2024 LOCALITY-ADJUSTED PAYMENT AMOUNTS FOR ADMINISTRATION OF COVID-19 MONOCLONAL ANTIBODY PRODUCTS																			
"Updated 04/02/2024 to reflect new codes for PEMGARDA, which are effective 03/22/2024
Effective for Claims with Dates of Service 1/1/2024-12/31/2024"																			
Medicare Administrative Contractor (MAC)	State	Locality Number	Locality Name	2024 GAF (with 1.0 Work Floor)	"M0220
"	"M0221
"	"M0222
"	"M0223
"	"M0240
"	"M0241
"	"M0243
"	"M0244
"	"M0245
"	"M0246
"	"M0247
"	M0248	"M0249
"	"M0250
"	"M0224
"
					 $150.50 	 $250.50 	 $350.50 	 $550.50 	 $450.00 	 $750.00 	 $450.00 	 $750.00 	 $450.00 	 $750.00 	 $450.00 	 $750.00 	 $450.00 	 $450.00 	 $450.00 
10112	AL	00	ALABAMA	0.923	 $138.91 	 $231.21 	 $323.51 	 $508.11 	 $415.35 	 $692.25 	 $415.35 	 $692.25 	 $415.35 	 $692.25 	 $415.35 	 $692.25 	 $415.35 	 $415.35 	 $415.35 
02102	AK	01	ALASKA*	1.271	 $191.29 	 $318.39 	 $445.49 	 $699.69 	 $571.95 	 $953.25 	 $571.95 	 $953.25 	 $571.95 	 $953.25 	 $571.95 	 $953.25 	 $571.95 	 $571.95 	 $571.95 
03102	AZ	00	ARIZONA	0.983	 $147.94 	 $246.24 	 $344.54 	 $541.14 	 $442.35 	 $737.25 	 $442.35 	 $737.25 	 $442.35 	 $737.25 	 $442.35 	 $737.25 	 $442.35 	 $442.35 	 $442.35 
07102	AR	13	ARKANSAS	0.916	 $137.86 	 $229.46 	 $321.06 	 $504.26 	 $412.20 	 $687.00 	 $412.20 	 $687.00 	 $412.20 	 $687.00 	 $412.20 	 $687.00 	 $412.20 	 $412.20 	 $412.20 
01112	CA	54	BAKERSFIELD	1.037	 $156.07 	 $259.77 	 $363.47 	 $570.87 	 $466.65 	 $777.75 	 $466.65 	 $777.75 	 $466.65 	 $777.75 	 $466.65 	 $777.75 	 $466.65 	 $466.65 	 $466.65 
01112	CA	55	CHICO	1.031	 $155.17 	 $258.27 	 $361.37 	 $567.57 	 $463.95 	 $773.25 	 $463.95 	 $773.25 	 $463.95 	 $773.25 	 $463.95 	 $773.25 	 $463.95 	 $463.95 	 $463.95 
01182	CA	71	EL CENTRO	1.032	 $155.32 	 $258.52 	 $361.72 	 $568.12 	 $464.40 	 $774.00 	 $464.40 	 $774.00 	 $464.40 	 $774.00 	 $464.40 	 $774.00 	 $464.40 	 $464.40 	 $464.40 
01112	CA	56	FRESNO	1.031	 $155.17 	 $258.27 	 $361.37 	 $567.57 	 $463.95 	 $773.25 	 $463.95 	 $773.25 	 $463.95 	 $773.25 	 $463.95 	 $773.25 	 $463.95 	 $463.95 	 $463.95 
01112	CA	57	HANFORD-CORCORAN	1.031	 $155.17 	 $258.27 	 $361.37 	 $567.57 	 $463.95 	 $773.25 	 $463.95 	 $773.25 	 $463.95 	 $773.25 	 $463.95 	 $773.25 	 $463.95 	 $463.95 	 $463.95 
01182	CA	18	LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY)	1.097	 $165.10 	 $274.80 	 $384.50 	 $603.90 	 $493.65 	 $822.75 	 $493.65 	 $822.75 	 $493.65 	 $822.75 	 $493.65 	 $822.75 	 $493.65 	 $493.65 	 $493.65 
01112	CA	58	MADERA	1.031	 $155.17 	 $258.27 	 $361.37 	 $567.57 	 $463.95 	 $773.25 	 $463.95 	 $773.25 	 $463.95 	 $773.25 	 $463.95 	 $773.25 	 $463.95 	 $463.95 	 $463.95 
