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HCPCS J7327 (Monovisc) Fee Schedule

Last Verified: October 2026

Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.

Hyaluronan or derivative, monovisc, for intra-articular injection, per dose
Key FactDetail
Service Type

Drugs Administered Other than Oral Method

Miscellaneous Drugs

Common Place of Service

11 - Office

None

49 - Independent Clinic

Complexity LevelModerate
Medicaid Fee ScheduleView Medicaid rates for J7327
Medicare Payment Limit
$636.59BuyandBill.com
WAC Price
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National average reimbursement for HCPCS J7327 by major payers:

bcbs

$676.04

uhc

$743.85

aetna

$851.18

cigna

$751.48

Compare published rates across providers.

Choose a payer to see a sample of rates for HCPCS J7327.

HCPCS J7327
5 of 25 sample ratesHigher to lower in this preview
  1. Cabell Huntington Hospital Inc

    WVGeneral Acute Care HospitalNPI 1659456234Tax ID 55-0675666

    $1,800.00Published rate
  2. Gulf Health Hospitals, Inc, Thomas Hospital

    Gulf Health Hospitals Inc

    ALGeneral Acute Care HospitalNPI 1447303227Tax ID 63-0891094

    $775.70Published rate
  3. Phs Sleep Disorders Institute, Providence Health Services

    DCGeneral Acute Care HospitalNPI 1366710972Tax ID 21-8987587

    $683.16Published rate
  4. Cherokee Nation, Cherokee Nation Outpatient Health Center

    OKGeneral Acute Care HospitalNPI 1275799645Tax ID 73-0757033

    $564.65Published rate
  5. Gonzales Healthcare Systems

    TXGeneral Acute Care HospitalNPI 1699768705Tax ID 74-1625013

    $225.86Published rate

National sample. Rates vary by location, specialty, and contract.

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HCPCS J7327 vs. Other Miscellaneous Drugs Codes

The HCPCS J7327 code is part of the Drugs Administered Other than Oral Method services used for Miscellaneous Drugs. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.

The HCPCS J7327 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.

CodeComplexityDescription
J7326-HCPCSModerateHyaluronan or derivative, Gel-One, for intra-articular injection, per dose
J7327-HCPCSModerateHyaluronan or derivative, monovisc, for intra-articular injection, per dose
J7328-HCPCSLowHyaluronan or derivative, Gel-Syn, for intra-articular injection, 0.1 mg

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS J7327. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the J7327 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.

Factors that affect fee schedules


Medicare & Medicaid Rates

Government-set reimbursement amounts


Private Insurance Rates

Negotiated rates between providers and insurance companies


Geographic Location

Costs may be higher in urban areas.


Provider Type

Hospital providers may have different rates than private practice.

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