durable medical equipment, prosthetics, orthotics, and ... · pdf filedurable medical...
TRANSCRIPT
Durable Medical Equipment,
Prosthetics, Orthotics, and Supplies
(DMEPOS)
Revised 2014 Fee Schedule
HCPCS Mod Description JURIS CATG Ceiling Floor
A4604 NU Tubing with heating element D IN $62,96 $53,52
A4619 NU Face tent D IN $2,03 $1,73
A7003 NU Nebulizer administration set D IN $3,00 $2,55
A7004 NU Disposable nebulizer sml vol D IN $1,98 $1,68
A7005 NU Nondisposable nebulizer set D IN $33,71 $28,65
A7006 NU Filtered nebulizer admin set D IN $10,43 $8,87
A7007 NU Lg vol nebulizer disposable D IN $5,05 $4,29
A7010 NU Disposable corrugated tubing D IN $25,80 $21,93
A7012 NU Nebulizer water collec devic D IN $4,14 $3,52
A7013 NU Disposable compressor filter D IN $0,91 $0,77
A7014 NU Compressor nondispos filter D IN $4,91 $4,17
A7015 NU Aerosol mask used w nebulize D IN $2,06 $1,75
A7017 NU Nebulizer not used w oxygen D IN $146,57 $124,58
A7017 RR Nebulizer not used w oxygen D IN $14,67 $12,47
A7017 UE Nebulizer not used w oxygen D IN $109,92 $93,43
A7018 Water distilled w/nebulizer D SU $0,41 $0,35
A7020 NU Interface, cough stim device D IN $15,83 $13,46
A7025 NU Replace chest compress vest D IN $475,63 $404,29
A7026 NU Replace chst cmprss sys hose D IN $31,44 $26,72
A7027 NU Combination oral/nasal mask D IN $203,97 $173,37
A7028 NU Repl oral cushion combo mask D IN $54,19 $46,06
A7029 NU Repl nasal pillow comb mask D IN $22,13 $18,81
A7030 NU Cpap full face mask D IN $177,80 $151,13
A7031 NU Replacement facemask interfa D IN $65,76 $55,90
A7032 NU Replacement nasal cushion D IN $38,20 $32,47
A7033 NU Replacement nasal pillows D IN $26,78 $22,76
A7034 NU Nasal application device D IN $110,87 $94,24
A7035 NU Pos airway press headgear D IN $37,45 $31,83
A7036 NU Pos airway press chinstrap D IN $17,14 $14,57
A7037 NU Pos airway pressure tubing D IN $38,65 $32,85
A7038 NU Pos airway pressure filter D IN $5,09 $4,33
A7039 NU Filter, non disposable w pap D IN $14,44 $12,27
A7044 NU Pap oral interface D IN $113,96 $96,87
A7045 NU Repl exhalation port for pap D IN $18,34 $15,59
A7045 RR Repl exhalation port for pap D IN $1,83 $1,56
A7045 UE Repl exhalation port for pap D IN $13,77 $11,70
A7046 NU Repl water chamber, pap dev D IN $18,38 $15,62
E0424 RR Stationary compressed gas 02 D OX $0,00 $0,00
E0431 RR Portable gaseous 02 D OX $0,00 $0,00
E0433 RR Portable liquid oxygen sys D OX $0,00 $0,00
E0434 RR Portable liquid 02 D OX $0,00 $0,00
E0439 RR Stationary liquid 02 D OX $0,00 $0,00
E0441 Stationary o2 contents, gas D OX $0,00 $0,00
E0442 Stationary o2 contents, liq D OX $0,00 $0,00
E0443 Portable 02 contents, gas D OX $0,00 $0,00
E0444 Portable 02 contents, liquid D OX $0,00 $0,00
E0450 RR Vol control vent invasiv int D FS $1.043,81 $887,24
E0460 RR Neg press vent portabl/statn D FS $802,19 $681,86
E0461 RR Vol control vent noninv int D FS $1.043,81 $887,24
E0463 RR Press supp vent invasive int D FS $1.537,95 $1.307,26
E0464 RR Press supp vent noninv int D FS $1.537,95 $1.307,26
E0470 RR Rad w/o backup non-inv intfc D CR $241,85 $205,57
E0471 RR Rad w/backup non inv intrfc D CR $605,26 $514,47
E0472 RR Rad w backup invasive intrfc D CR $605,26 $514,47
E0482 RR Cough stimulating device D CR $470,26 $399,72
E0485 NU Oral device/appliance prefab D IN $0,00 $0,00
E0485 RR Oral device/appliance prefab D IN $0,00 $0,00
E0485 UE Oral device/appliance prefab D IN $0,00 $0,00
E0486 NU Oral device/appliance cusfab D IN $0,00 $0,00
E0486 RR Oral device/appliance cusfab D IN $0,00 $0,00
E0486 UE Oral device/appliance cusfab D IN $0,00 $0,00
E0561 NU Humidifier nonheated w pap D IN $100,85 $85,72
E0561 RR Humidifier nonheated w pap D IN $10,07 $8,56
E0561 UE Humidifier nonheated w pap D IN $75,63 $64,29
E0562 NU Humidifier heated used w pap D IN $283,91 $241,32
E0562 RR Humidifier heated used w pap D IN $28,37 $24,11
E0562 UE Humidifier heated used w pap D IN $212,93 $180,99
E0565 RR Compressor air power source D CR $66,72 $56,71
E0570 RR Nebulizer with compression D CR $0,00 $0,00
E0572 RR Aerosol compressor adjust pr D CR $41,65 $35,40
E0580 NU Nebulizer for use w/ regulat D IN $126,34 $107,39
E0580 RR Nebulizer for use w/ regulat D IN $12,64 $10,74
E0580 UE Nebulizer for use w/ regulat D IN $94,74 $80,53
E0585 RR Nebulizer w/ compressor & he D CR $38,34 $32,59
E0601 RR Cont airway pressure device D CR $105,29 $89,50
E1372 NU Oxy suppl heater for nebuliz D IN $178,28 $151,54
E1372 RR Oxy suppl heater for nebuliz D IN $25,91 $22,02
E1372 UE Oxy suppl heater for nebuliz D IN $131,97 $112,17
