If an entity wishes to utilize any AHA materials, please contact the AHA at 312-893-6816. Each surgeon will be reimbursed 62.5% of the allowed amount. Treatment Description. The AMA is your steadfast ally from classroom to Match to residency and beyond. 21160 $2,679.94 0000004210 00000 n On June 30, 2009, within the post-op period of the cataract removal surgery, a YAG laser capsulotomy (CPT code 66821) was performed on the right eye. 21268 $1,739.00 This warning banner provides privacy and security notices consistent with applicable federal laws, directives, and other federal guidance for accessing this Government system, which includes all devices/storage media attached to this system. Please click here to see all U.S. Government Rights Provisions. You should report inpatient consultation services using an Initial Hospital Care code (99221-99223) for the initial evaluation, and a Subsequent Hospital Care code (99231-99233) for subsequent visits. 25 Significant, separately identifiable E&M service same practitioner same day May allow E&M payment separate from another service; requires supporting documentation : 26 Professional component: Pays professional component only (*refer to practitioner fee schedule, Notes A, B, C) 50 Bilateral procedure: Bill procedure code one time with modifier and quantity "1" to indicate bilaterals . 21012 $329.50 If multiple services are submitted with modifiers indicating assistants at surgery, each service is independently reviewed (based on the above-listed indicators) to determine payment. Assistant at surgery may not be paid. 21143 $1,270.64 %PDF-1.4 % 21031 $295.00 In fact, Medicare does not. 21070 $601.17 Note: The information obtained from this Noridian website application is as current as possible. A licensed physician assistant 3. Assistant at surgery may be paid. Revenue Codes Requiring CPT or HCPCS Codes: CPCP018: 10/27/2022: View: Paravertebral Facet Injection Procedure Coding & Billing Policy: CPCP036: 12/22/2022: View: Pneumatic Compression Devices . Assistant surgeon CPT codes Medical Billing CPT ModifiersAssistant surgeon CPT codes not covered list 3000 39400 30000 procedure codes that are "Nevers" for assistant surgeon. Medicare Fee for Office Visit CPT Codes - CPT Code 99213, 99214, 99203; Medicare Fee Schedule, Payment and Reimbursement Benefit Guideline, . <<4920F65ACFB5B2110A0060FF8C42FF7F>]/Prev 129922>> CMS Internet Only Manual (IOM) Reason & Remark Codes ; Acronyms and Glossary ; Calculators/Tools : External Resources; www.CMS.gov ; Assistant Surgeon Policy Oxford Health PlansAssistant Surgeon Policy: Reimbursement Policy (Effective 01/11/2016) CPT/HCPCS codes allowed for assistant surgeon reimbursement) to reflect annual code edits: o Added 54437 and 54438 o Removed 21810, 33332, 33472, 33960, 42508, 43350, MODIFIERS Professional Claims BCBSTXMODIFIERS Professional Claims Effective 8/27/07 Blue Cross and Blue Shield of Texas/HMO Blue Texas accept all valid CPT and HCPCS Assistant Surgeon Modifiers Modifier 80, 81, 82: Denote assistant surgeons. In this episode of Making the Rounds, learn about one resident's experience of not matching, offering insight on coping and how unmatched applicants can find a position. To license the electronic data file of UB-04 Data Specifications, contact AHA at (312) 893-6816. 0000004872 00000 n When denying non-covered assistant at surgery services for HCPCS/CPT codes with a payment policy indicator of "'0" (Payment restriction for assistants at surgery applies to this procedure unless supporting documentation is submitted to establish medical necessity) or "2" (Payment restrictions for assistants at surgery does not apply to this 20206 $109.00 allowed amount or eligible expense in benefit plan documents). 1 0 obj 20808 $4,002.10 AMA CPT-4 codes, undergo revision by their governing entities on a regular basis. IF YOU DO NOT AGREE WITH ALL TERMS AND CONDITIONS SET FORTH HEREIN, CLICK ABOVE ON THE LINK LABELED "I Do Not Accept" AND EXIT FROM THIS COMPUTER SCREEN. 21267 $1,489.00 0000004824 00000 n Some general guidelines to help in the submission of an NDC drug code include: Submit an NDC code along with the appropriate HCPCS or CPT drug code and the number of HCPCS/CPT drug code units. AMA members get discounts on prep courses and practice questions. Benefit Restrictions . 