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The report found the 10 places with the highest overall lifetime cost of smoking to be: New York: $5,426,633 District of Columbia: $5,373,636 Maryland: $5,348,819 Massachusetts: $5,140,914 Rhode Island: $5,091,866 Connecticut: $5,035,722 Minnesota: $4,738,053 Hawaii: $4,655,966 Alaska: $4,568,716 Washington: $4,542,913 The report found that New York was the state where the habit would cost a smoker the most over a lifetime