Cost analysis for CPT J7323 — Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose
Average Medicare Payment
$98.01
2023 data
Total Payments (2023)
$26.3M
Services (2023)
267.9K
Price Change (2014–2023)
-18.9%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2014 | $120.84 | $39.6M | 327.0K | — |
| 2015 | $116.74 | $38.4M | 328.3K | -3.4% |
| 2016 | $118.93 | $40.6M | 343.2K | +1.9% |
| 2017 | $118.47 | $42.0M | 354.6K | -0.4% |
| 2018 | $113.08 | $39.2M | 346.2K | -4.5% |
| 2019 | $110.14 | $34.4M | 312.2K | -2.6% |
| 2020 | $111.60 | $25.3M | 225.9K | +1.3% |
| 2021 | $106.37 | $26.7M | 250.5K | -4.7% |
| 2022 | $101.36 | $26.4M | 259.6K | -4.7% |
| 2023 | $98.01 | $26.3M | 267.9K | -3.3% |
The most expensive state pays 1.1x more than the cheapest for this procedure. RI averages $99.67 vs HI at $93.04.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| RI | $99.67 | $113.6K | 1.1K | 16 |
| DE | $99.40 | $131.6K | 1.3K | 8 |
| VT | $99.31 | $21.7K | 218 | 2 |
| OK | $99.18 | $17.1K | 172 | 3 |
| NY | $99.16 | $3.3M | 33.3K | 210 |
| MT | $99.08 | $36.4K | 367 | 4 |
| NV | $99.08 | $314.2K | 3.2K | 30 |
| CT | $99.03 | $431.3K | 4.4K | 31 |
| MA | $99.00 | $808.7K | 8.2K | 79 |
| IA | $98.85 | $26.9K | 272 | 5 |
| AZ | $98.83 | $443.8K | 4.5K | 46 |
| MO | $98.79 | $146.8K | 1.5K | 15 |
| NC | $98.77 | $762.2K | 7.7K | 74 |
| CA | $98.72 | $1.6M | 16.3K | 118 |
| KS | $98.49 | $437.7K | 4.4K | 49 |
| OH | $98.39 | $1.0M | 10.6K | 99 |
| DC | $98.36 | $38.9K | 395 | 4 |
| FL | $98.28 | $1.1M | 10.7K | 82 |
| TX | $98.23 | $1.3M | 13.7K | 110 |
| GA | $98.21 | $917.8K | 9.3K | 76 |
| LA | $98.16 | $197.3K | 2.0K | 24 |
| IN | $98.12 | $542.0K | 5.5K | 46 |
| MD | $98.07 | $475.0K | 4.8K | 55 |
| ID | $97.98 | $52.8K | 539 | 9 |
| NJ | $97.97 | $1.1M | 11.5K | 91 |
| WA | $97.97 | $479.6K | 4.9K | 50 |
| PA | $97.96 | $2.8M | 28.2K | 259 |
| NH | $97.90 | $270.3K | 2.8K | 33 |
| IL | $97.89 | $1.9M | 19.6K | 143 |
| VA | $97.89 | $449.4K | 4.6K | 47 |
| MN | $97.88 | $305.0K | 3.1K | 38 |
| TN | $97.70 | $1.2M | 12.4K | 96 |
| SD | $97.68 | $69.9K | 716 | 10 |
| UT | $97.67 | $534.6K | 5.5K | 49 |
| AR | $97.63 | $22.4K | 229 | 4 |
| CO | $97.51 | $329.9K | 3.4K | 28 |
| ME | $97.38 | $59.5K | 611 | 10 |
| MI | $97.34 | $505.2K | 5.2K | 63 |
| NE | $97.32 | $80.6K | 828 | 12 |
| SC | $97.30 | $1.2M | 11.9K | 88 |
| OR | $97.13 | $155.6K | 1.6K | 21 |
| KY | $96.86 | $105.1K | 1.1K | 11 |
| WI | $96.85 | $213.2K | 2.2K | 23 |
| AK | $96.34 | $27.5K | 285 | 4 |
| MS | $95.93 | $84.6K | 882 | 11 |
| NM | $94.26 | $96.2K | 1.0K | 13 |
| WV | $94.23 | $43.7K | 464 | 11 |
| AL | $93.58 | $10.5K | 112 | 2 |
| HI | $93.04 | $26.5K | 285 | 3 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Giles Scuderi | Orthopedic Surgery | NY | $150.6K | 1.5K | $99.38 |
| Kyle Schimmoeller | Physician Assistant | SC | $132.7K | 1.4K | $96.31 |
| Dikran Torian | Interventional Pain Management | CA | $125.4K | 1.2K | $100.76 |
| Jan Koenig | Orthopedic Surgery | NY | $99.7K | 994 | $100.30 |
| John Schnars | Orthopedic Surgery | GA | $98.8K | 999 | $98.93 |
| Eric Lebby | Orthopedic Surgery | PA | $95.6K | 975 | $98.06 |
| Bradley Kramer | Physician Assistant | FL | $91.2K | 935 | $97.58 |
| Michael Krafczyk | Family Practice | PA | $89.2K | 898 | $99.36 |
| Jack Sizemore | Physician Assistant | SC | $86.0K | 880 | $97.67 |
| Howard Homesley | Orthopedic Surgery | NC | $83.7K | 848 | $98.73 |
| Young Oh | Orthopedic Surgery | NY | $82.1K | 828 | $99.19 |
| Kevin Lancaster | Physician Assistant | TX | $80.7K | 812 | $99.38 |
| Clay Miller | Physical Medicine and Rehabilitation | MA | $74.7K | 750 | $99.60 |
| David Levine | Orthopedic Surgery | NJ | $72.9K | 744 | $98.05 |
| Eric Putterman | Orthopedic Surgery | NY | $71.3K | 711 | $100.26 |
| Amy Keyes | Physician Assistant | CA | $70.9K | 729 | $97.20 |
| Gregory Lieberman | Orthopedic Surgery | NY | $69.4K | 693 | $100.14 |
| Steven Blasdell | Orthopedic Surgery | VA | $68.7K | 693 | $99.09 |
| Charles Milchteim | Orthopedic Surgery | NY | $66.8K | 671 | $99.54 |
| Brian Huh | Rheumatology | CA | $62.9K | 644 | $97.74 |
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.
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.