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
Connecticut
Hospital Address Code Price Last Updated
Danbury Hospital 24 Hospital Ave, Danbury J0875 $49 [source] 4 years ago
Norwalk Hospital 40 Prospect Ave, Norwalk J0875 $73 [source] 4 years ago
Middlesex Hospital 520 Saybrook Rd Ste N100, Middletown J0875 $5,180 [source] 4 years ago
Hartford Hospital 80 Seymour St, Hartford J0875 $5,763 [source] 4 years ago

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.