HCPCS J7326

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

Drugs Drug code Work RVU per service none (2022 fee schedule; adds 0 work RVUs)

2,030
90th percentile among 6,326 codes billed · 2022
$78M
97th percentile among 6,326 codes billed · 2022
106K
86th percentile among 6,326 codes billed · 2022
33
63rd percentile among 6,326 codes billed · 2022
145
63rd percentile among 6,326 codes billed · 2022
-31.0%
Medicare payment on the code vs 2021; billers -3.1% · 2022

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
Florida214$11,573,69514,37935202
New Jersey135$7,143,90110,05047234
New York160$6,667,4129,58539180
Texas160$5,291,0767,06931116
Illinois118$4,836,4266,88141156
California110$4,132,7315,54234157
Pennsylvania96$3,424,9384,66035118
Virginia72$2,873,4444,08938150
South Carolina49$2,814,1483,99154179
Ohio97$2,650,9343,6302790
Maryland60$2,388,6843,38942187
North Carolina52$2,107,8342,79843119
Kentucky63$1,995,7562,7003292
Mississippi38$1,781,4922,23036141
Alabama67$1,775,7442,2853079

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 2022.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ223$11,542,00116,39048
Chicago-Naperville-Elgin, IL-IN98$4,258,6746,11243
Washington-Arlington-Alexandria, DC-VA-MD-WV61$2,619,1853,54639
Dallas-Fort Worth-Arlington, TX75$2,593,3733,38530
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD55$2,429,2023,33643
Miami-Fort Lauderdale-West Palm Beach, FL41$2,067,7562,56231
Louisville/Jefferson County, KY-IN40$1,484,1212,01337
North Port-Bradenton-Sarasota, FL25$1,436,1081,76037
Jacksonville, FL23$1,398,0831,92655
Columbia, SC16$1,237,6231,74763
Tampa-St. Petersburg-Clearwater, FL31$1,225,6351,50027
Detroit-Warren-Dearborn, MI30$1,142,8811,38631
Los Angeles-Long Beach-Anaheim, CA31$1,029,5771,49729
Wilmington, NC17$1,022,7021,28878
Richmond, VA24$1,006,8081,50444

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 42 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2022.

Specialties billing J7326 nationally

Orthopedic Surgery accounts for 62% of payment for J7326 nationally in 2022, across 9 specialties on claims.

observed calculated calculated calculated calculated calculated
Orthopedic Surgery1,15557%$48,393,73362%65,21756
Physician Assistant45322%$13,507,36017%18,75541
Sports Medicine1175.8%$5,129,2776.6%7,06460
Nurse Practitioner984.8%$3,835,7994.9%5,17653
Rheumatology482.4%$1,915,7152.5%2,47852
Family Practice482.4%$1,870,8682.4%2,71357
Physical Medicine and Rehabilitation412.0%$1,174,6361.5%1,65340
Interventional Pain Management130.64%$374,2360.48%47637
Pain Management120.59%$334,8330.43%50342

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 2022.

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