J7307
Etonogestrel implant system, including implant and supplies
Etonogestrel implant system, including implant and supplies is the #483 most-billed Medicaid procedure code, with $192.3M in payments across 264K claims from 2018–2024. The national median cost per claim is $786.43.
Total Paid
$192.3M
0.02% of all spending
Total Claims
264K
Providers
694
Avg Cost/Claim
$729
National Cost Distribution
How much do providers bill per claim for J7307? Based on 657 providers billing this code nationally.
Median
$786.43
Average
$714.07
Std Dev
$330.29
Max
$3,256.47
Percentile Distribution (Cost per Claim)
50% of providers bill between $453.55 and $910.39 per claim for this code.
90% bill between $292.73 and $1,065.53.
Top 1% bill above $1,458.83.
About This Procedure
HCPCS code J7307 (Etonogestrel implant system, including implant and supplies) was billed by 694 providers across 264K claims, totaling $192.3M in Medicaid payments from 2018–2024. This code was used for 250K unique beneficiaries.
Fraud Risk Context
Injectable drug codes carry high per-claim costs and have been involved in drug diversion and upcoding schemes.
Source: HHS OIG Reports
Risk Assessment
Billing Statistics
Median Cost/Claim
$786.43
Providers Billing
657
National Spending
$192.3M
Avg/Median Ratio
0.91×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for J7307
| # | Provider | Total Paid |
|---|---|---|
| 1 | Planned Parenthood/orange And San Bernardino Counties, Inc. Orange, CA · Clinic/Center, Ambulatory Family Planning Facility | $22.7M |
| 2 | Procare Pharmacy Direct, Llc. Monroeville, PA · Pharmacy, Community/Retail Pharmacy | $8.3M |
| 3 | 1417959701 | $4.4M |
| 4 | 1629057146 | $4.1M |
| 5 | 1336174325 | $3.3M |
| 6 | 1487749495 | $3.2M |
| 7 | 1518039858 | $2.9M |
| 8 | 1982798831 | $2.6M |
| 9 | 1497847487 | $2.4M |
| 10 | Boston Medical Center Corporation Boston, MA · General Acute Care Hospital | $2.4M |
| 11 | 1366525370 | $2.4M |
| 12 | 1114264660 | $2.2M |
| 13 | 1821095779 | $2.1M |
| 14 | 1417938820 | $1.9M |
| 15 | Spectrum Health Primary Care Partners Grand Rapids, MI · Psychologist, Clinical Child & Adolescent | $1.8M |
| 16 | 1962456558 | $1.8M |
| 17 | 1366496838 | $1.8M |
| 18 | 1013998921 | $1.7M |
| 19 | The Health And Hospital Corporation Of Marion County Indianapolis, IN · Psychiatric Unit | $1.7M |
| 20 | Medical Associates Of Ebnhc East Boston, MA · Clinic/Center, Community Health | $1.7M |
Showing top 20 of 694 providers billing this code