HCPCS J7326

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

Drugs Drug code Work RVU per service none (2023 fee schedule; adds 0 work RVUs)

1,610
89th percentile among 6,405 codes billed · 2023
$35M
95th percentile among 6,405 codes billed · 2023
87K
84th percentile among 6,405 codes billed · 2023
35
64th percentile among 6,405 codes billed · 2023
159
64th percentile among 6,405 codes billed · 2023
-55.0%
Medicare payment on the code vs 2022; billers -20.7% · 2023

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 Jersey140$4,473,54111,08247237
Florida132$3,756,7049,33338228
Illinois115$2,844,5597,08238158
New York124$2,726,7636,78238160
Pennsylvania112$2,354,6365,84834142
Texas103$1,641,9924,0882985
South Carolina49$1,527,9853,79166175
Maryland62$1,509,9713,74939216
California64$1,477,3023,66540146
North Carolina64$1,429,6753,54437169
Ohio71$998,2032,4932977
Virginia53$942,8402,34632109
Kentucky42$854,2932,12038125
Georgia48$829,6562,07627148
Massachusetts41$693,6031,7243688

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 2023.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ214$6,365,01715,78247
Chicago-Naperville-Elgin, IL-IN97$2,529,0896,29442
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD89$2,013,9714,99238
Washington-Arlington-Alexandria, DC-VA-MD-WV52$1,239,3693,07434
Jacksonville, FL20$838,3532,08256
Dallas-Fort Worth-Arlington, TX48$829,8762,06332
Miami-Fort Lauderdale-West Palm Beach, FL20$697,8471,72455
Myrtle Beach-Conway-North Myrtle Beach, SC21$687,2141,70481
Louisville/Jefferson County, KY-IN27$675,5461,67440
Wilmington, NC21$671,8831,66256
Columbia, SC17$607,6451,50970
Los Angeles-Long Beach-Anaheim, CA22$587,5891,45746
Atlanta-Sandy Springs-Roswell, GA28$426,8331,07725
Des Moines-West Des Moines, IA14$408,0211,03255
North Port-Bradenton-Sarasota, FL12$383,79595027

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 36 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2023.

Specialties billing J7326 nationally

Orthopedic Surgery accounts for 58% of payment for J7326 nationally in 2023, across 7 specialties on claims.

observed calculated calculated calculated calculated calculated
Orthopedic Surgery83952%$20,151,28458%50,07860
Physician Assistant41526%$7,013,02520%17,47242
Sports Medicine1177.3%$2,649,8867.6%6,58356
Nurse Practitioner915.7%$2,001,0525.7%4,98055
Family Practice452.8%$1,224,7423.5%3,04568
Physical Medicine and Rehabilitation362.2%$678,3141.9%1,69647
Rheumatology301.9%$623,0371.8%1,53851

Not listed: 9 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 2023.

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