HCPCS J7318

Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg (CMS descriptor)

Drugs Drug code Work RVU per service none (2024 fee schedule; adds 0 work RVUs)

1,475
89th percentile among 6,471 codes billed · 2024
$19M
92nd percentile among 6,471 codes billed · 2024
3.8M
98th percentile among 6,471 codes billed · 2024
1,740
96th percentile among 6,471 codes billed · 2024
7,218
96th percentile among 6,471 codes billed · 2024
+24.9%
Medicare payment on the code vs 2023; billers +22.0% · 2024

Trend

Medicare payment on the code

$0$20M2020: $23M paid20202021: $31M paid20212022: $26M paid20222023: $15M paid20232024: $19M paid2024$19M$0$20M2020: $23M paid20202021: $31M paid20212022: $26M paid20222023: $15M paid20232024: $19M paid2024$19M$0$20M2020: $23M paid20202021: $31M paid20212022: $26M paid20222023: $15M paid20232024: $19M paid2024$19M$0$20M2020: $23M paid20202021: $31M paid20212022: $26M paid20222023: $15M paid20232024: $19M paid2024$19M

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2020–2024.

Billers

01,0002020: 660 providers20202021: 866 providers20212022: 1,059 providers20222023: 1,209 providers20232024: 1,475 providers20241,47501,0002020: 660 providers20202021: 866 providers20212022: 1,059 providers20222023: 1,209 providers20232024: 1,475 providers20241,47501,0002020: 660 providers20202021: 866 providers20212022: 1,059 providers20222023: 1,209 providers20232024: 1,475 providers20241,47501,0002020: 660 providers20202021: 866 providers20212022: 1,059 providers20222023: 1,209 providers20232024: 1,475 providers20241,475

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2020–2024.

Trend by year: table5 years
observed calculated calculated calculated calculated calculated reported
20241,475$19,209,975+25%3,779,7161,7407,2180.00
20231,209$15,378,579-42% (2023 changed hospital and observation visit codes)3,017,6511,6836,7800.00
20221,059$26,487,637-15%2,479,3841,6806,5460.00
2021866$31,154,581– (Not compared: 2021 changed office visit values)2,274,0081,7277,2900.00
2020660$22,570,173first year in data1,629,8161,6206,5430.00

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2020–2024.

By state

Show the table by state28 states
observed calculated calculated calculated calculated calculated
California137$2,347,759459,0892,2809,148
South Carolina90$1,351,727267,0922,2807,392
Texas103$1,165,596229,7981,5606,534
Florida68$1,063,956210,5181,6808,457
North Carolina93$1,040,216203,8501,6205,004
Illinois66$915,085180,4751,7108,266
Arizona76$873,864173,6351,5306,555
New Jersey51$827,635164,0831,74013,197
New York77$815,743159,1181,4404,428
Ohio66$788,533155,9341,8605,460
Kentucky51$744,823146,6011,9205,766
Virginia51$703,714138,0311,7407,860
Michigan51$700,286137,9461,6208,190
Alabama32$682,102131,7212,85010,163
Colorado61$679,107133,4671,7413,451

Not listed: 18 states with fewer than 11 billers (small cells).

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Providers placed by practice address. Data year 2024.

Top metro areas

Show the metro areas38 areas
observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ98$1,361,658267,9801,664
Chicago-Naperville-Elgin, IL-IN47$710,275139,5281,680
Charlotte-Concord-Gastonia, NC-SC50$529,824102,7501,530
Los Angeles-Long Beach-Anaheim, CA30$520,622102,1402,100
Cincinnati, OH-KY-IN40$501,41699,3481,530
Detroit-Warren-Dearborn, MI30$465,77491,2061,620
Phoenix-Mesa-Chandler, AZ39$441,22788,3321,610
Louisville/Jefferson County, KY-IN28$428,27484,1821,920
San Diego-Chula Vista-Carlsbad, CA27$405,49580,1831,860
Denver-Aurora-Centennial, CO29$401,03078,7641,742
Greenville-Anderson-Greer, SC24$382,47876,1202,370
San Francisco-Oakland-Fremont, CA26$377,92773,6762,220
Richmond, VA21$353,26469,6601,980
Crestview-Fort Walton Beach-Destin, FL12$349,79069,4813,210
Oxnard-Thousand Oaks-Ventura, CA12$348,28167,3804,590

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 38 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2024.

Specialties billing J7318 nationally

Orthopedic Surgery accounts for 45% of payment for J7318 nationally in 2024, across 8 specialties on claims.

observed calculated calculated calculated calculated calculated
Orthopedic Surgery66145%$8,599,99645%1,693,5402,562
Physician Assistant41428%$5,114,49127%1,007,3862,433
Sports Medicine1318.9%$1,894,6349.9%371,9292,839
Nurse Practitioner926.2%$1,325,2106.9%261,5122,843
Family Practice714.8%$1,151,1616.0%224,6433,164
Physical Medicine and Rehabilitation523.5%$549,6462.9%108,1922,081
Internal Medicine130.88%$216,1621.1%42,3023,254
Rheumatology140.95%$127,5920.66%25,2641,805

Not listed: 10 specialties with fewer than 11 billers (small cells).

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Provider-level lines (fewer than 11 beneficiaries suppressed by CMS); specialty is the provider type on claims. Data year 2024.

Top billers of J7318 nationally

Named top billers are a Pro figure, and Pro is not available to buy, so this list is not shown to any account. The counts and totals by state, metro area and specialty on this page are free.

Original Medicare Part B fee-for-service only; CMS suppresses provider lines with fewer than 11 beneficiaries. How these figures are computed · Limitations