E1390 RR Oxygen concentrator D OX $0,00 $0,00
E1391 RR Oxygen concentrator, dual D OX $0,00 $0,00
E1392 RR Portable oxygen concentrator D OX $0,00 $0,00
K0738 RR Portable gas oxygen system D OX $0,00 $0,00
AL AR AZ CA CO CT DC DE FL
$62,96 $62,96 $62,96 $62,96 $62,96 $62,96 $62,96 $62,96 $62,96
$2,03 $2,03 $2,03 $2,03 $2,03 $2,03 $2,03 $2,03 $2,03
$3,00 $3,00 $3,00 $3,00 $3,00 $3,00 $2,55 $2,99 $2,85
$1,68 $1,68 $1,98 $1,98 $1,68 $1,70 $1,98 $1,68 $1,68
$28,65 $28,65 $33,71 $33,71 $28,65 $32,05 $33,71 $30,39 $28,65
$10,43 $10,43 $10,43 $10,43 $10,43 $9,36 $10,43 $8,90 $10,36
$4,86 $4,82 $5,05 $5,05 $4,84 $4,60 $5,05 $4,34 $4,56
$21,93 $21,93 $25,80 $25,80 $21,93 $25,80 $25,80 $25,50 $21,93
$4,14 $4,14 $4,14 $4,14 $4,14 $4,13 $3,52 $3,92 $3,94
$0,77 $0,77 $0,91 $0,91 $0,77 $0,86 $0,91 $0,83 $0,77
$4,91 $4,91 $4,91 $4,91 $4,91 $4,68 $4,91 $4,41 $4,75
$2,06 $2,06 $2,06 $2,06 $2,06 $1,90 $1,79 $1,80 $2,06
$146,57 $146,57 $146,57 $146,57 $146,57 $146,57 $146,57 $146,57 $146,57
$14,67 $14,67 $14,67 $14,67 $14,67 $14,67 $14,67 $14,67 $14,67
$109,92 $109,92 $109,92 $109,92 $109,92 $109,92 $109,92 $109,92 $109,92
$0,35 $0,35 $0,41 $0,41 $0,35 $0,41 $0,41 $0,41 $0,35
$15,83 $15,83 $15,25 $15,83 $15,83 $15,25 $15,83 $15,25 $15,25
$475,63 $475,63 $475,63 $475,63 $475,63 $475,63 $475,63 $475,63 $475,63
$31,44 $31,44 $31,44 $31,44 $31,44 $31,44 $31,44 $31,44 $31,44
$203,97 $203,97 $196,13 $203,97 $203,97 $196,13 $203,97 $196,13 $196,13
$54,19 $54,19 $54,19 $54,19 $54,19 $54,19 $54,19 $54,19 $54,19
$22,13 $22,13 $22,13 $22,13 $22,13 $22,13 $22,13 $22,13 $22,13
$177,80 $177,80 $177,80 $177,80 $177,80 $177,80 $177,80 $177,80 $177,80
$65,76 $65,76 $65,76 $65,76 $65,76 $65,76 $65,76 $65,76 $65,76
$38,20 $38,20 $38,20 $38,20 $38,20 $38,20 $38,20 $38,20 $38,20
$26,78 $26,78 $26,78 $26,78 $26,78 $26,78 $26,78 $26,78 $26,78
$110,87 $110,87 $110,87 $110,87 $110,87 $110,87 $110,87 $110,87 $110,87
$34,99 $34,67 $37,45 $37,45 $34,81 $35,18 $37,45 $33,39 $32,69
$14,98 $14,84 $17,14 $17,14 $14,93 $17,14 $14,57 $17,14 $14,57
$38,65 $38,29 $38,65 $38,65 $38,48 $38,65 $38,52 $36,96 $36,13
$5,09 $5,09 $5,09 $5,09 $5,09 $4,33 $4,33 $4,33 $4,84
$12,27 $12,27 $14,44 $14,44 $12,27 $14,44 $13,18 $14,44 $12,27
$113,96 $113,96 $113,96 $113,96 $113,96 $113,96 $113,96 $113,96 $113,96
$18,34 $18,34 $18,34 $18,34 $18,34 $18,34 $18,34 $18,34 $18,34
$1,83 $1,83 $1,83 $1,83 $1,83 $1,83 $1,83 $1,83 $1,83
$13,77 $13,77 $13,77 $13,77 $13,77 $13,77 $13,77 $13,77 $13,77
$18,38 $18,38 $18,38 $18,38 $18,38 $18,38 $18,38 $18,38 $18,38
$178,24 $178,24 $178,24 $178,24 $178,24 $178,24 $178,24 $178,24 $178,24
$29,97 $29,97 $29,97 $29,97 $29,97 $29,97 $29,97 $29,97 $29,97
$51,63 $51,63 $51,63 $51,63 $51,63 $51,63 $51,63 $51,63 $51,63
$29,97 $29,97 $29,97 $29,97 $29,97 $29,97 $29,97 $29,97 $29,97
$178,24 $178,24 $178,24 $178,24 $178,24 $178,24 $178,24 $178,24 $178,24
$77,45 $77,45 $77,45 $77,45 $77,45 $77,45 $77,45 $77,45 $77,45
$77,45 $77,45 $77,45 $77,45 $77,45 $77,45 $77,45 $77,45 $77,45
$77,45 $77,45 $77,45 $77,45 $77,45 $77,45 $77,45 $77,45 $77,45
$77,45 $77,45 $77,45 $77,45 $77,45 $77,45 $77,45 $77,45 $77,45
$887,24 $1.018,94 $1.043,81 $887,24 $887,24 $1.043,81 $939,88 $1.043,81 $1.043,81
$759,12 $802,19 $681,86 $713,68 $802,19 $802,19 $681,86 $681,86 $802,19
$887,24 $1.018,94 $1.043,81 $887,24 $887,24 $1.043,81 $939,88 $1.043,81 $1.043,81
$1.537,95 $1.537,95 $1.537,95 $1.537,95 $1.537,95 $1.537,95 $1.537,95 $1.537,95 $1.537,95
$1.537,95 $1.537,95 $1.537,95 $1.537,95 $1.537,95 $1.537,95 $1.537,95 $1.537,95 $1.537,95
$222,49 $241,85 $205,57 $232,16 $241,85 $226,00 $205,57 $205,57 $219,55
$514,47 $514,47 $605,26 $605,26 $529,26 $605,26 $514,47 $514,47 $514,47
$514,47 $514,47 $605,26 $605,26 $529,26 $605,26 $514,47 $514,47 $514,47
$460,46 $470,26 $436,45 $447,98 $470,26 $470,26 $470,26 $459,00 $430,45
$0,00 $0,00 $0,00 $0,00 $0,00 $0,00 $0,00 $0,00 $0,00
$0,00 $0,00 $0,00 $0,00 $0,00 $0,00 $0,00 $0,00 $0,00
$0,00 $0,00 $0,00 $0,00 $0,00 $0,00 $0,00 $0,00 $0,00
$0,00 $0,00 $0,00 $0,00 $0,00 $0,00 $0,00 $0,00 $0,00
$0,00 $0,00 $0,00 $0,00 $0,00 $0,00 $0,00 $0,00 $0,00
$0,00 $0,00 $0,00 $0,00 $0,00 $0,00 $0,00 $0,00 $0,00
$100,85 $100,85 $100,85 $100,85 $100,85 $100,85 $100,85 $100,85 $100,85
$10,07 $10,07 $10,07 $10,07 $10,07 $10,07 $10,07 $10,07 $10,07
$75,63 $75,63 $75,63 $75,63 $75,63 $75,63 $75,63 $75,63 $75,63
$283,91 $283,91 $283,91 $283,91 $283,91 $283,91 $283,91 $283,91 $283,91
$28,37 $28,37 $28,37 $28,37 $28,37 $28,37 $28,37 $28,37 $28,37
$212,93 $212,93 $212,93 $212,93 $212,93 $212,93 $212,93 $212,93 $212,93
