CPT code 77301: IMRT planning, dose optimization and volume analysis2026 Medicare rate & RVUs in South Dakota
Reports computerized IMRT planning that optimizes radiation dose across a target while evaluating dose exposure to nearby critical structures.
In South Dakota, Medicare pays $1,944.77 for 77301 in the office.
Check a contract rate as a % of Medicare · 77301 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 77301 covers
This service covers development of a computerized intensity-modulated radiation therapy plan. The team shapes and optimizes radiation fields to deliver the prescribed dose to the target while assessing exposure to organs at risk, often using dose-volume analysis. A radiation oncologist directs and approves the plan, with work commonly performed by medical physicists and dosimetrists in a radiation oncology department or freestanding center. It is planning work, not delivery of the radiation treatment.
Report the code when the record supports an IMRT-specific optimized plan, including the target and critical-structure evaluation, rather than a conventional teletherapy isodose plan. Documentation should identify the treatment plan, prescription, dose evaluation, and physician approval. CMS recognizes professional and technical components: modifier 26 identifies the professional interpretation, modifier TC the equipment and staff, and no modifier represents the global service.
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 Dakota compares for 77301
Across 109 of 109 payment localities, the office rate for 77301 runs from $1,712.54 in Arkansas to $2,719.18 in San Benito County, CA. South Dakota pays $1,944.77. The RVUs are the same everywhere; the geographic indexes change the dollars.
- South Dakota · this page$1,944.77
- Los Angeles, CA · California$2,269.95+$325.18
- Washington, DC area · District of Columbia$2,275.45+$330.68
- Miami, FL · Florida$2,064.79+$120.02
- Chicago, IL · Illinois$2,000.78+$56.01
- Manhattan, NY · New York$2,262.28+$317.51
- Alaska · Alaska$2,188.88+$244.11
Other areas in South Dakota first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $1,740.56 | — |
| ArkansasArkansas | $1,712.54 | — |
| ArizonaArizona | $1,904.95 | — |
| Bakersfield, CACalifornia | $2,117.07 | — |
| Chico, CACalifornia | $2,114.84 | — |
| El Centro, CACalifornia | $2,114.96 | — |
| Fresno, CACalifornia | $2,114.84 | — |
| Hanford, CACalifornia | $2,114.84 | — |
| Madera, CACalifornia | $2,114.84 | — |
| Merced, CACalifornia | $2,114.84 | — |
| Modesto, CACalifornia | $2,114.84 | — |
| Napa, CACalifornia | $2,498.39 | — |
| Oxnard, CACalifornia | $2,263.93 | — |
| Redding, CACalifornia | $2,114.84 | — |
| Rest of CaliforniaCalifornia | $2,114.84 | — |
| Riverside, CACalifornia | $2,122.51 | — |
| Sacramento, CACalifornia | $2,232.12 | — |
| Salinas, CACalifornia | $2,224.12 | — |
| San Diego, CACalifornia | $2,286.03 | — |
| Marin County, CACalifornia | $2,659.83 | — |
| San Francisco, CACalifornia | $2,659.03 | — |
| San Benito County, CACalifornia | $2,719.18 | — |
| Santa Clara County, CACalifornia | $2,715.93 | — |
| San Luis Obispo, CACalifornia | $2,186.94 | — |
| Santa Cruz, CACalifornia | $2,315.41 | — |
| Santa Maria, CACalifornia | $2,235.07 | — |
| Santa Rosa, CACalifornia | $2,339.55 | — |
