Medicare Administrative Contractor (MAC)	State	Locality Number	Locality Name	HCPCS	2022 GAF 	CY 2022 HIT National  FEE	CY 2022 HIT Adjusted Fee		
10112	AL	00	ALABAMA	G0068	0.946	162.28	153.52		
10112	AL	00	ALABAMA	G0069	0.946	219.27	207.43		
10112	AL	00	ALABAMA	G0070	0.946	272.78	258.05		
10112	AL	00	ALABAMA	G0088	0.946	197.37	186.71		
10112	AL	00	ALABAMA	G0089	0.946	266.67	252.27		
10112	AL	00	ALABAMA	G0090	0.946	331.75	313.84		
02102	AK	01	ALASKA*	G0068	1.291	162.28	209.50		
02102	AK	01	ALASKA*	G0069	1.291	219.27	283.08		
02102	AK	01	ALASKA*	G0070	1.291	272.78	352.16		
02102	AK	01	ALASKA*	G0088	1.291	197.37	254.80		
02102	AK	01	ALASKA*	G0089	1.291	266.67	344.27		
02102	AK	01	ALASKA*	G0090	1.291	331.75	428.29		
03102	AZ	00	ARIZONA	G0068	0.972	162.28	157.74		
03102	AZ	00	ARIZONA	G0069	0.972	219.27	213.13		
03102	AZ	00	ARIZONA	G0070	0.972	272.78	265.14		
03102	AZ	00	ARIZONA	G0088	0.972	197.37	191.84		
03102	AZ	00	ARIZONA	G0089	0.972	266.67	259.20		
03102	AZ	00	ARIZONA	G0090	0.972	331.75	322.46		
07102	AR	13	ARKANSAS	G0068	0.908	162.28	147.35		
07102	AR	13	ARKANSAS	G0069	0.908	219.27	199.10		
07102	AR	13	ARKANSAS	G0070	0.908	272.78	247.68		
07102	AR	13	ARKANSAS	G0088	0.908	197.37	179.21		
07102	AR	13	ARKANSAS	G0089	0.908	266.67	242.14		
07102	AR	13	ARKANSAS	G0090	0.908	331.75	301.23		
10212	GA	01	ATLANTA	G0068	0.995	162.28	161.47		
10212	GA	01	ATLANTA	G0069	0.995	219.27	218.17		
10212	GA	01	ATLANTA	G0070	0.995	272.78	271.42		
10212	GA	01	ATLANTA	G0088	0.995	197.37	196.38		
10212	GA	01	ATLANTA	G0089	0.995	266.67	265.34		
10212	GA	01	ATLANTA	G0090	0.995	331.75	330.09		
04412	TX	31	AUSTIN	G0068	1.007	162.28	163.42		
04412	TX	31	AUSTIN	G0069	1.007	219.27	220.80		
04412	TX	31	AUSTIN	G0070	1.007	272.78	274.69		
04412	TX	31	AUSTIN	G0088	1.007	197.37	198.75		
04412	TX	31	AUSTIN	G0089	1.007	266.67	268.54		
04412	TX	31	AUSTIN	G0090	1.007	331.75	334.07		
01112	CA	54	BAKERSFIELD	G0068	1.036	162.28	168.12		
01112	CA	54	BAKERSFIELD	G0069	1.036	219.27	227.16		
01112	CA	54	BAKERSFIELD	G0070	1.036	272.78	282.60		
01112	CA	54	BAKERSFIELD	G0088	1.036	197.37	204.48		
01112	CA	54	BAKERSFIELD	G0089	1.036	266.67	276.27		
01112	CA	54	BAKERSFIELD	G0090	1.036	331.75	343.69		
12302	MD	01	BALTIMORE/SURR. CNTYS	G0068	1.071	162.28	173.80		
12302	MD	01	BALTIMORE/SURR. CNTYS	G0069	1.071	219.27	234.84		
12302	MD	01	BALTIMORE/SURR. CNTYS	G0070	1.071	272.78	292.15		
12302	MD	01	BALTIMORE/SURR. CNTYS	G0088	1.071	197.37	211.38		
12302	MD	01	BALTIMORE/SURR. CNTYS	G0089	1.071	266.67	285.60		
12302	MD	01	BALTIMORE/SURR. CNTYS	G0090	1.071	331.75	355.30		
04412	TX	20	BEAUMONT	G0068	0.956	162.28	155.14		
04412	TX	20	BEAUMONT	G0069	0.956	219.27	209.62		
04412	TX	20	BEAUMONT	G0070	0.956	272.78	260.78		
04412	TX	20	BEAUMONT	G0088	0.956	197.37	188.69		
04412	TX	20	BEAUMONT	G0089	0.956	266.67	254.94		
04412	TX	20	BEAUMONT	G0090	0.956	331.75	317.15		
04412	TX	09	BRAZORIA	G0068	1.007	162.28	163.42		
04412	TX	09	BRAZORIA	G0069	1.007	219.27	220.80		
04412	TX	09	BRAZORIA	G0070	1.007	272.78	274.69		
04412	TX	09	BRAZORIA	G0088	1.007	197.37	198.75		
04412	TX	09	BRAZORIA	G0089	1.007	266.67	268.54		
04412	TX	09	BRAZORIA	G0090	1.007	331.75	334.07		
06102	IL	16	CHICAGO	G0068	1.063	162.28	172.50		
06102	IL	16	CHICAGO	G0069	1.063	219.27	233.08		
06102	IL	16	CHICAGO	G0070	1.063	272.78	289.97		
06102	IL	16	CHICAGO	G0088	1.063	197.37	209.80		
06102	IL	16	CHICAGO	G0089	1.063	266.67	283.47		
06102	IL	16	CHICAGO	G0090	1.063	331.75	352.65		
01112	CA	55	CHICO	G0068	1.026	162.28	166.50		
01112	CA	55	CHICO	G0069	1.026	219.27	224.97		
01112	CA	55	CHICO	G0070	1.026	272.78	279.87		
01112	CA	55	CHICO	G0088	1.026	197.37	202.50		
01112	CA	55	CHICO	G0089	1.026	266.67	273.60		
01112	CA	55	CHICO	G0090	1.026	331.75	340.38		
04112	CO	01	COLORADO	G0068	1.012	162.28	164.23		
04112	CO	01	COLORADO	G0069	1.012	219.27	221.90		
04112	CO	01	COLORADO	G0070	1.012	272.78	276.05		
04112	CO	01	COLORADO	G0088	1.012	197.37	199.74		
04112	CO	01	COLORADO	G0089	1.012	266.67	269.87		
04112	CO	01	COLORADO	G0090	1.012	331.75	335.73		
13102	CT	00	CONNECTICUT	G0068	1.067	162.28	173.15		
13102	CT	00	CONNECTICUT	G0069	1.067	219.27	233.96		
13102	CT	00	CONNECTICUT	G0070	1.067	272.78	291.06		
13102	CT	00	CONNECTICUT	G0088	1.067	197.37	210.59		
13102	CT	00	CONNECTICUT	G0089	1.067	266.67	284.54		
13102	CT	00	CONNECTICUT	G0090	1.067	331.75	353.98		
04412	TX	11	DALLAS	G0068	1.004	162.28	162.93		
04412	TX	11	DALLAS	G0069	1.004	219.27	220.15		
04412	TX	11	DALLAS	G0070	1.004	272.78	273.87		
04412	TX	11	DALLAS	G0088	1.004	197.37	198.16		
04412	TX	11	DALLAS	G0089	1.004	266.67	267.74		
04412	TX	11	DALLAS	G0090	1.004	331.75	333.08		
12202	DC	01	DC + MD/VA SUBURBS	G0068	1.146	162.28	185.97		
12202	DC	01	DC + MD/VA SUBURBS	G0069	1.146	219.27	251.28		
12202	DC	01	DC + MD/VA SUBURBS	G0070	1.146	272.78	312.61		
12202	DC	01	DC + MD/VA SUBURBS	G0088	1.146	197.37	226.19		
12202	DC	01	DC + MD/VA SUBURBS	G0089	1.146	266.67	305.60		
12202	DC	01	DC + MD/VA SUBURBS	G0090	1.146	331.75	380.19		