$56,71 $56,71 $56,71 $66,72 $56,71 $66,72 $56,71 $56,71 $56,71
$17,62 $17,62 $17,62 $17,61 $17,62 $17,61 $17,61 $17,61 $17,61
$40,99 $41,65 $38,86 $39,92 $41,65 $41,65 $41,65 $40,87 $38,34
$126,34 $126,34 $126,34 $126,34 $126,34 $126,34 $126,34 $126,34 $126,34
$12,64 $12,64 $12,64 $12,64 $12,64 $12,64 $12,64 $12,64 $12,64
$94,74 $94,74 $94,74 $94,74 $94,74 $94,74 $94,74 $94,74 $94,74
$32,59 $38,34 $32,59 $38,34 $38,34 $38,34 $38,34 $38,34 $37,00
$105,29 $89,50 $105,29 $99,20 $92,32 $96,37 $101,65 $98,11 $89,50
$151,54 $178,28 $151,54 $151,54 $178,28 $178,28 $178,28 $178,28 $151,54
$22,02 $25,91 $22,02 $25,91 $25,91 $25,91 $25,91 $25,91 $22,02
$112,17 $131,97 $112,17 $112,17 $131,97 $131,97 $131,97 $131,97 $112,17
$178,24 $178,24 $178,24 $178,24 $178,24 $178,24 $178,24 $178,24 $178,24
$178,24 $178,24 $178,24 $178,24 $178,24 $178,24 $178,24 $178,24 $178,24
$51,63 $51,63 $51,63 $51,63 $51,63 $51,63 $51,63 $51,63 $51,63
$51,63 $51,63 $51,63 $51,63 $51,63 $51,63 $51,63 $51,63 $51,63
GA IA ID IL IN KS KY LA MA
$62,96 $62,96 $62,96 $62,96 $62,96 $62,96 $62,96 $62,96 $62,96
$2,03 $2,03 $2,03 $2,03 $2,03 $2,03 $2,03 $2,03 $2,03
$2,96 $3,00 $3,00 $2,55 $2,61 $3,00 $2,98 $3,00 $3,00
$1,68 $1,98 $1,98 $1,98 $1,98 $1,98 $1,68 $1,68 $1,70
$28,65 $33,71 $33,71 $33,71 $33,71 $33,71 $28,65 $28,65 $31,94
$10,43 $10,43 $10,43 $10,43 $10,43 $10,43 $10,43 $10,43 $9,34
$4,73 $5,05 $5,05 $5,05 $5,05 $5,05 $4,77 $4,96 $4,59
$21,93 $25,80 $25,80 $25,80 $25,80 $25,80 $21,93 $21,93 $25,80
$4,10 $4,14 $4,14 $3,52 $3,54 $4,14 $4,14 $4,14 $4,11
$0,77 $0,91 $0,91 $0,91 $0,91 $0,91 $0,77 $0,77 $0,86
$4,91 $4,91 $4,91 $4,91 $4,91 $4,91 $4,91 $4,91 $4,65
$2,06 $2,06 $2,06 $1,79 $1,87 $2,06 $2,06 $2,06 $1,88
$146,57 $146,57 $146,57 $146,57 $146,57 $146,57 $146,57 $146,57 $146,57
$14,67 $14,67 $14,67 $14,67 $14,67 $14,67 $14,67 $14,67 $14,67
$109,92 $109,92 $109,92 $109,92 $109,92 $109,92 $109,92 $109,92 $109,92
$0,35 $0,41 $0,41 $0,41 $0,41 $0,41 $0,35 $0,35 $0,41
$15,83 $15,83 $15,25 $15,83 $15,83 $15,25 $15,83 $15,83 $15,25
$475,63 $475,63 $475,63 $475,63 $475,63 $475,63 $475,63 $475,63 $475,63
$31,44 $31,44 $31,44 $31,44 $31,44 $31,44 $31,44 $31,44 $31,44
$203,97 $203,97 $196,13 $203,97 $203,97 $196,13 $203,97 $203,97 $196,13
$54,19 $54,19 $54,19 $54,19 $54,19 $54,19 $54,19 $54,19 $54,19
$22,13 $22,13 $22,13 $22,13 $22,13 $22,13 $22,13 $22,13 $22,13
$177,80 $177,80 $177,80 $177,80 $177,80 $177,80 $177,80 $177,80 $177,80
$65,76 $65,76 $65,76 $65,76 $65,76 $65,76 $65,76 $65,76 $65,76
$38,20 $38,20 $38,20 $38,20 $38,20 $38,20 $38,20 $38,20 $38,20
$26,78 $26,78 $26,78 $26,78 $26,78 $26,78 $26,78 $26,78 $26,78
$110,87 $110,87 $110,87 $110,87 $110,87 $110,87 $110,87 $110,87 $110,87
$34,02 $37,45 $37,45 $37,45 $37,45 $37,45 $34,34 $35,64 $35,04
$14,57 $17,14 $17,14 $14,57 $14,62 $17,14 $14,70 $15,26 $17,14
$37,59 $38,65 $38,65 $38,52 $38,65 $38,65 $37,94 $38,65 $38,65
$5,04 $5,09 $5,09 $4,33 $4,33 $5,09 $5,09 $5,09 $4,33
$12,27 $14,44 $14,44 $13,18 $13,87 $14,44 $12,27 $12,35 $14,44
$113,96 $113,96 $113,96 $113,96 $113,96 $113,96 $113,96 $113,96 $113,96
$18,34 $18,34 $18,34 $18,34 $18,34 $18,34 $18,34 $18,34 $18,34
$1,83 $1,83 $1,83 $1,83 $1,83 $1,83 $1,83 $1,83 $1,83
$13,77 $13,77 $13,77 $13,77 $13,77 $13,77 $13,77 $13,77 $13,77
$18,38 $18,38 $18,38 $18,38 $18,38 $18,38 $18,38 $18,38 $18,38
$178,24 $178,24 $178,24 $178,24 $178,24 $178,24 $178,24 $178,24 $178,24
$29,97 $29,97 $29,97 $29,97 $29,97 $29,97 $29,97 $29,97 $29,97
$51,63 $51,63 $51,63 $51,63 $51,63 $51,63 $51,63 $51,63 $51,63
$29,97 $29,97 $29,97 $29,97 $29,97 $29,97 $29,97 $29,97 $29,97
$178,24 $178,24 $178,24 $178,24 $178,24 $178,24 $178,24 $178,24 $178,24
$77,45 $77,45 $77,45 $77,45 $77,45 $77,45 $77,45 $77,45 $77,45
$77,45 $77,45 $77,45 $77,45 $77,45 $77,45 $77,45 $77,45 $77,45
$77,45 $77,45 $77,45 $77,45 $77,45 $77,45 $77,45 $77,45 $77,45
$77,45 $77,45 $77,45 $77,45 $77,45 $77,45 $77,45 $77,45 $77,45
$1.043,81 $991,14 $895,18 $1.043,81 $887,24 $1.005,00 $1.043,81 $915,40 $1.043,81
$802,19 $802,19 $802,19 $802,19 $681,86 $802,19 $802,19 $802,19 $681,86
$1.043,81 $991,14 $895,18 $1.043,81 $887,24 $1.005,00 $1.043,81 $915,40 $1.043,81
$1.537,95 $1.537,95 $1.537,95 $1.537,95 $1.537,95 $1.537,95 $1.537,95 $1.537,95 $1.537,95
$1.537,95 $1.537,95 $1.537,95 $1.537,95 $1.537,95 $1.537,95 $1.537,95 $1.537,95 $1.537,95
$241,85 $241,85 $241,85 $241,85 $241,85 $241,85 $241,85 $241,85 $218,45
$605,26 $514,47 $605,26 $573,63 $514,47 $605,26 $605,26 $514,47 $605,26
$605,26 $514,47 $605,26 $573,63 $514,47 $605,26 $605,26 $514,47 $605,26
