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Q0091 is for collecting a screening Pap smear (not diagnostic)

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Several of these commenters requested that CMS maintain the work floor of 1.0 and freeze Arkansas' 2025 GPCI values while a comprehensive review is conducted, or recalculate the Arkansas PE GPCI using current, disaggregated data that reflects real regional cost variation within the state, or at a minimum appropriately weighs the rate based on the population centers experiencing the highest costs, which service the majority of the state's population