How much does Medicare pay for HCPCS J2777?

Medicare allowed an average of $34.37 per service and paid $27.32 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $66.43, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is HCPCS code J2777?

Injection, faricimab-svoa, 0.1 mg. It was billed 53,010,858 times to 190,649 Medicare beneficiaries by 2,436 providers in 2024.

Does J2777 pay differently in an office than a hospital?

Yes. The allowed amount averaged $34.37 in an office setting and $34.52 in a facility. The office rate is generally higher because the practice supplies the room, staff and equipment out of that single payment; in a hospital those are billed separately by the facility.

Which specialty bills J2777 most?

Ophthalmology, with 52,916,777 services from 2,428 clinicians. Next are Ambulatory Surgical Center, Gastroenterology, Pediatric Medicine.

HCPCS J2777

Injection, faricimab-svoa, 0.1 mg

$34.37Medicare-allowed amount per service, averaged across 53,010,858 services

Providers submitted

$66.43

Asking price, not received

Medicare allowed

$34.37

The fee schedule figure

Medicare paid

$27.32

Balance is patient coinsurance

Providers submitted an average of $66.43 for this code and Medicare allowed $34.37 — 1.9× less. That gap is normal and means nothing on its own: Medicare pays its fee schedule regardless of what is billed, so the submitted figure describes a hospital chargemaster, not a price anyone paid. Of the allowed amount Medicare paid $27.32 (79%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $34.37
Hospital / facility: $34.52

The facility rate is higher for this code, which is unusual and generally means the service depends on equipment or staffing a hospital carries. 52,954,757 services were billed in an office setting and 56,101 in a facility.

Services: 53,010,858
Beneficiaries: 190,649
Providers billing it: 2,436
Total allowed: $1,821,983,189

What Medicare pays for HCPCS J2777

Across 53,010,858 services billed by 2,436 providers to 190,649 beneficiaries, Medicare allowed an average of $34.37 per service. That is 278.1 services per beneficiary, so this is a code patients typically receive more than once. The allowed amount is the figure that matters: it is what Medicare and the patient together owe, set by the fee schedule and adjusted for local practice costs. What a provider chose to submit has no bearing on it.

This is a drug or supply code rather than a service. The unit is usually a dose or a milligram, so the per-service figure is small by construction and the total is what carries meaning — read it alongside the service count rather than on its own.

Who bills J2777

Specialty	Services	Beneficiaries	Avg allowed	Providers
Ophthalmology	52,916,777	190,229	$34.37	2,428
Ambulatory Surgical Center	46,081	164	$34.58	3
Gastroenterology	28,680	155	$34.50	1
Pediatric Medicine	10,680	46	$34.25	1
Nurse Practitioner	4,860	17	$34.56	1
Physician Assistant	3,780	38	$34.36	2

J2777 reimbursement by state

Two different numbers. Allowed is what Medicare actually allowed in that state, which includes the local practice-cost adjustment. Standardized strips that geographic adjustment out of the payment, so it is the column to use when comparing states — a difference there reflects how the code was billed, not what it costs to run a practice locally.

State	Services	Allowed	Standardized pmt	Providers
Florida	5,013,612	$34.50	$27.48	200
California	5,013,006	$34.40	$27.44	244
Texas	3,655,145	$34.36	$27.46	179
New York	2,334,475	$34.31	$27.43	156
North Carolina	2,085,236	$34.39	$27.45	82
Illinois	1,978,544	$34.42	$27.44	96
Virginia	1,915,707	$34.35	$27.45	70
Tennessee	1,825,628	$34.29	$27.49	62
Pennsylvania	1,780,265	$34.43	$27.49	108
Maryland	1,702,031	$34.22	$27.51	74
Iowa	1,599,374	$34.48	$27.44	28
Washington	1,460,762	$34.40	$27.44	56
Arizona	1,427,679	$34.50	$27.48	48
Colorado	1,266,639	$34.37	$27.43	50
South Carolina	1,242,677	$34.29	$27.42	38
Missouri	1,177,055	$34.37	$27.44	53
Georgia	1,128,856	$34.36	$27.37	45
Ohio	1,103,743	$33.96	$27.13	77
Michigan	1,058,884	$34.33	$27.45	77
Massachusetts	1,007,972	$34.43	$27.44	64
New Jersey	984,544	$34.32	$27.47	68
Nebraska	975,073	$34.45	$27.49	14
Oregon	967,457	$34.44	$27.40	41
Indiana	952,899	$34.40	$27.48	49
Oklahoma	877,661	$34.29	$27.49	21
Kentucky	668,835	$34.29	$27.49	35
Kansas	642,486	$34.44	$27.43	24
Louisiana	575,813	$34.30	$27.37	37
Utah	559,482	$34.45	$27.44	27
Minnesota	526,819	$34.41	$27.39	34
Nevada	521,641	$34.36	$27.41	20
Wisconsin	504,337	$34.19	$27.48	32
New Mexico	496,934	$34.39	$27.50	15
Arkansas	455,121	$34.37	$27.51	18
Connecticut	438,309	$34.28	$27.43	31
Mississippi	422,127	$34.16	$27.25	16
South Dakota	361,263	$34.32	$27.52	11
Alabama	359,220	$34.22	$27.47	27
Idaho	317,701	$34.51	$27.37	16
New Hampshire	268,865	$34.43	$27.49	9
North Dakota	261,420	$34.48	$27.45	12
Maine	260,833	$34.43	$27.38	12
Montana	205,923	$34.40	$27.41	12
West Virginia	143,400	$34.21	$27.55	7
Hawaii	130,383	$33.68	$27.45	14
Delaware	122,520	$34.34	$27.50	6
Wyoming	62,700	$34.40	$27.51	1
Alaska	51,721	$34.15	$27.58	3
Rhode Island	40,320	$34.31	$27.47	8
District of Columbia	37,680	$34.25	$27.43	4
Vermont	22,200	$34.37	$27.33	2
Puerto Rico	15,121	$34.50	$27.46	2
U.S. Virgin Islands	2,760	$34.68	$27.53	1

Related codes

J2781Injection, pegcetacoplan, intravitreal, 1 mg$146.64
J2785Injection, regadenoson, 0.1 mg$6.76
J2782Injection, avacincaptad pegol, 0.1 mg$108.28
J2704Injection, propofol, 10 mg$0.11
J2778Injection, ranibizumab, 0.1 mg$159.00
J2795Injection, ropivacaine hydrochloride, 1 mg$0.07
J2796Injection, romiplostim, 10 micrograms$96.86
J2720Injection, protamine sulfate, per 10 mg$1.54

Billing this code is not the same as earning it

An allowed amount is revenue to a practice, not income to a clinician. It funds staff, premises, equipment and supplies before anyone is paid. What clinicians actually earn is published separately by the Department of Labor, and what industry pays them is published separately again by CMS — this site carries both.

What doctors are paid →·Look up a clinician →·All procedure codes →

Where this comes from. CMS Medicare Physician & Other Practitioners, by Provider and Service, 2024. It covers fee-for-service Original Medicare Part B only — not Medicare Advantage, not Medicaid, and not commercial insurance, which typically pays more for the same code.

How it is averaged. CMS publishes one average per provider per code. Every figure here is re-weighted by the number of services, so a clinician who billed the code 4,000 times counts 4,000 times more than one who billed it twice. CMS also suppresses any provider-code pair with fewer than 11 beneficiaries, so low-volume practice is missing from these totals by design.