$456,13 $470,26 $470,26 $470,26 $470,26 $470,26 $470,26 $461,94 $470,26
$0,00 $0,00 $0,00 $0,00 $0,00 $0,00 $0,00 $0,00 $0,00
$0,00 $0,00 $0,00 $0,00 $0,00 $0,00 $0,00 $0,00 $0,00
$0,00 $0,00 $0,00 $0,00 $0,00 $0,00 $0,00 $0,00 $0,00
$0,00 $0,00 $0,00 $0,00 $0,00 $0,00 $0,00 $0,00 $0,00
$0,00 $0,00 $0,00 $0,00 $0,00 $0,00 $0,00 $0,00 $0,00
$0,00 $0,00 $0,00 $0,00 $0,00 $0,00 $0,00 $0,00 $0,00
$100,85 $100,85 $100,85 $100,85 $100,85 $100,85 $100,85 $100,85 $100,85
$10,07 $10,07 $10,07 $10,07 $10,07 $10,07 $10,07 $10,07 $10,07
$75,63 $75,63 $75,63 $75,63 $75,63 $75,63 $75,63 $75,63 $75,63
$283,91 $283,91 $283,91 $283,91 $283,91 $283,91 $283,91 $283,91 $283,91
$28,37 $28,37 $28,37 $28,37 $28,37 $28,37 $28,37 $28,37 $28,37
$212,93 $212,93 $212,93 $212,93 $212,93 $212,93 $212,93 $212,93 $212,93
$66,72 $66,72 $64,28 $66,72 $66,72 $66,72 $56,71 $56,71 $66,72
$17,61 $17,61 $17,61 $17,61 $17,62 $17,62 $17,62 $17,62 $17,62
$40,63 $41,65 $41,65 $41,65 $41,65 $41,65 $41,65 $41,15 $41,65
$126,34 $126,34 $126,34 $126,34 $126,34 $126,34 $126,34 $126,34 $126,34
$12,64 $12,64 $12,64 $12,64 $12,64 $12,64 $12,64 $12,64 $12,64
$94,74 $94,74 $94,74 $94,74 $94,74 $94,74 $94,74 $94,74 $94,74
$32,59 $38,34 $32,59 $32,59 $38,34 $32,59 $38,34 $38,34 $32,59
$105,29 $105,29 $105,29 $105,29 $105,29 $105,29 $105,01 $89,50 $91,42
$151,54 $162,38 $178,28 $178,28 $161,79 $162,38 $161,17 $178,28 $178,28
$22,02 $22,02 $22,02 $25,91 $25,91 $25,91 $22,02 $25,91 $25,91
$112,17 $121,79 $131,97 $131,97 $121,35 $121,79 $120,88 $131,97 $131,97
$178,24 $178,24 $178,24 $178,24 $178,24 $178,24 $178,24 $178,24 $178,24
$178,24 $178,24 $178,24 $178,24 $178,24 $178,24 $178,24 $178,24 $178,24
$51,63 $51,63 $51,63 $51,63 $51,63 $51,63 $51,63 $51,63 $51,63
$51,63 $51,63 $51,63 $51,63 $51,63 $51,63 $51,63 $51,63 $51,63
MD ME MI MN MO MS MT NC ND
$62,96 $62,96 $62,96 $62,96 $62,96 $62,96 $62,96 $62,96 $62,96
$2,03 $2,03 $2,03 $2,03 $2,03 $2,03 $2,03 $2,03 $2,03
$2,55 $3,00 $2,59 $2,62 $3,00 $3,00 $3,00 $2,92 $3,00
$1,98 $1,75 $1,98 $1,98 $1,98 $1,68 $1,98 $1,68 $1,98
$33,71 $32,52 $33,71 $33,71 $33,71 $28,65 $33,71 $28,65 $33,71
$10,43 $9,52 $10,43 $10,43 $10,43 $10,43 $10,43 $10,43 $10,43
$5,05 $4,66 $5,05 $5,05 $5,05 $4,82 $5,05 $4,68 $5,05
$25,80 $25,80 $25,80 $25,80 $25,80 $21,93 $25,80 $21,93 $25,80
$3,52 $4,14 $3,52 $3,56 $4,14 $4,14 $4,14 $4,08 $4,14
$0,91 $0,87 $0,91 $0,91 $0,91 $0,77 $0,91 $0,77 $0,91
$4,91 $4,75 $4,91 $4,91 $4,91 $4,91 $4,91 $4,88 $4,91
$1,79 $1,95 $1,84 $1,88 $2,06 $2,06 $2,06 $2,06 $2,06
$146,57 $146,57 $146,57 $146,57 $146,57 $146,57 $146,57 $146,57 $146,57
$14,67 $14,67 $14,67 $14,67 $14,67 $14,67 $14,67 $14,67 $14,67
$109,92 $109,92 $109,92 $109,92 $109,92 $109,92 $109,92 $109,92 $109,92
$0,41 $0,41 $0,41 $0,41 $0,41 $0,35 $0,41 $0,35 $0,41
$15,25 $15,25 $15,83 $15,83 $15,83 $15,83 $15,25 $15,70 $15,83
$475,63 $475,63 $475,63 $475,63 $475,63 $475,63 $475,63 $475,63 $475,63
$31,44 $31,44 $31,44 $31,44 $31,44 $31,44 $31,44 $31,44 $31,44
$196,13 $196,13 $203,97 $203,97 $203,97 $203,97 $196,13 $202,01 $203,97
$54,19 $54,19 $54,19 $54,19 $54,19 $54,19 $54,19 $54,19 $54,19
$22,13 $22,13 $22,13 $22,13 $22,13 $22,13 $22,13 $22,13 $22,13
$177,80 $177,80 $177,80 $177,80 $177,80 $177,80 $177,80 $177,80 $177,80
$65,76 $65,76 $65,76 $65,76 $65,76 $65,76 $65,76 $65,76 $65,76
$38,20 $38,20 $38,20 $38,20 $38,20 $38,20 $38,20 $38,20 $38,20
$26,78 $26,78 $26,78 $26,78 $26,78 $26,78 $26,78 $26,78 $26,78
$110,87 $110,87 $110,87 $110,87 $110,87 $110,87 $110,87 $110,87 $110,87
$37,45 $35,68 $37,45 $37,45 $37,45 $34,67 $37,45 $33,70 $37,45
$14,57 $17,14 $14,57 $14,73 $17,14 $14,84 $17,14 $14,57 $17,14
$38,52 $38,65 $38,65 $38,65 $38,65 $38,29 $38,65 $37,21 $38,65
$4,33 $4,33 $4,33 $4,33 $5,09 $5,09 $5,09 $5,01 $5,09
$13,18 $14,44 $13,75 $13,99 $14,44 $12,27 $14,44 $12,27 $14,44
$113,96 $113,96 $113,96 $113,96 $113,96 $113,96 $113,96 $113,96 $113,96
$18,34 $18,34 $18,34 $18,34 $18,34 $18,34 $18,34 $18,34 $18,34
$1,83 $1,83 $1,83 $1,83 $1,83 $1,83 $1,83 $1,83 $1,83
$13,77 $13,77 $13,77 $13,77 $13,77 $13,77 $13,77 $13,77 $13,77
$18,38 $18,38 $18,38 $18,38 $18,38 $18,38 $18,38 $18,38 $18,38
$178,24 $178,24 $178,24 $178,24 $178,24 $178,24 $178,24 $178,24 $178,24
$29,97 $29,97 $29,97 $29,97 $29,97 $29,97 $29,97 $29,97 $29,97
$51,63 $51,63 $51,63 $51,63 $51,63 $51,63 $51,63 $51,63 $51,63
$29,97 $29,97 $29,97 $29,97 $29,97 $29,97 $29,97 $29,97 $29,97
$178,24 $178,24 $178,24 $178,24 $178,24 $178,24 $178,24 $178,24 $178,24
$77,45 $77,45 $77,45 $77,45 $77,45 $77,45 $77,45 $77,45 $77,45
