RxDoctor Payments Data

HCPCS J7326

Hyaluronan or derivative, gel-one, for intra-articular injection, per dose

$509.33Medicare-allowed amount per service, averaged across 82,209 services
Providers submitted
$1611.38

Asking price, not received

Medicare allowed
$509.33

The fee schedule figure

Medicare paid
$401.56

Balance is patient coinsurance

Providers submitted an average of $1611.38 for this code and Medicare allowed $509.333.2× 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 $401.56 (79%); the rest is the patient’s coinsurance and deductible.

Services
82,209

Medicare Part B, 2024

Beneficiaries
52,258
Providers billing it
1,492
Total allowed
$41,871,510

Services × allowed amount

What Medicare pays for HCPCS J7326

Across 82,209 services billed by 1,492 providers to 52,258 beneficiaries, Medicare allowed an average of $509.33 per service. That is 1.6 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 J7326

SpecialtyServicesBeneficiariesAvg allowedProviders
Orthopedic Surgery45,63729,321$509.28755
Physician Assistant17,16911,164$509.02390
Sports Medicine6,9754,253$509.70113
Nurse Practitioner4,2582,618$509.2877
Family Practice3,0801,871$509.9648
Physical Medicine and Rehabilitation1,7851,057$510.9135
Rheumatology1,746984$509.4138
Internal Medicine568350$508.8311
Emergency Medicine415261$510.036
Hand Surgery183133$507.155
Interventional Pain Management159105$509.875
Osteopathic Manipulative Medicine8645$510.892
Pain Management6447$511.564
Anesthesiology5835$510.182
Preventive Medicine2614$512.351

J7326 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 Jersey11,328$510.05$403.59137
Florida10,088$507.56$400.78156
Illinois7,324$507.92$404.17122
Pennsylvania6,600$510.99$401.5999
New York6,471$507.19$402.75112
Maryland4,123$510.42$402.7566
South Carolina3,625$510.64$402.6250
California3,613$509.50$403.0969
Texas3,332$510.18$404.2971
Ohio2,378$511.35$403.1165
Georgia2,193$509.57$400.2546
North Carolina1,980$505.69$395.4148
Massachusetts1,769$510.85$402.8942
Tennessee1,487$511.25$404.0138
Kentucky1,483$511.65$402.5933
Virginia1,374$508.86$402.6338
Alabama1,169$509.96$402.8229
Indiana1,122$509.14$399.9423
Colorado1,057$509.55$399.8126
Iowa1,041$511.75$397.7718
Washington933$511.44$401.5821
Mississippi924$507.94$404.6514
Oklahoma863$505.30$401.7821
Louisiana723$512.02$402.6817
Missouri641$508.75$399.7112
Arkansas584$510.66$400.7617
New Mexico467$501.98$399.195
Michigan436$513.26$405.4212
Nevada417$505.08$394.509
Nebraska368$512.17$400.8311
Wyoming290$510.95$403.068
Oregon261$510.72$401.3510
Alaska242$511.31$404.786
Minnesota218$510.37$403.104
Wisconsin210$511.63$399.496
Delaware188$510.98$406.164
District of Columbia164$507.60$402.824
Kansas102$509.02$399.784
Connecticut98$511.41$396.435
New Hampshire87$510.39$402.563
Montana83$511.11$403.271
Arizona82$510.84$399.152
South Dakota72$514.44$402.602
Utah59$508.68$395.781
Maine54$509.69$392.772
Idaho53$511.89$403.512
West Virginia33$508.30$392.391

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.