12102	DE	01	DELAWARE	G0068	1.009	162.28	163.74		
12102	DE	01	DELAWARE	G0069	1.009	219.27	221.24		
12102	DE	01	DELAWARE	G0070	1.009	272.78	275.24		
12102	DE	01	DELAWARE	G0088	1.009	197.37	199.15		
12102	DE	01	DELAWARE	G0089	1.009	266.67	269.07		
12102	DE	01	DELAWARE	G0090	1.009	331.75	334.74		
08202	MI	01	DETROIT	G0068	1.025	162.28	166.34		
08202	MI	01	DETROIT	G0069	1.025	219.27	224.75		
08202	MI	01	DETROIT	G0070	1.025	272.78	279.60		
08202	MI	01	DETROIT	G0088	1.025	197.37	202.30		
08202	MI	01	DETROIT	G0089	1.025	266.67	273.34		
08202	MI	01	DETROIT	G0090	1.025	331.75	340.04		
06102	IL	12	EAST ST. LOUIS	G0068	1.002	162.28	162.60		
06102	IL	12	EAST ST. LOUIS	G0069	1.002	219.27	219.71		
06102	IL	12	EAST ST. LOUIS	G0070	1.002	272.78	273.33		
06102	IL	12	EAST ST. LOUIS	G0088	1.002	197.37	197.76		
06102	IL	12	EAST ST. LOUIS	G0089	1.002	266.67	267.20		
06102	IL	12	EAST ST. LOUIS	G0090	1.002	331.75	332.41		
01182	CA	71	EL CENTRO	G0068	1.027	162.28	166.66		
01182	CA	71	EL CENTRO	G0069	1.027	219.27	225.19		
01182	CA	71	EL CENTRO	G0070	1.027	272.78	280.15		
01182	CA	71	EL CENTRO	G0088	1.027	197.37	202.70		
01182	CA	71	EL CENTRO	G0089	1.027	266.67	273.87		
01182	CA	71	EL CENTRO	G0090	1.027	331.75	340.71		
09102	FL	03	FORT LAUDERDALE	G0068	1.037	162.28	168.28		
09102	FL	03	FORT LAUDERDALE	G0069	1.037	219.27	227.38		
09102	FL	03	FORT LAUDERDALE	G0070	1.037	272.78	282.87		
09102	FL	03	FORT LAUDERDALE	G0088	1.037	197.37	204.67		
09102	FL	03	FORT LAUDERDALE	G0089	1.037	266.67	276.54		
09102	FL	03	FORT LAUDERDALE	G0090	1.037	331.75	344.02		
04412	TX	28	FORT WORTH	G0068	0.986	162.28	160.01		
04412	TX	28	FORT WORTH	G0069	0.986	219.27	216.20		
04412	TX	28	FORT WORTH	G0070	0.986	272.78	268.96		
04412	TX	28	FORT WORTH	G0088	0.986	197.37	194.61		
04412	TX	28	FORT WORTH	G0089	0.986	266.67	262.94		
04412	TX	28	FORT WORTH	G0090	0.986	331.75	327.11		
01112	CA	56	FRESNO	G0068	1.026	162.28	166.50		
01112	CA	56	FRESNO	G0069	1.026	219.27	224.97		
01112	CA	56	FRESNO	G0070	1.026	272.78	279.87		
01112	CA	56	FRESNO	G0088	1.026	197.37	202.50		
01112	CA	56	FRESNO	G0089	1.026	266.67	273.60		
01112	CA	56	FRESNO	G0090	1.026	331.75	340.38		
04412	TX	15	GALVESTON	G0068	1.009	162.28	163.74		
04412	TX	15	GALVESTON	G0069	1.009	219.27	221.24		
04412	TX	15	GALVESTON	G0070	1.009	272.78	275.24		
04412	TX	15	GALVESTON	G0088	1.009	197.37	199.15		
04412	TX	15	GALVESTON	G0089	1.009	266.67	269.07		
04412	TX	15	GALVESTON	G0090	1.009	331.75	334.74		
01112	CA	57	HANFORD-CORCORAN	G0068	1.026	162.28	166.50		
01112	CA	57	HANFORD-CORCORAN	G0069	1.026	219.27	224.97		
01112	CA	57	HANFORD-CORCORAN	G0070	1.026	272.78	279.87		
01112	CA	57	HANFORD-CORCORAN	G0088	1.026	197.37	202.50		
01112	CA	57	HANFORD-CORCORAN	G0089	1.026	266.67	273.60		
01112	CA	57	HANFORD-CORCORAN	G0090	1.026	331.75	340.38		
01212	HI	01	"HAWAII, GUAM"	G0068	1.055	162.28	171.21		
01212	HI	01	"HAWAII, GUAM"	G0069	1.055	219.27	231.33		
01212	HI	01	"HAWAII, GUAM"	G0070	1.055	272.78	287.78		
01212	HI	01	"HAWAII, GUAM"	G0088	1.055	197.37	208.23		
01212	HI	01	"HAWAII, GUAM"	G0089	1.055	266.67	281.34		
01212	HI	01	"HAWAII, GUAM"	G0090	1.055	331.75	350.00		
04412	TX	18	HOUSTON	G0068	1.025	162.28	166.34		
04412	TX	18	HOUSTON	G0069	1.025	219.27	224.75		
04412	TX	18	HOUSTON	G0070	1.025	272.78	279.60		
04412	TX	18	HOUSTON	G0088	1.025	197.37	202.30		
04412	TX	18	HOUSTON	G0089	1.025	266.67	273.34		
04412	TX	18	HOUSTON	G0090	1.025	331.75	340.04		
02202	ID	00	IDAHO	G0068	0.920	162.28	149.30		
02202	ID	00	IDAHO	G0069	0.920	219.27	201.73		
02202	ID	00	IDAHO	G0070	0.920	272.78	250.96		
02202	ID	00	IDAHO	G0088	0.920	197.37	181.58		
02202	ID	00	IDAHO	G0089	0.920	266.67	245.34		
02202	ID	00	IDAHO	G0090	0.920	331.75	305.21		
08102	IN	00	INDIANA	G0068	0.932	162.28	151.24		
08102	IN	00	INDIANA	G0069	0.932	219.27	204.36		
08102	IN	00	INDIANA	G0070	0.932	272.78	254.23		
08102	IN	00	INDIANA	G0088	0.932	197.37	183.95		
08102	IN	00	INDIANA	G0089	0.932	266.67	248.54		
08102	IN	00	INDIANA	G0090	0.932	331.75	309.19		
05102	IA	00	IOWA	G0068	0.934	162.28	151.57		
05102	IA	00	IOWA	G0069	0.934	219.27	204.80		
05102	IA	00	IOWA	G0070	0.934	272.78	254.78		
05102	IA	00	IOWA	G0088	0.934	197.37	184.34		
05102	IA	00	IOWA	G0089	0.934	266.67	249.07		
05102	IA	00	IOWA	G0090	0.934	331.75	309.85		
05202	KS	00	KANSAS	G0068	0.935	162.28	151.73		
05202	KS	00	KANSAS	G0069	0.935	219.27	205.02		
05202	KS	00	KANSAS	G0070	0.935	272.78	255.05		
05202	KS	00	KANSAS	G0088	0.935	197.37	184.54		
05202	KS	00	KANSAS	G0089	0.935	266.67	249.34		
05202	KS	00	KANSAS	G0090	0.935	331.75	310.19		
15102	KY	00	KENTUCKY	G0068	0.934	162.28	151.57		
15102	KY	00	KENTUCKY	G0069	0.934	219.27	204.80		
15102	KY	00	KENTUCKY	G0070	0.934	272.78	254.78		
15102	KY	00	KENTUCKY	G0088	0.934	197.37	184.34		
15102	KY	00	KENTUCKY	G0089	0.934	266.67	249.07		
15102	KY	00	KENTUCKY	G0090	0.934	331.75	309.85		
01182	CA	18	LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES CNTY)	G0068	1.092	162.28	177.21		