$77,45 $77,45 $77,45 $77,45 $77,45 $77,45 $77,45 $77,45 $77,45
$77,45 $77,45 $77,45 $77,45 $77,45 $77,45 $77,45 $77,45 $77,45
$77,45 $77,45 $77,45 $77,45 $77,45 $77,45 $77,45 $77,45 $77,45
$887,24 $970,72 $1.043,81 $1.043,81 $973,02 $887,24 $911,78 $1.043,81 $1.043,81
$802,19 $681,86 $681,86 $702,15 $681,86 $802,19 $802,19 $802,19 $765,43
$887,24 $970,72 $1.043,81 $1.043,81 $973,02 $887,24 $911,78 $1.043,81 $1.043,81
$1.537,95 $1.537,95 $1.537,95 $1.537,95 $1.537,95 $1.537,95 $1.537,95 $1.537,95 $1.537,95
$1.537,95 $1.537,95 $1.537,95 $1.537,95 $1.537,95 $1.537,95 $1.537,95 $1.537,95 $1.537,95
$205,57 $224,84 $205,57 $208,48 $241,85 $218,79 $207,24 $241,85 $241,85
$605,26 $605,26 $605,26 $539,80 $605,26 $545,40 $514,47 $605,26 $514,47
$605,26 $605,26 $605,26 $539,80 $605,26 $545,40 $514,47 $605,26 $514,47
$443,57 $470,26 $449,70 $470,26 $470,26 $421,39 $424,02 $470,26 $423,40
$0,00 $0,00 $0,00 $0,00 $0,00 $0,00 $0,00 $0,00 $0,00
$0,00 $0,00 $0,00 $0,00 $0,00 $0,00 $0,00 $0,00 $0,00
$0,00 $0,00 $0,00 $0,00 $0,00 $0,00 $0,00 $0,00 $0,00
$0,00 $0,00 $0,00 $0,00 $0,00 $0,00 $0,00 $0,00 $0,00
$0,00 $0,00 $0,00 $0,00 $0,00 $0,00 $0,00 $0,00 $0,00
$0,00 $0,00 $0,00 $0,00 $0,00 $0,00 $0,00 $0,00 $0,00
$100,85 $100,85 $100,85 $100,85 $100,85 $100,85 $100,85 $100,85 $100,85
$10,07 $10,07 $10,07 $10,07 $10,07 $10,07 $10,07 $10,07 $10,07
$75,63 $75,63 $75,63 $75,63 $75,63 $75,63 $75,63 $75,63 $75,63
$283,91 $283,91 $283,91 $283,91 $283,91 $283,91 $283,91 $283,91 $283,91
$28,37 $28,37 $28,37 $28,37 $28,37 $28,37 $28,37 $28,37 $28,37
$212,93 $212,93 $212,93 $212,93 $212,93 $212,93 $212,93 $212,93 $212,93
$66,72 $66,72 $56,71 $62,69 $64,36 $56,71 $56,71 $66,72 $66,72
$17,61 $17,62 $17,61 $17,61 $17,61 $17,62 $17,61 $17,62 $17,62
$39,51 $41,65 $40,04 $41,65 $41,65 $37,51 $37,77 $41,65 $37,71
$126,34 $126,34 $126,34 $126,34 $126,34 $126,34 $126,34 $126,34 $126,34
$12,64 $12,64 $12,64 $12,64 $12,64 $12,64 $12,64 $12,64 $12,64
$94,74 $94,74 $94,74 $94,74 $94,74 $94,74 $94,74 $94,74 $94,74
$38,34 $32,59 $32,59 $38,34 $32,59 $32,59 $38,34 $32,59 $32,59
$105,29 $94,09 $94,20 $91,35 $105,29 $94,62 $89,50 $105,29 $103,43
$178,28 $178,28 $178,28 $164,46 $162,77 $151,54 $178,28 $158,47 $160,15
$25,91 $25,91 $22,02 $22,02 $25,91 $22,02 $25,91 $22,02 $22,02
$131,97 $131,97 $131,97 $123,35 $122,08 $112,17 $131,97 $118,84 $122,16
$178,24 $178,24 $178,24 $178,24 $178,24 $178,24 $178,24 $178,24 $178,24
$178,24 $178,24 $178,24 $178,24 $178,24 $178,24 $178,24 $178,24 $178,24
$51,63 $51,63 $51,63 $51,63 $51,63 $51,63 $51,63 $51,63 $51,63
$51,63 $51,63 $51,63 $51,63 $51,63 $51,63 $51,63 $51,63 $51,63
NE NH NJ NM NV NY OH OK OR
$62,96 $62,96 $62,96 $62,96 $62,96 $62,96 $62,96 $62,96 $62,96
$2,03 $2,03 $2,03 $2,03 $2,03 $2,03 $2,03 $2,03 $2,03
$3,00 $2,99 $2,99 $2,99 $3,00 $2,99 $2,55 $2,99 $3,00
$1,98 $1,68 $1,68 $1,68 $1,98 $1,68 $1,98 $1,68 $1,98
$33,71 $30,39 $30,39 $28,65 $33,71 $30,39 $33,71 $28,65 $33,71
$10,43 $8,90 $8,90 $10,43 $10,43 $8,90 $10,43 $10,43 $10,43
$5,05 $4,34 $4,34 $4,78 $5,05 $4,34 $5,05 $4,78 $5,05
$25,80 $25,50 $25,50 $21,93 $25,80 $25,50 $25,80 $21,93 $25,80
$4,14 $3,92 $3,92 $4,14 $4,14 $3,92 $3,52 $4,14 $4,14
$0,91 $0,83 $0,83 $0,77 $0,91 $0,83 $0,91 $0,77 $0,91
$4,91 $4,41 $4,41 $4,91 $4,91 $4,41 $4,91 $4,91 $4,91
$2,06 $1,80 $1,80 $2,06 $2,06 $1,80 $1,79 $2,06 $2,06
$146,57 $146,57 $146,57 $146,57 $146,57 $146,57 $146,57 $146,57 $146,57
$14,67 $14,67 $14,67 $14,67 $14,67 $14,67 $14,67 $14,67 $14,67
$109,92 $109,92 $109,92 $109,92 $109,92 $109,92 $109,92 $109,92 $109,92
$0,41 $0,41 $0,41 $0,35 $0,41 $0,41 $0,41 $0,35 $0,41
$15,25 $15,25 $15,25 $15,83 $15,25 $15,25 $15,83 $15,83 $15,25
$475,63 $475,63 $475,63 $475,63 $475,63 $475,63 $475,63 $475,63 $475,63
$31,44 $31,44 $31,44 $31,44 $31,44 $31,44 $31,44 $31,44 $31,44
$196,13 $196,13 $196,13 $203,97 $196,13 $196,13 $203,97 $203,97 $196,13
$54,19 $54,19 $54,19 $54,19 $54,19 $54,19 $54,19 $54,19 $54,19
$22,13 $22,13 $22,13 $22,13 $22,13 $22,13 $22,13 $22,13 $22,13
$177,80 $177,80 $177,80 $177,80 $177,80 $177,80 $177,80 $177,80 $177,80
$65,76 $65,76 $65,76 $65,76 $65,76 $65,76 $65,76 $65,76 $65,76
$38,20 $38,20 $38,20 $38,20 $38,20 $38,20 $38,20 $38,20 $38,20
$26,78 $26,78 $26,78 $26,78 $26,78 $26,78 $26,78 $26,78 $26,78
$110,87 $110,87 $110,87 $110,87 $110,87 $110,87 $110,87 $110,87 $110,87
$37,45 $33,39 $33,39 $34,49 $37,45 $33,39 $37,45 $34,42 $37,45
$17,14 $17,14 $17,14 $14,76 $17,14 $17,14 $14,57 $14,75 $17,14
$38,65 $36,96 $36,96 $38,12 $38,65 $36,96 $38,52 $38,04 $38,65
