J0875HCPCS Level IISave

J0875 - Injection, dalbavancin, 5 mg

HCPCS Level II section: HCPCS J: Drugs Administered Other Than Oral

Medicare Physician Fee Schedule

Office

Medicare Payment

$11.99

Submitted Charge$39.22
Medicare Allowed$15.06
Providers554
Beneficiaries2,767
Total Services1,396,625

Source: CMS Medicare Physician & Other Practitioners public use file (national averages). Amounts are averages across providers, not a fee schedule lookup for a specific locality.