0000019895 00000 n 0000004728 00000 n <>stream Learn about the latest changes for CPT Category III Codes for emerging technologies, services and procedures. 0000002242 00000 n This article introduces the Janssen single dose vaccine code (91303) and its associated administration code (0031A). Continue Reading. 2. 0000005463 00000 n 0000011084 00000 n Reimbursement by Procedure Codes 20000 29999 Effective Jan. 1, 2015 Up Next. 21256 $1,089.96 0000030598 00000 n 0000005083 00000 n Not every residency match is made to last, as more than 1,000 residents transfer programs each year. 2 = Payment restriction for assistants at surgery does not apply to this procedure. 21345 $705.00 CMS WILL NOT BE LIABLE FOR ANY CLAIMS ATTRIBUTABLE TO ANY ERRORS, OMISSIONS, OR OTHER INACCURACIES IN THE INFORMATION OR MATERIAL COVERED BY THIS LICENSE. Ambulatory Surgical Center (ASC). 0000023372 00000 n 0000005853 00000 n 21081 $1,684.94 21123 $818.00 20902 $290.70 The global period for YYY procedures is defined by the Carrier (A/B MAC processing practitioner service claims). 25 37 21280 $481.35 Note: Non Physician Practitioner (NPP) or mid-level practitioner (PA, NP, CNS): Allowed equals 85% of surgical assist or 16% allowable, Inappropriate to bill AS modifier for physician surgical services, Inappropriate to append modifier 58 (staging) with assistant surgery. Updated cross references and policy format. 21199 $950.84 Modifier 80, 81, 82: Denote assistant surgeons. Officials and members gather to elect officers and address policy at the 2023 AMA Annual Meeting being held in Chicago, June 9-14, 2023. Assistant Surgeon Policy EmblemHealth1. 21244 $959.84 43846 80 . Physicians should report the HCPCS/CPT code that describes the procedure performed to the greatest specificity possible. 633 N. Saint Clair St. End Users do not act for or on behalf of the CMS. 2 Surgery: Cardiovascular System ____ 2014 . Removed CMS Assistant at Surgery status indicator table. 20969 $2,688.44 Medicare Fee Schedule, Payment and Reimbursement Benefit Guideline, Medicare revalidation process how often provide need to do FAQ, Step by step Guide Medicare participation program. Surgery: Cardiovascular System 1. This system is provided for Government authorized use only. CPT is a trademark of the AMA. 2020 CPT CODE ADDITIONS 2 92202 One of the following ICD-10-CM diagnosis codes is required on the claim: B39.4, B39.5, B39.9, B58.01, . %%EOF Any questions pertaining to the license or use of the CPT must be addressed to the AMA. License to use CPT for any use not authorized here in must be obtained through the AMA, CPT Intellectual Property Services, 515 N. State Street, Chicago, IL 60610. 0000018245 00000 n 2 Surgery: Cardiovascular System ____ 2014 , Assistant surgeon CPT codes Medical Billing CPT Modifiers. 21046 $937.00 It also provides guidance on the . "{kAsi_k|'|4 ,bBHc`vQ $\X(?q|NXYq_a}[|[aOQb`Rf,P`GY(](?O?z_. For U.S. Government and other information systems, information accessed through the computer system is confidential and for authorized users only. Set yourself up for success with tips and tools on choosing a residency program. Management Of Back And Neck Pain: Who Seeks Care From Physical Therapists? 0000005235 00000 n 21198 $1,058.35 This modifier is not intended for use by non-physician providers. All our content are education purpose only. Telehealth provides a way for physicians to provide care while keeping patients safe in their homes. 0000011635 00000 n Modifier 90; Reference (Outside) Laboratory . 21122 $627.00 Complete Global Service Data for Orthopaedic Surgery 2020 Cpt 1999 OrthopedicCptCodeCheatSheet Downloaded from sdslife.mindspacetech.com by guest KYLEE YADIRA CPT 2021 Express Reference Coding Card: Dermatology Amer Assn of Neurological Surgeons For a better understanding of the latest revisions to the CPT code set, rely on the best-selling . 20501 $23.44 60000 procedure codes that are "Nevers" for assistant surgeon The below table identified procedure codes that are not eligible for reimbursement when reported by an Assistant Surgeon. 21249 $1,450.00 0 CDT is provided "as is" without warranty of any kind, either expressed or implied, including but not limited to, the implied warranties of merchantability and fitness for a particular purpose. Actual payment will be based on Health Options policies, procedures, and Customer Benefit Plans. CPT codes, descriptions and other data only are copyright 2002-2020 American Medical Association (AMA). 