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Nationwide rates for HCPCS J7639

Dornase Alpha Inhalation Solution Administered Through Dme Unit Dose Form Per Milligram (Special Coverage Instructions Apply. See Mcm: 2100.5)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.16 / $69.50 / $120.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.16 / $55.71 / $66.73
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.12 / $87.56 / $167.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.16 / $55.16 / $55.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.04 / $55.16 / $55.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.60 / $55.16 / $55.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.38 / $88.42 / $88.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.06 / $55.16 / $58.47