$5,09 $4,33 $4,33 $5,09 $5,09 $4,33 $4,33 $5,09 $5,09
$14,44 $14,44 $14,44 $12,27 $14,44 $14,44 $13,18 $12,27 $14,44
$113,96 $113,96 $113,96 $113,96 $113,96 $113,96 $113,96 $113,96 $113,96
$18,34 $18,34 $18,34 $18,34 $18,34 $18,34 $18,34 $18,34 $18,34
$1,83 $1,83 $1,83 $1,83 $1,83 $1,83 $1,83 $1,83 $1,83
$13,77 $13,77 $13,77 $13,77 $13,77 $13,77 $13,77 $13,77 $13,77
$18,38 $18,38 $18,38 $18,38 $18,38 $18,38 $18,38 $18,38 $18,38
$178,24 $178,24 $178,24 $178,24 $178,24 $178,24 $178,24 $178,24 $178,24
$29,97 $29,97 $29,97 $29,97 $29,97 $29,97 $29,97 $29,97 $29,97
$51,63 $51,63 $51,63 $51,63 $51,63 $51,63 $51,63 $51,63 $51,63
$29,97 $29,97 $29,97 $29,97 $29,97 $29,97 $29,97 $29,97 $29,97
$178,24 $178,24 $178,24 $178,24 $178,24 $178,24 $178,24 $178,24 $178,24
$77,45 $77,45 $77,45 $77,45 $77,45 $77,45 $77,45 $77,45 $77,45
$77,45 $77,45 $77,45 $77,45 $77,45 $77,45 $77,45 $77,45 $77,45
$77,45 $77,45 $77,45 $77,45 $77,45 $77,45 $77,45 $77,45 $77,45
$77,45 $77,45 $77,45 $77,45 $77,45 $77,45 $77,45 $77,45 $77,45
$1.008,78 $1.043,81 $1.043,81 $1.006,22 $1.043,81 $1.043,81 $1.043,81 $1.043,81 $1.022,96
$802,19 $681,86 $681,86 $802,19 $681,86 $681,86 $802,19 $802,19 $802,19
$1.008,78 $1.043,81 $1.043,81 $1.006,22 $1.043,81 $1.043,81 $1.043,81 $1.043,81 $1.022,96
$1.537,95 $1.537,95 $1.537,95 $1.537,95 $1.537,95 $1.537,95 $1.537,95 $1.537,95 $1.537,95
$1.537,95 $1.537,95 $1.537,95 $1.537,95 $1.537,95 $1.537,95 $1.537,95 $1.537,95 $1.537,95
$241,85 $216,61 $205,57 $232,51 $205,57 $241,85 $241,85 $241,85 $236,87
$605,26 $605,26 $514,47 $514,47 $605,26 $605,26 $605,26 $514,47 $605,26
$605,26 $605,26 $514,47 $514,47 $605,26 $605,26 $605,26 $514,47 $605,26
$470,26 $470,26 $441,29 $415,70 $447,00 $455,98 $470,26 $470,26 $470,26
$0,00 $0,00 $0,00 $0,00 $0,00 $0,00 $0,00 $0,00 $0,00
$0,00 $0,00 $0,00 $0,00 $0,00 $0,00 $0,00 $0,00 $0,00
$0,00 $0,00 $0,00 $0,00 $0,00 $0,00 $0,00 $0,00 $0,00
$0,00 $0,00 $0,00 $0,00 $0,00 $0,00 $0,00 $0,00 $0,00
$0,00 $0,00 $0,00 $0,00 $0,00 $0,00 $0,00 $0,00 $0,00
$0,00 $0,00 $0,00 $0,00 $0,00 $0,00 $0,00 $0,00 $0,00
$100,85 $100,85 $100,85 $100,85 $100,85 $100,85 $100,85 $100,85 $100,85
$10,07 $10,07 $10,07 $10,07 $10,07 $10,07 $10,07 $10,07 $10,07
$75,63 $75,63 $75,63 $75,63 $75,63 $75,63 $75,63 $75,63 $75,63
$283,91 $283,91 $283,91 $283,91 $283,91 $283,91 $283,91 $283,91 $283,91
$28,37 $28,37 $28,37 $28,37 $28,37 $28,37 $28,37 $28,37 $28,37
$212,93 $212,93 $212,93 $212,93 $212,93 $212,93 $212,93 $212,93 $212,93
$66,72 $66,72 $56,71 $66,72 $56,71 $66,72 $60,68 $66,72 $66,72
$17,62 $17,62 $17,61 $17,62 $17,62 $17,61 $17,61 $17,61 $17,62
$41,65 $41,65 $39,29 $37,00 $39,82 $40,60 $41,65 $41,65 $41,65
$126,34 $126,34 $126,34 $126,34 $126,34 $126,34 $126,34 $126,34 $126,34
$12,64 $12,64 $12,64 $12,64 $12,64 $12,64 $12,64 $12,64 $12,64
$94,74 $94,74 $94,74 $94,74 $94,74 $94,74 $94,74 $94,74 $94,74
$32,59 $32,59 $38,34 $33,18 $32,59 $38,34 $38,34 $38,34 $38,34
$105,29 $90,65 $94,34 $105,29 $105,29 $105,29 $105,29 $105,29 $105,29
$162,38 $178,28 $178,28 $162,06 $151,54 $178,28 $151,54 $162,06 $178,28
$22,02 $25,91 $25,91 $22,02 $22,02 $22,02 $22,02 $22,02 $22,02
$121,79 $131,97 $112,17 $121,56 $112,17 $131,97 $112,17 $121,56 $131,97
$178,24 $178,24 $178,24 $178,24 $178,24 $178,24 $178,24 $178,24 $178,24
$178,24 $178,24 $178,24 $178,24 $178,24 $178,24 $178,24 $178,24 $178,24
$51,63 $51,63 $51,63 $51,63 $51,63 $51,63 $51,63 $51,63 $51,63
$51,63 $51,63 $51,63 $51,63 $51,63 $51,63 $51,63 $51,63 $51,63
PA RI SC SD TN TX UT VA VT
$62,96 $62,96 $62,96 $62,96 $62,96 $62,96 $62,96 $62,96 $62,96
$2,03 $2,03 $2,03 $2,03 $2,03 $2,03 $2,03 $2,03 $2,03
$2,99 $2,99 $2,98 $3,00 $3,00 $2,85 $3,00 $2,55 $3,00
$1,68 $1,68 $1,68 $1,98 $1,68 $1,68 $1,98 $1,98 $1,68
$30,39 $30,39 $28,65 $33,71 $28,65 $28,65 $33,71 $33,71 $31,61
$8,90 $8,90 $10,43 $10,43 $10,43 $10,36 $10,43 $10,43 $9,26
$4,34 $4,34 $4,77 $5,05 $4,89 $4,56 $5,05 $5,05 $4,55
$25,50 $25,50 $21,93 $25,80 $21,93 $21,93 $25,80 $25,80 $25,80
$3,92 $3,92 $4,14 $4,14 $4,14 $3,94 $4,14 $3,52 $4,08
$0,83 $0,83 $0,77 $0,91 $0,77 $0,77 $0,91 $0,91 $0,85
$4,41 $4,41 $4,91 $4,91 $4,91 $4,75 $4,91 $4,91 $4,61
$1,80 $1,80 $2,06 $2,06 $2,06 $2,06 $2,06 $1,79 $1,87
$146,57 $146,57 $146,57 $146,57 $146,57 $146,57 $146,57 $146,57 $146,57
$14,67 $14,67 $14,67 $14,67 $14,67 $14,67 $14,67 $14,67 $14,67
$109,92 $109,92 $109,92 $109,92 $109,92 $109,92 $109,92 $109,92 $109,92
$0,41 $0,41 $0,35 $0,41 $0,35 $0,35 $0,41 $0,41 $0,41
$15,25 $15,25 $15,83 $15,83 $15,83 $15,25 $15,83 $15,25 $15,25
$475,63 $475,63 $475,63 $475,63 $475,63 $475,63 $475,63 $475,63 $475,63