01112	CA	59	MERCED	1.031	 $155.17 	 $258.27 	 $361.37 	 $567.57 	 $463.95 	 $773.25 	 $463.95 	 $773.25 	 $463.95 	 $773.25 	 $463.95 	 $773.25 	 $463.95 	 $463.95 	 $463.95 
01112	CA	60	MODESTO	1.031	 $155.17 	 $258.27 	 $361.37 	 $567.57 	 $463.95 	 $773.25 	 $463.95 	 $773.25 	 $463.95 	 $773.25 	 $463.95 	 $773.25 	 $463.95 	 $463.95 	 $463.95 
01112	CA	51	NAPA	1.151	 $173.23 	 $288.33 	 $403.43 	 $633.63 	 $517.95 	 $863.25 	 $517.95 	 $863.25 	 $517.95 	 $863.25 	 $517.95 	 $863.25 	 $517.95 	 $517.95 	 $517.95 
01182	CA	17	OXNARD-THOUSAND OAKS-VENTURA	1.082	 $162.84 	 $271.04 	 $379.24 	 $595.64 	 $486.90 	 $811.50 	 $486.90 	 $811.50 	 $486.90 	 $811.50 	 $486.90 	 $811.50 	 $486.90 	 $486.90 	 $486.90 
01112	CA	61	REDDING	1.031	 $155.17 	 $258.27 	 $361.37 	 $567.57 	 $463.95 	 $773.25 	 $463.95 	 $773.25 	 $463.95 	 $773.25 	 $463.95 	 $773.25 	 $463.95 	 $463.95 	 $463.95 
01112	CA	62	RIVERSIDE-SAN BERNARDINO-ONTARIO	1.045	 $157.27 	 $261.77 	 $366.27 	 $575.27 	 $470.25 	 $783.75 	 $470.25 	 $783.75 	 $470.25 	 $783.75 	 $470.25 	 $783.75 	 $470.25 	 $470.25 	 $470.25 
01112	CA	63	SACRAMENTO-ROSEVILLE-FOLSOM	1.070	 $161.04 	 $268.04 	 $375.04 	 $589.04 	 $481.50 	 $802.50 	 $481.50 	 $802.50 	 $481.50 	 $802.50 	 $481.50 	 $802.50 	 $481.50 	 $481.50 	 $481.50 
01112	CA	64	SALINAS	1.075	 $161.79 	 $269.29 	 $376.79 	 $591.79 	 $483.75 	 $806.25 	 $483.75 	 $806.25 	 $483.75 	 $806.25 	 $483.75 	 $806.25 	 $483.75 	 $483.75 	 $483.75 
01182	CA	72	SAN DIEGO-CHULA VISTA-CARLSBAD	1.083	 $162.99 	 $271.29 	 $379.59 	 $596.19 	 $487.35 	 $812.25 	 $487.35 	 $812.25 	 $487.35 	 $812.25 	 $487.35 	 $812.25 	 $487.35 	 $487.35 	 $487.35 
01112	CA	05	SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY)	1.212	 $182.41 	 $303.61 	 $424.81 	 $667.21 	 $545.40 	 $909.00 	 $545.40 	 $909.00 	 $545.40 	 $909.00 	 $545.40 	 $909.00 	 $545.40 	 $545.40 	 $545.40 
01112	CA	52	SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY)	1.213	 $182.56 	 $303.86 	 $425.16 	 $667.76 	 $545.85 	 $909.75 	 $545.85 	 $909.75 	 $545.85 	 $909.75 	 $545.85 	 $909.75 	 $545.85 	 $545.85 	 $545.85 
01112	CA	65	SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY)	1.230	 $185.12 	 $308.12 	 $431.12 	 $677.12 	 $553.50 	 $922.50 	 $553.50 	 $922.50 	 $553.50 	 $922.50 	 $553.50 	 $922.50 	 $553.50 	 $553.50 	 $553.50 
01182	CA	73	SAN LUIS OBISPO-PASO ROBLES	1.049	 $157.87 	 $262.77 	 $367.67 	 $577.47 	 $472.05 	 $786.75 	 $472.05 	 $786.75 	 $472.05 	 $786.75 	 $472.05 	 $786.75 	 $472.05 	 $472.05 	 $472.05 
