CPT code 96922: Excimer laser, more than 500 sq cm2026 Medicare rate & RVUs in Miami, FL
Report this code for excimer laser treatment of psoriasis when the total treated skin area exceeds 500 square centimeters during the session.
In Miami, FL, Medicare pays $184.19 for 96922 in the office and $79.18 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 96922 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 96922 covers
A dermatologist uses targeted excimer laser energy to treat psoriasis plaques. This code identifies treatment when the total skin area treated is greater than 500 square centimeters. The service is typically performed in an office setting for patients receiving laser treatment of psoriasis lesions; the treated area, rather than the number of plaques, determines the code tier.
Select the tier from the documented total area treated and retain a record supporting that measurement. The 0-day global period includes same-day preoperative and postoperative care. 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% multiple-procedure reduction. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this code; co-surgeon and team-surgery billing 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 Miami, FL compares for 96922
Across 109 of 109 payment localities, the office rate for 96922 runs from $155.90 in Arkansas to $239.89 in San Benito County, CA. Miami, FL pays $184.19. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Miami, FL · this page$184.19
- Fort Lauderdale, FL · Florida$179.15−$5.04
- Rest of Florida · Florida$170.84−$13.35
- Los Angeles, CA · California$202.06+$17.87
- Washington, DC area · District of Columbia$202.61+$18.42
- Chicago, IL · Illinois$179.13−$5.06
- Manhattan, NY · New York$201.58+$17.39
Other areas in Florida first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlaskaAlaska | $202.88 | $95.45 |
| AlabamaAlabama | $158.18 | $69.92 |
| ArkansasArkansas | $155.90 | $69.26 |
| ArizonaArizona | $171.54 | $73.79 |
| Bakersfield, CACalifornia | $189.23 | $78.67 |
| Chico, CACalifornia | $189.03 | $78.48 |
| El Centro, CACalifornia | $189.04 | $78.48 |
| Fresno, CACalifornia | $189.03 | $78.48 |
| Hanford, CACalifornia | $189.03 | $78.48 |
| Madera, CACalifornia | $189.03 | $78.48 |
| Merced, CACalifornia | $189.03 | $78.48 |
| Modesto, CACalifornia | $189.03 | $78.48 |
| Napa, CACalifornia | $221.11 | $88.16 |
| Oxnard, CACalifornia | $201.36 | $82.14 |
| Redding, CACalifornia | $189.03 | $78.48 |
| Rest of CaliforniaCalifornia | $189.03 | $78.48 |
| Riverside, CACalifornia | $189.60 | $79.04 |
| Sacramento, CACalifornia | $198.92 | $81.60 |
| Salinas, CACalifornia | $198.18 | $81.27 |
| San Diego, CACalifornia | $203.22 | $82.58 |
| Marin County, CACalifornia | $234.82 | $92.59 |
| San Francisco, CACalifornia | $234.76 | $92.54 |
| San Benito County, CACalifornia | $239.89 | $94.44 |
| Santa Clara County, CACalifornia | $239.66 | $94.20 |
| San Luis Obispo, CACalifornia | $194.92 | $80.03 |
| Santa Cruz, CACalifornia | $205.48 | $82.92 |
| Santa Maria, CACalifornia | $199.03 | $81.41 |
| Santa Rosa, CACalifornia | $207.59 | $83.72 |
| Stockton, CACalifornia | $189.03 | $78.48 |
| Vallejo, CACalifornia | $221.02 | $88.08 |
| Visalia, CACalifornia | $189.03 | $78.48 |
| Yuba City, CACalifornia | $189.03 | $78.48 |