$31,44 $31,44 $31,44 $31,44 $31,44 $31,44 $31,44 $31,44 $31,44
$196,13 $196,13 $203,97 $203,97 $203,97 $196,13 $203,97 $196,13 $196,13
$54,19 $54,19 $54,19 $54,19 $54,19 $54,19 $54,19 $54,19 $54,19
$22,13 $22,13 $22,13 $22,13 $22,13 $22,13 $22,13 $22,13 $22,13
$177,80 $177,80 $177,80 $177,80 $177,80 $177,80 $177,80 $177,80 $177,80
$65,76 $65,76 $65,76 $65,76 $65,76 $65,76 $65,76 $65,76 $65,76
$38,20 $38,20 $38,20 $38,20 $38,20 $38,20 $38,20 $38,20 $38,20
$26,78 $26,78 $26,78 $26,78 $26,78 $26,78 $26,78 $26,78 $26,78
$110,87 $110,87 $110,87 $110,87 $110,87 $110,87 $110,87 $110,87 $110,87
$33,39 $33,39 $34,34 $37,45 $35,24 $32,69 $37,45 $37,45 $34,68
$17,14 $17,14 $14,70 $17,14 $15,08 $14,57 $17,14 $14,57 $17,14
$36,96 $36,96 $37,94 $38,65 $38,65 $36,13 $38,65 $38,52 $38,42
$4,33 $4,33 $5,09 $5,09 $5,09 $4,84 $5,09 $4,33 $4,33
$14,44 $14,44 $12,27 $14,44 $12,27 $12,27 $14,44 $13,18 $14,44
$113,96 $113,96 $113,96 $113,96 $113,96 $113,96 $113,96 $113,96 $113,96
$18,34 $18,34 $18,34 $18,34 $18,34 $18,34 $18,34 $18,34 $18,34
$1,83 $1,83 $1,83 $1,83 $1,83 $1,83 $1,83 $1,83 $1,83
$13,77 $13,77 $13,77 $13,77 $13,77 $13,77 $13,77 $13,77 $13,77
$18,38 $18,38 $18,38 $18,38 $18,38 $18,38 $18,38 $18,38 $18,38
$178,24 $178,24 $178,24 $178,24 $178,24 $178,24 $178,24 $178,24 $178,24
$29,97 $29,97 $29,97 $29,97 $29,97 $29,97 $29,97 $29,97 $29,97
$51,63 $51,63 $51,63 $51,63 $51,63 $51,63 $51,63 $51,63 $51,63
$29,97 $29,97 $29,97 $29,97 $29,97 $29,97 $29,97 $29,97 $29,97
$178,24 $178,24 $178,24 $178,24 $178,24 $178,24 $178,24 $178,24 $178,24
$77,45 $77,45 $77,45 $77,45 $77,45 $77,45 $77,45 $77,45 $77,45
$77,45 $77,45 $77,45 $77,45 $77,45 $77,45 $77,45 $77,45 $77,45
$77,45 $77,45 $77,45 $77,45 $77,45 $77,45 $77,45 $77,45 $77,45
$77,45 $77,45 $77,45 $77,45 $77,45 $77,45 $77,45 $77,45 $77,45
$1.043,81 $1.043,81 $887,24 $1.043,81 $1.043,81 $1.043,81 $958,58 $1.042,69 $915,93
$681,86 $681,86 $779,54 $765,43 $802,19 $802,19 $802,19 $681,86 $681,86
$1.043,81 $1.043,81 $887,24 $1.043,81 $1.043,81 $1.043,81 $958,58 $1.042,69 $915,93
$1.537,95 $1.537,95 $1.537,95 $1.537,95 $1.537,95 $1.537,95 $1.537,95 $1.537,95 $1.537,95
$1.537,95 $1.537,95 $1.537,95 $1.537,95 $1.537,95 $1.537,95 $1.537,95 $1.537,95 $1.537,95
$205,57 $224,21 $241,85 $241,85 $241,85 $241,85 $233,62 $241,85 $217,71
$514,47 $605,26 $605,26 $514,47 $605,26 $514,47 $514,47 $557,34 $605,26
$514,47 $605,26 $605,26 $514,47 $605,26 $514,47 $514,47 $557,34 $605,26
$450,65 $399,72 $452,85 $461,18 $440,84 $470,26 $470,26 $443,98 $470,26
$0,00 $0,00 $0,00 $0,00 $0,00 $0,00 $0,00 $0,00 $0,00
$0,00 $0,00 $0,00 $0,00 $0,00 $0,00 $0,00 $0,00 $0,00
$0,00 $0,00 $0,00 $0,00 $0,00 $0,00 $0,00 $0,00 $0,00
$0,00 $0,00 $0,00 $0,00 $0,00 $0,00 $0,00 $0,00 $0,00
$0,00 $0,00 $0,00 $0,00 $0,00 $0,00 $0,00 $0,00 $0,00
$0,00 $0,00 $0,00 $0,00 $0,00 $0,00 $0,00 $0,00 $0,00
$100,85 $100,85 $100,85 $100,85 $100,85 $100,85 $100,85 $100,85 $100,85
$10,07 $10,07 $10,07 $10,07 $10,07 $10,07 $10,07 $10,07 $10,07
$75,63 $75,63 $75,63 $75,63 $75,63 $75,63 $75,63 $75,63 $75,63
$283,91 $283,91 $283,91 $283,91 $283,91 $283,91 $283,91 $283,91 $283,91
$28,37 $28,37 $28,37 $28,37 $28,37 $28,37 $28,37 $28,37 $28,37
$212,93 $212,93 $212,93 $212,93 $212,93 $212,93 $212,93 $212,93 $212,93
$66,72 $66,72 $56,71 $66,72 $66,72 $66,72 $56,71 $62,53 $66,72
$17,61 $17,61 $17,61 $17,62 $17,61 $17,61 $17,61 $17,61 $17,62
$40,15 $35,40 $40,33 $41,10 $39,26 $41,65 $41,65 $39,55 $41,65
$126,34 $126,34 $126,34 $126,34 $126,34 $126,34 $126,34 $126,34 $126,34
$12,64 $12,64 $12,64 $12,64 $12,64 $12,64 $12,64 $12,64 $12,64
$94,74 $94,74 $94,74 $94,74 $94,74 $94,74 $94,74 $94,74 $94,74
$38,34 $38,34 $38,34 $32,59 $34,96 $38,34 $32,59 $38,34 $32,59
$96,36 $105,29 $105,29 $105,29 $105,29 $96,88 $105,29 $96,83 $91,09
$178,28 $178,28 $151,54 $160,15 $175,96 $178,28 $178,28 $178,28 $178,28
$25,91 $25,91 $22,02 $22,02 $22,02 $25,91 $25,91 $25,91 $25,91
$131,97 $131,97 $112,17 $120,11 $131,97 $131,97 $131,97 $131,97 $131,97
$178,24 $178,24 $178,24 $178,24 $178,24 $178,24 $178,24 $178,24 $178,24
$178,24 $178,24 $178,24 $178,24 $178,24 $178,24 $178,24 $178,24 $178,24
$51,63 $51,63 $51,63 $51,63 $51,63 $51,63 $51,63 $51,63 $51,63
$51,63 $51,63 $51,63 $51,63 $51,63 $51,63 $51,63 $51,63 $51,63
*** Non-continental areas ***
(Not subject to ceiling and floor)
WA WI WV WY AK HI PR VI
$62,96 $62,96 $62,96 $62,96 $62,96 $62,96 $75,55 $62,96
$2,03 $2,03 $2,03 $2,03 $2,03 $2,03 $2,44 $2,03
$3,00 $2,61 $2,55 $3,00 $2,20 $2,38 $3,40 $2,99
$1,98 $1,98 $1,98 $1,98 $1,76 $1,86 $1,32 $1,68