2023 Blue Cross Blue Shield of North Dakota, Please wait while your form is being submitted, Directory Validation Instructions (No Surprises Act), Recredentialing & Credentialing Applications, Multiple Procedures Payment Reduction for Medical and Surgical Services Reimbursement Policy, CPT (Current Procedural Terminology) | AMA, Routine claim editing logic, including but not limited to incidental or mutually exclusive logic, and medical necessity. Some modifiers can only be used with a particular category and some are not compatible with others. The Medicaid rates for ambulance services are calculated in accordance with 1 TAC 355.8600. 2. Modifier Description 62 Two surgeons . 20251 $393.07 0 VP 3P X 0000002288 00000 n 21082 $1,383.00 21086 $1,795.27 The AMA does not directly or indirectly practice medicine or dispense medical services. A HCPCS/CPT code should be reported only if all services described by the code are performed. For Medicare purposes, modifiers are two-digit codes that may consist of alpha and/or numeric characters, which may be appended to Healthcare Common Procedure Coding System (HCPCS) procedure codes to provide additional information needed to process a claim. 0000016094 00000 n 0000069971 00000 n 21083 $1,358.00 Refer to the Multiple Procedures Payment Reduction for Medical and Surgical Services Reimbursement Policy for additional information. <> 21348 $1,064.51 Valid indicators are: 0 = Payment restriction for assistants at surgery applies to this procedure unless supporting documentation is submitted to establish medical necessity. hb```^V @16, ' 00oX>lbR{X`GX&~"IuEMe>grv%*:;kl`6 HxkVb5?}&H>d8`pC5BQ@Ko7sRw> , Discover CPTs role in promoting optimal health for all. 21044 $817.33 Another surgeon. 0000013981 00000 n 21079 $1,632.40 21275 $754.82 The AMA is a third-party beneficiary to this license. 20805 $3,089.63 0000007696 00000 n 20975 $170.86 To report services of an assistant surgeon, the following surgical modifiers should be appended: 80 Assistant Surgeon: This modifier pertains to physicians services only. This Agreement will terminate upon notice to you if you violate the terms of this Agreement. else{document.getElementById("usprov").href="/web/"+"jeb"+"/help/us-government-rights";}, Advance Beneficiary Notice of Noncoverage (ABN), Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS), Medicare Diabetes Prevention Program (MDPP), Diabetic, Diabetes Self-Management Training (DSMT) and Medical Nutrition Therapy (MNT), Fee-for-Time Compensation Arrangements and Reciprocal Billing, Independent Diagnostic Testing Facility (IDTF), Documentation Requests: How, Who and When to Send, Medical Documentation Signature Requirements, Supplemental Medical Review Contractor (SMRC), Unified Program Integrity Contractor (UPIC), Provider Outreach and Education Advisory Group (POE AG), PECOS and the Identity and Access Management System, Provider Enrollment Reconsiderations, CAPs, and Rebuttals, CMS Internet Only Manual (IOM), Publication 100-04, Medicare Claims Processing Manual, Chapter 12, Section 20.4.3, click here to see all U.S. Government Rights Provisions, American Hospital Association Online Store, Assist-at-surgery allowed with appended modifiers 80, 81, or 82, Allowed = 16% of surgery fee schedule allowable. 60000 62281 64479 64744 65775 66982 67800 68340 69450 60100 62282 64480 64774 65778 66983 67801 68360 69501 60300 62284 64483 64776 65779 Current Procedural Terminology (CPT) codes provide a uniform nomenclature for coding medical procedures and services. 21182 $1,905.99 NDC code must follow the 11-digit billing format with no spaces, hyphens or special characters in the number. 0000006141 00000 n x=k]o'my8]*Ud7v8ko]6Zo~%n4~~kV m[-ef/SufspbZ?1xn_8 DE 0vW]y#?=p?: 0"W2/"(2[ida_(?.(W?/y{@0J:e^r"l0f*u7sysd|76s!8>(K,2CD? 21325 $333.00 Medicare only covers three immunizations (influenza, pneumonia, and hepatitis B) as prophylactic physician services. A HCPCS/CPT code should be reported only if all services described by the code are performed. 0000094755 00000 n The Medicaid rates for ASCs are calculated in . In no event shall CMS be liable for direct, indirect, special, incidental, or consequential damages arising out of the use of such information or material. Specific issues unique to this section of CPT are clarified in this Chapter. Reproduced with permission. The NDC code must be active for the date of . 