| ColoradoColorado | $184.87 | $77.54 |
| ConnecticutConnecticut | $187.67 | $79.03 |
| DelawareDelaware | $174.40 | $74.74 |
| Atlanta, GAGeorgia | $178.66 | $76.18 |
| Rest of GeorgiaGeorgia | $161.55 | $71.58 |
| Hawaii, Guam, HIHawaii | $194.08 | $79.39 |
| IowaIowa | $163.38 | $71.08 |
| IdahoIdaho | $164.19 | $71.39 |
| East St. Louis, ILIllinois | $166.76 | $73.96 |
| Rest of IllinoisIllinois | $165.05 | $72.95 |
| Suburban Chicago, ILIllinois | $181.27 | $77.68 |
| IndianaIndiana | $165.17 | $71.66 |
| KansasKansas | $162.05 | $70.86 |
| KentuckyKentucky | $160.68 | $71.01 |
| New Orleans, LALouisiana | $168.17 | $73.25 |
| Rest of LouisianaLouisiana | $160.20 | $70.93 |
| Metropolitan Boston, MAMassachusetts | $203.94 | $83.50 |
| Rest of MassachusettsMassachusetts | $183.54 | $77.32 |
| Baltimore area, MDMaryland | $187.01 | $78.78 |
| Rest of MarylandMaryland | $177.90 | $75.82 |
| Rest of MaineMaine | $164.44 | $71.63 |
| Southern Maine, MEMaine | $174.17 | $74.21 |
| Detroit, MIMichigan | $172.38 | $75.04 |
| Rest of MichiganMichigan | $164.32 | $72.23 |
| MinnesotaMinnesota | $178.82 | $75.02 |
| Metropolitan Kansas City, MOMissouri | $167.63 | $72.91 |
| Metropolitan St. Louis, MOMissouri | $169.45 | $73.42 |
| Rest of MissouriMissouri | $157.08 | $70.13 |
| MississippiMississippi | $156.55 | $69.70 |
| MontanaMontana | $176.02 | $75.15 |
| North CarolinaNorth Carolina | $166.24 | $72.13 |
| North DakotaNorth Dakota | $175.03 | $74.16 |
| NebraskaNebraska | $164.44 | $71.34 |
| New HampshireNew Hampshire | $181.43 | $76.42 |
| Northern New JerseyNew Jersey | $200.40 | $83.39 |
| Rest of New JerseyNew Jersey | $190.28 | $80.13 |
| New MexicoNew Mexico | $164.99 | $72.49 |
| NevadaNevada | $175.88 | $74.91 |
| NYC suburbs and Long Island, NYNew York | $205.73 | $85.80 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $191.07 | $80.61 |
| Queens, NYNew York | $204.08 | $84.85 |
| Rest of New YorkNew York | $168.68 | $72.85 |
| OhioOhio | $164.12 | $72.03 |
| OklahomaOklahoma | $161.00 | $70.92 |
| Portland, OROregon | $191.39 | $79.33 |
| Rest of OregonOregon | $174.98 | $74.51 |
| Metropolitan Philadelphia, PAPennsylvania | $182.63 | $77.63 |
| Rest of PennsylvaniaPennsylvania | $164.70 | $72.10 |
| Puerto RicoPuerto Rico | $177.50 | $75.52 |
| Rhode IslandRhode Island | $181.07 | $76.87 |
| South CarolinaSouth Carolina | $165.36 | $72.16 |
| South DakotaSouth Dakota | $174.91 | $74.04 |
| TennesseeTennessee | $162.79 | $71.10 |
| Austin, TXTexas | $183.85 | $77.13 |
| Beaumont, TXTexas | $163.58 | $71.79 |
| Brazoria, TXTexas | $174.72 | $74.76 |
| Dallas, TXTexas | $175.57 | $75.11 |
| Fort Worth, TXTexas | $174.23 | $74.77 |
| Galveston, TXTexas | $175.08 | $74.91 |
| Houston, TXTexas | $175.99 | $75.83 |
| Rest of TexasTexas | $168.88 | $73.15 |
| UtahUtah | $167.64 | $72.82 |
| VirginiaVirginia | $173.20 | $74.05 |
| Virgin Islands, VIUnited States Virgin Islands | $177.50 | $75.52 |
| VermontVermont | $173.83 | $73.97 |
| Rest of WashingtonWashington | $183.37 | $77.15 |
| King County, WAWashington | $208.67 | $84.91 |
| WisconsinWisconsin | $169.12 | $72.48 |
| West VirginiaWest Virginia | $158.80 | $71.15 |
| WyomingWyoming | $175.59 | $74.72 |
96922 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.
