Code: J0875

Description:
Description: Injection, dalbavancin, 5 mg
HCPCS Category: Drugs administered other than oral method, chemotherapy drugs
Other Descriptions:
DALBAVANCIN 500 MG INTRAVENOUS SOLUTION
DALBAVANCIN 1500MG/300ML IVPB
INJECTION DALBAVANCIN 5MG
DALVANCE IVPB 1500MG/500ML D5W
Related codes:
Code: J0878
DAPTOMYCIN 500 MG INJ
Code: J0879
DAPTOMYCIN 350 MG IV SOLR
State Average # Hospitals In Database
South Dakota (SD) $16 1
Oklahoma (OK) $17 3
New York (NY) $30 1
Tennessee (TN) $30 6
Vermont (VT) $32 1
Alaska (AK) $50 2
Maryland (MD) $50 7
Mississippi (MS) $54 1
Virginia (VA) $71 1
Wisconsin (WI) $694 20
Kentucky (KY) $871 3
West Virginia (WV) $966 3
California (CA) $1,010 25
Alabama (AL) $1,509 3
Hawaii (HI) $1,657 3
Delaware (DE) $1,842 1
Indiana (IN) $2,451 21
Connecticut (CT) $2,766 4
Illinois (IL) $3,171 1
North Carolina (NC) $3,866 18
Texas (TX) $3,958 12
Georgia (GA) $4,317 10
Kansas (KS) $4,367 7
Michigan (MI) $4,765 28
Missouri (MO) $4,966 1
Idaho (ID) $5,450 4
Massachusetts (MA) $5,576 6
Utah (UT) $6,607 1
Florida (FL) $7,229 47
New Hampshire (NH) $7,676 4
Nevada (NV) $8,054 4
Ohio (OH) $17,075 3

ChargemasterDB by Joseph Paul Cohen
A database of US hospital prices based on data made available by the Centers for Medicare & Medicaid Services (CMS), HHS price transparancy rule 45 CFR ยง180.