HCPCS J7326

Hyaluronan or derivative, gel-one, for intra-articular injection, per dose (CMS descriptor)

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

1,492
89th percentile among 6,471 codes billed · 2024
$33M
94th percentile among 6,471 codes billed · 2024
82K
84th percentile among 6,471 codes billed · 2024
35
63rd percentile among 6,471 codes billed · 2024
160
63rd percentile among 6,471 codes billed · 2024
-5.7%
Medicare payment on the code vs 2023; billers -7.3% · 2024

Trend

Medicare payment on the code

$0$50M$100M2020: $75M paid20202021: $113M paid20212022: $78M paid20222023: $35M paid20232024: $33M paid2024$33M$0$50M$100M2020: $75M paid20202021: $113M paid20212022: $78M paid20222023: $35M paid20232024: $33M paid2024$33M$0$50M$100M2020: $75M paid20202021: $113M paid20212022: $78M paid20222023: $35M paid20232024: $33M paid2024$33M$0$50M$100M2020: $75M paid20202021: $113M paid20212022: $78M paid20222023: $35M paid20232024: $33M paid2024$33M

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

Billers

01,0002,0002020: 1,652 providers20202021: 2,095 providers20212022: 2,030 providers20222023: 1,610 providers20232024: 1,492 providers20241,49201,0002,0002020: 1,652 providers20202021: 2,095 providers20212022: 2,030 providers20222023: 1,610 providers20232024: 1,492 providers20241,49201,0002,0002020: 1,652 providers20202021: 2,095 providers20212022: 2,030 providers20222023: 1,610 providers20232024: 1,492 providers20241,49201,0002,0002020: 1,652 providers20202021: 2,095 providers20212022: 2,030 providers20222023: 1,610 providers20232024: 1,492 providers20241,492

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

observed calculated calculated calculated calculated calculated reported
20241,492$33,011,642-6%82,209351600.00
20231,610$34,994,949-55%87,015351590.00
20222,030$77,731,153-31%105,668331450.00
20212,095$112,717,122+51%118,077361590.00
20201,652$74,827,174first year in data82,912331430.00

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

By state

observed calculated calculated calculated calculated calculated
New Jersey137$4,569,79611,32852240
Florida156$4,038,47510,08836196
Illinois122$2,940,7447,32438158
Pennsylvania99$2,649,9746,60050177
New York112$2,600,0766,47135158
Maryland66$1,658,8044,12342157
South Carolina50$1,459,5073,62562172
California69$1,456,3723,61331151
Texas71$1,342,0333,3323598
Ohio65$957,8842,3782869
Georgia46$876,1872,19329162
North Carolina48$782,8091,9803288
Massachusetts42$712,7061,7693882
Tennessee38$600,2481,4872966
Kentucky33$596,5251,48329131

Not listed: 19 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

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ197$6,036,60114,98147
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD91$2,515,3386,25951
Chicago-Naperville-Elgin, IL-IN95$2,444,7546,09343
Washington-Arlington-Alexandria, DC-VA-MD-WV49$1,211,9203,00637
Miami-Fort Lauderdale-West Palm Beach, FL24$728,1931,80051
Los Angeles-Long Beach-Anaheim, CA29$691,7791,71232
Myrtle Beach-Conway-North Myrtle Beach, SC22$675,8651,67763
Jacksonville, FL20$670,1831,67555
Tampa-St. Petersburg-Clearwater, FL30$600,4441,49830
Dallas-Fort Worth-Arlington, TX29$575,8631,43232
Columbia, SC16$527,9711,32071
Atlanta-Sandy Springs-Roswell, GA27$455,0031,14128
Baltimore-Columbia-Towson, MD19$391,32297735
Cape Coral-Fort Myers, FL11$391,1501,00548
Allentown-Bethlehem-Easton, PA-NJ11$390,70797242

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 32 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 J7326 nationally

Orthopedic Surgery accounts for 56% of payment for J7326 nationally in 2024, across 8 specialties on claims.

observed calculated calculated calculated calculated calculated
Orthopedic Surgery75551%$18,351,17856%45,63760
Physician Assistant39026%$6,864,61621%17,16944
Sports Medicine1137.6%$2,797,8858.5%6,97562
Nurse Practitioner775.2%$1,705,6515.2%4,25855
Family Practice483.2%$1,240,1563.8%3,08064
Physical Medicine and Rehabilitation352.3%$718,6772.2%1,78551
Rheumatology382.5%$705,7952.1%1,74646
Internal Medicine110.74%$227,3490.69%56852

Not listed: 7 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 J7326 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