25 0 obj 21080 $1,854.59 Subject to the terms and conditions contained in this Agreement, you, your employees, and agents are authorized to use CDT only as contained in the following authorized materials and solely for internal use by yourself, employees and agents within your organization within the United States and its territories. 21014 $509.50 The ADA is a third-party beneficiary to this Agreement. 20956 $2,565.01 Evaluation & Management, Medicine, Physical Therapy. 20937 $167.17 The Current Procedural Terminology (CPT) code set helps spur and integrate care innovation. Assistant surgeons' Fees Should Be Paid For Almost All , Assistant surgeons' fees should be paid for surgeon for these procedures has been found so indisputably necessary that Medicare and Medicaid pay nation-wide for an assistant surgeon for procedure codes: 28289 which lists all of the surgical CPT codes and indicates whether there is a , Assistant At Surgery (Modifiers 80/81/82/AS) Providers , Subject: Assistant at Surgery (Modifiers 80/81/82/AS) Effective Date: Services should be billed with CPT codes, reductions to the assistant surgeon in accordance with Louisiana Department of Health and Hospitals . All rights reserved. 20827 $1,844.00 These materials contain Current Dental Terminology, (CDT), copyright 2020 American Dental Association (ADA). 9 Not applicable concept (e.g., service is not surgery). College of Surgeons as its primary source for determining if an assistant surgeon is clinically valid for a, CMS Manual System . CPT Code Reimbursement endobj 20816 $2,022.11 21247 $1,543.98 Reimbursement by Procedure Codes 20000 29999 Effective Jan. 1, 2015 If you find anything not as per policy. Mandated or legislative required criteria will always supersede. 81 Minimum Assistant Surgeon endobj 1, 10-01-03) B3-15044 state: For assistant at surgery services performed by physicians, the fee schedule amount equals 16 percent of the amount otherwise applicable for the global surgery. 21196 $1,362.35 Article. 21347 $1,008.00 29 0 obj The outcome is to submit CPT modifier 78 with CPT code 49002. registered for member area and forum access, https://www.cms.gov/apps/physician-fee-schedule/search/search-results.aspx?Y=0&T=1&HT=0&H1=69990&M=5, https://www.cms.gov/apps/physician-fee-schedule/search/search-criteria.aspx, http://www.cms.gov/Medicare/Coding/ect=/NationalCorrectCodInitEd/NCCIEP/list.asp, http://www.cms.gov/Outreach-and-Edus/downloads/How_to_MPFS_Booklet_ICN901344.pdf, https://www.novitas-solutions.com/partb/reimbursement/mfsdbhelp.html, https://www.noridianmedicare.com/partb/fees/docs/2013/2013_mpfs_indicator_descriptors.pdf. 31 0 obj <>/Rotate 0/Type/Page>> Added a note that codes are updated quarterly. In all the above instances, if an assistant surgeon is used, individual consideration will be used to determine if the assistant surgeon will be covered. `[ELd}CGa= F(!V: =Q 0VB5 W5*WuU}8-cPZ99%t/50 The outcome is to submit CPT modifier 78 with CPT . 4510 13th Ave. S. 0000012547 00000 n 21310 $66.00 Medical CPT codes are critical to streamlining reporting and increasing accuracy and efficiency, as well as for administrative purposes such as claims processing and developing guid. Medical CPT codes are critical to streamlining reporting and increasing accuracy and efficiency, as well as for administrative purposes such as claims processing and developing guidelines for medical care review. These rates are provided for informational purposes only and are not to be considered a guarantee of payment. Procedures with a global period of MMM are maternity procedures. License to use CDT for any use not authorized herein must be obtained through the American Dental Association, 211 East Chicago Avenue, Chicago, IL 60611. Providers must list this code separately in addition to the code for the primary procedure. Blue Cross Blue Shield of North Dakota is an independent licensee of the Blue Cross Blue Shield Association, serving residents and business in North Dakota. 0000003488 00000 n <>/Outlines 21 0 R/Pages 22 0 R/Type/Catalog>> Mohs surgical procedure may extend beyond the initial date of service, thus there are 3 Add-on codes (+17312, +17314 . &*_Km/@T9 xa6|I/ZUS(X6N*~v]zw' NF_=T\QwcQ <> The CMS DISCLAIMS RESPONSIBILITY FOR ANY LIABILITY ATTRIBUTABLE TO END USER USE OF THE CPT. <> You shall not remove, alter, or obscure any ADA copyright notices or other proprietary rights notices included in the materials. Chicago, IL 60611. 