01112	CA	09	SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY)	1.224	 $184.21 	 $306.61 	 $429.01 	 $673.81 	 $550.80 	 $918.00 	 $550.80 	 $918.00 	 $550.80 	 $918.00 	 $550.80 	 $918.00 	 $550.80 	 $550.80 	 $550.80 
01112	CA	66	SANTA CRUZ-WATSONVILLE	1.085	 $163.29 	 $271.79 	 $380.29 	 $597.29 	 $488.25 	 $813.75 	 $488.25 	 $813.75 	 $488.25 	 $813.75 	 $488.25 	 $813.75 	 $488.25 	 $488.25 	 $488.25 
01182	CA	74	SANTA MARIA-SANTA BARBARA	1.072	 $161.34 	 $268.54 	 $375.74 	 $590.14 	 $482.40 	 $804.00 	 $482.40 	 $804.00 	 $482.40 	 $804.00 	 $482.40 	 $804.00 	 $482.40 	 $482.40 	 $482.40 
01112	CA	67	SANTA ROSA-PETALUMA	1.101	 $165.70 	 $275.80 	 $385.90 	 $606.10 	 $495.45 	 $825.75 	 $495.45 	 $825.75 	 $495.45 	 $825.75 	 $495.45 	 $825.75 	 $495.45 	 $495.45 	 $495.45 
01112	CA	68	STOCKTON	1.031	 $155.17 	 $258.27 	 $361.37 	 $567.57 	 $463.95 	 $773.25 	 $463.95 	 $773.25 	 $463.95 	 $773.25 	 $463.95 	 $773.25 	 $463.95 	 $463.95 	 $463.95 
01112	CA	53	VALLEJO	1.149	 $172.92 	 $287.82 	 $402.72 	 $632.52 	 $517.05 	 $861.75 	 $517.05 	 $861.75 	 $517.05 	 $861.75 	 $517.05 	 $861.75 	 $517.05 	 $517.05 	 $517.05 
01112	CA	69	VISALIA	1.031	 $155.17 	 $258.27 	 $361.37 	 $567.57 	 $463.95 	 $773.25 	 $463.95 	 $773.25 	 $463.95 	 $773.25 	 $463.95 	 $773.25 	 $463.95 	 $463.95 	 $463.95 
01112	CA	70	YUBA CITY	1.031	 $155.17 	 $258.27 	 $361.37 	 $567.57 	 $463.95 	 $773.25 	 $463.95 	 $773.25 	 $463.95 	 $773.25 	 $463.95 	 $773.25 	 $463.95 	 $463.95 	 $463.95 
01112	CA	75	REST OF CALIFORNIA	1.031	 $155.17 	 $258.27 	 $361.37 	 $567.57 	 $463.95 	 $773.25 	 $463.95 	 $773.25 	 $463.95 	 $773.25 	 $463.95 	 $773.25 	 $463.95 	 $463.95 	 $463.95 
04112	CO	01	COLORADO	1.021	 $153.66 	 $255.76 	 $357.86 	 $562.06 	 $459.45 	 $765.75 	 $459.45 	 $765.75 	 $459.45 	 $765.75 	 $459.45 	 $765.75 	 $459.45 	 $459.45 	 $459.45 
13102	CT	00	CONNECTICUT	1.062	 $159.83 	 $266.03 	 $372.23 	 $584.63 	 $477.90 	 $796.50 	 $477.90 	 $796.50 	 $477.90 	 $796.50 	 $477.90 	 $796.50 	 $477.90 	 $477.90 	 $477.90 
12202	DC	01	DC + MD/VA SUBURBS	1.123	 $169.01 	 $281.31 	 $393.61 	 $618.21 	 $505.35 	 $842.25 	 $505.35 	 $842.25 	 $505.35 	 $842.25 	 $505.35 	 $842.25 	 $505.35 	 $505.35 	 $505.35 
12102	DE	01	DELAWARE	0.999	 $150.35 	 $250.25 	 $350.15 	 $549.95 	 $449.55 	 $749.25 	 $449.55 	 $749.25 	 $449.55 	 $749.25 	 $449.55 	 $749.25 	 $449.55 	 $449.55 	 $449.55 
09102	FL	03	FORT LAUDERDALE	1.031	 $155.17 	 $258.27 	 $361.37 	 $567.57 	 $463.95 	 $773.25 	 $463.95 	 $773.25 	 $463.95 	 $773.25 	 $463.95 	 $773.25 	 $463.95 	 $463.95 	 $463.95 
