Price of DALBAVANCIN 500 MG IV Solution at NYU Langone

Last Updated: 2024-07-01

NYU Langone

Hospital Rating:

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NYU Langone|Tisch Hospital

550 1st Ave., New York, NY 10016

About DALBAVANCIN 500 MG IV Solution

Service Codes: HCPCS J0875, LOCAL 5010001

DALBAVANCIN is an intravenous antibiotic used to treat serious bacterial infections, particularly those caused by certain strains of Staphylococcus and Streptococcus. It is administered in a healthcare setting to ensure proper dosage and monitoring.

Pricing Overview

Cash Price ?

$42.83

Median Price ?

$65.37

Price Range ?

$22.54 - $164.56

Insurance Plan Prices

Insurance Provider Plan Type Price
EmblemHealth Select Care Gold Small Group $65.37
EmblemHealth WLNY-TV $90.17
MetroPlus Child Health Plus (CHP) $29.30
EmblemHealth GHI Medicare HMO $90.17
EmblemHealth Essential Plan 4 $65.37
EmblemHealth Select Care Platinum Exchange $65.37
MultiPlan Screen Actors Guild $164.56
MultiPlan Meritain Health $164.56
Aetna HMO $67.63
Aetna Open Access Elect Choice EPO $67.63
MetroPlus Essential Plan 3-4 $29.30
EmblemHealth HIP Prime Basic $65.37
MultiPlan Principal Financial Group $164.56
MagnaCare Cement & Concrete Workers District Council $54.10
Cigna LifeSOURCE $72.13
UnitedHealthcare Choice (North Shore - LIJ) $22.54
UnitedHealthcare POMCO (UMR) $164.56
MetroPlus PlatinumPlus $69.88
Aetna Meritain Health $67.63
EmblemHealth Select Care Silver Small Group $65.37
Aetna Christian Brothers ASA PPO $67.63
EmblemHealth Prime Platinum $65.37
EmblemHealth Prime Bronze $65.37
Cigna Cigna Managed Care/POS $72.13
EmblemHealth HIP VIP Medicare Affinity $65.37
EmblemHealth Select Care Healthcare Partners $65.37
MultiPlan Kaiser Permanente $164.56
EmblemHealth HIP Optum Health $65.37
MetroPlus Essential Plan 2 $42.83
EmblemHealth HIP Montefiore $65.37
Cigna MVP-Cigna Network $72.13
UnitedHealthcare EPO $22.54
Maksin Group Consolidated Health Plan (Home-based only) $72.13
MultiPlan Diversified Admin Corp $164.56
EmblemHealth Select Care Gold Exchange $65.37
EmblemHealth GHI EPO $90.17
EmblemHealth GHI Behavioral Management Program $90.17
EmblemHealth GHI Medicare Supplement $90.17
MetroPlus Gold $45.08
MultiPlan US Life Insurance Co $164.56
EmblemHealth GHI Medicare PPO $90.17
EmblemHealth HIP EPO $65.37
EmblemHealth Essential Plan 1, 200-250 $65.37
EmblemHealth HIP VIP Medicare Healthcare Partners $65.37
Cigna PPO $72.13
EmblemHealth Enhanced Care (Medicaid) Montefiore $65.37
Cigna Tufts Health Plan $72.13
UnitedHealthcare HMO $22.54
MetroPlus GoldCare 2 $45.08
MetroPlus MedPlus $69.88
EmblemHealth Select Care Platinum Small Group $65.37
MultiPlan Healthnet of California $164.56
EmblemHealth CMO Essential Plan 1 $65.37
MetroPlus Essential Plan 1 $42.83
Aetna Student Health $67.63
EmblemHealth HIP compre health $65.37
MultiPlan PHCS $164.56
EmblemHealth Healthcare Partners Essential Plan 4 $65.37
EmblemHealth Prime Silver $65.37
Cigna Evernorth Behavioral Health $72.13
MultiPlan Teamsters Allied Benefits $164.56
MultiPlan Humana Health Plan $164.56
EmblemHealth HIP Access I $65.37
MultiPlan QualCare Inc $164.56
Aetna Global National Transplant $67.63
UnitedHealthcare - Oxford Optum Health $22.54
Aetna Allied ASA PPO $67.63
MultiPlan Paramount Insurance $164.56
MetroPlus Essential Plan 3 $29.30
MultiPlan Guardian Life Insurance Co $164.56
Cigna HMO $72.13
UnitedHealthcare - Oxford Liberty $22.54
EmblemHealth GHI Comprehensive Benefits Plan (CBP) $90.17
First Health PPO $164.56
Aetna Indemnity $67.63
Humana All Commercial Plans $164.56
Aetna Starmark ASA PPO $67.63
Cigna Great West HMO $72.13
EmblemHealth Select Care Basic Exchange $65.37
MultiPlan Global Excel Management $164.56
Cigna Wellfleet Student $72.13
UnitedHealthcare - Oxford Freedom $22.54
UnitedHealthcare POS $22.54