0000001878 00000 n The surgeon typically pays the co-surgeon/assistant out of the revenue . CPT Codes, Descriptors, and other data only are copyright 1999 American Medical Association (or such other date of publication of CPT). 20551 $54.25 An additional 16% will be allowed to the assistant surgeon if criteria for assistant surgeon services . 0000005150 00000 n 0000031829 00000 n endobj The assistant at surgery procedure code eligible list is developed based on The Center for Medicare & Medicaid Services (CMS) Physician Fee Schedule (PFS) Relative Value Unit (RVU) File status indicators. The reimbursement amount is dependent upon the assistant surgeon modifier appended to the surgical code submitted. If this is a U.S. Government information system, CMS maintains ownership and responsibility for its computer systems. Assistant Surgeon and Cesarean Sections Only a non-global cesarean section delivery code (CPT codes 59514 or 59620) is a reimbursable service when submitted with an appropriate assistant surgeon modifier. The American College of Surgeons (ACS), in collaboration with 15 other national specialty surgical organizations, has recently published the eighth edition of thePhysicians as Assistants at Surgeryreport, a study first undertaken in 1994. 20692 $396.90 However, those general guidelines from Chapter I not discussed in this Chapter are nonetheless applicable. Note: This modifier is used in the private insurance industry and is not commonly used in Medicare billing. 21120 $457.00 Those where the assistant surgeon concept does not apply (Indicator 9). While reimbursement is considered, payment determination is subject to, but not limited to: In instances where the provider is participating, based on member benefits, co-payment, coinsurance, and/or deductible shall apply. Code surg cardio. (Examples: Obstetrical Billing & Multiple Birth Guidelines Quick Reference Guide . Bernadine Singh Chief Medical Fee Examiner CPT Codes and Fees, Effective January 1-June 30, 2015: ABBREVIATIONS: Asst Surg = assistant surgeon allowed, BM = bilateral modifier, , Obstetrical Billing & Multiple Birth Guidelines Quick , Surgical Complications These services should be coded separately using CPT codes from the Surgery section of the CPT manual. Residents and fellows deciding on a practice setting should be armed with all the relevant details. CPT is provided "as is" without warranty of any kind, either expressed or implied, including but not limited to, the implied warranties of merchantability and fitness for a particular purpose. 1 The assistant surgeon may not be paid. A physician should not separately report these services simply because HCPCS/CPT codes exist for them. An endocrinologist shares necessary steps to take to protect your kidneys. 21172 $1,619.39 20982 $3,772.65 Applications are available at the AMA Web site, https://www.ama-assn.org. 21240 $1,061.22 You agree to take all necessary steps to ensure that your employees and agents abide by the terms of this agreement. 61 0 obj 20520 $135.00 The AMA promotes the art and science of medicine and the betterment of public health. endobj Minimal surgical assistance may be identified by adding the modifier 81 to the usual procedure code, and describes an assistant surgeon providing minimal assistance to the primary surgeon. 20615 $124.00 26 0 obj 0000001846 00000 n 21139 $955.93 A: . The global concept does not apply to XXX procedures. 0000004920 00000 n 21087 $1,775.09 20245 $428.00 Contractors may not pay assistants-at-surgery for surgical procedures in which a physician is used as an assistant-at-surgery in fewer than five percent of the cases for that procedure nationally. CPT Level I codes & modifiers HCPCS Level II codes & modifiers CDT CPT Assistant +Archives AHA Coding , CPT Codes And Fees: 2015 CPT Codes North CarolinaCPT Codes and Fees: 2015 CPT Codes. 81 Assistant Surgeon: This modifier pertains to physicians services only. 20824 $2,166.45 You may also contact AHA at ub04@healthforum.com. All rights reserved. 21195 $1,240.00 Get timely provider information including policy, benefits, coding or billing updates, education, and moredelivered directly to your email. An assistant at surgery is a provider who actively assists the physician in charge of a case in performing a surgical procedure. 