J7321 — Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose

What the market charges

Across 1,245 negotiated rates, the middle 80% fall between $70 and $186, with a median of $93.

What Medicare pays

Medicare allowed an average of $72 for this code, across 257,446 services billed by 1,483 providers. At the median, the market charges 1.3 times what Medicare pays for this code.

Where this is billed, and what it costs there

The states billing J7321 most, by Medicare service volume, each compared against the national average of $72. Each links to the providers Mishe lists there.

  • California — 259 providers billed it, Medicare allowed $72 — level with the national average
  • New York — 126 providers billed it, Medicare allowed $72 — level with the national average
  • Florida — 191 providers billed it, Medicare allowed $72 — level with the national average
  • Illinois — 83 providers billed it, Medicare allowed $72 — level with the national average
  • Texas — 91 providers billed it, Medicare allowed $72 — level with the national average
  • Georgia — 74 providers billed it, Medicare allowed $73 — 1% above the national average
  • Michigan — 72 providers billed it, Medicare allowed $72 — level with the national average
  • Virginia — 47 providers billed it, Medicare allowed $72 — level with the national average

Deploy this for your team

Every figure on this page came from published payer and Medicare data, assembled by Mishe. The same pricing, claim-editing and care-pathway intelligence runs underneath the plans Mishe operates.

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