 |
| IndianaIndiana | $72.97 | $41.39 |
| KansasKansas | $71.95 | $41.15 |
| KentuckyKentucky | $72.89 | $42.60 |
| New Orleans, LALouisiana | $76.24 | $44.18 |
| Rest of LouisianaLouisiana | $72.87 | $42.72 |
| Metropolitan Boston, MAMassachusetts | $88.36 | $47.68 |
| Rest of MassachusettsMassachusetts | $80.63 | $44.75 |
| Baltimore area, MDMaryland | $83.34 | $46.78 |
| Rest of MarylandMaryland | $79.00 | $44.53 |
| Rest of MaineMaine | $73.18 | $41.84 |
| Southern Maine, MEMaine | $76.59 | $42.82 |
| Detroit, MIMichigan | $79.58 | $46.71 |
| Rest of MichiganMichigan | $74.88 | $43.78 |
| MinnesotaMinnesota | $77.05 | $41.99 |
| Metropolitan Kansas City, MOMissouri | $75.51 | $43.52 |
| Metropolitan St. Louis, MOMissouri | $76.22 | $43.79 |
| Rest of MissouriMissouri | $71.84 | $42.48 |
| MississippiMississippi | $70.85 | $41.52 |
| MontanaMontana | $78.48 | $44.42 |
| North CarolinaNorth Carolina | $73.87 | $42.08 |
| North DakotaNorth Dakota | $76.11 | $42.04 |
| NebraskaNebraska | $72.35 | $40.90 |
| New HampshireNew Hampshire | $79.94 | $44.47 |
| Northern New JerseyNew Jersey | $88.06 | $48.54 |
| Rest of New JerseyNew Jersey | $84.33 | $47.12 |
| New MexicoNew Mexico | $75.36 | $44.12 |
| NevadaNevada | $77.87 | $43.77 |
| NYC suburbs and Long Island, NYNew York | $92.62 | $52.11 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $85.06 | $47.75 |
| Queens, NYNew York | $90.63 | $50.36 |
| Rest of New YorkNew York | $74.93 | $42.56 |
| OhioOhio | $74.40 | $43.29 |
| OklahomaOklahoma | $72.52 | $42.10 |
| Portland, OROregon | $83.16 | $45.31 |
| Rest of OregonOregon | $77.11 | $43.18 |
| Metropolitan Philadelphia, PAPennsylvania | $81.70 | $46.23 |
| Rest of PennsylvaniaPennsylvania | $74.38 | $43.11 |
| Puerto RicoPuerto Rico | $78.95 | $44.51 |
| Rhode IslandRhode Island | $80.14 | $44.95 |
| South DakotaSouth Dakota | $75.83 | $41.76 |
| TennesseeTennessee | $72.32 | $41.35 |
| Austin, TXTexas | $80.84 | $44.80 |
| Beaumont, TXTexas | $73.94 | $42.94 |
| Brazoria, TXTexas | $77.40 | $43.64 |
| Dallas, TXTexas | $77.98 | $44.04 |
| Fort Worth, TXTexas | $77.55 | $43.96 |
| Galveston, TXTexas | $77.69 | $43.86 |
| Houston, TXTexas | $79.88 | $46.05 |
| Rest of TexasTexas | $75.68 | $43.35 |
| UtahUtah | $75.24 | $43.21 |
| VirginiaVirginia | $76.51 | $43.02 |
| Virgin Islands, VIUnited States Virgin Islands | $78.95 | $44.51 |
| VermontVermont | $76.04 | $42.31 |
| Rest of WashingtonWashington | $80.40 | $44.53 |
| King County, WAWashington | $89.88 | $48.08 |
| WisconsinWisconsin | $73.73 | $41.09 |
| West VirginiaWest Virginia | $74.01 | $44.40 |
| WyomingWyoming | $77.45 | $43.38 |
69220 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.