$155.90
$214.46
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 | $202.88 | 1 |
| AL | $158.18 | 1 |
| AR | $155.90 | 1 |
| AZ | $171.54 | 1 |
| CA | $189.03–$239.89 | 29 |
| CO | $184.87 | 1 |
| CT | $187.67 | 1 |
| DC | $202.61 | 1 |
| DE | $174.40 | 1 |
| FL | $170.84–$184.19 | 3 |
| GA | $161.55–$178.66 | 2 |
| GU | $194.08 | 1 |
| HI | $194.08 | 1 |
| IA | $163.38 | 1 |
| ID | $164.19 | 1 |
| IL | $165.05–$181.27 | 4 |
| IN | $165.17 | 1 |
| KS | $162.05 | 1 |
| KY | $160.68 | 1 |
| LA | $160.20–$168.17 | 2 |
| MA | $183.54–$203.94 | 2 |
| MD | $177.90–$202.61 | 3 |
| ME | $164.44–$174.17 | 2 |
| MI | $164.32–$172.38 | 2 |
| MN | $178.82 | 1 |
| MO | $157.08–$169.45 | 3 |
| MS | $156.55 | 1 |
| MT | $176.02 | 1 |
| NC | $166.24 | 1 |
| ND | $175.03 | 1 |
| NE | $164.44 | 1 |
| NH | $181.43 | 1 |
| NJ | $190.28–$200.40 | 2 |
| NM | $164.99 | 1 |
| NV | $175.88 | 1 |
| NY | $168.68–$205.73 | 5 |
| OH | $164.12 | 1 |
| OK | $161.00 | 1 |
| OR | $174.98–$191.39 | 2 |
| PA | $164.70–$182.63 | 2 |
| PR | $177.50 | 1 |
| RI | $181.07 | 1 |
| SC | $165.36 | 1 |
| SD | $174.91 | 1 |
| TN | $162.79 | 1 |
| TX | $163.58–$183.85 | 8 |
| UT | $167.64 | 1 |
| VA | $173.20–$202.61 | 2 |
| VI | $177.50 | 1 |
| VT | $173.83 | 1 |
| WA | $183.37–$208.67 | 2 |
| WI | $169.12 | 1 |
| WV | $158.80 | 1 |
| WY | $175.59 | 1 |
How the 96922 rate is calculated
Each of 96922’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 · 96922
RVUs × geographic indexes × conversion factor
Work1.12
1.12 RVUs× 1.000 GPCI
Practice expense4.10
4.10 RVUs× 1.000 GPCI
Malpractice0.05
0.05 RVUs× 1.000 GPCI
Adjusted RVUs
5.2700
Conversion factor
$33.4009
Medicare rate
$176.02
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Miami, FL inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
12,832
- Code
- 96922
- Physician work
- 1.12
- Practice expense
- 4.10
- Malpractice
- 0.05
GPCI2026.csv
42
- Locality
- Miami, FL
- Physician work
- 1.000
- Practice expense
- 1.041
- Malpractice
- 2.529
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.12 | × 1.000 | 1.1200 |
| Practice expense | 4.10 | × 1.041 | 4.2681 |
| Malpractice | 0.05 | × 2.529 | 0.1265 |
| Total RVUs | 5.5145 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Miami, FL$184.19
Office: (1.12 × 1 + 4.1 × 1.041 + 0.05 × 2.529) × $33.4009 = $184.19
Facility: (1.12 × 1 + 1.08 × 1.041 + 0.05 × 2.529) × $33.4009 = $79.18
Payment rules and modifiers for 96922
The CMS indicators that decide how 96922 is paid alongside other services.
CMS payment indicators · 96922
Excimer laser, more than 500 sq cm
| 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
96922 without 51 · national office
$176.02
Excimer laser, more than 500 sq cm
96922-51 · Second procedure: 50%
$88.01
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 96922 has changed in Miami, FL
96922 · Office / nonfacility
$184.19
Effective 2026-10-01
The base rate is $4.40 lower than on 2025-10-01, moving from $188.59 to $184.19 (2.3%).