474 0 obj <> endobj These rates are provided for informational purposes only and are not to be considered a guarantee of payment.Actual payment will be based on Health Options policies, procedures, and Customer Benefit Plans. 21100 $270.00 Assistant surgeons submit procedure code(s), with the appropriate modifier appended (80, 81, 82, or AS) to represent their service(s). 0000070377 00000 n 28 0 obj 21147 $1,516.00 20972 $2,240.70 20102 $286.00 Codes with CMS Co-Surgery Indicators of 0 and 9 should not be billed with modifier 62. This section summarizes some of the rules. 21356 $337.00 These rates are provided for informational purposes only and are not to be considered a guarantee of payment. This page outlines the basis for reimbursement if the service is covered by an Anthem member's benefit plan. AMA Press. 20926 $361.00 When a surgeon is unavailable to serve as an assistant, a qualified surgical resident or other qualified health care professional, such as a nurse practitioner or physician assistant with experience in assisting, may participate in operations, according to the ACSStatements on Principles. (Modifier SA is used when the PA, APN, or CRNFA is assisting with any other procedure that DOES NOT include surgery. Confidential A physician, nurse practitioner, physician assistant or clinical nurse specialist who is authorized to provide such services under state law can serve as an assistant at surgery. AMA Disclaimer of Warranties and Liabilities Medicare does not recognize a registered nurse first assistant (RNFA) as a qualified Medicare provider. LICENSE FOR NATIONAL UNIFORM BILLING COMMITTEE ("NUBC"), Point and Click American Hospital Association Copyright Notice, Copyright 2021, the American Hospital Association, Chicago, Illinois. 20690 $241.26 0000068429 00000 n You, your employees and agents are authorized to use CPT only as contained in the following authorized materials: Local Coverage Determinations (LCDs), training material, publications, and Medicare guidelines, internally within your organization within the United States for the sole use by yourself, employees and agents. In some cases, the service the physician provides may not meet the documentation requirements for the lowest level initial hospital visit (99221). Here you'll find the AMA's latest updates on new CPT codes, code proposals and revisions, CPT code reimbursement and more. which insurance is primary. %PDF-1.7 21085 $393.00 0000069053 00000 n 0000020908 00000 n CMS DISCLAIMER. 0000005394 00000 n 21248 $1,135.13 Updated policy section for how assistant surgery claims are submitted. You are using an out of date browser. Keep in mind that determination of coverage under a member's plan does not necessarily ensure reimbursement . xref Issue briefs summarize key health policy issues by providing concise and digestible content for both relevant stakeholders and those who may know little about the topic. Resource. 20555 $269.83 Assistant Surgeon Charges , Payment Of Assistant At Surgery Services In A Method II , (minimum assistant surgeon), or 82 (when qualified resident surgeon not available). 0000004022 00000 n 21193 $1,180.32 3 0 obj 1/1/2020 Policy Version Change Assistant-at-Surgery policy list updated History/Updates section: Entries prior to 1/1/2018 archived 21076 $900.00 21194 $1,319.83 All procedures on the Medicare Physician Fee Schedule are assigned a global period of 000, 010, 090, XXX, YYY, ZZZ, or MMM. Surgery: Cardiovascular System 1. Confidential, These rates are provided for informational purposes only and are not to be considered a guarantee of payment.Actual payment will be based on Health Options policies, procedures, and Customer Benefit Plans. 0000004173 00000 n If you find anything not as per policy. 20938 $182.41 Reimbursement for a second assistant surgeon is allowed. endobj The identical code as the primary surgeon is not required in all situations. A licensed physician assistant 3. CPT Codes, Descriptors, and other data only are copyright 1999 American Medical Association (or such other date of publication of CPT). List. 20663 $404.00 Assistant surgeon may be paid. 21077 $2,403.71 Policy. <<77F8C580A035DD40AD1E242153D192BE>]>> These rates are provided for informational purposes only and are not to be considered a guarantee of payment.
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