09102	FL	04	MIAMI	1.075	 $161.79 	 $269.29 	 $376.79 	 $591.79 	 $483.75 	 $806.25 	 $483.75 	 $806.25 	 $483.75 	 $806.25 	 $483.75 	 $806.25 	 $483.75 	 $483.75 	 $483.75 
09102	FL	99	REST OF FLORIDA	0.992	 $149.30 	 $248.50 	 $347.70 	 $546.10 	 $446.40 	 $744.00 	 $446.40 	 $744.00 	 $446.40 	 $744.00 	 $446.40 	 $744.00 	 $446.40 	 $446.40 	 $446.40 
10212	GA	01	ATLANTA	1.004	 $151.10 	 $251.50 	 $351.90 	 $552.70 	 $451.80 	 $753.00 	 $451.80 	 $753.00 	 $451.80 	 $753.00 	 $451.80 	 $753.00 	 $451.80 	 $451.80 	 $451.80 
10212	GA	99	REST OF GEORGIA	0.952	 $143.28 	 $238.48 	 $333.68 	 $524.08 	 $428.40 	 $714.00 	 $428.40 	 $714.00 	 $428.40 	 $714.00 	 $428.40 	 $714.00 	 $428.40 	 $428.40 	 $428.40 
01212	HI	01	"HAWAII, GUAM"	1.050	 $158.03 	 $263.03 	 $368.03 	 $578.03 	 $472.50 	 $787.50 	 $472.50 	 $787.50 	 $472.50 	 $787.50 	 $472.50 	 $787.50 	 $472.50 	 $472.50 	 $472.50 
02202	ID	00	IDAHO	0.936	 $140.87 	 $234.47 	 $328.07 	 $515.27 	 $421.20 	 $702.00 	 $421.20 	 $702.00 	 $421.20 	 $702.00 	 $421.20 	 $702.00 	 $421.20 	 $421.20 	 $421.20 
06102	IL	16	CHICAGO	1.056	 $158.93 	 $264.53 	 $370.13 	 $581.33 	 $475.20 	 $792.00 	 $475.20 	 $792.00 	 $475.20 	 $792.00 	 $475.20 	 $792.00 	 $475.20 	 $475.20 	 $475.20 
06102	IL	12	EAST ST. LOUIS	0.996	 $149.90 	 $249.50 	 $349.10 	 $548.30 	 $448.20 	 $747.00 	 $448.20 	 $747.00 	 $448.20 	 $747.00 	 $448.20 	 $747.00 	 $448.20 	 $448.20 	 $448.20 
06102	IL	15	SUBURBAN CHICAGO	1.048	 $157.72 	 $262.52 	 $367.32 	 $576.92 	 $471.60 	 $786.00 	 $471.60 	 $786.00 	 $471.60 	 $786.00 	 $471.60 	 $786.00 	 $471.60 	 $471.60 	 $471.60 
06102	IL	99	REST OF ILLINOIS	0.976	 $146.89 	 $244.49 	 $342.09 	 $537.29 	 $439.20 	 $732.00 	 $439.20 	 $732.00 	 $439.20 	 $732.00 	 $439.20 	 $732.00 	 $439.20 	 $439.20 	 $439.20 
08102	IN	00	INDIANA	0.943	 $141.92 	 $236.22 	 $330.52 	 $519.12 	 $424.35 	 $707.25 	 $424.35 	 $707.25 	 $424.35 	 $707.25 	 $424.35 	 $707.25 	 $424.35 	 $424.35 	 $424.35 
05102	IA	00	IOWA	0.938	 $141.17 	 $234.97 	 $328.77 	 $516.37 	 $422.10 	 $703.50 	 $422.10 	 $703.50 	 $422.10 	 $703.50 	 $422.10 	 $703.50 	 $422.10 	 $422.10 	 $422.10 
05202	KS	00	KANSAS	0.938	 $141.17 	 $234.97 	 $328.77 	 $516.37 	 $422.10 	 $703.50 	 $422.10 	 $703.50 	 $422.10 	 $703.50 	 $422.10 	 $703.50 	 $422.10 	 $422.10 	 $422.10 
15102	KY	00	KENTUCKY	0.940	 $141.47 	 $235.47 	 $329.47 	 $517.47 	 $423.00 	 $705.00 	 $423.00 	 $705.00 	 $423.00 	 $705.00 	 $423.00 	 $705.00 	 $423.00 	 $423.00 	 $423.00 