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
$188.59changed to$184.19
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 1.15 changed to 1.12
- Practice expense RVU 4.46 changed to 4.10
- Malpractice RVU 0.04 changed to 0.05
- Practice expense GPCI 1.027 changed to 1.041
- Malpractice GPCI 2.500 changed to 2.529
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$240.80changed to$188.59
- Conversion factor 33.2875 changed to 32.3465
- Work RVU 2.10 changed to 1.15
- Practice expense RVU 4.78 changed to 4.46
- Malpractice RVU 0.09 changed to 0.04
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$236.87changed to$240.80
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$246.23changed to$236.87
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 4.79 changed to 4.78
- Malpractice RVU 0.10 changed to 0.09
- Practice expense GPCI 1.025 changed to 1.027
- Malpractice GPCI 2.564 changed to 2.500
January 1, 2023
RVU23A
$249.02changed to$246.23
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 4.75 changed to 4.79
- Malpractice RVU 0.09 changed to 0.10
- Practice expense GPCI 1.023 changed to 1.025
- Malpractice GPCI 2.629 changed to 2.564
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$255.01changed to$249.02
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 4.86 changed to 4.75
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$258.26changed to$255.01
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 4.70 changed to 4.86
- Practice expense GPCI 1.026 changed to 1.023
- Malpractice GPCI 2.598 changed to 2.629
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$260.15changed to$258.26
- Conversion factor 36.0391 changed to 36.0896
- Malpractice RVU 0.11 changed to 0.09
- Practice expense GPCI 1.029 changed to 1.026
- Malpractice GPCI 2.566 changed to 2.598
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$262.09changed to$260.15
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 4.76 changed to 4.70
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$251.85changed to$262.09
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 4.50 changed to 4.76
- Practice expense GPCI 1.031 changed to 1.029
- Malpractice GPCI 2.528 changed to 2.566
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$251.06changed to$251.85
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 4.49 changed to 4.50
- Practice expense GPCI 1.033 changed to 1.031
- Malpractice GPCI 2.490 changed to 2.528
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$250.18changed to$251.06
- Conversion factor 35.9335 changed to 35.8043
- Malpractice RVU 0.09 changed to 0.11
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$248.93changed to$250.18
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$246.26changed to$248.93
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 4.37 changed to 4.49
- Malpractice RVU 0.08 changed to 0.09
- Practice expense GPCI 1.044 changed to 1.033
- Malpractice GPCI 2.653 changed to 2.490
Held through RVU15B.
January 1, 2014
RVU14A
$255.90changed to$246.26
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 4.93 changed to 4.37
- Practice expense GPCI 1.054 changed to 1.044
- Malpractice GPCI 2.815 changed to 2.653
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $255.90
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $184.19 | $79.18 | RVU26D |
| 2026-07-01 | $184.19 | $79.18 | RVU26C |
| 2026-04-01 | $184.19 | $79.18 | RVU26B |
| 2026-01-01 | $184.19 | $79.18 | RVU26A |
| 2025-10-01 | $188.59 | $93.25 | RVU25D |
| 2025-07-01 | $188.59 | $93.25 | RVU25C |
| 2025-04-01 | $188.59 | $93.25 | RVU25B |
