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Appendix G: Rates Table Template
ICR 202604-0938-001 · OMB 0938-1187 · Object 167619700.
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Document Metadata
| File Type | application/octet-stream |
|---|---|
| File Title | Appendix G: Rates Table Template |
| Subject | Appendix G: Rates Table Template v11.0 |
| Keywords | Centers for Medicare & Medicaid Services |
| Author | CMS |
| File Modified | 2025-03-16 |
| File Created | 2021-10-13 |
| Conversion State | complete |