RxDoctor Payments Data

HCPCS J7308

Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)

$387.14Medicare-allowed amount per service, averaged across 81,810 services
Providers submitted
$675.58

Asking price, not received

Medicare allowed
$387.14

The fee schedule figure

Medicare paid
$303.28

Balance is patient coinsurance

Providers submitted an average of $675.58 for this code and Medicare allowed $387.141.7× 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 $303.28 (78%); the rest is the patient’s coinsurance and deductible.

Services
81,810

Medicare Part B, 2024

Beneficiaries
53,364
Providers billing it
1,775
Total allowed
$31,671,923

Services × allowed amount

What Medicare pays for HCPCS J7308

Across 81,810 services billed by 1,775 providers to 53,364 beneficiaries, Medicare allowed an average of $387.14 per service. That is 1.5 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 J7308

SpecialtyServicesBeneficiariesAvg allowedProviders
Dermatology53,92135,736$386.871,112
Physician Assistant15,4369,989$387.60409
Nurse Practitioner9,1435,623$387.88203
Micrographic Dermatologic Surgery1,107737$387.5419
Plastic and Reconstructive Surgery795522$388.658
Family Practice557269$386.677
Internal Medicine399222$385.395
General Practice12857$384.813
Pediatric Medicine7840$388.842
Undefined Physician type6335$389.041
Osteopathic Manipulative Medicine6229$388.981
Otolaryngology6052$389.592
Pathology2322$388.931
General Surgery2118$388.341
Interventional Pain Management1713$386.991

J7308 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.

StateServicesAllowedStandardized pmtProviders
Florida11,636$387.60$306.11286
California11,485$386.87$305.68224
Arizona4,324$387.96$305.2681
Texas4,069$387.20$305.1385
Virginia3,510$385.48$301.2769
Massachusetts3,088$388.16$302.6454
North Carolina2,876$386.99$302.8170
Georgia2,600$387.25$303.7353
Maryland2,566$386.95$307.1038
New York2,275$385.17$307.4350
Ohio2,022$387.13$305.5653
Kansas1,909$387.81$304.7025
Oregon1,809$386.94$306.6339
Tennessee1,775$384.81$303.3543
Washington1,743$386.21$305.2533
Colorado1,718$388.58$307.0843
Indiana1,691$386.66$299.4845
New Jersey1,582$386.38$302.9235
Louisiana1,513$387.27$302.9821
Oklahoma1,405$387.96$306.0521
South Carolina1,283$387.56$304.4629
Illinois1,184$384.42$304.4131
Wyoming1,179$387.98$302.4915
Pennsylvania1,103$387.76$306.1027
Alabama982$385.20$301.0926
Missouri970$388.82$305.8915
Wisconsin705$386.88$305.7723
Arkansas684$387.86$304.4615
Michigan634$387.56$303.6516
Kentucky619$385.90$306.4213
Utah497$387.43$305.5011
New Hampshire488$388.97$297.6115
Mississippi475$387.49$298.4618
Minnesota465$388.28$307.2917
Nevada456$388.60$306.4710
Idaho449$389.08$305.9316
Montana439$388.41$293.6910
Connecticut420$388.93$308.0418
Iowa402$385.84$298.9313
South Dakota383$389.14$308.608
Nebraska354$388.84$305.199
Delaware288$386.75$300.777
Alaska279$386.98$305.754
New Mexico255$388.80$299.269
West Virginia245$388.52$304.798
District of Columbia210$385.49$305.376
Guam197$388.94$308.911
North Dakota189$389.33$307.805
Rhode Island137$386.09$303.226
Hawaii131$388.99$306.042
Maine112$388.08$299.044

Related codes

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.