CPT code 94660: CPAP management, initiation and management2026 Medicare rate & RVUs in Hawaii, Guam, HI
Report CPAP initiation and management when a clinician starts or manages continuous positive airway pressure therapy, commonly for obstructive sleep apnea.
In Hawaii, Guam, HI, Medicare pays $74.11 for 94660 in the office and $32.33 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 94660 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 94660 covers
This service covers a clinician’s work to begin or manage continuous positive airway pressure (CPAP) therapy. It is commonly provided by pulmonary or sleep-medicine clinicians for patients with obstructive sleep apnea, in an office or facility setting. The service concerns the patient’s CPAP treatment, such as getting therapy started and addressing its use; it is distinct from supplying or renting the CPAP equipment.
Report 94660 when the documented encounter includes CPAP initiation or management, not merely a discussion of a planned treatment or a note that the patient already uses CPAP. Documentation should identify the clinical reason for therapy and the work performed, such as device or interface setup, changes made, patient instruction, or response when applicable. CMS values practice expense differently for office and facility settings, so the place of service affects the payment valuation. The code has no add-on designation.
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 Hawaii, Guam, HI compares for 94660
Across 109 of 109 payment localities, the office rate for 94660 runs from $62.19 in Arkansas to $89.68 in San Benito County, CA. Hawaii, Guam, HI pays $74.11. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Hawaii, Guam, HI · this page$74.11
- Los Angeles, CA · California$77.24+$3.13
- Washington, DC area · District of Columbia$78.25+$4.14
- Miami, FL · Florida$73.94−$0.17
- Chicago, IL · Illinois$72.12−$1.99
- Manhattan, NY · New York$78.77+$4.66
- Alaska · Alaska$83.36+$9.25
Other areas in Hawaii first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $62.97 | $30.82 |
| ArkansasArkansas | $62.19 | $30.63 |
| ArizonaArizona | $67.54 | $31.93 |
| Bakersfield, CACalifornia | $72.90 | $32.63 |
| Chico, CACalifornia | $72.70 | $32.43 |
| El Centro, CACalifornia | $72.71 | $32.44 |
| Fresno, CACalifornia | $72.70 | $32.43 |
| Hanford, CACalifornia | $72.70 | $32.43 |
| Madera, CACalifornia | $72.70 | $32.43 |
| Merced, CACalifornia | $72.70 | $32.43 |
| Modesto, CACalifornia | $72.70 | $32.43 |
| Napa, CACalifornia | $83.20 | $34.78 |
| Oxnard, CACalifornia | $76.80 | $33.37 |
| Redding, CACalifornia | $72.70 | $32.43 |
| Rest of CaliforniaCalifornia | $72.70 | $32.43 |
| Riverside, CACalifornia | $73.36 | $33.09 |
| Sacramento, CACalifornia | $76.01 | $33.28 |
| Salinas, CACalifornia | $75.72 | $33.14 |
| San Diego, CACalifornia | $77.28 | $33.34 |
| Marin County, CACalifornia | $87.80 | $35.99 |
| San Francisco, CACalifornia | $87.73 | $35.92 |
| San Benito County, CACalifornia | $89.68 | $36.70 |
| Santa Clara County, CACalifornia | $89.40 | $36.42 |
| San Luis Obispo, CACalifornia | $74.53 | $32.68 |
| Santa Cruz, CACalifornia | $77.85 | $33.21 |
| Santa Maria, CACalifornia | $75.94 | $33.10 |
| Santa Rosa, CACalifornia | $78.62 | $33.51 |
| Stockton, CACalifornia | $72.70 | $32.43 |
| Vallejo, CACalifornia | $83.10 | $34.68 |
