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Legend

States (State)
INPATIENT
# 1673

# 1674 - 1799

# 1800 - 1806

Washington # 1807 - 2250

States (State)
Maine
Montana North Dakota EMPLOYER
11967
Minnesota
Oregon
Idaho
New York
#Vermont
New Hampshire
11968 - 12254

v
®
Wisconsin New York
South Dakota N e w Y o r kM a s s a c h u s e t t s
Michigan N e w Y o r kC o n n e c t i c u t
Wyoming N e w Y o r kR h o d e I s l a n d 12255 - 12603

Iowa P e n n s y l v a n i aN e w J e r s e y
Nebraska
#
# Nevada
Utah
Illinois
Illinois
v
®
Illinois
Ohio Delaware
Maryland
District of Columbia
12604 - 12824

v
®
California
California
California
Colorado
Kansas Missouri
Illinois Indiana
Illinois
West Virginia

Virginia
States (State)
HOSPITAL
California
California
Kentucky
v
® 25801

Tennessee
North Carolina v
® 25802 - 38910

Arizona
New Mexico
Oklahoma
Arkansas South Carolina
v
® 38911 - 45569

v
® 45570 - 57805

#
Alabama Georgia
Mississippi States (State)
Texas Texas TOTAL_HEAL
Texas
v
®
Texas
Texas
Louisiana
Florida
$67,292.00
$67,292.01 - $103,600.00
$103,600.01 - $126,076.00
$126,076.01 - $166,236.00
StatesHlthCsts

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