| Stockton, CACalifornia | $2,114.84 | — |
| Vallejo, CACalifornia | $2,497.24 | — |
| Visalia, CACalifornia | $2,114.84 | — |
| Yuba City, CACalifornia | $2,114.84 | — |
| ColoradoColorado | $2,065.61 | — |
| ConnecticutConnecticut | $2,099.52 | — |
| DelawareDelaware | $1,939.12 | — |
| Fort Lauderdale, FLFlorida | $2,000.99 | — |
| Rest of FloridaFlorida | $1,898.28 | — |
| Atlanta, GAGeorgia | $1,992.61 | — |
| Rest of GeorgiaGeorgia | $1,783.70 | — |
| Hawaii, Guam, HIHawaii | $2,180.17 | — |
| IowaIowa | $1,803.68 | — |
| IdahoIdaho | $1,813.84 | — |
| East St. Louis, ILIllinois | $1,849.87 | — |
| Rest of IllinoisIllinois | $1,827.59 | — |
| Suburban Chicago, ILIllinois | $2,025.44 | — |
| IndianaIndiana | $1,825.88 | — |
| KansasKansas | $1,787.74 | — |
| KentuckyKentucky | $1,772.19 | — |
| New Orleans, LALouisiana | $1,864.55 | — |
| Rest of LouisianaLouisiana | $1,766.49 | — |
| Metropolitan Boston, MAMassachusetts | $2,293.68 | — |
| Rest of MassachusettsMassachusetts | $2,048.58 | — |
| Baltimore area, MDMaryland | $2,092.40 | — |
| Rest of MarylandMaryland | $1,981.10 | — |
| Rest of MaineMaine | $1,817.32 | — |
| Southern Maine, MEMaine | $1,936.58 | — |
| Detroit, MIMichigan | $1,917.65 | — |
| Rest of MichiganMichigan | $1,817.44 | — |
| MinnesotaMinnesota | $1,992.46 | — |
| Metropolitan Kansas City, MOMissouri | $1,857.48 | — |
| Metropolitan St. Louis, MOMissouri | $1,879.86 | — |
| Rest of MissouriMissouri | $1,728.30 | — |
| MississippiMississippi | $1,721.13 | — |
| MontanaMontana | $1,960.25 | — |
| North CarolinaNorth Carolina | $1,839.52 | — |
| North DakotaNorth Dakota | $1,946.41 | — |
| NebraskaNebraska | $1,816.65 | — |
| New HampshireNew Hampshire | $2,026.12 | — |
| Northern New JerseyNew Jersey | $2,246.56 | — |
| Rest of New JerseyNew Jersey | $2,127.23 | — |
| New MexicoNew Mexico | $1,825.83 | — |
| NevadaNevada | $1,958.07 | — |
| NYC suburbs and Long Island, NYNew York | $2,313.89 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $2,136.21 | — |
| Queens, NYNew York | $2,292.45 | — |
| Rest of New YorkNew York | $1,869.52 | — |
| OhioOhio | $1,814.61 | — |
| OklahomaOklahoma | $1,775.68 | — |
| Portland, OROregon | $2,144.59 | — |
| Rest of OregonOregon | $1,946.65 | — |
| Metropolitan Philadelphia, PAPennsylvania | $2,038.24 | — |
| Rest of PennsylvaniaPennsylvania | $1,821.52 | — |
| Puerto RicoPuerto Rico | $1,978.39 | — |
| Rhode IslandRhode Island | $2,018.05 | — |
| South CarolinaSouth Carolina | $1,829.36 | — |
| TennesseeTennessee | $1,796.89 | — |
| Austin, TXTexas | $2,055.40 | — |
| Beaumont, TXTexas | $1,807.73 | — |
| Brazoria, TXTexas | $1,942.15 | — |
| Dallas, TXTexas | $1,952.61 | — |
| Fort Worth, TXTexas | $1,936.15 | — |
| Galveston, TXTexas | $1,946.62 | — |
| Houston, TXTexas | $1,959.43 | — |
| Rest of TexasTexas | $1,872.52 | — |
| UtahUtah | $1,857.31 | — |
| VirginiaVirginia | $1,924.92 | — |
| Virgin Islands, VIUnited States Virgin Islands | $1,978.39 | — |
| VermontVermont | $1,931.98 | — |
| Rest of WashingtonWashington | $2,046.96 | — |
| King County, WAWashington | $2,349.65 | — |
| WisconsinWisconsin | $1,873.70 | — |
| West VirginiaWest Virginia | $1,750.72 | — |
| WyomingWyoming | $1,954.22 | — |
77301 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.