| Visalia, CACalifornia | $72.70 | $32.43 |
| Yuba City, CACalifornia | $72.70 | $32.43 |
| ColoradoColorado | $71.71 | $32.62 |
| ConnecticutConnecticut | $73.32 | $33.75 |
| DelawareDelaware | $68.55 | $32.25 |
| Fort Lauderdale, FLFlorida | $71.31 | $34.09 |
| Rest of FloridaFlorida | $68.28 | $33.16 |
| Atlanta, GAGeorgia | $70.30 | $32.97 |
| Rest of GeorgiaGeorgia | $64.94 | $32.17 |
| IowaIowa | $64.33 | $30.71 |
| IdahoIdaho | $64.69 | $30.89 |
| East St. Louis, ILIllinois | $67.78 | $33.98 |
| Rest of IllinoisIllinois | $66.58 | $33.03 |
| Suburban Chicago, ILIllinois | $72.01 | $34.27 |
| IndianaIndiana | $65.01 | $30.95 |
| KansasKansas | $64.07 | $30.86 |
| KentuckyKentucky | $64.26 | $31.60 |
| New Orleans, LALouisiana | $66.91 | $32.34 |
| Rest of LouisianaLouisiana | $64.18 | $31.66 |
| Metropolitan Boston, MAMassachusetts | $78.16 | $34.29 |
| Rest of MassachusettsMassachusetts | $71.38 | $32.69 |
| Baltimore area, MDMaryland | $73.11 | $33.68 |
| Rest of MarylandMaryland | $69.73 | $32.55 |
| Rest of MaineMaine | $64.99 | $31.19 |
| Southern Maine, MEMaine | $68.02 | $31.61 |
| Detroit, MIMichigan | $69.03 | $33.57 |
| Rest of MichiganMichigan | $65.71 | $32.16 |
| MinnesotaMinnesota | $68.96 | $31.15 |
| Metropolitan Kansas City, MOMissouri | $66.51 | $32.01 |
| Metropolitan St. Louis, MOMissouri | $67.11 | $32.13 |
| Rest of MissouriMissouri | $63.23 | $31.56 |
| MississippiMississippi | $62.72 | $31.09 |
| MontanaMontana | $69.14 | $32.39 |
| North CarolinaNorth Carolina | $65.57 | $31.29 |
| North DakotaNorth Dakota | $67.95 | $31.21 |
| NebraskaNebraska | $64.63 | $30.72 |
| New HampshireNew Hampshire | $70.63 | $32.38 |
| Northern New JerseyNew Jersey | $77.62 | $35.00 |
| Rest of New JerseyNew Jersey | $74.23 | $34.10 |
| New MexicoNew Mexico | $66.02 | $32.33 |
| NevadaNevada | $68.85 | $32.07 |
| NYC suburbs and Long Island, NYNew York | $80.46 | $36.77 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $74.70 | $34.47 |
| Queens, NYNew York | $79.33 | $35.90 |
| Rest of New YorkNew York | $66.42 | $31.52 |
| OhioOhio | $65.47 | $31.92 |
| OklahomaOklahoma | $64.15 | $31.34 |
| Portland, OROregon | $73.73 | $32.91 |
| Rest of OregonOregon | $68.37 | $31.78 |
| Metropolitan Philadelphia, PAPennsylvania | $71.71 | $33.46 |
| Rest of PennsylvaniaPennsylvania | $65.55 | $31.82 |
| Puerto RicoPuerto Rico | $69.58 | $32.43 |
| Rhode IslandRhode Island | $70.79 | $32.84 |
| South CarolinaSouth Carolina | $65.62 | $31.67 |
| South DakotaSouth Dakota | $67.81 | $31.07 |
| TennesseeTennessee | $64.35 | $30.95 |
| Austin, TXTexas | $71.42 | $32.55 |
| Beaumont, TXTexas | $65.18 | $31.75 |
| Brazoria, TXTexas | $68.51 | $32.10 |
| Dallas, TXTexas | $68.91 | $32.31 |
| Fort Worth, TXTexas | $68.51 | $32.28 |
| Galveston, TXTexas | $68.70 | $32.21 |
| Houston, TXTexas | $69.79 | $33.31 |
| Rest of TexasTexas | $66.78 | $31.91 |
| UtahUtah | $66.39 | $31.85 |
| VirginiaVirginia | $67.83 | $31.71 |
| Virgin Islands, VIUnited States Virgin Islands | $69.58 | $32.43 |
| VermontVermont | $67.73 | $31.35 |
| Rest of WashingtonWashington | $71.23 | $32.54 |
| King County, WAWashington | $79.64 | $34.56 |
| WisconsinWisconsin | $65.97 | $30.77 |
| West VirginiaWest Virginia | $64.45 | $32.52 |
| WyomingWyoming | $68.62 | $31.88 |
94660 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.