07202	LA	01	NEW ORLEANS	0.977	 $147.04 	 $244.74 	 $342.44 	 $537.84 	 $439.65 	 $732.75 	 $439.65 	 $732.75 	 $439.65 	 $732.75 	 $439.65 	 $732.75 	 $439.65 	 $439.65 	 $439.65 
07202	LA	99	REST OF LOUISIANA	0.945	 $142.22 	 $236.72 	 $331.22 	 $520.22 	 $425.25 	 $708.75 	 $425.25 	 $708.75 	 $425.25 	 $708.75 	 $425.25 	 $708.75 	 $425.25 	 $425.25 	 $425.25 
14112	ME	03	SOUTHERN MAINE	0.991	 $149.15 	 $248.25 	 $347.35 	 $545.55 	 $445.95 	 $743.25 	 $445.95 	 $743.25 	 $445.95 	 $743.25 	 $445.95 	 $743.25 	 $445.95 	 $445.95 	 $445.95 
14112	ME	99	REST OF MAINE	0.946	 $142.37 	 $236.97 	 $331.57 	 $520.77 	 $425.70 	 $709.50 	 $425.70 	 $709.50 	 $425.70 	 $709.50 	 $425.70 	 $709.50 	 $425.70 	 $425.70 	 $425.70 
12302	MD	01	BALTIMORE/SURR. CNTYS	1.058	 $159.23 	 $265.03 	 $370.83 	 $582.43 	 $476.10 	 $793.50 	 $476.10 	 $793.50 	 $476.10 	 $793.50 	 $476.10 	 $793.50 	 $476.10 	 $476.10 	 $476.10 
12302	MD	99	REST OF MARYLAND	1.012	 $152.31 	 $253.51 	 $354.71 	 $557.11 	 $455.40 	 $759.00 	 $455.40 	 $759.00 	 $455.40 	 $759.00 	 $455.40 	 $759.00 	 $455.40 	 $455.40 	 $455.40 
14212	MA	01	METROPOLITAN BOSTON	1.106	 $166.45 	 $277.05 	 $387.65 	 $608.85 	 $497.70 	 $829.50 	 $497.70 	 $829.50 	 $497.70 	 $829.50 	 $497.70 	 $829.50 	 $497.70 	 $497.70 	 $497.70 
14212	MA	99	REST OF MASSACHUSETTS	1.028	 $154.71 	 $257.51 	 $360.31 	 $565.91 	 $462.60 	 $771.00 	 $462.60 	 $771.00 	 $462.60 	 $771.00 	 $462.60 	 $771.00 	 $462.60 	 $462.60 	 $462.60 
08202	MI	01	DETROIT	1.025	 $154.26 	 $256.76 	 $359.26 	 $564.26 	 $461.25 	 $768.75 	 $461.25 	 $768.75 	 $461.25 	 $768.75 	 $461.25 	 $768.75 	 $461.25 	 $461.25 	 $461.25 
08202	MI	99	REST OF MICHIGAN	0.967	 $145.53 	 $242.23 	 $338.93 	 $532.33 	 $435.15 	 $725.25 	 $435.15 	 $725.25 	 $435.15 	 $725.25 	 $435.15 	 $725.25 	 $435.15 	 $435.15 	 $435.15 
06202	MN	00	MINNESOTA	0.982	 $147.79 	 $245.99 	 $344.19 	 $540.59 	 $441.90 	 $736.50 	 $441.90 	 $736.50 	 $441.90 	 $736.50 	 $441.90 	 $736.50 	 $441.90 	 $441.90 	 $441.90 
07302	MS	00	MISSISSIPPI	0.923	 $138.91 	 $231.21 	 $323.51 	 $508.11 	 $415.35 	 $692.25 	 $415.35 	 $692.25 	 $415.35 	 $692.25 	 $415.35 	 $692.25 	 $415.35 	 $415.35 	 $415.35 
05302	MO	02	METROPOLITAN KANSAS CITY	0.976	 $146.89 	 $244.49 	 $342.09 	 $537.29 	 $439.20 	 $732.00 	 $439.20 	 $732.00 	 $439.20 	 $732.00 	 $439.20 	 $732.00 	 $439.20 	 $439.20 	 $439.20 
05302	MO	01	METROPOLITAN ST. LOUIS	0.978	 $147.19 	 $244.99 	 $342.79 	 $538.39 	 $440.10 	 $733.50 	 $440.10 	 $733.50 	 $440.10 	 $733.50 	 $440.10 	 $733.50 	 $440.10 	 $440.10 	 $440.10 
05302	MO	99	REST OF MISSOURI	0.935	 $140.72 	 $234.22 	 $327.72 	 $514.72 	 $420.75 	 $701.25 	 $420.75 	 $701.25 	 $420.75 	 $701.25 	 $420.75 	 $701.25 	 $420.75 	 $420.75 	 $420.75 