01182	CA	18	LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES CNTY)	G0069	1.092	219.27	239.44		
01182	CA	18	LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES CNTY)	G0070	1.092	272.78	297.88		
01182	CA	18	LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES CNTY)	G0088	1.092	197.37	215.53		
01182	CA	18	LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES CNTY)	G0089	1.092	266.67	291.20		
01182	CA	18	LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES CNTY)	G0090	1.092	331.75	362.27		
01182	CA	26	LOS ANGELES-LONG BEACH-ANAHEIM (ORANGE CNTY)	G0068	1.092	162.28	177.21		
01182	CA	26	LOS ANGELES-LONG BEACH-ANAHEIM (ORANGE CNTY)	G0069	1.092	219.27	239.44		
01182	CA	26	LOS ANGELES-LONG BEACH-ANAHEIM (ORANGE CNTY)	G0070	1.092	272.78	297.88		
01182	CA	26	LOS ANGELES-LONG BEACH-ANAHEIM (ORANGE CNTY)	G0088	1.092	197.37	215.53		
01182	CA	26	LOS ANGELES-LONG BEACH-ANAHEIM (ORANGE CNTY)	G0089	1.092	266.67	291.20		
01182	CA	26	LOS ANGELES-LONG BEACH-ANAHEIM (ORANGE CNTY)	G0090	1.092	331.75	362.27		
01112	CA	58	MADERA	G0068	1.026	162.28	166.50		
01112	CA	58	MADERA	G0069	1.026	219.27	224.97		
01112	CA	58	MADERA	G0070	1.026	272.78	279.87		
01112	CA	58	MADERA	G0088	1.026	197.37	202.50		
01112	CA	58	MADERA	G0089	1.026	266.67	273.60		
01112	CA	58	MADERA	G0090	1.026	331.75	340.38		
13202	NY	01	MANHATTAN	G0068	1.164	162.28	188.89		
13202	NY	01	MANHATTAN	G0069	1.164	219.27	255.23		
13202	NY	01	MANHATTAN	G0070	1.164	272.78	317.52		
13202	NY	01	MANHATTAN	G0088	1.164	197.37	229.74		
13202	NY	01	MANHATTAN	G0089	1.164	266.67	310.40		
13202	NY	01	MANHATTAN	G0090	1.164	331.75	386.16		
01112	CA	59	MERCED	G0068	1.026	162.28	166.50		
01112	CA	59	MERCED	G0069	1.026	219.27	224.97		
01112	CA	59	MERCED	G0070	1.026	272.78	279.87		
01112	CA	59	MERCED	G0088	1.026	197.37	202.50		
01112	CA	59	MERCED	G0089	1.026	266.67	273.60		
01112	CA	59	MERCED	G0090	1.026	331.75	340.38		
14212	MA	01	METROPOLITAN BOSTON	G0068	1.109	162.28	179.97		
14212	MA	01	METROPOLITAN BOSTON	G0069	1.109	219.27	243.17		
14212	MA	01	METROPOLITAN BOSTON	G0070	1.109	272.78	302.51		
14212	MA	01	METROPOLITAN BOSTON	G0088	1.109	197.37	218.88		
14212	MA	01	METROPOLITAN BOSTON	G0089	1.109	266.67	295.74		
14212	MA	01	METROPOLITAN BOSTON	G0090	1.109	331.75	367.91		
05302	MO	02	METROPOLITAN KANSAS CITY	G0068	0.975	162.28	158.22		
05302	MO	02	METROPOLITAN KANSAS CITY	G0069	0.975	219.27	213.79		
05302	MO	02	METROPOLITAN KANSAS CITY	G0070	0.975	272.78	265.96		
05302	MO	02	METROPOLITAN KANSAS CITY	G0088	0.975	197.37	192.44		
05302	MO	02	METROPOLITAN KANSAS CITY	G0089	0.975	266.67	260.00		
05302	MO	02	METROPOLITAN KANSAS CITY	G0090	0.975	331.75	323.46		
12502	PA	01	METROPOLITAN PHILADELPHIA	G0068	1.057	162.28	171.53		
12502	PA	01	METROPOLITAN PHILADELPHIA	G0069	1.057	219.27	231.77		
12502	PA	01	METROPOLITAN PHILADELPHIA	G0070	1.057	272.78	288.33		
12502	PA	01	METROPOLITAN PHILADELPHIA	G0088	1.057	197.37	208.62		
12502	PA	01	METROPOLITAN PHILADELPHIA	G0089	1.057	266.67	281.87		
12502	PA	01	METROPOLITAN PHILADELPHIA	G0090	1.057	331.75	350.66		
05302	MO	01	METROPOLITAN ST. LOUIS	G0068	0.984	162.28	159.68		
05302	MO	01	METROPOLITAN ST. LOUIS	G0069	0.984	219.27	215.76		
05302	MO	01	METROPOLITAN ST. LOUIS	G0070	0.984	272.78	268.42		
05302	MO	01	METROPOLITAN ST. LOUIS	G0088	0.984	197.37	194.21		
05302	MO	01	METROPOLITAN ST. LOUIS	G0089	0.984	266.67	262.40		
05302	MO	01	METROPOLITAN ST. LOUIS	G0090	0.984	331.75	326.44		
09102	FL	04	MIAMI	G0068	1.080	162.28	175.26		
09102	FL	04	MIAMI	G0069	1.080	219.27	236.81		
09102	FL	04	MIAMI	G0070	1.080	272.78	294.60		
09102	FL	04	MIAMI	G0088	1.080	197.37	213.16		
09102	FL	04	MIAMI	G0089	1.080	266.67	288.00		
09102	FL	04	MIAMI	G0090	1.080	331.75	358.29		
06202	MN	00	MINNESOTA	G0068	0.978	162.28	158.71		
06202	MN	00	MINNESOTA	G0069	0.978	219.27	214.45		
06202	MN	00	MINNESOTA	G0070	0.978	272.78	266.78		
06202	MN	00	MINNESOTA	G0088	0.978	197.37	193.03		
06202	MN	00	MINNESOTA	G0089	0.978	266.67	260.80		
06202	MN	00	MINNESOTA	G0090	0.978	331.75	324.45		
07302	MS	00	MISSISSIPPI	G0068	0.915	162.28	148.49		
07302	MS	00	MISSISSIPPI	G0069	0.915	219.27	200.63		
07302	MS	00	MISSISSIPPI	G0070	0.915	272.78	249.59		
07302	MS	00	MISSISSIPPI	G0088	0.915	197.37	180.59		
07302	MS	00	MISSISSIPPI	G0089	0.915	266.67	244.00		
07302	MS	00	MISSISSIPPI	G0090	0.915	331.75	303.55		
01112	CA	60	MODESTO	G0068	1.026	162.28	166.50		
01112	CA	60	MODESTO	G0069	1.026	219.27	224.97		
01112	CA	60	MODESTO	G0070	1.026	272.78	279.87		
01112	CA	60	MODESTO	G0088	1.026	197.37	202.50		
01112	CA	60	MODESTO	G0089	1.026	266.67	273.60		
01112	CA	60	MODESTO	G0090	1.026	331.75	340.38		
03202	MT	01	MONTANA**	G0068	0.999	162.28	162.12		
03202	MT	01	MONTANA**	G0069	0.999	219.27	219.05		
03202	MT	01	MONTANA**	G0070	0.999	272.78	272.51		
03202	MT	01	MONTANA**	G0088	0.999	197.37	197.17		
03202	MT	01	MONTANA**	G0089	0.999	266.67	266.40		
03202	MT	01	MONTANA**	G0090	0.999	331.75	331.42		