$62.19
$83.36
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 | $83.36 | 1 |
| AL | $62.97 | 1 |
| AR | $62.19 | 1 |
| AZ | $67.54 | 1 |
| CA | $72.70–$89.68 | 29 |
| CO | $71.71 | 1 |
| CT | $73.32 | 1 |
| DC | $78.25 | 1 |
| DE | $68.55 | 1 |
| FL | $68.28–$73.94 | 3 |
| GA | $64.94–$70.30 | 2 |
| GU | $74.11 | 1 |
| HI | $74.11 | 1 |
| IA | $64.33 | 1 |
| ID | $64.69 | 1 |
| IL | $66.58–$72.12 | 4 |
| IN | $65.01 | 1 |
| KS | $64.07 | 1 |
| KY | $64.26 | 1 |
| LA | $64.18–$66.91 | 2 |
| MA | $71.38–$78.16 | 2 |
| MD | $69.73–$78.25 | 3 |
| ME | $64.99–$68.02 | 2 |
| MI | $65.71–$69.03 | 2 |
| MN | $68.96 | 1 |
| MO | $63.23–$67.11 | 3 |
| MS | $62.72 | 1 |
| MT | $69.14 | 1 |
| NC | $65.57 | 1 |
| ND | $67.95 | 1 |
| NE | $64.63 | 1 |
| NH | $70.63 | 1 |
| NJ | $74.23–$77.62 | 2 |
| NM | $66.02 | 1 |
| NV | $68.85 | 1 |
| NY | $66.42–$80.46 | 5 |
| OH | $65.47 | 1 |
| OK | $64.15 | 1 |
| OR | $68.37–$73.73 | 2 |
| PA | $65.55–$71.71 | 2 |
| PR | $69.58 | 1 |
| RI | $70.79 | 1 |
| SC | $65.62 | 1 |
| SD | $67.81 | 1 |
| TN | $64.35 | 1 |
| TX | $65.18–$71.42 | 8 |
| UT | $66.39 | 1 |
| VA | $67.83–$78.25 | 2 |
| VI | $69.58 | 1 |
| VT | $67.73 | 1 |
| WA | $71.23–$79.64 | 2 |
| WI | $65.97 | 1 |
| WV | $64.45 | 1 |
| WY | $68.62 | 1 |
How the 94660 rate is calculated
Each of 94660’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 · 94660
RVUs × geographic indexes × conversion factor
Work0.74
0.74 RVUs× 1.000 GPCI
Practice expense1.27
1.27 RVUs× 1.000 GPCI
Malpractice0.06
0.06 RVUs× 1.000 GPCI
Adjusted RVUs
2.0700
Conversion factor
$33.4009
Medicare rate
$69.14
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Hawaii, Guam, HI inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
12,416
- Code
- 94660
- Physician work
- 0.74
- Practice expense
- 1.27
- Malpractice
- 0.06
GPCI2026.csv
46
- Locality
- Hawaii, Guam, HI
- Physician work
- 1.000
- Practice expense
- 1.137
- Malpractice
- 0.579
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.74 | × 1.000 | 0.7400 |
| Practice expense | 1.27 | × 1.137 | 1.4440 |
| Malpractice | 0.06 | × 0.579 | 0.0347 |
| Total RVUs | 2.2187 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Hawaii, Guam, HI$74.11
Office: (0.74 × 1 + 1.27 × 1.137 + 0.06 × 0.579) × $33.4009 = $74.11
Facility: (0.74 × 1 + 0.17 × 1.137 + 0.06 × 0.579) × $33.4009 = $32.33
Payment rules and modifiers for 94660
94660 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.
Place of service · 94660
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
POS 11 · non-facility rate · national
$69.14
- Non-facility (office)
- $69.14
- Facility
- $32.40
Higher because the practice carries its own overhead.
How 94660 has changed in Hawaii, Guam, HI
94660 · Office / nonfacility
$74.11
Effective 2026-10-01
The base rate is $5.88 higher than on 2025-10-01, moving from $68.23 to $74.11 (8.6%).