03202	MT	01	MONTANA**	0.999	 $150.35 	 $250.25 	 $350.15 	 $549.95 	 $449.55 	 $749.25 	 $449.55 	 $749.25 	 $449.55 	 $749.25 	 $449.55 	 $749.25 	 $449.55 	 $449.55 	 $449.55 
05402	NE	00	NEBRASKA	0.933	 $140.42 	 $233.72 	 $327.02 	 $513.62 	 $419.85 	 $699.75 	 $419.85 	 $699.75 	 $419.85 	 $699.75 	 $419.85 	 $699.75 	 $419.85 	 $419.85 	 $419.85 
01312	NV	00	NEVADA**	0.994	 $149.60 	 $249.00 	 $348.40 	 $547.20 	 $447.30 	 $745.50 	 $447.30 	 $745.50 	 $447.30 	 $745.50 	 $447.30 	 $745.50 	 $447.30 	 $447.30 	 $447.30 
14312	NH	40	NEW HAMPSHIRE	1.011	 $152.16 	 $253.26 	 $354.36 	 $556.56 	 $454.95 	 $758.25 	 $454.95 	 $758.25 	 $454.95 	 $758.25 	 $454.95 	 $758.25 	 $454.95 	 $454.95 	 $454.95 
12402	NJ	01	NORTHERN NJ	1.112	 $167.36 	 $278.56 	 $389.76 	 $612.16 	 $500.40 	 $834.00 	 $500.40 	 $834.00 	 $500.40 	 $834.00 	 $500.40 	 $834.00 	 $500.40 	 $500.40 	 $500.40 
12402	NJ	99	REST OF NEW JERSEY	1.072	 $161.34 	 $268.54 	 $375.74 	 $590.14 	 $482.40 	 $804.00 	 $482.40 	 $804.00 	 $482.40 	 $804.00 	 $482.40 	 $804.00 	 $482.40 	 $482.40 	 $482.40 
04212	NM	05	NEW MEXICO	0.965	 $145.23 	 $241.73 	 $338.23 	 $531.23 	 $434.25 	 $723.75 	 $434.25 	 $723.75 	 $434.25 	 $723.75 	 $434.25 	 $723.75 	 $434.25 	 $434.25 	 $434.25 
13202	NY	01	MANHATTAN	1.136	 $170.97 	 $284.57 	 $398.17 	 $625.37 	 $511.20 	 $852.00 	 $511.20 	 $852.00 	 $511.20 	 $852.00 	 $511.20 	 $852.00 	 $511.20 	 $511.20 	 $511.20 
13202	NY	02	NYC SUBURBS/LONG ISLAND	1.162	 $174.88 	 $291.08 	 $407.28 	 $639.68 	 $522.90 	 $871.50 	 $522.90 	 $871.50 	 $522.90 	 $871.50 	 $522.90 	 $871.50 	 $522.90 	 $522.90 	 $522.90 
13202	NY	03	POUGHKPSIE/N NYC SUBURBS	1.082	 $162.84 	 $271.04 	 $379.24 	 $595.64 	 $486.90 	 $811.50 	 $486.90 	 $811.50 	 $486.90 	 $811.50 	 $486.90 	 $811.50 	 $486.90 	 $486.90 	 $486.90 
13292	NY	04	QUEENS	1.141	 $171.72 	 $285.82 	 $399.92 	 $628.12 	 $513.45 	 $855.75 	 $513.45 	 $855.75 	 $513.45 	 $855.75 	 $513.45 	 $855.75 	 $513.45 	 $513.45 	 $513.45 
13282	NY	99	REST OF NEW YORK	0.966	 $145.38 	 $241.98 	 $338.58 	 $531.78 	 $434.70 	 $724.50 	 $434.70 	 $724.50 	 $434.70 	 $724.50 	 $434.70 	 $724.50 	 $434.70 	 $434.70 	 $434.70 
11502	NC	00	NORTH CAROLINA	0.952	 $143.28 	 $238.48 	 $333.68 	 $524.08 	 $428.40 	 $714.00 	 $428.40 	 $714.00 	 $428.40 	 $714.00 	 $428.40 	 $714.00 	 $428.40 	 $428.40 	 $428.40 
03302	ND	01	NORTH DAKOTA**	0.980	 $147.49 	 $245.49 	 $343.49 	 $539.49 	 $441.00 	 $735.00 	 $441.00 	 $735.00 	 $441.00 	 $735.00 	 $441.00 	 $735.00 	 $441.00 	 $441.00 	 $441.00 