01112	CA	51	NAPA	G0068	1.100	162.28	178.51		
01112	CA	51	NAPA	G0069	1.100	219.27	241.20		
01112	CA	51	NAPA	G0070	1.100	272.78	300.06		
01112	CA	51	NAPA	G0088	1.100	197.37	217.11		
01112	CA	51	NAPA	G0089	1.100	266.67	293.34		
01112	CA	51	NAPA	G0090	1.100	331.75	364.93		
05402	NE	00	NEBRASKA	G0068	0.926	162.28	150.27		
05402	NE	00	NEBRASKA	G0069	0.926	219.27	203.04		
05402	NE	00	NEBRASKA	G0070	0.926	272.78	252.59		
05402	NE	00	NEBRASKA	G0088	0.926	197.37	182.76		
05402	NE	00	NEBRASKA	G0089	0.926	266.67	246.94		
05402	NE	00	NEBRASKA	G0090	0.926	331.75	307.20		
01312	NV	00	NEVADA**	G0068	1.018	162.28	165.20		
01312	NV	00	NEVADA**	G0069	1.018	219.27	223.22		
01312	NV	00	NEVADA**	G0070	1.018	272.78	277.69		
01312	NV	00	NEVADA**	G0088	1.018	197.37	200.92		
01312	NV	00	NEVADA**	G0089	1.018	266.67	271.47		
01312	NV	00	NEVADA**	G0090	1.018	331.75	337.72		
14312	NH	40	NEW HAMPSHIRE	G0068	1.013	162.28	164.39		
14312	NH	40	NEW HAMPSHIRE	G0069	1.013	219.27	222.12		
14312	NH	40	NEW HAMPSHIRE	G0070	1.013	272.78	276.33		
14312	NH	40	NEW HAMPSHIRE	G0088	1.013	197.37	199.94		
14312	NH	40	NEW HAMPSHIRE	G0089	1.013	266.67	270.14		
14312	NH	40	NEW HAMPSHIRE	G0090	1.013	331.75	336.06		
04212	NM	05	NEW MEXICO	G0068	0.960	162.28	155.79		
04212	NM	05	NEW MEXICO	G0069	0.960	219.27	210.50		
04212	NM	05	NEW MEXICO	G0070	0.960	272.78	261.87		
04212	NM	05	NEW MEXICO	G0088	0.960	197.37	189.48		
04212	NM	05	NEW MEXICO	G0089	0.960	266.67	256.00		
04212	NM	05	NEW MEXICO	G0090	0.960	331.75	318.48		
07202	LA	01	NEW ORLEANS	G0068	0.990	162.28	160.66		
07202	LA	01	NEW ORLEANS	G0069	0.990	219.27	217.08		
07202	LA	01	NEW ORLEANS	G0070	0.990	272.78	270.05		
07202	LA	01	NEW ORLEANS	G0088	0.990	197.37	195.40		
07202	LA	01	NEW ORLEANS	G0089	0.990	266.67	264.00		
07202	LA	01	NEW ORLEANS	G0090	0.990	331.75	328.43		
11502	NC	00	NORTH CAROLINA	G0068	0.960	162.28	155.79		
11502	NC	00	NORTH CAROLINA	G0069	0.960	219.27	210.50		
11502	NC	00	NORTH CAROLINA	G0070	0.960	272.78	261.87		
11502	NC	00	NORTH CAROLINA	G0088	0.960	197.37	189.48		
11502	NC	00	NORTH CAROLINA	G0089	0.960	266.67	256.00		
11502	NC	00	NORTH CAROLINA	G0090	0.960	331.75	318.48		
03302	ND	01	NORTH DAKOTA**	G0068	0.976	162.28	158.39		
03302	ND	01	NORTH DAKOTA**	G0069	0.976	219.27	214.01		
03302	ND	01	NORTH DAKOTA**	G0070	0.976	272.78	266.23		
03302	ND	01	NORTH DAKOTA**	G0088	0.976	197.37	192.63		
03302	ND	01	NORTH DAKOTA**	G0089	0.976	266.67	260.27		
03302	ND	01	NORTH DAKOTA**	G0090	0.976	331.75	323.79		
12402	NJ	01	NORTHERN NJ	G0068	1.112	162.28	180.46		
12402	NJ	01	NORTHERN NJ	G0069	1.112	219.27	243.83		
12402	NJ	01	NORTHERN NJ	G0070	1.112	272.78	303.33		
12402	NJ	01	NORTHERN NJ	G0088	1.112	197.37	219.48		
12402	NJ	01	NORTHERN NJ	G0089	1.112	266.67	296.54		
12402	NJ	01	NORTHERN NJ	G0090	1.112	331.75	368.91		
13202	NY	02	NYC SUBURBS/LONG ISLAND	G0068	1.196	162.28	194.09		
13202	NY	02	NYC SUBURBS/LONG ISLAND	G0069	1.196	219.27	262.25		
13202	NY	02	NYC SUBURBS/LONG ISLAND	G0070	1.196	272.78	326.24		
13202	NY	02	NYC SUBURBS/LONG ISLAND	G0088	1.196	197.37	236.05		
13202	NY	02	NYC SUBURBS/LONG ISLAND	G0089	1.196	266.67	318.94		
13202	NY	02	NYC SUBURBS/LONG ISLAND	G0090	1.196	331.75	396.77		
15202	OH	00	OHIO	G0068	0.965	162.28	156.60		
15202	OH	00	OHIO	G0069	0.965	219.27	211.60		
15202	OH	00	OHIO	G0070	0.965	272.78	263.23		
15202	OH	00	OHIO	G0088	0.965	197.37	190.46		
15202	OH	00	OHIO	G0089	0.965	266.67	257.34		
15202	OH	00	OHIO	G0090	0.965	331.75	320.14		
04312	OK	00	OKLAHOMA	G0068	0.937	162.28	152.06		
04312	OK	00	OKLAHOMA	G0069	0.937	219.27	205.46		
04312	OK	00	OKLAHOMA	G0070	0.937	272.78	255.59		
04312	OK	00	OKLAHOMA	G0088	0.937	197.37	184.94		
04312	OK	00	OKLAHOMA	G0089	0.937	266.67	249.87		
04312	OK	00	OKLAHOMA	G0090	0.937	331.75	310.85		
01182	CA	17	OXNARD-THOUSAND OAKS-VENTURA	G0068	1.082	162.28	175.59		
01182	CA	17	OXNARD-THOUSAND OAKS-VENTURA	G0069	1.082	219.27	237.25		
01182	CA	17	OXNARD-THOUSAND OAKS-VENTURA	G0070	1.082	272.78	295.15		
01182	CA	17	OXNARD-THOUSAND OAKS-VENTURA	G0088	1.082	197.37	213.55		
01182	CA	17	OXNARD-THOUSAND OAKS-VENTURA	G0089	1.082	266.67	288.54		
01182	CA	17	OXNARD-THOUSAND OAKS-VENTURA	G0090	1.082	331.75	358.95		
02302	OR	01	PORTLAND	G0068	1.019	162.28	165.36		
02302	OR	01	PORTLAND	G0069	1.019	219.27	223.44		
02302	OR	01	PORTLAND	G0070	1.019	272.78	277.96		
02302	OR	01	PORTLAND	G0088	1.019	197.37	201.12		
02302	OR	01	PORTLAND	G0089	1.019	266.67	271.74		
02302	OR	01	PORTLAND	G0090	1.019	331.75	338.05		
13202	NY	03	POUGHKPSIE/N NYC SUBURBS	G0068	1.089	162.28	176.72		
13202	NY	03	POUGHKPSIE/N NYC SUBURBS	G0069	1.089	219.27	238.79		
13202	NY	03	POUGHKPSIE/N NYC SUBURBS	G0070	1.089	272.78	297.06		
13202	NY	03	POUGHKPSIE/N NYC SUBURBS	G0088	1.089	197.37	214.94		
13202	NY	03	POUGHKPSIE/N NYC SUBURBS	G0089	1.089	266.67	290.40		
13202	NY	03	POUGHKPSIE/N NYC SUBURBS	G0090	1.089	331.75	361.28		
09202	PR	20	PUERTO RICO	G0068	1.003	162.28	162.77		
09202	PR	20	PUERTO RICO	G0069	1.003	219.27	219.93		
