HCPCS J7326

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

Drugs Drug code Work RVU per service none (2020 fee schedule; adds 0 work RVUs)

1,652
89th percentile among 6,116 codes billed · 2020
$75M
97th percentile among 6,116 codes billed · 2020
83K
84th percentile among 6,116 codes billed · 2020
33
64th percentile among 6,116 codes billed · 2020
143
64th percentile among 6,116 codes billed · 2020

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
Florida191$12,522,87313,57439212
Illinois117$6,101,2816,57632141
New York117$5,478,2745,85430148
Texas128$5,266,7155,78832108
New Jersey87$5,012,0065,58141174
South Carolina46$3,403,9153,66155251
Ohio77$2,834,0803,0742986
North Carolina44$2,708,0552,94840207
Maryland50$2,633,2372,86044143
Pennsylvania58$2,325,0652,5703799
Kentucky61$2,278,2652,4793187
Michigan52$2,215,3512,42826151
Alabama66$2,206,7922,4113374
Virginia48$2,190,7852,36435139
Mississippi33$1,745,0831,90737193

Not listed: 17 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 2020.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ166$9,048,9059,85036
Chicago-Naperville-Elgin, IL-IN86$4,611,8955,01536
Dallas-Fort Worth-Arlington, TX58$2,841,0923,09536
Washington-Arlington-Alexandria, DC-VA-MD-WV47$2,449,0152,65841
Miami-Fort Lauderdale-West Palm Beach, FL45$2,337,5142,51935
Detroit-Warren-Dearborn, MI37$1,908,8562,04430
Wilmington, NC20$1,680,7241,79679
Louisville/Jefferson County, KY-IN40$1,606,0411,72234
Tampa-St. Petersburg-Clearwater, FL34$1,549,5301,68134
North Port-Bradenton-Sarasota, FL20$1,547,2761,67741
Columbia, SC12$1,311,7201,41069
Jacksonville, FL16$1,308,4751,41239
Myrtle Beach-Conway-North Myrtle Beach, SC16$1,261,8681,35176
Richmond, VA18$1,085,8981,16844
Oklahoma City, OK27$934,4131,02730

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 34 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2020.

Specialties billing J7326 nationally

Orthopedic Surgery accounts for 66% of payment for J7326 nationally in 2020, across 8 specialties on claims.

observed calculated calculated calculated calculated calculated
Orthopedic Surgery1,03563%$49,257,97766%54,13352
Physician Assistant31519%$12,196,50016%13,84444
Sports Medicine825.0%$4,361,8515.8%4,90860
Nurse Practitioner694.2%$3,260,9694.4%3,60452
Rheumatology392.4%$1,777,1482.4%1,94450
Family Practice392.4%$1,372,6351.8%1,60441
Physical Medicine and Rehabilitation251.5%$845,6801.1%92937
Interventional Pain Management130.79%$520,8120.70%56343

Not listed: 12 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 2020.

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