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
Hawaii
Hospital Address Code Price Last Updated
Hilo Medical Center 1190 Waianuenue Ave, Hilo J0875 $18 [source] 4 years ago
Kona Community Hospital 79-1019 Haukapila St, Kealakekua J0875 $18 [source] 4 years ago
Kaiser Permanente 3288 Moanalua Rd, Honolulu J0875 $4,937 [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.