09202	PR	20	PUERTO RICO	G0070	1.003	272.78	273.60		
09202	PR	20	PUERTO RICO	G0088	1.003	197.37	197.96		
09202	PR	20	PUERTO RICO	G0089	1.003	266.67	267.47		
09202	PR	20	PUERTO RICO	G0090	1.003	331.75	332.75		
13292	NY	04	QUEENS	G0068	1.202	162.28	195.06		
13292	NY	04	QUEENS	G0069	1.202	219.27	263.56		
13292	NY	04	QUEENS	G0070	1.202	272.78	327.88		
13292	NY	04	QUEENS	G0088	1.202	197.37	237.24		
13292	NY	04	QUEENS	G0089	1.202	266.67	320.54		
13292	NY	04	QUEENS	G0090	1.202	331.75	398.76		
01112	CA	61	REDDING	G0068	1.026	162.28	166.50		
01112	CA	61	REDDING	G0069	1.026	219.27	224.97		
01112	CA	61	REDDING	G0070	1.026	272.78	279.87		
01112	CA	61	REDDING	G0088	1.026	197.37	202.50		
01112	CA	61	REDDING	G0089	1.026	266.67	273.60		
01112	CA	61	REDDING	G0090	1.026	331.75	340.38		
01112	CA	75	REST OF CALIFORNIA	G0068	1.026	162.28	166.50		
01112	CA	75	REST OF CALIFORNIA	G0069	1.026	219.27	224.97		
01112	CA	75	REST OF CALIFORNIA	G0070	1.026	272.78	279.87		
01112	CA	75	REST OF CALIFORNIA	G0088	1.026	197.37	202.50		
01112	CA	75	REST OF CALIFORNIA	G0089	1.026	266.67	273.60		
01112	CA	75	REST OF CALIFORNIA	G0090	1.026	331.75	340.38		
09102	FL	99	REST OF FLORIDA	G0068	0.991	162.28	160.82		
09102	FL	99	REST OF FLORIDA	G0069	0.991	219.27	217.30		
09102	FL	99	REST OF FLORIDA	G0070	0.991	272.78	270.32		
09102	FL	99	REST OF FLORIDA	G0088	0.991	197.37	195.59		
09102	FL	99	REST OF FLORIDA	G0089	0.991	266.67	264.27		
09102	FL	99	REST OF FLORIDA	G0090	0.991	331.75	328.76		
10212	GA	99	REST OF GEORGIA	G0068	0.941	162.28	152.71		
10212	GA	99	REST OF GEORGIA	G0069	0.941	219.27	206.33		
10212	GA	99	REST OF GEORGIA	G0070	0.941	272.78	256.69		
10212	GA	99	REST OF GEORGIA	G0088	0.941	197.37	185.73		
10212	GA	99	REST OF GEORGIA	G0089	0.941	266.67	250.94		
10212	GA	99	REST OF GEORGIA	G0090	0.941	331.75	312.18		
06102	IL	99	REST OF ILLINOIS	G0068	0.968	162.28	157.09		
06102	IL	99	REST OF ILLINOIS	G0069	0.968	219.27	212.25		
06102	IL	99	REST OF ILLINOIS	G0070	0.968	272.78	264.05		
06102	IL	99	REST OF ILLINOIS	G0088	0.968	197.37	191.05		
06102	IL	99	REST OF ILLINOIS	G0089	0.968	266.67	258.14		
06102	IL	99	REST OF ILLINOIS	G0090	0.968	331.75	321.13		
07202	LA	99	REST OF LOUISIANA	G0068	0.956	162.28	155.14		
07202	LA	99	REST OF LOUISIANA	G0069	0.956	219.27	209.62		
07202	LA	99	REST OF LOUISIANA	G0070	0.956	272.78	260.78		
07202	LA	99	REST OF LOUISIANA	G0088	0.956	197.37	188.69		
07202	LA	99	REST OF LOUISIANA	G0089	0.956	266.67	254.94		
07202	LA	99	REST OF LOUISIANA	G0090	0.956	331.75	317.15		
14112	ME	99	REST OF MAINE	G0068	0.939	162.28	152.38		
14112	ME	99	REST OF MAINE	G0069	0.939	219.27	205.89		
14112	ME	99	REST OF MAINE	G0070	0.939	272.78	256.14		
14112	ME	99	REST OF MAINE	G0088	0.939	197.37	185.33		
14112	ME	99	REST OF MAINE	G0089	0.939	266.67	250.40		
14112	ME	99	REST OF MAINE	G0090	0.939	331.75	311.51		
12302	MD	99	REST OF MARYLAND	G0068	1.025	162.28	166.34		
12302	MD	99	REST OF MARYLAND	G0069	1.025	219.27	224.75		
12302	MD	99	REST OF MARYLAND	G0070	1.025	272.78	279.60		
12302	MD	99	REST OF MARYLAND	G0088	1.025	197.37	202.30		
12302	MD	99	REST OF MARYLAND	G0089	1.025	266.67	273.34		
12302	MD	99	REST OF MARYLAND	G0090	1.025	331.75	340.04		
14212	MA	99	REST OF MASSACHUSETTS	G0068	1.034	162.28	167.80		
14212	MA	99	REST OF MASSACHUSETTS	G0069	1.034	219.27	226.73		
14212	MA	99	REST OF MASSACHUSETTS	G0070	1.034	272.78	282.05		
14212	MA	99	REST OF MASSACHUSETTS	G0088	1.034	197.37	204.08		
14212	MA	99	REST OF MASSACHUSETTS	G0089	1.034	266.67	275.74		
14212	MA	99	REST OF MASSACHUSETTS	G0090	1.034	331.75	343.03		
08202	MI	99	REST OF MICHIGAN	G0068	0.959	162.28	155.63		
08202	MI	99	REST OF MICHIGAN	G0069	0.959	219.27	210.28		
08202	MI	99	REST OF MICHIGAN	G0070	0.959	272.78	261.60		
08202	MI	99	REST OF MICHIGAN	G0088	0.959	197.37	189.28		
08202	MI	99	REST OF MICHIGAN	G0089	0.959	266.67	255.74		
08202	MI	99	REST OF MICHIGAN	G0090	0.959	331.75	318.15		
05302	MO	99	REST OF MISSOURI	G0068	0.926	162.28	150.27		
05302	MO	99	REST OF MISSOURI	G0069	0.926	219.27	203.04		
05302	MO	99	REST OF MISSOURI	G0070	0.926	272.78	252.59		
05302	MO	99	REST OF MISSOURI	G0088	0.926	197.37	182.76		
05302	MO	99	REST OF MISSOURI	G0089	0.926	266.67	246.94		
05302	MO	99	REST OF MISSOURI	G0090	0.926	331.75	307.20		
12402	NJ	99	REST OF NEW JERSEY	G0068	1.080	162.28	175.26		
12402	NJ	99	REST OF NEW JERSEY	G0069	1.080	219.27	236.81		
12402	NJ	99	REST OF NEW JERSEY	G0070	1.080	272.78	294.60		
12402	NJ	99	REST OF NEW JERSEY	G0088	1.080	197.37	213.16		
12402	NJ	99	REST OF NEW JERSEY	G0089	1.080	266.67	288.00		
12402	NJ	99	REST OF NEW JERSEY	G0090	1.080	331.75	358.29		
13282	NY	99	REST OF NEW YORK	G0068	0.969	162.28	157.25		
13282	NY	99	REST OF NEW YORK	G0069	0.969	219.27	212.47		
13282	NY	99	REST OF NEW YORK	G0070	0.969	272.78	264.32		
13282	NY	99	REST OF NEW YORK	G0088	0.969	197.37	191.25		
13282	NY	99	REST OF NEW YORK	G0089	0.969	266.67	258.40		
13282	NY	99	REST OF NEW YORK	G0090	0.969	331.75	321.47		
02302	OR	99	REST OF OREGON	G0068	0.956	162.28	155.14		
