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Nationwide rates for HCPCS J7639

Dornase alfa, inhalation solution, FDA-approved final product, noncompounded, administered through DME, unit dose form, per mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $93.33 / $165.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $54.95 / $67.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.88 / $69.18 / $144.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $54.95 / $70.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $54.95 / $81.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $56.23 / $70.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.05 / $21.38 / $89.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $54.95 / $58.88