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Below are the Top 10 states on the list and how much a smoker will pay per year, according to the website: Mississippi ($35,344) Missouri ($35,476) Alabama ($36,023) North Carolina ($36,580) Tennessee ($36,682) Kentucky ($36,740) South Carolina ($36,998) Georgia ($37,296) Louisiana ($37,704) Idaho ($38,467) Not only is smoking the leading cause of lung cancer, according to the American Lung Association, but smokers may be more vulnerable to severe symptoms of COVID-19, experts say