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This work was supported by the Lorenzo and Pamela Galli Medical Research Trust

Response: As discussed in the previous response, we stated in the CY 2023 PFS final rule (87 FR 69711 through 69720) that the burden of the JW and JZ modifier requirements is not a recent occurrence, as the JW modifier policy has been in place since 2017 and was codified in the CY 2023 final rule without change

Similarly, it is possible to use cyanine dyes that disturb mitochondrial functionality (inhibition of dihydroorotate dehydrogenase, STAT3 phosphorylation and mitochondrial respiration complexes) 107,124,126,127