15202	OH	00	OHIO	0.961	 $144.63 	 $240.73 	 $336.83 	 $529.03 	 $432.45 	 $720.75 	 $432.45 	 $720.75 	 $432.45 	 $720.75 	 $432.45 	 $720.75 	 $432.45 	 $432.45 	 $432.45 
04312	OK	00	OKLAHOMA	0.942	 $141.77 	 $235.97 	 $330.17 	 $518.57 	 $423.90 	 $706.50 	 $423.90 	 $706.50 	 $423.90 	 $706.50 	 $423.90 	 $706.50 	 $423.90 	 $423.90 	 $423.90 
02302	OR	01	PORTLAND	1.041	 $156.67 	 $260.77 	 $364.87 	 $573.07 	 $468.45 	 $780.75 	 $468.45 	 $780.75 	 $468.45 	 $780.75 	 $468.45 	 $780.75 	 $468.45 	 $468.45 	 $468.45 
02302	OR	99	REST OF OREGON	0.979	 $147.34 	 $245.24 	 $343.14 	 $538.94 	 $440.55 	 $734.25 	 $440.55 	 $734.25 	 $440.55 	 $734.25 	 $440.55 	 $734.25 	 $440.55 	 $440.55 	 $440.55 
12502	PA	01	METROPOLITAN PHILADELPHIA	1.043	 $156.97 	 $261.27 	 $365.57 	 $574.17 	 $469.35 	 $782.25 	 $469.35 	 $782.25 	 $469.35 	 $782.25 	 $469.35 	 $782.25 	 $469.35 	 $469.35 	 $469.35 
12502	PA	99	REST OF PENNSYLVANIA	0.964	 $145.08 	 $241.48 	 $337.88 	 $530.68 	 $433.80 	 $723.00 	 $433.80 	 $723.00 	 $433.80 	 $723.00 	 $433.80 	 $723.00 	 $433.80 	 $433.80 	 $433.80 
09202	PR	20	PUERTO RICO	1.002	 $150.80 	 $251.00 	 $351.20 	 $551.60 	 $450.90 	 $751.50 	 $450.90 	 $751.50 	 $450.90 	 $751.50 	 $450.90 	 $751.50 	 $450.90 	 $450.90 	 $450.90 
14412	RI	01	RHODE ISLAND	1.024	 $154.11 	 $256.51 	 $358.91 	 $563.71 	 $460.80 	 $768.00 	 $460.80 	 $768.00 	 $460.80 	 $768.00 	 $460.80 	 $768.00 	 $460.80 	 $460.80 	 $460.80 
11202	SC	01	SOUTH CAROLINA	0.953	 $143.43 	 $238.73 	 $334.03 	 $524.63 	 $428.85 	 $714.75 	 $428.85 	 $714.75 	 $428.85 	 $714.75 	 $428.85 	 $714.75 	 $428.85 	 $428.85 	 $428.85 
03402	SD	02	SOUTH DAKOTA**	0.974	 $146.59 	 $243.99 	 $341.39 	 $536.19 	 $438.30 	 $730.50 	 $438.30 	 $730.50 	 $438.30 	 $730.50 	 $438.30 	 $730.50 	 $438.30 	 $438.30 	 $438.30 
10312	TN	35	TENNESSEE	0.933	 $140.42 	 $233.72 	 $327.02 	 $513.62 	 $419.85 	 $699.75 	 $419.85 	 $699.75 	 $419.85 	 $699.75 	 $419.85 	 $699.75 	 $419.85 	 $419.85 	 $419.85 
04412	TX	31	AUSTIN	1.018	 $153.21 	 $255.01 	 $356.81 	 $560.41 	 $458.10 	 $763.50 	 $458.10 	 $763.50 	 $458.10 	 $763.50 	 $458.10 	 $763.50 	 $458.10 	 $458.10 	 $458.10 
04412	TX	20	BEAUMONT	0.954	 $143.58 	 $238.98 	 $334.38 	 $525.18 	 $429.30 	 $715.50 	 $429.30 	 $715.50 	 $429.30 	 $715.50 	 $429.30 	 $715.50 	 $429.30 	 $429.30 	 $429.30 
04412	TX	09	BRAZORIA	1.001	 $150.65 	 $250.75 	 $350.85 	 $551.05 	 $450.45 	 $750.75 	 $450.45 	 $750.75 	 $450.45 	 $750.75 	 $450.45 	 $750.75 	 $450.45 	 $450.45 	 $450.45 