MagnaCare JIB Employees Security Fund $54.10
Aetna Signature Administrators PPO $67.63
EmblemHealth Healthcare Partners Essential Plan 1-2 $65.37
EmblemHealth HIP HMO $65.37
Aetna Coresource ASA PPO $67.63
EmblemHealth HIP compre health epo $65.37
MultiPlan Mutual of Omaha $164.56
MetroPlus SilverPlus $69.88
EmblemHealth Select Care Catastrophic Exchangeu00a0 $65.37
EmblemHealth HIP Access II $65.37
EmblemHealth GHI PPO $90.17
MultiPlan PHCS Director Guild $164.56
UnitedHealthcare - Oxford Metro $22.54
EmblemHealth CMO Essential Plan 3 $65.37
EmblemHealth Bridge $65.37
UnitedHealthcare Choice $22.54
MagnaCare Independent Care Plus $54.10
Aetna POS $67.63
EmblemHealth HIP POS $65.37
EmblemHealth Healthcare Partners Essential Plan 1, 200-250 $65.37
EmblemHealth Healthcare Partners Essential Plan 3-4 $65.37
EmblemHealth HIP VIP Medicare Montefiore $65.37
EmblemHealth GHI HMO $90.17
EmblemHealth GHI composite $90.17
EmblemHealth Enhanced Care (Medicaid) $65.37
MultiPlan Fiserv Health $164.56
EmblemHealth Select Care Silver Exchange $65.37
EmblemHealth Essential Plan 3 $65.37
MagnaCare JIB Members $54.10
MultiPlan Nippon Life $164.56
EmblemHealth HIP VIP Medicare Reserve $65.37
Cigna NALC PPO $72.13
EmblemHealth HIP VIP Medicare Bold $65.37
MultiPlan PHCS Savility $164.56
MagnaCare Direct Plus Preferred $54.10
EmblemHealth IUOE Local 14-14B $90.17
Cigna Open Access $72.13
MultiPlan Global Health Management $164.56
EmblemHealth American Plan Administrators $90.17
Cigna Open Access PPO $72.13
MetroPlus BronzePlus $69.88
EmblemHealth VIP Prime HMO Medicare Advantage $65.37
EmblemHealth CMO Essential Plan 2 $65.37
UnitedHealthcare Golden Rule Insurance $22.54
Aetna Open Access HMO $67.63
EmblemHealth HIP Healthcare Partners HMO $65.37
MultiPlan PHP Healthcare (Champus) $164.56
EmblemHealth HIP PPO $65.37
EmblemHealth Select Care Bronze Small Group $65.37
Aetna Wellnet ASA PPO $67.63
MultiPlan Administrative Concepts $164.56
EmblemHealth Essential Plan 2 $65.37
Cigna Great West PPO $72.13
EmblemHealth Healthcare Partners Essential Plans $65.37
Cigna Open Access HMO $72.13
Cigna Indemnity $72.13
UnitedHealthcare Independent $22.54
UnitedHealthcare PPO $22.54
MagnaCare Direct Plus $54.10
EmblemHealth HIP Medicare Supplement $65.37
MetroPlus Essential Plan 1-2, 200-250 $42.83
EmblemHealth Healthcare Partners Essential Plan 2 $65.37
GEHA All Plans $67.63
MultiPlan AXA Global Insurance $164.56
MetroPlus GoldPlus $69.88
MultiPlan PPO $164.56
EmblemHealth HIP SmartStart $65.37
UnitedHealthcare Optum Health $22.54
MultiPlan Capital District Physicians Health Plan $164.56
EmblemHealth Healthcare Partners Essential Plan 3 $65.37
UnitedHealthcare Student Resources $22.54
EmblemHealth Vytra HMO $65.37
EmblemHealth Select Care HMO $65.37
MagnaCare PPO $54.10
Aetna PPO $67.63
MagnaCare Capital District Physicians Health Plan $54.10
Aetna Chesterfield Resources ASA PPO $67.63
UnitedHealthcare Core $22.54
MagnaCare American Plan Administrators $54.10
EmblemHealth Select Care PPOu00a0 $65.37
EmblemHealth American Plan Administrators c/o H.D.A $90.17
UnitedHealthcare Choice (NY Power Authority) $22.54
EmblemHealth HIP $65.37
Health Net PPO $164.56
MagnaCare National Health Plan $54.10
UnitedHealthcare Navigate $22.54
MetroPlus Medicaid Managed Care $29.30
EmblemHealth CMO Essential Plan 4 $65.37
EmblemHealth HIP Long Island College Hospital (LICH) $65.37
Aetna Nippon Life ASA PPO $67.63
UnitedHealthcare Charter $22.54
Aetna Healthscope ASA PPO $67.63
EmblemHealth Select Care EPO $65.37
EmblemHealth Select Care Bronze Exchange $65.37
EmblemHealth Prime Gold $65.37
MetroPlus Essential Plan 4 $29.30
Cigna Premier Plus $72.13
EmblemHealth HIP Child Health Plus $65.37
EmblemHealth Enhanced Care (Medicaid) Healthcare Partners $65.37
UnitedHealthcare POMCO (UMR) $22.54
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