02302	OR	99	REST OF OREGON	G0069	0.956	219.27	209.62		
02302	OR	99	REST OF OREGON	G0070	0.956	272.78	260.78		
02302	OR	99	REST OF OREGON	G0088	0.956	197.37	188.69		
02302	OR	99	REST OF OREGON	G0089	0.956	266.67	254.94		
02302	OR	99	REST OF OREGON	G0090	0.956	331.75	317.15		
12502	PA	99	REST OF PENNSYLVANIA	G0068	0.968	162.28	157.09		
12502	PA	99	REST OF PENNSYLVANIA	G0069	0.968	219.27	212.25		
12502	PA	99	REST OF PENNSYLVANIA	G0070	0.968	272.78	264.05		
12502	PA	99	REST OF PENNSYLVANIA	G0088	0.968	197.37	191.05		
12502	PA	99	REST OF PENNSYLVANIA	G0089	0.968	266.67	258.14		
12502	PA	99	REST OF PENNSYLVANIA	G0090	0.968	331.75	321.13		
04412	TX	99	REST OF TEXAS	G0068	0.962	162.28	156.11		
04412	TX	99	REST OF TEXAS	G0069	0.962	219.27	210.94		
04412	TX	99	REST OF TEXAS	G0070	0.962	272.78	262.41		
04412	TX	99	REST OF TEXAS	G0088	0.962	197.37	189.87		
04412	TX	99	REST OF TEXAS	G0089	0.962	266.67	256.54		
04412	TX	99	REST OF TEXAS	G0090	0.962	331.75	319.14		
02402	WA	99	REST OF WASHINGTON	G0068	0.995	162.28	161.47		
02402	WA	99	REST OF WASHINGTON	G0069	0.995	219.27	218.17		
02402	WA	99	REST OF WASHINGTON	G0070	0.995	272.78	271.42		
02402	WA	99	REST OF WASHINGTON	G0088	0.995	197.37	196.38		
02402	WA	99	REST OF WASHINGTON	G0089	0.995	266.67	265.34		
02402	WA	99	REST OF WASHINGTON	G0090	0.995	331.75	330.09		
14412	RI	01	RHODE ISLAND	G0068	1.031	162.28	167.31		
14412	RI	01	RHODE ISLAND	G0069	1.031	219.27	226.07		
14412	RI	01	RHODE ISLAND	G0070	1.031	272.78	281.24		
14412	RI	01	RHODE ISLAND	G0088	1.031	197.37	203.49		
14412	RI	01	RHODE ISLAND	G0089	1.031	266.67	274.94		
14412	RI	01	RHODE ISLAND	G0090	1.031	331.75	342.03		
01112	CA	62	RIVERSIDE-SAN BERNARDINO-ONTARIO	G0068	1.041	162.28	168.93		
01112	CA	62	RIVERSIDE-SAN BERNARDINO-ONTARIO	G0069	1.041	219.27	228.26		
01112	CA	62	RIVERSIDE-SAN BERNARDINO-ONTARIO	G0070	1.041	272.78	283.96		
01112	CA	62	RIVERSIDE-SAN BERNARDINO-ONTARIO	G0088	1.041	197.37	205.46		
01112	CA	62	RIVERSIDE-SAN BERNARDINO-ONTARIO	G0089	1.041	266.67	277.60		
01112	CA	62	RIVERSIDE-SAN BERNARDINO-ONTARIO	G0090	1.041	331.75	345.35		
01112	CA	63	SACRAMENTO-ROSEVILLE-FOLSOM	G0068	1.038	162.28	168.45		
01112	CA	63	SACRAMENTO-ROSEVILLE-FOLSOM	G0069	1.038	219.27	227.60		
01112	CA	63	SACRAMENTO-ROSEVILLE-FOLSOM	G0070	1.038	272.78	283.15		
01112	CA	63	SACRAMENTO-ROSEVILLE-FOLSOM	G0088	1.038	197.37	204.87		
01112	CA	63	SACRAMENTO-ROSEVILLE-FOLSOM	G0089	1.038	266.67	276.80		
01112	CA	63	SACRAMENTO-ROSEVILLE-FOLSOM	G0090	1.038	331.75	344.36		
01112	CA	64	SALINAS	G0068	1.075	162.28	174.45		
01112	CA	64	SALINAS	G0069	1.075	219.27	235.72		
01112	CA	64	SALINAS	G0070	1.075	272.78	293.24		
01112	CA	64	SALINAS	G0088	1.075	197.37	212.17		
01112	CA	64	SALINAS	G0089	1.075	266.67	286.67		
01112	CA	64	SALINAS	G0090	1.075	331.75	356.63		
01182	CA	72	SAN DIEGO-CHULA VISTA-CARLSBAD	G0068	1.074	162.28	174.29		
01182	CA	72	SAN DIEGO-CHULA VISTA-CARLSBAD	G0069	1.074	219.27	235.50		
01182	CA	72	SAN DIEGO-CHULA VISTA-CARLSBAD	G0070	1.074	272.78	292.97		
01182	CA	72	SAN DIEGO-CHULA VISTA-CARLSBAD	G0088	1.074	197.37	211.98		
01182	CA	72	SAN DIEGO-CHULA VISTA-CARLSBAD	G0089	1.074	266.67	286.40		
01182	CA	72	SAN DIEGO-CHULA VISTA-CARLSBAD	G0090	1.074	331.75	356.30		
01112	CA	07	SAN FRANCISCO-OAKLAND-BERKELEY (ALAMEDA/CONTRA COSTA CNTY)	G0068	1.163	162.28	188.73		
01112	CA	07	SAN FRANCISCO-OAKLAND-BERKELEY (ALAMEDA/CONTRA COSTA CNTY)	G0069	1.163	219.27	255.01		
01112	CA	07	SAN FRANCISCO-OAKLAND-BERKELEY (ALAMEDA/CONTRA COSTA CNTY)	G0070	1.163	272.78	317.24		
01112	CA	07	SAN FRANCISCO-OAKLAND-BERKELEY (ALAMEDA/CONTRA COSTA CNTY)	G0088	1.163	197.37	229.54		
01112	CA	07	SAN FRANCISCO-OAKLAND-BERKELEY (ALAMEDA/CONTRA COSTA CNTY)	G0089	1.163	266.67	310.14		
01112	CA	07	SAN FRANCISCO-OAKLAND-BERKELEY (ALAMEDA/CONTRA COSTA CNTY)	G0090	1.163	331.75	385.83		
01112	CA	52	SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY)	G0068	1.165	162.28	189.06		
01112	CA	52	SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY)	G0069	1.165	219.27	255.45		
01112	CA	52	SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY)	G0070	1.165	272.78	317.79		
01112	CA	52	SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY)	G0088	1.165	197.37	229.94		
01112	CA	52	SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY)	G0089	1.165	266.67	310.67		
01112	CA	52	SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY)	G0090	1.165	331.75	386.49		
01112	CA	05	SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO CNTY)	G0068	1.163	162.28	188.73		
01112	CA	05	SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO CNTY)	G0069	1.163	219.27	255.01		
01112	CA	05	SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO CNTY)	G0070	1.163	272.78	317.24		
01112	CA	05	SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO CNTY)	G0088	1.163	197.37	229.54		
01112	CA	05	SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO CNTY)	G0089	1.163	266.67	310.14		
