HCPCS J7326

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

Drugs Drug code Work RVU per service none (2021 fee schedule; adds 0 work RVUs)

2,095
90th percentile among 6,253 codes billed · 2021
$113M
98th percentile among 6,253 codes billed · 2021
118K
86th percentile among 6,253 codes billed · 2021
36
66th percentile among 6,253 codes billed · 2021
159
65th percentile among 6,253 codes billed · 2021
+50.6%
Medicare payment on the code vs 2020; billers +26.8% · 2021

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
Florida227$17,461,81817,99338258
New Jersey120$8,784,3339,20246248
Illinois152$8,688,5509,09838167
New York155$8,661,2649,05635161
Texas150$7,348,0887,65835135
Pennsylvania91$4,708,6294,91037138
California91$4,232,2164,43334127
Ohio98$4,084,3344,2693192
South Carolina45$3,869,3163,98855255
North Carolina65$3,833,2894,00439157
Virginia71$3,711,8933,83533181
Maryland56$3,395,7563,51237173
Kentucky67$3,202,2233,34639108
Michigan57$3,053,7703,23434201
Alabama81$2,997,4983,1143281

Not listed: 16 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 2021.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ209$14,511,29015,16045
Chicago-Naperville-Elgin, IL-IN123$7,486,3177,86240
Washington-Arlington-Alexandria, DC-VA-MD-WV64$3,707,5143,83735
Dallas-Fort Worth-Arlington, TX67$3,611,2933,74035
Miami-Fort Lauderdale-West Palm Beach, FL44$3,170,6713,26336
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD56$3,055,9373,16633
Detroit-Warren-Dearborn, MI39$2,593,5502,69235
Louisville/Jefferson County, KY-IN43$2,368,3562,46444
North Port-Bradenton-Sarasota, FL26$2,046,5232,10837
Wilmington, NC21$2,011,7702,07491
Tampa-St. Petersburg-Clearwater, FL39$1,897,6001,95835
Jacksonville, FL23$1,857,8691,91749
Columbia, SC14$1,643,7131,69466
Houston-Pasadena-The Woodlands, TX33$1,552,8171,62146
Myrtle Beach-Conway-North Myrtle Beach, SC17$1,505,7261,55282

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 41 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2021.

Specialties billing J7326 nationally

Orthopedic Surgery accounts for 65% of payment for J7326 nationally in 2021, across 8 specialties on claims.

observed calculated calculated calculated calculated calculated
Orthopedic Surgery1,24559%$73,440,00965%76,54061
Physician Assistant44221%$18,721,20217%19,84145
Sports Medicine1145.4%$7,050,0796.3%7,44465
Nurse Practitioner974.6%$4,704,0684.2%4,95651
Rheumatology512.4%$2,619,8232.3%2,71653
Family Practice482.3%$2,309,8812.0%2,50152
Physical Medicine and Rehabilitation321.5%$1,323,3641.2%1,37343
Interventional Pain Management130.62%$546,4750.48%56744

Not listed: 13 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 2021.

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