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Dornase Alfa Inhalation Solution

Alaska rates for HCPCS J7639

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

Rates data updated July 2026.

Facilitymedian $58 · 10th–90th $55$830%50%10th90th$58Professionalmedian $56 · 10th–90th $55$1290%50%10th90th$56$0.1$0.5$2.0$10.0$50.0$200.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$363.08
Typical High
$363.08
Aetna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$102.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$64.57
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$57.54
Typical High
$66.07
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$60.26
Typical High
$177.83
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$89.13
Typical High
$141.25
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$70.79
Typical High
$77.62
Providence
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$57.54
Providence
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$60.26
Typical High
$64.57
United
Setting
Facility
Modifier
Global
Typical Low
$0.06
Median
$5.50
Typical High
$27.54
United
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$83.18
Typical High
$165.96