$69.86
$93.30
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 | $93.30 | 1 |
| AL | $70.82 | 1 |
| AR | $69.86 | 1 |
| AZ | $76.44 | 1 |
| CA | $81.65–$100.57 | 29 |
| CO | $80.97 | 1 |
| CT | $83.53 | 1 |
| DC | $88.85 | 1 |
| DE | $77.65 | 1 |
| FL | $78.42–$86.57 | 3 |
| GA | $74.14–$80.14 | 2 |
| GU | $83.30 | 1 |
| HI | $83.30 | 1 |
| IA | $72.04 | 1 |
| ID | $72.59 | 1 |
| IL | $76.62–$84.11 | 4 |
| IN | $72.97 | 1 |
| KS | $71.95 | 1 |
| KY | $72.89 | 1 |
| LA | $72.87–$76.24 | 2 |
| MA | $80.63–$88.36 | 2 |
| MD | $79.00–$88.85 | 3 |
| ME | $73.18–$76.59 | 2 |
| MI | $74.88–$79.58 | 2 |
| MN | $77.05 | 1 |
| MO | $71.84–$76.22 | 3 |
| MS | $70.85 | 1 |
| MT | $78.48 | 1 |
| NC | $73.87 | 1 |
| ND | $76.11 | 1 |
| NE | $72.35 | 1 |
| NH | $79.94 | 1 |
| NJ | $84.33–$88.06 | 2 |
| NM | $75.36 | 1 |
| NV | $77.87 | 1 |
| NY | $74.93–$92.62 | 5 |
| OH | $74.40 | 1 |
| OK | $72.52 | 1 |
| OR | $77.11–$83.16 | 2 |
| PA | $74.38–$81.70 | 2 |
| PR | $78.95 | 1 |
| RI | $80.14 | 1 |
| SC | $74.29 | 1 |
| SD | $75.83 | 1 |
| TN | $72.32 | 1 |
| TX | $73.94–$80.84 | 8 |
| UT | $75.24 | 1 |
| VA | $76.51–$88.85 | 2 |
| VI | $78.95 | 1 |
| VT | $76.04 | 1 |
| WA | $80.40–$89.88 | 2 |
| WI | $73.73 | 1 |
| WV | $74.01 | 1 |
| WY | $77.45 | 1 |
How the 69220 rate is calculated
Each of 69220’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 · 69220
RVUs × geographic indexes × conversion factor
Work0.81
0.81 RVUs× 1.000 GPCI
Practice expense1.42
1.42 RVUs× 1.000 GPCI
Malpractice0.12
0.12 RVUs× 1.000 GPCI
Adjusted RVUs
2.3500
Conversion factor
$33.4009
Medicare rate
$78.49
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact South Carolina inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
7,596
- Code
- 69220
- Physician work
- 0.81
- Practice expense
- 1.42
- Malpractice
- 0.12
GPCI2026.csv
93
- Locality
- South Carolina
- Physician work
- 1.000
- Practice expense
- 0.924
- Malpractice
- 0.850
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.81 | × 1.000 | 0.8100 |
| Practice expense | 1.42 | × 0.924 | 1.3121 |
| Malpractice | 0.12 | × 0.850 | 0.1020 |
| Total RVUs | 2.2241 | ||
| Conversion factor | × 33.4009 | ||
Office rate, South Carolina$74.29
Office: (0.81 × 1 + 1.42 × 0.924 + 0.12 × 0.85) × $33.4009 = $74.29
Facility: (0.81 × 1 + 0.4 × 0.924 + 0.12 × 0.85) × $33.4009 = $42.81
Payment rules and modifiers for 69220
The CMS indicators that decide how 69220 is paid alongside other services.
CMS payment indicators · 69220
Mastoid cleaning, simple cavity cleaning
| 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
69220 without 50 · national office
$78.49
Mastoid cleaning, simple cavity cleaning
69220-50 · Bilateral: 150%
$117.74
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 69220 has changed in South Carolina
69220 · Office / nonfacility
$74.29
Effective 2026-10-01
The base rate is $2.07 higher than on 2025-10-01, moving from $72.22 to $74.29 (2.9%).