$33,71 $33,71 $33,71 $33,71 $30,23 $32,30 $22,28 $30,39
$10,43 $10,43 $10,43 $10,43 $14,33 $15,31 $12,45 $8,90
$5,05 $5,05 $5,05 $5,05 $5,28 $5,65 $5,43 $4,34
$25,80 $25,80 $25,80 $25,80 $22,82 $24,40 $23,33 $25,50
$4,14 $3,54 $3,52 $4,14 $3,00 $3,22 $4,75 $3,92
$0,91 $0,91 $0,91 $0,91 $0,84 $0,88 $0,53 $0,83
$4,91 $4,91 $4,91 $4,91 $4,50 $4,78 $5,67 $4,41
$2,06 $1,87 $1,79 $2,06 $1,57 $1,66 $2,50 $1,80
$146,57 $146,57 $146,57 $146,57 $146,57 $146,57 $175,89 $146,57
$14,67 $14,67 $14,67 $14,67 $14,67 $14,67 $17,58 $14,67
$109,92 $109,92 $109,92 $109,92 $109,92 $109,92 $131,90 $109,92
$0,41 $0,41 $0,41 $0,41 $0,52 $0,56 $0,31 $0,41
$15,83 $15,83 $15,83 $15,70 $15,25 $15,83 $18,27 $15,83
$475,63 $475,63 $475,63 $475,63 $475,63 $475,63 $570,77 $475,63
$31,44 $31,44 $31,44 $31,44 $31,44 $31,44 $37,71 $31,44
$203,97 $203,97 $203,97 $202,01 $196,13 $203,97 $209,06 $203,97
$54,19 $54,19 $54,19 $54,19 $54,19 $54,19 $65,02 $54,19
$22,13 $22,13 $22,13 $22,13 $22,13 $22,13 $26,53 $22,13
$177,80 $177,80 $177,80 $177,80 $177,80 $177,80 $213,36 $177,80
$65,76 $65,76 $65,76 $65,76 $65,76 $65,76 $78,89 $65,76
$38,20 $38,20 $38,20 $38,20 $38,20 $38,20 $45,85 $38,20
$26,78 $26,78 $26,78 $26,78 $26,78 $26,78 $32,12 $26,78
$110,87 $110,87 $110,87 $110,87 $110,87 $110,87 $133,07 $110,87
$37,45 $37,45 $37,45 $37,45 $36,55 $39,08 $39,24 $33,39
$17,14 $14,62 $14,57 $17,14 $12,26 $13,14 $16,79 $17,14
$38,65 $38,65 $38,52 $38,65 $34,08 $36,43 $43,36 $36,96
$5,09 $4,33 $4,33 $5,09 $2,87 $3,04 $5,81 $4,33
$14,44 $13,87 $13,18 $14,44 $11,71 $12,50 $13,60 $14,44
$113,96 $113,96 $113,96 $113,96 $113,96 $113,96 $136,74 $113,96
$18,34 $18,34 $18,34 $18,34 $18,34 $18,34 $22,02 $18,34
$1,83 $1,83 $1,83 $1,83 $1,83 $1,83 $2,21 $1,83
$13,77 $13,77 $13,77 $13,77 $13,77 $13,77 $16,52 $13,77
$18,38 $18,38 $18,38 $18,38 $18,38 $18,38 $22,05 $18,38
$178,24 $178,24 $178,24 $178,24 $178,24 $178,24 $178,24 $178,24
$29,97 $29,97 $29,97 $29,97 $29,97 $29,97 $29,97 $29,97
$51,63 $51,63 $51,63 $51,63 $51,63 $51,63 $51,63 $51,63
$29,97 $29,97 $29,97 $29,97 $29,97 $29,97 $29,97 $29,97
$178,24 $178,24 $178,24 $178,24 $178,24 $178,24 $178,24 $178,24
$77,45 $77,45 $77,45 $77,45 $77,45 $77,45 $77,45 $77,45
$77,45 $77,45 $77,45 $77,45 $77,45 $77,45 $77,45 $77,45
$77,45 $77,45 $77,45 $77,45 $77,45 $77,45 $77,45 $77,45
$77,45 $77,45 $77,45 $77,45 $77,45 $77,45 $77,45 $77,45
$887,24 $893,36 $1.043,81 $1.043,81 $854,58 $913,83 $1.735,47 $1.043,81
$802,19 $681,86 $802,19 $765,43 $720,79 $770,76 $881,46 $681,86
$887,24 $893,36 $1.043,81 $1.043,81 $854,58 $913,83 $1.735,47 $1.043,81
$1.537,95 $1.537,95 $1.537,95 $1.537,95 $1.537,95 $1.537,95 $1.845,52 $1.537,95
$1.537,95 $1.537,95 $1.537,95 $1.537,95 $1.537,95 $1.537,95 $1.845,52 $1.537,95
$241,85 $239,97 $241,85 $241,85 $234,48 $250,76 $103,54 $241,85
$605,26 $514,47 $605,26 $514,47 $622,62 $665,79 $703,39 $605,26
$605,26 $514,47 $605,26 $514,47 $622,62 $665,79 $703,39 $605,26
$470,26 $470,26 $454,34 $459,72 $534,47 $442,53 $551,49 $470,26
$0,00 $0,00 $0,00 $0,00 $0,00 $0,00 $0,00 $0,00
$0,00 $0,00 $0,00 $0,00 $0,00 $0,00 $0,00 $0,00
$0,00 $0,00 $0,00 $0,00 $0,00 $0,00 $0,00 $0,00
$0,00 $0,00 $0,00 $0,00 $0,00 $0,00 $0,00 $0,00
$0,00 $0,00 $0,00 $0,00 $0,00 $0,00 $0,00 $0,00
$0,00 $0,00 $0,00 $0,00 $0,00 $0,00 $0,00 $0,00
$100,85 $100,85 $100,85 $100,85 $101,74 $108,84 $121,02 $100,85
$10,07 $10,07 $10,07 $10,07 $10,17 $10,89 $12,11 $10,07
$75,63 $75,63 $75,63 $75,63 $77,64 $82,99 $90,75 $75,63
$283,91 $283,91 $283,91 $283,91 $283,91 $283,91 $340,66 $283,91
$28,37 $28,37 $28,37 $28,37 $28,37 $28,37 $34,08 $28,37
$212,93 $212,93 $212,93 $212,93 $212,93 $212,93 $255,51 $212,93
$56,71 $56,71 $56,71 $66,72 $77,62 $83,00 $32,80 $66,72
$17,61 $17,61 $17,61 $17,62 $17,62 $17,62 $16,99 $17,61
$41,65 $41,65 $40,46 $40,95 $47,61 $39,40 $49,14 $41,65
$126,34 $126,34 $126,34 $126,34 $126,34 $126,34 $151,60 $126,34
$12,64 $12,64 $12,64 $12,64 $12,64 $12,64 $15,17 $12,64
$94,74 $94,74 $94,74 $94,74 $94,74 $94,74 $113,68 $94,74
$32,59 $38,34 $38,34 $32,59 $59,26 $63,39 $53,16 $38,34
$105,29 $100,74 $102,24 $105,29 $100,22 $107,17 $110,62 $105,29
$178,28 $178,28 $151,54 $160,15 $142,32 $152,17 $190,98 $178,28
$25,91 $25,91 $22,02 $22,02 $51,11 $54,64 $23,89 $22,02
$131,97 $131,97 $112,17 $120,11 $106,73 $114,13 $143,24 $131,97
$178,24 $178,24 $178,24 $178,24 $178,24 $178,24 $178,24 $178,24
$178,24 $178,24 $178,24 $178,24 $178,24 $178,24 $178,24 $178,24
$51,63 $51,63 $51,63 $51,63 $51,63 $51,63 $51,63 $51,63
$51,63 $51,63 $51,63 $51,63 $51,63 $51,63 $51,63 $51,63