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See a sample rate comparisonHCPCS J7330 (Maci) Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Autologous cultured chondrocytes, implant
| Key Fact | Detail |
|---|---|
| Service Type | Drugs Administered Other than Oral Method Miscellaneous Drugs |
| Common Place of Service | 11 - Office None 22 - On Campus Outpatient Hospital |
| Complexity Level | High |
| Medicaid Fee Schedule | View Medicaid rates for J7330 |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
National average reimbursement for HCPCS J7330 by major payers:
$50,986.75
$61,873.14
$62,029.47
$54,485.42
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HCPCS J7330
5 of 25 sample ratesHigher to lower in this preview
Dlp Frye Regional Medical Center LLC, Frye Regional Medical Center
$120,116.70Published rateAmy Schiffman
Allergy Asthma And Immunology Specialists LLC
$62,484.94Published rateJohnston Memorial Hospital
Johnston Memorial Hospital Inc
$62,484.94Published ratePhiladelphia Vamc
$62,484.94Published rateKettering Medical Center, Kettering Health Troy
Kettering College
$37,606.48Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS J7330 vs. Other Miscellaneous Drugs Codes
The HCPCS J7330 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 J7330 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.
| Code | Complexity | Description |
|---|---|---|
| J7329-HCPCS | Low | Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg |
| J7330-HCPCS | High | Autologous cultured chondrocytes, implant |
| J7331-HCPCS | Low | Hyaluronan or derivative, synojoynt, for intra-articular injection, 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 J7330. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J7330 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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