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
$72.22changed to$74.29
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 0.83 changed to 0.81
- Malpractice RVU 0.13 changed to 0.12
- Practice expense GPCI 0.913 changed to 0.924
- Malpractice GPCI 0.817 changed to 0.850
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$73.74changed to$72.22
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 1.41 changed to 1.42
- Malpractice RVU 0.12 changed to 0.13
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$72.54changed to$73.74
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$74.28changed to$72.54
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 1.40 changed to 1.41
- Practice expense GPCI 0.908 changed to 0.913
- Malpractice GPCI 0.756 changed to 0.817
January 1, 2023
RVU23A
$73.56changed to$74.28
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 1.35 changed to 1.40
- Malpractice RVU 0.11 changed to 0.12
- Practice expense GPCI 0.903 changed to 0.908
- Malpractice GPCI 0.695 changed to 0.756
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$74.97changed to$73.56
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 1.36 changed to 1.35
- Malpractice RVU 0.13 changed to 0.11
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$75.31changed to$74.97
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 1.31 changed to 1.36
- Malpractice RVU 0.11 changed to 0.13
- Practice expense GPCI 0.907 changed to 0.903
- Malpractice GPCI 0.624 changed to 0.695
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$76.35changed to$75.31
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 1.34 changed to 1.31
- Malpractice RVU 0.12 changed to 0.11
- Practice expense GPCI 0.912 changed to 0.907
- Malpractice GPCI 0.553 changed to 0.624
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$77.25changed to$76.35
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 1.37 changed to 1.34
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$85.21changed to$77.25
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 1.61 changed to 1.37
- Malpractice GPCI 0.634 changed to 0.553
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$105.28changed to$85.21
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 2.22 changed to 1.61
- Malpractice GPCI 0.715 changed to 0.634
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$129.98changed to$105.28
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 2.97 changed to 2.22
- Malpractice RVU 0.11 changed to 0.12
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$129.34changed to$129.98
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$129.85changed to$129.34
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 3.00 changed to 2.97
- Malpractice RVU 0.10 changed to 0.11
- Practice expense GPCI 0.911 changed to 0.912
- Malpractice GPCI 0.618 changed to 0.715
Held through RVU15B.
January 1, 2014
RVU14A
$133.92changed to$129.85
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 3.36 changed to 3.00
- Practice expense GPCI 0.909 changed to 0.911
- Malpractice GPCI 0.520 changed to 0.618
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $133.92
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $74.29 | $42.81 | RVU26D |
| 2026-07-01 | $74.29 | $42.81 | RVU26C |
| 2026-04-01 | $74.29 | $42.81 | RVU26B |
| 2026-01-01 | $74.29 | $42.81 | RVU26A |
| 2025-10-01 | $72.22 | $48.00 | RVU25D |
| 2025-07-01 | $72.22 | $48.00 | RVU25C |