$1,712.54
$2,417.01
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 | $2,188.88 | 1 |
| AL | $1,740.56 | 1 |
| AR | $1,712.54 | 1 |
| AZ | $1,904.95 | 1 |
| CA | $2,114.84–$2,719.18 | 29 |
| CO | $2,065.61 | 1 |
| CT | $2,099.52 | 1 |
| DC | $2,275.45 | 1 |
| DE | $1,939.12 | 1 |
| FL | $1,898.28–$2,064.79 | 3 |
| GA | $1,783.70–$1,992.61 | 2 |
| GU | $2,180.17 | 1 |
| HI | $2,180.17 | 1 |
| IA | $1,803.68 | 1 |
| ID | $1,813.84 | 1 |
| IL | $1,827.59–$2,025.44 | 4 |
| IN | $1,825.88 | 1 |
| KS | $1,787.74 | 1 |
| KY | $1,772.19 | 1 |
| LA | $1,766.49–$1,864.55 | 2 |
| MA | $2,048.58–$2,293.68 | 2 |
| MD | $1,981.10–$2,275.45 | 3 |
| ME | $1,817.32–$1,936.58 | 2 |
| MI | $1,817.44–$1,917.65 | 2 |
| MN | $1,992.46 | 1 |
| MO | $1,728.30–$1,879.86 | 3 |
| MS | $1,721.13 | 1 |
| MT | $1,960.25 | 1 |
| NC | $1,839.52 | 1 |
| ND | $1,946.41 | 1 |
| NE | $1,816.65 | 1 |
| NH | $2,026.12 | 1 |
| NJ | $2,127.23–$2,246.56 | 2 |
| NM | $1,825.83 | 1 |
| NV | $1,958.07 | 1 |
| NY | $1,869.52–$2,313.89 | 5 |
| OH | $1,814.61 | 1 |
| OK | $1,775.68 | 1 |
| OR | $1,946.65–$2,144.59 | 2 |
| PA | $1,821.52–$2,038.24 | 2 |
| PR | $1,978.39 | 1 |
| RI | $2,018.05 | 1 |
| SC | $1,829.36 | 1 |
| SD | $1,944.77 | 1 |
| TN | $1,796.89 | 1 |
| TX | $1,807.73–$2,055.40 | 8 |
| UT | $1,857.31 | 1 |
| VA | $1,924.92–$2,275.45 | 2 |
| VI | $1,978.39 | 1 |
| VT | $1,931.98 | 1 |
| WA | $2,046.96–$2,349.65 | 2 |
| WI | $1,873.70 | 1 |
| WV | $1,750.72 | 1 |
| WY | $1,954.22 | 1 |
How the 77301 rate is calculated
Each of 77301’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 · 77301
RVUs × geographic indexes × conversion factor
Work7.79
7.79 RVUs× 1.000 GPCI
Practice expense50.20
50.20 RVUs× 1.000 GPCI
Malpractice0.70
0.70 RVUs× 1.000 GPCI
Adjusted RVUs
58.6900
Conversion factor
$33.4009
Medicare rate
$1,960.30
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact South Dakota inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
9,050
- Code
- 77301
- Physician work
- 7.79
- Practice expense
- 50.20
- Malpractice
- 0.70
GPCI2026.csv
94
- Locality
- South Dakota
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.336
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 7.79 | × 1.000 | 7.7900 |
| Practice expense | 50.20 | × 1.000 | 50.2000 |
| Malpractice | 0.70 | × 0.336 | 0.2352 |
| Total RVUs | 58.2252 | ||
| Conversion factor | × 33.4009 | ||
Office rate, South Dakota$1944.77
Office: (7.79 × 1 + 50.2 × 1 + 0.7 × 0.336) × $33.4009 = $1944.77
Payment rules and modifiers for 77301
The CMS indicators that decide how 77301 is paid alongside other services.
CMS payment indicators · 77301
IMRT planning, dose optimization and volume analysis
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 1 | Diagnostic test with separate professional (26) and technical (TC) components. |
What modifiers do to the payment
Modifier 26 · payment effect
With and without the modifier
77301 without 26 · national office
$1,960.30
IMRT planning, dose optimization and volume analysis
77301-26 · Professional component
$419.18
Pays only the interpretation and report.