04412	TX	11	DALLAS	1.004	 $151.10 	 $251.50 	 $351.90 	 $552.70 	 $451.80 	 $753.00 	 $451.80 	 $753.00 	 $451.80 	 $753.00 	 $451.80 	 $753.00 	 $451.80 	 $451.80 	 $451.80 
04412	TX	28	FORT WORTH	1.000	 $150.50 	 $250.50 	 $350.50 	 $550.50 	 $450.00 	 $750.00 	 $450.00 	 $750.00 	 $450.00 	 $750.00 	 $450.00 	 $750.00 	 $450.00 	 $450.00 	 $450.00 
04412	TX	15	GALVESTON	1.001	 $150.65 	 $250.75 	 $350.85 	 $551.05 	 $450.45 	 $750.75 	 $450.45 	 $750.75 	 $450.45 	 $750.75 	 $450.45 	 $750.75 	 $450.45 	 $450.45 	 $450.45 
04412	TX	18	HOUSTON	1.026	 $154.41 	 $257.01 	 $359.61 	 $564.81 	 $461.70 	 $769.50 	 $461.70 	 $769.50 	 $461.70 	 $769.50 	 $461.70 	 $769.50 	 $461.70 	 $461.70 	 $461.70 
04412	TX	99	REST OF TEXAS	0.972	 $146.29 	 $243.49 	 $340.69 	 $535.09 	 $437.40 	 $729.00 	 $437.40 	 $729.00 	 $437.40 	 $729.00 	 $437.40 	 $729.00 	 $437.40 	 $437.40 	 $437.40 
03502	UT	09	UTAH	0.967	 $145.53 	 $242.23 	 $338.93 	 $532.33 	 $435.15 	 $725.25 	 $435.15 	 $725.25 	 $435.15 	 $725.25 	 $435.15 	 $725.25 	 $435.15 	 $435.15 	 $435.15 
14512	VT	50	VERMONT	0.977	 $147.04 	 $244.74 	 $342.44 	 $537.84 	 $439.65 	 $732.75 	 $439.65 	 $732.75 	 $439.65 	 $732.75 	 $439.65 	 $732.75 	 $439.65 	 $439.65 	 $439.65 
11302	VA	00	VIRGINIA	0.984	 $148.09 	 $246.49 	 $344.89 	 $541.69 	 $442.80 	 $738.00 	 $442.80 	 $738.00 	 $442.80 	 $738.00 	 $442.80 	 $738.00 	 $442.80 	 $442.80 	 $442.80 
09202	VI	50	VIRGIN ISLANDS	1.002	 $150.80 	 $251.00 	 $351.20 	 $551.60 	 $450.90 	 $751.50 	 $450.90 	 $751.50 	 $450.90 	 $751.50 	 $450.90 	 $751.50 	 $450.90 	 $450.90 	 $450.90 
02402	WA	02	SEATTLE (KING CNTY)	1.116	 $167.96 	 $279.56 	 $391.16 	 $614.36 	 $502.20 	 $837.00 	 $502.20 	 $837.00 	 $502.20 	 $837.00 	 $502.20 	 $837.00 	 $502.20 	 $502.20 	 $502.20 
02402	WA	99	REST OF WASHINGTON	1.014	 $152.61 	 $254.01 	 $355.41 	 $558.21 	 $456.30 	 $760.50 	 $456.30 	 $760.50 	 $456.30 	 $760.50 	 $456.30 	 $760.50 	 $456.30 	 $456.30 	 $456.30 
11402	WV	16	WEST VIRGINIA	0.951	 $143.13 	 $238.23 	 $333.33 	 $523.53 	 $427.95 	 $713.25 	 $427.95 	 $713.25 	 $427.95 	 $713.25 	 $427.95 	 $713.25 	 $427.95 	 $427.95 	 $427.95 
06302	WI	00	WISCONSIN	0.953	 $143.43 	 $238.73 	 $334.03 	 $524.63 	 $428.85 	 $714.75 	 $428.85 	 $714.75 	 $428.85 	 $714.75 	 $428.85 	 $714.75 	 $428.85 	 $428.85 	 $428.85 
03602	WY	21	WYOMING**	0.989	 $148.84 	 $247.74 	 $346.64 	 $544.44 	 $445.05 	 $741.75 	 $445.05 	 $741.75 	 $445.05 	 $741.75 	 $445.05 	 $741.75 	 $445.05 	 $445.05 	 $445.05 
"MAC Assignments as of November 22, 2023"																			
																			
																			
																			