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
$68.23changed to$74.11
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 0.76 changed to 0.74
- Practice expense RVU 1.15 changed to 1.27
- Malpractice RVU 0.05 changed to 0.06
- Practice expense GPCI 1.149 changed to 1.137
- Malpractice GPCI 0.561 changed to 0.579
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$69.26changed to$68.23
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 1.12 changed to 1.15
- Malpractice RVU 0.06 changed to 0.05
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$68.13changed to$69.26
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$68.25changed to$68.13
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 1.06 changed to 1.12
- Work GPCI 1.003 changed to 1.000
- Practice expense GPCI 1.146 changed to 1.149
- Malpractice GPCI 0.618 changed to 0.561
January 1, 2023
RVU23A
$69.73changed to$68.25
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 1.05 changed to 1.06
- Malpractice RVU 0.07 changed to 0.06
- Work GPCI 1.010 changed to 1.003
- Practice expense GPCI 1.143 changed to 1.146
- Malpractice GPCI 0.675 changed to 0.618
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$68.64changed to$69.73
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 1.02 changed to 1.05
- Malpractice RVU 0.05 changed to 0.07
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$69.86changed to$68.64
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 0.99 changed to 1.02
- Malpractice RVU 0.06 changed to 0.05
- Work GPCI 1.006 changed to 1.010
- Practice expense GPCI 1.144 changed to 1.143
- Malpractice GPCI 0.644 changed to 0.675
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$69.63changed to$69.86
- Conversion factor 36.0391 changed to 36.0896
- Work GPCI 1.001 changed to 1.006
- Practice expense GPCI 1.146 changed to 1.144
- Malpractice GPCI 0.614 changed to 0.644
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$70.79changed to$69.63
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 1.02 changed to 0.99
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$69.24changed to$70.79
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 0.98 changed to 1.02
- Work GPCI 1.002 changed to 1.001
- Practice expense GPCI 1.154 changed to 1.146
- Malpractice GPCI 0.616 changed to 0.614
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$68.98changed to$69.24
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 0.97 changed to 0.98
- Work GPCI 1.003 changed to 1.002
- Practice expense GPCI 1.162 changed to 1.154
- Malpractice GPCI 0.618 changed to 0.616
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$68.59changed to$68.98
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 0.96 changed to 0.97
- Malpractice RVU 0.05 changed to 0.06
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$68.24changed to$68.59
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$68.28changed to$68.24
- Conversion factor 35.8228 changed to 35.7547
- Work GPCI 1.002 changed to 1.003
- Practice expense GPCI 1.158 changed to 1.162
- Malpractice GPCI 0.659 changed to 0.618
Held through RVU15B.
January 1, 2014
RVU14A
$69.06changed to$68.28
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 1.07 changed to 0.96
- Work GPCI 1.000 changed to 1.002
- Practice expense GPCI 1.154 changed to 1.158
- Malpractice GPCI 0.700 changed to 0.659
Held through RVU14B, RVU14C, RVU14D.