How 77301 has changed in South Dakota
77301 · Office / nonfacility
$1944.77
Effective 2026-10-01
The base rate is $160.94 higher than on 2025-10-01, moving from $1783.83 to $1944.77 (9.0%).
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
$1783.83changed to$1944.77
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 7.99 changed to 7.79
- Practice expense RVU 46.89 changed to 50.20
- Malpractice GPCI 0.382 changed to 0.336
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$1828.60changed to$1783.83
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 46.68 changed to 46.89
- Malpractice RVU 0.69 changed to 0.70
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$1798.76changed to$1828.60
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$1847.75changed to$1798.76
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 46.30 changed to 46.68
- Malpractice RVU 0.65 changed to 0.69
- Malpractice GPCI 0.364 changed to 0.382
January 1, 2023
RVU23A
$1850.33changed to$1847.75
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 45.27 changed to 46.30
- Malpractice RVU 0.60 changed to 0.65
- Malpractice GPCI 0.347 changed to 0.364
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$1922.41changed to$1850.33
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 46.91 changed to 45.27
- Malpractice RVU 0.56 changed to 0.60
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$1936.43changed to$1922.41
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 45.46 changed to 46.91
- Malpractice GPCI 0.368 changed to 0.347
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$1971.18changed to$1936.43
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 46.48 changed to 45.46
- Malpractice RVU 0.58 changed to 0.56
- Malpractice GPCI 0.389 changed to 0.368
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$2020.50changed to$1971.18
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 47.91 changed to 46.48
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$1977.08changed to$2020.50
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 46.87 changed to 47.91
- Malpractice GPCI 0.395 changed to 0.389
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$1962.29changed to$1977.08
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 46.58 changed to 46.87
- Malpractice RVU 0.59 changed to 0.58
- Malpractice GPCI 0.400 changed to 0.395
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$1937.03changed to$1962.29
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 45.66 changed to 46.58
- Malpractice RVU 0.64 changed to 0.59
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$1927.39changed to$1937.03
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$1947.31changed to$1927.39
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 46.12 changed to 45.66
- Malpractice RVU 0.60 changed to 0.64
- Malpractice GPCI 0.416 changed to 0.400
Held through RVU15B.
January 1, 2014
RVU14A
$1978.17changed to$1947.31
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 49.88 changed to 46.12
- Malpractice RVU 0.63 changed to 0.60
- Malpractice GPCI 0.432 changed to 0.416
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $1978.17
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $1,944.77 | Not available in this setting | RVU26D |
| 2026-07-01 | $1,944.77 | Not available in this setting | RVU26C |
| 2026-04-01 | $1,944.77 | Not available in this setting | RVU26B |
| 2026-01-01 | $1,944.77 | Not available in this setting | RVU26A |
| 2025-10-01 | $1,783.83 | Not available in this setting | RVU25D |
| 2025-07-01 | $1,783.83 | Not available in this setting | RVU25C |
| 2025-04-01 | $1,783.83 | Not available in this setting | RVU25B |
| 2025-01-01 | $1,783.83 | Not available in this setting | RVU25A |
| 2024-10-01 | $1,828.60 | Not available in this setting | RVU24D |
| 2024-07-01 | $1,828.60 | Not available in this setting | RVU24C |
| 2024-04-01 | $1,828.60 | Not available in this setting | RVU24B |
| 2024-03-09 | $1,828.60 | Not available in this setting | RVU24AR |
| 2024-01-01 | $1,798.76 | Not available in this setting | RVU24A |
| 2023-10-01 | $1,847.75 | Not available in this setting | RVU23D |