01112	CA	05	SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO CNTY)	G0090	1.163	331.75	385.83		
01112	CA	06	SAN FRANCISCO-OAKLAND-BERKELEY (SAN MATEO CNTY)	G0068	1.163	162.28	188.73		
01112	CA	06	SAN FRANCISCO-OAKLAND-BERKELEY (SAN MATEO CNTY)	G0069	1.163	219.27	255.01		
01112	CA	06	SAN FRANCISCO-OAKLAND-BERKELEY (SAN MATEO CNTY)	G0070	1.163	272.78	317.24		
01112	CA	06	SAN FRANCISCO-OAKLAND-BERKELEY (SAN MATEO CNTY)	G0088	1.163	197.37	229.54		
01112	CA	06	SAN FRANCISCO-OAKLAND-BERKELEY (SAN MATEO CNTY)	G0089	1.163	266.67	310.14		
01112	CA	06	SAN FRANCISCO-OAKLAND-BERKELEY (SAN MATEO CNTY)	G0090	1.163	331.75	385.83		
01112	CA	65	SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY)	G0068	1.203	162.28	195.22		
01112	CA	65	SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY)	G0069	1.203	219.27	263.78		
01112	CA	65	SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY)	G0070	1.203	272.78	328.15		
01112	CA	65	SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY)	G0088	1.203	197.37	237.44		
01112	CA	65	SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY)	G0089	1.203	266.67	320.80		
01112	CA	65	SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY)	G0090	1.203	331.75	399.10		
01112	CA	09	SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY)	G0068	1.195	162.28	193.92		
01112	CA	09	SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY)	G0069	1.195	219.27	262.03		
01112	CA	09	SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY)	G0070	1.195	272.78	325.97		
01112	CA	09	SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY)	G0088	1.195	197.37	235.86		
01112	CA	09	SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY)	G0089	1.195	266.67	318.67		
01112	CA	09	SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY)	G0090	1.195	331.75	396.44		
01182	CA	73	SAN LUIS OBISPO-PASO ROBLES	G0068	1.036	162.28	168.12		
01182	CA	73	SAN LUIS OBISPO-PASO ROBLES	G0069	1.036	219.27	227.16		
01182	CA	73	SAN LUIS OBISPO-PASO ROBLES	G0070	1.036	272.78	282.60		
01182	CA	73	SAN LUIS OBISPO-PASO ROBLES	G0088	1.036	197.37	204.48		
01182	CA	73	SAN LUIS OBISPO-PASO ROBLES	G0089	1.036	266.67	276.27		
01182	CA	73	SAN LUIS OBISPO-PASO ROBLES	G0090	1.036	331.75	343.69		
01112	CA	66	SANTA CRUZ-WATSONVILLE	G0068	1.098	162.28	178.18		
01112	CA	66	SANTA CRUZ-WATSONVILLE	G0069	1.098	219.27	240.76		
01112	CA	66	SANTA CRUZ-WATSONVILLE	G0070	1.098	272.78	299.51		
01112	CA	66	SANTA CRUZ-WATSONVILLE	G0088	1.098	197.37	216.71		
01112	CA	66	SANTA CRUZ-WATSONVILLE	G0089	1.098	266.67	292.80		
01112	CA	66	SANTA CRUZ-WATSONVILLE	G0090	1.098	331.75	364.26		
01182	CA	74	SANTA MARIA-SANTA BARBARA	G0068	1.082	162.28	175.59		
01182	CA	74	SANTA MARIA-SANTA BARBARA	G0069	1.082	219.27	237.25		
01182	CA	74	SANTA MARIA-SANTA BARBARA	G0070	1.082	272.78	295.15		
01182	CA	74	SANTA MARIA-SANTA BARBARA	G0088	1.082	197.37	213.55		
01182	CA	74	SANTA MARIA-SANTA BARBARA	G0089	1.082	266.67	288.54		
01182	CA	74	SANTA MARIA-SANTA BARBARA	G0090	1.082	331.75	358.95		
01112	CA	67	SANTA ROSA-PETALUMA	G0068	1.085	162.28	176.07		
01112	CA	67	SANTA ROSA-PETALUMA	G0069	1.085	219.27	237.91		
01112	CA	67	SANTA ROSA-PETALUMA	G0070	1.085	272.78	295.97		
01112	CA	67	SANTA ROSA-PETALUMA	G0088	1.085	197.37	214.15		
01112	CA	67	SANTA ROSA-PETALUMA	G0089	1.085	266.67	289.34		
01112	CA	67	SANTA ROSA-PETALUMA	G0090	1.085	331.75	359.95		
02402	WA	02	SEATTLE (KING CNTY)	G0068	1.096	162.28	177.86		
02402	WA	02	SEATTLE (KING CNTY)	G0069	1.096	219.27	240.32		
02402	WA	02	SEATTLE (KING CNTY)	G0070	1.096	272.78	298.97		
02402	WA	02	SEATTLE (KING CNTY)	G0088	1.096	197.37	216.32		
02402	WA	02	SEATTLE (KING CNTY)	G0089	1.096	266.67	292.27		
02402	WA	02	SEATTLE (KING CNTY)	G0090	1.096	331.75	363.60		
11202	SC	01	SOUTH CAROLINA	G0068	0.943	162.28	153.03		
11202	SC	01	SOUTH CAROLINA	G0069	0.943	219.27	206.77		
11202	SC	01	SOUTH CAROLINA	G0070	0.943	272.78	257.23		
11202	SC	01	SOUTH CAROLINA	G0088	0.943	197.37	186.12		
11202	SC	01	SOUTH CAROLINA	G0089	0.943	266.67	251.47		
11202	SC	01	SOUTH CAROLINA	G0090	0.943	331.75	312.84		
03402	SD	02	SOUTH DAKOTA**	G0068	0.972	162.28	157.74		
03402	SD	02	SOUTH DAKOTA**	G0069	0.972	219.27	213.13		
03402	SD	02	SOUTH DAKOTA**	G0070	0.972	272.78	265.14		
03402	SD	02	SOUTH DAKOTA**	G0088	0.972	197.37	191.84		
03402	SD	02	SOUTH DAKOTA**	G0089	0.972	266.67	259.20		
03402	SD	02	SOUTH DAKOTA**	G0090	0.972	331.75	322.46		
14112	ME	03	SOUTHERN MAINE	G0068	0.984	162.28	159.68		
14112	ME	03	SOUTHERN MAINE	G0069	0.984	219.27	215.76		
14112	ME	03	SOUTHERN MAINE	G0070	0.984	272.78	268.42		
14112	ME	03	SOUTHERN MAINE	G0088	0.984	197.37	194.21		
14112	ME	03	SOUTHERN MAINE	G0089	0.984	266.67	262.40		
14112	ME	03	SOUTHERN MAINE	G0090	0.984	331.75	326.44		
01112	CA	68	STOCKTON	G0068	1.026	162.28	166.50		
01112	CA	68	STOCKTON	G0069	1.026	219.27	224.97		
01112	CA	68	STOCKTON	G0070	1.026	272.78	279.87		
01112	CA	68	STOCKTON	G0088	1.026	197.37	202.50		
01112	CA	68	STOCKTON	G0089	1.026	266.67	273.60		