| 2025-04-01 | $72.22 | $48.00 | RVU25B |
| 2025-01-01 | $72.22 | $48.00 | RVU25A |
| 2024-10-01 | $73.74 | $48.82 | RVU24D |
| 2024-07-01 | $73.74 | $48.82 | RVU24C |
| 2024-04-01 | $73.74 | $48.82 | RVU24B |
| 2024-03-09 | $73.74 | $48.82 | RVU24AR |
| 2024-01-01 | $72.54 | $48.03 | RVU24A |
| 2023-10-01 | $74.28 | $49.05 | RVU23D |
| 2023-07-01 | $74.28 | $49.05 | RVU23C |
| 2023-04-01 | $74.28 | $49.05 | RVU23B |
| 2023-01-01 | $74.28 | $49.05 | RVU23A |
| 2022-10-01 | $73.56 | $48.56 | RVU22D |
| 2022-07-01 | $73.56 | $48.56 | RVU22C |
| 2022-04-01 | $73.56 | $48.56 | RVU22B |
| 2022-01-01 | $73.56 | $48.56 | RVU22A |
| 2021-10-01 | $74.97 | $48.81 | RVU21D |
| 2021-07-01 | $74.97 | $48.81 | RVU21C |
| 2021-04-01 | $74.97 | $48.81 | RVU21B |
| 2021-01-01 | $74.97 | $48.81 | RVU21A |
| 2020-10-01 | $75.31 | $49.45 | RVU20D |
| 2020-07-01 | $75.31 | $49.45 | RVU20C |
| 2020-04-01 | $75.31 | $49.45 | RVU20B |
| 2020-01-01 | $75.31 | $49.45 | RVU20A |
| 2019-10-01 | $76.35 | $49.40 | RVU19D |
| 2019-07-01 | $76.35 | $49.40 | RVU19C |
| 2019-04-01 | $76.35 | $49.40 | RVU19B |
| 2019-01-01 | $76.35 | $49.40 | RVU19A |
| 2018-10-01 | $77.25 | $49.34 | RVU18D |
| 2018-07-01 | $77.25 | $49.34 | RVU18C |
| 2018-04-01 | $77.25 | $49.34 | RVU18B |
| 2018-01-01 | $77.25 | $49.34 | RVU18AR1 |
| 2017-10-01 | $85.21 | $49.87 | RVU17D |
| 2017-07-01 | $85.21 | $49.87 | RVU17C |
| 2017-04-01 | $85.21 | $49.87 | RVU17B |
| 2017-01-01 | $85.21 | $49.87 | RVU17A |
| 2016-10-01 | $105.28 | $50.75 | RVU16D |
| 2016-07-01 | $105.28 | $50.75 | RVU16C |
| 2016-04-01 | $105.28 | $50.75 | RVU16B |
| 2016-01-01 | $105.28 | $50.75 | RVU16A |
| 2015-10-01 | $129.98 | $60.18 | RVU15D |
| 2015-07-01 | $129.98 | $60.18 | RVU15C |
| 2015-04-01 | $129.34 | $59.88 | RVU15B |
| 2015-01-01 | $129.34 | $59.88 | RVU15A |
| 2014-10-01 | $129.85 | $60.01 | RVU14D |
| 2014-07-01 | $129.85 | $60.01 | RVU14C |
| 2014-04-01 | $129.85 | $60.01 | RVU14B |
| 2014-01-01 | $129.85 | $60.01 | RVU14A |
| 2013-10-01 | $133.92 | $59.08 | RVU13D |
| 2013-07-01 | $133.92 | $59.08 | RVU13C |
| 2013-04-01 | $133.92 | $59.08 | RVU13B |
| 2013-01-01 | $133.92 | $59.08 | RVU13AR |
Where the South Carolina rate applies
South Carolina is a Medicare payment area, not a city. Our Census mapping connects it to 475 cities and communities in South Carolina. Some span more than one payment area; confirm with the service ZIP.
- Abbeville
- Abney Crossroads
- Adams Run
- Aiken
- Alcolu
- Allendale
- Anderson
- Andrews
69220 billing questions
When should 69220 be selected instead of 69222?
Use 69220 for routine, simple cleaning of a mastoid cavity. Use 69222 when the documented cavity cleaning is complicated.
Is cleaning a mastoid cavity the same as removing earwax?
No. 69220 addresses debris or material in a postmastoidectomy cavity; 69209 and 69210 address impacted cerumen in the external ear canal.
How is bilateral cleaning reported?
The CMS payment rule specifies modifier 50 for bilateral treatment, paid at 150%. Document treatment of both mastoid cavities.
Is same-day evaluation or postoperative care separately included?
The 0-day global period includes same-day preoperative and postoperative care. The rule does not extend that inclusion to care on a later date.
Can an assistant or co-surgeon be paid for 69220?
Medicare does not pay an assistant at surgery for this service. 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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