1095-C Covered Individuals

(B1095C205)
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Quantity / Unit Price
1 / Free Sample
25 - 49 / $0.702
50 - 99 / $0.458
100 - 199 / $0.358
200 - 499 / $0.284
500 - 999 / $0.2475
1000 - 2499 / $0.1908
2500 - 4999 / $0.1709
5000+ / $0.1544
Enter Quantity
First Text
Minimum order of 25
or increments of 25
$000.00