RxDoctor Payments Data

HCPCS J7323

Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose

$118.58Medicare-allowed amount per service, averaged across 245,705 services
Providers submitted
$402.27

Asking price, not received

Medicare allowed
$118.58

The fee schedule figure

Medicare paid
$92.37

Balance is patient coinsurance

Providers submitted an average of $402.27 for this code and Medicare allowed $118.583.4× 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 $92.37 (78%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility
$118.58
Hospital / facility
$119.29

The facility rate is higher for this code, which is unusual and generally means the service depends on equipment or staffing a hospital carries. 245,662 services were billed in an office setting and 43 in a facility.

Services
245,705

Medicare Part B, 2024

Beneficiaries
64,527
Providers billing it
2,143
Total allowed
$29,135,699

Services × allowed amount

What Medicare pays for HCPCS J7323

Across 245,705 services billed by 2,143 providers to 64,527 beneficiaries, Medicare allowed an average of $118.58 per service. That is 3.8 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 J7323

SpecialtyServicesBeneficiariesAvg allowedProviders
Orthopedic Surgery104,45427,488$118.65845
Physician Assistant75,55021,639$118.67742
Sports Medicine17,8044,155$118.09155
Nurse Practitioner14,6903,897$118.41126
Family Practice11,9862,714$118.1497
Physical Medicine and Rehabilitation9,3262,137$118.4473
Rheumatology3,747709$118.8433
Interventional Pain Management2,049325$119.3911
Internal Medicine1,920340$119.1412
Pain Management957232$119.0211
Emergency Medicine757180$117.569
Hand Surgery537229$118.477
General Practice493109$117.982
Pediatric Medicine437102$119.703
Anesthesiology27873$119.075

J7323 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
New York34,064$118.85$93.80214
Pennsylvania26,700$118.81$92.24260
Illinois16,145$118.02$92.89133
California15,660$119.16$93.24115
South Carolina12,173$118.14$92.5380
Tennessee11,941$118.56$92.8790
Texas11,606$118.43$93.0991
Ohio10,403$118.68$92.95100
New Jersey9,762$117.73$93.4581
Georgia8,520$119.13$92.9866
Florida8,138$118.80$93.0258
Massachusetts7,707$119.00$92.9975
North Carolina6,693$118.47$92.8169
Arizona5,366$118.84$92.8451
Indiana4,977$118.79$92.0842
Kansas4,828$119.14$92.6347
Maryland4,362$118.16$92.7652
Connecticut4,236$118.62$93.1738
Washington4,206$118.18$92.0343
Utah3,953$118.12$92.4238
Virginia3,716$119.03$92.8139
Michigan3,568$117.78$93.1743
Colorado3,136$117.92$91.7032
Nevada2,850$118.36$94.0729
Minnesota2,560$117.96$92.7835
Wisconsin2,099$117.89$91.5127
New Hampshire2,021$119.03$92.9922
Louisiana1,999$118.65$93.5921
Mississippi1,569$117.87$93.2818
Oregon1,548$118.40$93.1519
Rhode Island1,102$119.34$94.2114
Kentucky952$118.39$93.0211
New Mexico893$116.39$92.4513
South Dakota782$118.72$92.7110
Missouri778$119.50$92.999
Puerto Rico502$115.67$92.611
Maine487$119.20$92.7710
Iowa463$118.58$92.167
District of Columbia456$119.53$93.813
Nebraska409$118.64$91.333
Delaware397$118.11$92.276
Idaho347$119.17$91.595
Hawaii296$114.33$89.823
Oklahoma243$119.02$92.543
Arkansas225$118.74$92.744
Montana200$118.65$92.722
Alaska197$118.60$91.743
West Virginia155$118.02$90.703
Vermont132$118.66$94.392
Wyoming117$118.87$94.712
Alabama66$115.93$89.401

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.