01112	CA	68	STOCKTON	G0090	1.026	331.75	340.38		
06102	IL	15	SUBURBAN CHICAGO	G0068	1.052	162.28	170.72		
06102	IL	15	SUBURBAN CHICAGO	G0069	1.052	219.27	230.67		
06102	IL	15	SUBURBAN CHICAGO	G0070	1.052	272.78	286.96		
06102	IL	15	SUBURBAN CHICAGO	G0088	1.052	197.37	207.63		
06102	IL	15	SUBURBAN CHICAGO	G0089	1.052	266.67	280.54		
06102	IL	15	SUBURBAN CHICAGO	G0090	1.052	331.75	349.00		
10312	TN	35	TENNESSEE	G0068	0.930	162.28	150.92		
10312	TN	35	TENNESSEE	G0069	0.930	219.27	203.92		
10312	TN	35	TENNESSEE	G0070	0.930	272.78	253.69		
10312	TN	35	TENNESSEE	G0088	0.930	197.37	183.55		
10312	TN	35	TENNESSEE	G0089	0.930	266.67	248.00		
10312	TN	35	TENNESSEE	G0090	0.930	331.75	308.53		
03502	UT	09	UTAH	G0068	0.955	162.28	154.98		
03502	UT	09	UTAH	G0069	0.955	219.27	209.40		
03502	UT	09	UTAH	G0070	0.955	272.78	260.50		
03502	UT	09	UTAH	G0088	0.955	197.37	188.49		
03502	UT	09	UTAH	G0089	0.955	266.67	254.67		
03502	UT	09	UTAH	G0090	0.955	331.75	316.82		
01112	CA	53	VALLEJO	G0068	1.100	162.28	178.51		
01112	CA	53	VALLEJO	G0069	1.100	219.27	241.20		
01112	CA	53	VALLEJO	G0070	1.100	272.78	300.06		
01112	CA	53	VALLEJO	G0088	1.100	197.37	217.11		
01112	CA	53	VALLEJO	G0089	1.100	266.67	293.34		
01112	CA	53	VALLEJO	G0090	1.100	331.75	364.93		
14512	VT	50	VERMONT	G0068	0.982	162.28	159.36		
14512	VT	50	VERMONT	G0069	0.982	219.27	215.32		
14512	VT	50	VERMONT	G0070	0.982	272.78	267.87		
14512	VT	50	VERMONT	G0088	0.982	197.37	193.82		
14512	VT	50	VERMONT	G0089	0.982	266.67	261.87		
14512	VT	50	VERMONT	G0090	0.982	331.75	325.78		
09202	VI	50	VIRGIN ISLANDS	G0068	1.003	162.28	162.77		
09202	VI	50	VIRGIN ISLANDS	G0069	1.003	219.27	219.93		
09202	VI	50	VIRGIN ISLANDS	G0070	1.003	272.78	273.60		
09202	VI	50	VIRGIN ISLANDS	G0088	1.003	197.37	197.96		
09202	VI	50	VIRGIN ISLANDS	G0089	1.003	266.67	267.47		
09202	VI	50	VIRGIN ISLANDS	G0090	1.003	331.75	332.75		
11302	VA	00	VIRGINIA	G0068	0.993	162.28	161.14		
11302	VA	00	VIRGINIA	G0069	0.993	219.27	217.74		
11302	VA	00	VIRGINIA	G0070	0.993	272.78	270.87		
11302	VA	00	VIRGINIA	G0088	0.993	197.37	195.99		
11302	VA	00	VIRGINIA	G0089	0.993	266.67	264.80		
11302	VA	00	VIRGINIA	G0090	0.993	331.75	329.43		
01112	CA	69	VISALIA	G0068	1.026	162.28	166.50		
01112	CA	69	VISALIA	G0069	1.026	219.27	224.97		
01112	CA	69	VISALIA	G0070	1.026	272.78	279.87		
01112	CA	69	VISALIA	G0088	1.026	197.37	202.50		
01112	CA	69	VISALIA	G0089	1.026	266.67	273.60		
01112	CA	69	VISALIA	G0090	1.026	331.75	340.38		
11402	WV	16	WEST VIRGINIA	G0068	0.945	162.28	153.35		
11402	WV	16	WEST VIRGINIA	G0069	0.945	219.27	207.21		
11402	WV	16	WEST VIRGINIA	G0070	0.945	272.78	257.78		
11402	WV	16	WEST VIRGINIA	G0088	0.945	197.37	186.51		
11402	WV	16	WEST VIRGINIA	G0089	0.945	266.67	252.00		
11402	WV	16	WEST VIRGINIA	G0090	0.945	331.75	313.50		
06302	WI	00	WISCONSIN	G0068	0.944	162.28	153.19		
06302	WI	00	WISCONSIN	G0069	0.944	219.27	206.99		
06302	WI	00	WISCONSIN	G0070	0.944	272.78	257.50		
06302	WI	00	WISCONSIN	G0088	0.944	197.37	186.32		
06302	WI	00	WISCONSIN	G0089	0.944	266.67	251.74		
06302	WI	00	WISCONSIN	G0090	0.944	331.75	313.17		
03602	WY	21	WYOMING**	G0068	0.993	162.28	161.14		
03602	WY	21	WYOMING**	G0069	0.993	219.27	217.74		
03602	WY	21	WYOMING**	G0070	0.993	272.78	270.87		
03602	WY	21	WYOMING**	G0088	0.993	197.37	195.99		
03602	WY	21	WYOMING**	G0089	0.993	266.67	264.80		
03602	WY	21	WYOMING**	G0090	0.993	331.75	329.43		
01112	CA	70	YUBA CITY	G0068	1.026	162.28	166.50		
01112	CA	70	YUBA CITY	G0069	1.026	219.27	224.97		
01112	CA	70	YUBA CITY	G0070	1.026	272.78	279.87		
01112	CA	70	YUBA CITY	G0088	1.026	197.37	202.50		
01112	CA	70	YUBA CITY	G0089	1.026	266.67	273.60		
01112	CA	70	YUBA CITY	G0090	1.026	331.75	340.38		
									
									
			"Note: The payment amount of each G-code is based on only one single unit of payment per drug category for each infusion drug administration calendar day. .  In the case that two (or more) home infusion drugs or biologicals from two (or more) different payment categories are administered to an individual concurrently on a single infusion drug administration calendar day, one payment for the highest payment category would be made. While the qualified HIT supplier should submit claims for the appropriate G-code in multiple units of 15-minute increments to report the actual duration of each HIT service visit, the payment will be equal to only one single unit per visit.  "						
									
"MAC Assignments as of June 1, 2021"									
									
GAF equation: (0.50866 * work GPCI) + (0.44839 * PE GPCI) + (0.04295 * MP GPCI).									
									
*GAF reflects a 1.5 work GPCI floor in Alaska established by the MIPPA.									
**GAF reflects a 1.0 PE GPCI floor for frontier states established by the Affordable Care Act.									
									
"Note:   The 1.0 Work GPCI floor required by Section 101 of the Consolidated Appropriations Act, 2021 [December 27, 2020] extended the Work GPCI floor through December 31, 2023."									
