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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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Methodology•Download Data
  1. Home
  2. Procedures
  3. J7323
  4. Cost Analysis

How Much Does Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose Cost on Medicare?

Cost analysis for CPT J7323 — Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose

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Average Medicare Payment

$98.01

2023 data

Total Payments (2023)

$26.3M

Services (2023)

267.9K

Price Change (2014–2023)

-18.9%

📈 Year-over-Year Cost Trend

YearAvg PaymentTotal PaymentsServicesYoY Change
2014$120.84$39.6M327.0K—
2015$116.74$38.4M328.3K-3.4%
2016$118.93$40.6M343.2K+1.9%
2017$118.47$42.0M354.6K-0.4%
2018$113.08$39.2M346.2K-4.5%
2019$110.14$34.4M312.2K-2.6%
2020$111.60$25.3M225.9K+1.3%
2021$106.37$26.7M250.5K-4.7%
2022$101.36$26.4M259.6K-4.7%
2023$98.01$26.3M267.9K-3.3%

🗺️ State-by-State Cost Variation

The most expensive state pays 1.1x more than the cheapest for this procedure. RI averages $99.67 vs HI at $93.04.

StateAvg PaymentTotal PaymentsServicesProviders
RI$99.67$113.6K1.1K16
DE$99.40$131.6K1.3K8
VT$99.31$21.7K2182
OK$99.18$17.1K1723
NY$99.16$3.3M33.3K210
MT$99.08$36.4K3674
NV$99.08$314.2K3.2K30
CT$99.03$431.3K4.4K31
MA$99.00$808.7K8.2K79
IA$98.85$26.9K2725
AZ$98.83$443.8K4.5K46
MO$98.79$146.8K1.5K15
NC$98.77$762.2K7.7K74
CA$98.72$1.6M16.3K118
KS$98.49$437.7K4.4K49
OH$98.39$1.0M10.6K99
DC$98.36$38.9K3954
FL$98.28$1.1M10.7K82
TX$98.23$1.3M13.7K110
GA$98.21$917.8K9.3K76
LA$98.16$197.3K2.0K24
IN$98.12$542.0K5.5K46
MD$98.07$475.0K4.8K55
ID$97.98$52.8K5399
NJ$97.97$1.1M11.5K91
WA$97.97$479.6K4.9K50
PA$97.96$2.8M28.2K259
NH$97.90$270.3K2.8K33
IL$97.89$1.9M19.6K143
VA$97.89$449.4K4.6K47
MN$97.88$305.0K3.1K38
TN$97.70$1.2M12.4K96
SD$97.68$69.9K71610
UT$97.67$534.6K5.5K49
AR$97.63$22.4K2294
CO$97.51$329.9K3.4K28
ME$97.38$59.5K61110
MI$97.34$505.2K5.2K63
NE$97.32$80.6K82812
SC$97.30$1.2M11.9K88
OR$97.13$155.6K1.6K21
KY$96.86$105.1K1.1K11
WI$96.85$213.2K2.2K23
AK$96.34$27.5K2854
MS$95.93$84.6K88211
NM$94.26$96.2K1.0K13
WV$94.23$43.7K46411
AL$93.58$10.5K1122
HI$93.04$26.5K2853

💰 Who Bills the Most for This Procedure?

ProviderSpecialtyStatePaymentsServicesAvg/Service
Giles ScuderiOrthopedic SurgeryNY$150.6K1.5K$99.38
Kyle SchimmoellerPhysician AssistantSC$132.7K1.4K$96.31
Dikran TorianInterventional Pain ManagementCA$125.4K1.2K$100.76
Jan KoenigOrthopedic SurgeryNY$99.7K994$100.30
John SchnarsOrthopedic SurgeryGA$98.8K999$98.93
Eric LebbyOrthopedic SurgeryPA$95.6K975$98.06
Bradley KramerPhysician AssistantFL$91.2K935$97.58
Michael KrafczykFamily PracticePA$89.2K898$99.36
Jack SizemorePhysician AssistantSC$86.0K880$97.67
Howard HomesleyOrthopedic SurgeryNC$83.7K848$98.73
Young OhOrthopedic SurgeryNY$82.1K828$99.19
Kevin LancasterPhysician AssistantTX$80.7K812$99.38
Clay MillerPhysical Medicine and RehabilitationMA$74.7K750$99.60
David LevineOrthopedic SurgeryNJ$72.9K744$98.05
Eric PuttermanOrthopedic SurgeryNY$71.3K711$100.26
Amy KeyesPhysician AssistantCA$70.9K729$97.20
Gregory LiebermanOrthopedic SurgeryNY$69.4K693$100.14
Steven BlasdellOrthopedic SurgeryVA$68.7K693$99.09
Charles MilchteimOrthopedic SurgeryNY$66.8K671$99.54
Brian HuhRheumatologyCA$62.9K644$97.74

🤔 Is Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose Overpriced?

Based on the data, CPT J7323 shows a 1.1x variation in pricing across states — relatively consistent by Medicare standards.

Costs have decreased 18.9% since 2014. 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.

Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • Medicare Physician Fee Schedule

Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.