Cost analysis for CPT J0585 — Injection, onabotulinumtoxina, 1 unit
Average Medicare Payment
N/A
Total Payments (Latest)
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Services (Latest)
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Price Change (–)
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The most expensive state pays 1.1x more than the cheapest for this procedure. AK averages $4.96 vs RI at $4.55.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| AK | $4.96 | $38.8K | 7.8K | 2 |
| DE | $4.93 | $1.3M | 262.7K | 17 |
| ME | $4.92 | $147.4K | 30.0K | 5 |
| MD | $4.91 | $4.0M | 817.3K | 82 |
| FL | $4.90 | $18.7M | 3.8M | 314 |
| DC | $4.89 | $1.1M | 218.6K | 23 |
| NV | $4.89 | $1.5M | 312.0K | 34 |
| OK | $4.88 | $2.5M | 512.8K | 42 |
| CA | $4.88 | $34.4M | 7.1M | 400 |
| MT | $4.87 | $634.2K | 130.1K | 15 |
| PA | $4.87 | $6.9M | 1.4M | 144 |
| MO | $4.87 | $6.5M | 1.3M | 90 |
| NC | $4.87 | $5.8M | 1.2M | 116 |
| TX | $4.87 | $11.3M | 2.3M | 200 |
| WV | $4.87 | $101.8K | 20.9K | 2 |
| NM | $4.87 | $779.5K | 160.2K | 10 |
| NE | $4.86 | $2.0M | 411.9K | 29 |
| AZ | $4.86 | $6.8M | 1.4M | 110 |
| NY | $4.86 | $17.4M | 3.6M | 275 |
| LA | $4.85 | $1.9M | 390.3K | 39 |
| MS | $4.85 | $1.4M | 290.3K | 30 |
| CO | $4.85 | $7.0M | 1.4M | 95 |
| IA | $4.85 | $1.1M | 236.3K | 28 |
| OR | $4.84 | $2.5M | 523.3K | 55 |
| KS | $4.84 | $2.6M | 533.3K | 43 |
| AR | $4.83 | $1.3M | 259.9K | 34 |
| VA | $4.83 | $3.2M | 654.6K | 61 |
| IL | $4.83 | $6.7M | 1.4M | 153 |
| WI | $4.83 | $3.2M | 659.5K | 60 |
| CT | $4.82 | $3.0M | 631.9K | 64 |
| UT | $4.82 | $1.3M | 278.4K | 39 |
| ND | $4.81 | $175.3K | 36.4K | 4 |
| SC | $4.81 | $5.3M | 1.1M | 87 |
| NJ | $4.81 | $5.1M | 1.1M | 111 |
| HI | $4.81 | $268.9K | 55.9K | 7 |
| ID | $4.81 | $396.0K | 82.4K | 10 |
| IN | $4.81 | $4.1M | 849.1K | 80 |
| MN | $4.80 | $4.9M | 1.0M | 84 |
| WA | $4.80 | $4.8M | 1.0M | 87 |
| MI | $4.80 | $2.8M | 583.1K | 56 |
| KY | $4.79 | $1.2M | 244.3K | 32 |
| GA | $4.79 | $4.8M | 999.8K | 99 |
| TN | $4.78 | $3.4M | 708.1K | 72 |
| SD | $4.78 | $1.0M | 217.9K | 12 |
| NH | $4.76 | $534.1K | 112.1K | 18 |
| MA | $4.76 | $6.3M | 1.3M | 103 |
| AL | $4.70 | $2.2M | 478.2K | 42 |
| WY | $4.67 | $323.5K | 69.3K | 7 |
| GU | $4.63 | $13.7K | 3.0K | 1 |
| PR | $4.57 | $45.3K | 9.9K | 2 |
| OH | $4.56 | $5.3M | 1.2M | 102 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Violetta Mailyan | Family Practice | CA | $7.8M | 1.6M | $4.94 |
| Jack Schim | Neurology | CA | $1.0M | 211.7K | $4.89 |
| Steven Herzog | Neurology | TX | $747.9K | 157.6K | $4.75 |
| Stuart Hetrick | Neurology | AZ | $717.3K | 147.9K | $4.85 |
| William Barrish | Physical Medicine and Rehabilitation | DE | $709.4K | 143.5K | $4.94 |
| Lizette Alvarez | Physical Medicine and Rehabilitation | MO | $704.3K | 144.8K | $4.86 |
| Seth Pullman | Neurology | NY | $636.6K | 133.1K | $4.78 |
| Caroline Sizer | Physical Medicine and Rehabilitation | MA | $621.9K | 125.7K | $4.95 |
| Patrick O'brien | Physical Medicine and Rehabilitation | NC | $593.0K | 120.9K | $4.90 |
| Lusine Apikyan | Nurse Practitioner | CA | $589.4K | 119.3K | $4.94 |
| Gary Starkman | Neurology | NY | $564.7K | 113.9K | $4.96 |
| Sandeep Thakkar | Neurology | CA | $562.8K | 113.5K | $4.96 |
| Kenneth Martinez | Neurology | CA | $556.4K | 112.0K | $4.97 |
| Michael Novak | Neurology | FL | $549.7K | 111.0K | $4.95 |
| Atul Patel | Physical Medicine and Rehabilitation | KS | $534.8K | 108.6K | $4.93 |
| Patrick Hogan | Neurology | WA | $504.6K | 103.8K | $4.86 |
| Amy Stone | Neurology | VA | $500.5K | 103.1K | $4.85 |
| Kenneth Levin | Neurology | NJ | $486.9K | 98.7K | $4.93 |
| Christopher O'carroll | Neurology | CA | $485.2K | 98.8K | $4.91 |
| Michael Mccaffrey | Neurology | SC | $446.6K | 92.1K | $4.85 |
Based on the data, CPT J0585 shows a 1.1x variation in pricing across states — relatively consistent by Medicare standards.
Medicare's fee schedule attempts to standardize pricing, though some variation is expected due to geographic cost-of-living adjustments and practice expense differences.
This analysis is based on publicly available CMS data and does not account for patient complexity, comorbidities, or facility-specific factors that may justify pricing differences.
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.