| 2025-01-01 | $188.59 | $93.25 | RVU25A |
| 2024-10-01 | $240.80 | $119.78 | RVU24D |
| 2024-07-01 | $240.80 | $119.78 | RVU24C |
| 2024-04-01 | $240.80 | $119.78 | RVU24B |
| 2024-03-09 | $240.80 | $119.78 | RVU24AR |
| 2024-01-01 | $236.87 | $117.83 | RVU24A |
| 2023-10-01 | $246.23 | $122.58 | RVU23D |
| 2023-07-01 | $246.23 | $122.58 | RVU23C |
| 2023-04-01 | $246.23 | $122.58 | RVU23B |
| 2023-01-01 | $246.23 | $122.58 | RVU23A |
| 2022-10-01 | $249.02 | $122.99 | RVU22D |
| 2022-07-01 | $249.02 | $122.99 | RVU22C |
| 2022-04-01 | $249.02 | $122.99 | RVU22B |
| 2022-01-01 | $249.02 | $122.99 | RVU22A |
| 2021-10-01 | $255.01 | $124.01 | RVU21D |
| 2021-07-01 | $255.01 | $124.01 | RVU21C |
| 2021-04-01 | $255.01 | $124.01 | RVU21B |
| 2021-01-01 | $255.01 | $124.01 | RVU21A |
| 2020-10-01 | $258.26 | $129.40 | RVU20D |
| 2020-07-01 | $258.26 | $129.40 | RVU20C |
| 2020-04-01 | $258.26 | $129.40 | RVU20B |
| 2020-01-01 | $258.26 | $129.40 | RVU20A |
| 2019-10-01 | $260.15 | $131.10 | RVU19D |
| 2019-07-01 | $260.15 | $131.10 | RVU19C |
| 2019-04-01 | $260.15 | $131.10 | RVU19B |
| 2019-01-01 | $260.15 | $131.10 | RVU19A |
| 2018-10-01 | $262.09 | $132.06 | RVU18D |
| 2018-07-01 | $262.09 | $132.06 | RVU18C |
| 2018-04-01 | $262.09 | $132.06 | RVU18B |
| 2018-01-01 | $262.09 | $132.06 | RVU18AR1 |
| 2017-10-01 | $251.85 | $132.34 | RVU17D |
| 2017-07-01 | $251.85 | $132.34 | RVU17C |
| 2017-04-01 | $251.85 | $132.34 | RVU17B |
| 2017-01-01 | $251.85 | $132.34 | RVU17A |
| 2016-10-01 | $251.06 | $131.60 | RVU16D |
| 2016-07-01 | $251.06 | $131.60 | RVU16C |
| 2016-04-01 | $251.06 | $131.60 | RVU16B |
| 2016-01-01 | $251.06 | $131.60 | RVU16A |
| 2015-10-01 | $250.18 | $130.65 | RVU15D |
| 2015-07-01 | $250.18 | $130.65 | RVU15C |
| 2015-04-01 | $248.93 | $130.00 | RVU15B |
| 2015-01-01 | $248.93 | $130.00 | RVU15A |
| 2014-10-01 | $246.26 | $129.58 | RVU14D |
| 2014-07-01 | $246.26 | $129.58 | RVU14C |
| 2014-04-01 | $246.26 | $129.58 | RVU14B |
| 2014-01-01 | $246.26 | $129.58 | RVU14A |
| 2013-10-01 | $255.90 | $128.96 | RVU13D |
| 2013-07-01 | $255.90 | $128.96 | RVU13C |
| 2013-04-01 | $255.90 | $128.96 | RVU13B |
| 2013-01-01 | $255.90 | $128.96 | RVU13AR |
Where the Miami, FL rate applies
Miami, FL is a Medicare payment area, not a city. Our Census mapping connects it to 83 cities and communities in Florida. Some span more than one payment area; confirm with the service ZIP.
- Miami
- Aventura
- Bal Harbour
- Bay Harbor Islands
- Big Coppitt Key
- Big Pine Key
- Biscayne Gardens
- Biscayne Park
96922 billing questions
How is 96922 distinguished from 96920 and 96921?
Choose among these codes by the total skin area treated for psoriasis: 96922 is for more than 500 square centimeters. The number of plaques alone does not determine the tier.
What area should the documentation support?
Document the total skin area treated during the session and enough detail to support that measurement. The code tier is based on treated area, not lesion count.
Does modifier 50 apply when treatment covers both sides of the body?
No. CMS identifies bilateral adjustment as inappropriate for this code; report the applicable area tier rather than appending modifier 50.
How are same-session procedures affected by the multiple-procedure rule?
When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the other procedures are subject to the standard 50% reduction.
Is same-day preoperative or postoperative care separately included?
The 0-day global period includes same-day preoperative and postoperative care.
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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