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Dalbavancin Injection

Wyoming rates for HCPCS J0875 · Dalvance

Injection, dalbavancin, 5 mg

Rates data updated July 2026.

How much does Dalbavancin Injection cost?

$3,823per dose

One 915 mg dose, at the doctor's office rate. In Wyoming, July 2026.

Negotiated ratewhat insurers pay per 5 mg of the drug
$20.89 / 5 mg
Average doseacross Medicare claims, discarded units included
× 915 mg
One dosedrug only; giving it and the visit are billed separately
$3,823

Work out the cost of a dose

This drug is priced per 5 mg. Enter the amount given to see what insurers have agreed to pay for it. Prefilled with the average administration in Medicare claims, discarded units included.

mg
In a doctor's office or clinic
$3,823
At a hospital outpatient department
$5,655

The same drug, in the same amount, costs 48% more at a hospital than at a doctor's office.

Drug cost only. Giving the drug, the visit itself and any monitoring are billed on their own codes. We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 4 insurance carriers under federal price transparency rules.

Where the price changes

Given atPer 5 mgPer 915 mg dose
Doctor's office or clinic$20.89$3,823
Hospital outpatient department$30.90$5,655

How much rates vary

Facilitymedian $31 · 10th to 90th $15 to $56Professionalmedian $21 · 10th to 90th $15 to $21
$20$50facility $31professional $21

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$15.14
Median
$15.14
Typical High
$15.14
Aetna
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$15.14
Typical High
$15.14
BCBS
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$20.89
Typical High
$20.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$28.18
Typical High
$56.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$21.38
Typical High
$21.38
United
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$30.90
Typical High
$34.67
United
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$15.49
Typical High
$15.49

Where Wyoming sits

The same service costs 2.5 times more in West Virginia than in Louisiana. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Wyoming· 4th of 51

$20.89

WV $37.15LA $15.14

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.