| 2023-07-01 | $1,847.75 | Not available in this setting | RVU23C |
| 2023-04-01 | $1,847.75 | Not available in this setting | RVU23B |
| 2023-01-01 | $1,847.75 | Not available in this setting | RVU23A |
| 2022-10-01 | $1,850.33 | Not available in this setting | RVU22D |
| 2022-07-01 | $1,850.33 | Not available in this setting | RVU22C |
| 2022-04-01 | $1,850.33 | Not available in this setting | RVU22B |
| 2022-01-01 | $1,850.33 | Not available in this setting | RVU22A |
| 2021-10-01 | $1,922.41 | Not available in this setting | RVU21D |
| 2021-07-01 | $1,922.41 | Not available in this setting | RVU21C |
| 2021-04-01 | $1,922.41 | Not available in this setting | RVU21B |
| 2021-01-01 | $1,922.41 | Not available in this setting | RVU21A |
| 2020-10-01 | $1,936.43 | Not available in this setting | RVU20D |
| 2020-07-01 | $1,936.43 | Not available in this setting | RVU20C |
| 2020-04-01 | $1,936.43 | Not available in this setting | RVU20B |
| 2020-01-01 | $1,936.43 | Not available in this setting | RVU20A |
| 2019-10-01 | $1,971.18 | Not available in this setting | RVU19D |
| 2019-07-01 | $1,971.18 | Not available in this setting | RVU19C |
| 2019-04-01 | $1,971.18 | Not available in this setting | RVU19B |
| 2019-01-01 | $1,971.18 | Not available in this setting | RVU19A |
| 2018-10-01 | $2,020.50 | Not available in this setting | RVU18D |
| 2018-07-01 | $2,020.50 | Not available in this setting | RVU18C |
| 2018-04-01 | $2,020.50 | Not available in this setting | RVU18B |
| 2018-01-01 | $2,020.50 | Not available in this setting | RVU18AR1 |
| 2017-10-01 | $1,977.08 | Not available in this setting | RVU17D |
| 2017-07-01 | $1,977.08 | Not available in this setting | RVU17C |
| 2017-04-01 | $1,977.08 | Not available in this setting | RVU17B |
| 2017-01-01 | $1,977.08 | Not available in this setting | RVU17A |
| 2016-10-01 | $1,962.29 | Not available in this setting | RVU16D |
| 2016-07-01 | $1,962.29 | Not available in this setting | RVU16C |
| 2016-04-01 | $1,962.29 | Not available in this setting | RVU16B |
| 2016-01-01 | $1,962.29 | Not available in this setting | RVU16A |
| 2015-10-01 | $1,937.03 | Not available in this setting | RVU15D |
| 2015-07-01 | $1,937.03 | Not available in this setting | RVU15C |
| 2015-04-01 | $1,927.39 | Not available in this setting | RVU15B |
| 2015-01-01 | $1,927.39 | Not available in this setting | RVU15A |
| 2014-10-01 | $1,947.31 | Not available in this setting | RVU14D |
| 2014-07-01 | $1,947.31 | Not available in this setting | RVU14C |
| 2014-04-01 | $1,947.31 | Not available in this setting | RVU14B |
| 2014-01-01 | $1,947.31 | Not available in this setting | RVU14A |
| 2013-10-01 | $1,978.17 | Not available in this setting | RVU13D |
| 2013-07-01 | $1,978.17 | Not available in this setting | RVU13C |
| 2013-04-01 | $1,978.17 | Not available in this setting | RVU13B |
| 2013-01-01 | $1,978.17 | Not available in this setting | RVU13AR |
Where the South Dakota rate applies
South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.
- Aberdeen
- Agar
- Agency Village
- Akaska
- Albee
- Alcester
- Alexandria
- Allen
77301 billing questions
When should 77301 be selected instead of 77306 or 77307?
Use 77301 for an IMRT-specific optimized plan with dose-volume evaluation. Codes 77306 and 77307 describe simple or complex conventional teletherapy isodose planning, not IMRT planning.
Does 77301 report radiation treatment delivery?
No. It reports development of the IMRT plan; radiation delivery is a separate service.
How are the professional and technical portions billed?
Modifier 26 identifies the professional interpretation, while modifier TC identifies the technical portion involving equipment and staff. Billing without either modifier represents the global service.
What documentation supports reporting 77301?
Keep the IMRT plan and records supporting its optimization, target and critical-structure dose evaluation, prescribed dose, and physician approval.
How does 77338 relate to 77301?
Code 77338 reports design of an IMRT multileaf collimator device and is an add-on to 77301 when that device-design service is performed.
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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