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
Idaho
Hospital Address Code Price Last Updated
Kootenai Health 2003 Kootenai Health Way, Coeur D Alene J0875 $36 [source] 4 years ago
Caribou Memorial Hospital 300 S 3Rd W, Soda Springs J0875 $2,848 [source] 4 years ago
Eastern Idaho Regional Medical Center 3100 Channing Way, Idaho Falls J0875 $9,457 [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.