October 1, 2013
RVU13D
No ratechanged to$69.06
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $74.11 | $32.33 | RVU26D |
| 2026-07-01 | $74.11 | $32.33 | RVU26C |
| 2026-04-01 | $74.11 | $32.33 | RVU26B |
| 2026-01-01 | $74.11 | $32.33 | RVU26A |
| 2025-10-01 | $68.23 | $35.90 | RVU25D |
| 2025-07-01 | $68.23 | $35.90 | RVU25C |
| 2025-04-01 | $68.23 | $35.90 | RVU25B |
| 2025-01-01 | $68.23 | $35.90 | RVU25A |
| 2024-10-01 | $69.26 | $37.13 | RVU24D |
| 2024-07-01 | $69.26 | $37.13 | RVU24C |
| 2024-04-01 | $69.26 | $37.13 | RVU24B |
| 2024-03-09 | $69.26 | $37.13 | RVU24AR |
| 2024-01-01 | $68.13 | $36.52 | RVU24A |
| 2023-10-01 | $68.25 | $37.57 | RVU23D |
| 2023-07-01 | $68.25 | $37.57 | RVU23C |
| 2023-04-01 | $68.25 | $37.57 | RVU23B |
| 2023-01-01 | $68.25 | $37.57 | RVU23A |
| 2022-10-01 | $69.73 | $39.27 | RVU22D |
| 2022-07-01 | $69.73 | $39.27 | RVU22C |
| 2022-04-01 | $69.73 | $39.27 | RVU22B |
| 2022-01-01 | $69.73 | $39.27 | RVU22A |
| 2021-10-01 | $68.64 | $39.13 | RVU21D |
| 2021-07-01 | $68.64 | $39.13 | RVU21C |
| 2021-04-01 | $68.64 | $39.13 | RVU21B |
| 2021-01-01 | $68.64 | $39.13 | RVU21A |
| 2020-10-01 | $69.86 | $40.13 | RVU20D |
| 2020-07-01 | $69.86 | $40.13 | RVU20C |
| 2020-04-01 | $69.86 | $40.13 | RVU20B |
| 2020-01-01 | $69.86 | $40.13 | RVU20A |
| 2019-10-01 | $69.63 | $39.90 | RVU19D |
| 2019-07-01 | $69.63 | $39.90 | RVU19C |
| 2019-04-01 | $69.63 | $39.90 | RVU19B |
| 2019-01-01 | $69.63 | $39.90 | RVU19A |
| 2018-10-01 | $70.79 | $39.85 | RVU18D |
| 2018-07-01 | $70.79 | $39.85 | RVU18C |
| 2018-04-01 | $70.79 | $39.85 | RVU18B |
| 2018-01-01 | $70.79 | $39.85 | RVU18AR1 |
| 2017-10-01 | $69.24 | $39.84 | RVU17D |
| 2017-07-01 | $69.24 | $39.84 | RVU17C |
| 2017-04-01 | $69.24 | $39.84 | RVU17B |
| 2017-01-01 | $69.24 | $39.84 | RVU17A |
| 2016-10-01 | $68.98 | $39.44 | RVU16D |
| 2016-07-01 | $68.98 | $39.44 | RVU16C |
| 2016-04-01 | $68.98 | $39.44 | RVU16B |
| 2016-01-01 | $68.98 | $39.44 | RVU16A |
| 2015-10-01 | $68.59 | $39.36 | RVU15D |
| 2015-07-01 | $68.59 | $39.36 | RVU15C |
| 2015-04-01 | $68.24 | $39.16 | RVU15B |
| 2015-01-01 | $68.24 | $39.16 | RVU15A |
| 2014-10-01 | $68.28 | $39.25 | RVU14D |
| 2014-07-01 | $68.28 | $39.25 | RVU14C |
| 2014-04-01 | $68.28 | $39.25 | RVU14B |
| 2014-01-01 | $68.28 | $39.25 | RVU14A |
| 2013-10-01 | $69.06 | $38.43 | 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 Hawaii, Guam, HI rate applies
Hawaii, Guam, HI is a Medicare payment area, not a city. Our Census mapping connects it to 163 cities and communities in Hawaii. Some span more than one payment area; confirm with the service ZIP.
- Ahuimanu
- Aiea
- Ainaloa
- Anahola
- Black Sands
- Captain Cook
- Discovery Harbour
- East Honolulu
94660 billing questions
How is 94660 different from a CPAP titration sleep study?
94660 describes CPAP initiation or management. An attended sleep study that records sleep and titrates pressure is a separate service, such as 95811.
Does 94660 pay for the CPAP machine or mask?
No. It represents the clinical service of initiating or managing therapy, not the purchase or rental of equipment.
Can 94664 be used for CPAP mask instruction?
94664 concerns demonstration or evaluation of aerosol-device use, such as an inhaler or nebulizer. CPAP initiation and management belong under 94660 when that is the service performed.
What should the record show to support 94660?
Document the reason for CPAP therapy and the initiation or management work performed. Include relevant setup or interface changes, instruction, and the patient’s response when these occurred.
Is 94660 reported for a diagnostic sleep study?
No. A diagnostic polysomnography service is distinct from CPAP initiation and management; select the sleep-study code that matches the study 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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