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Dornase Alfa Inhalation Solution

Alaska rates for HCPCS J7639 · Pulmozyme

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

Rates data updated October 2026.

How much does Pulmozyme (dornase alfa) cost?

$83.18per mg

Typical negotiated rate. In Alaska, October 2026.

Insurers have agreed to pay about $83.18 for each mg of this drug. The price depends on where it is billed: about $74.13 from a physician practice, and about $105 from a hospital or other facility.

Work out the cost of a dose

This drug is priced per mg. Enter the amount given to see what insurers have agreed to pay for it.

mg
In a doctor's office or clinic
$74.13
At a hospital outpatient department
$105

The same drug, in the same amount, costs 41% more at a hospital than at a doctor's office.

Drug cost only. Giving the drug, the visit itself and any monitoring are billed on their own codes. We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$74.13$56.23 to $105
FacilityA hospital or hospital-owned outpatient department$105$83.18 to $148

How much rates vary

Facilitymedian $105 · 10th to 90th $56 to $363Professionalmedian $74 · 10th to 90th $56 to $110
$50$100$200facility $105professional $74

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$104.71
Median
$104.71
Typical High
$363.08
Aetna
Setting
Professional
Modifier
None
Typical Low
$58.88
Median
$104.71
Typical High
$104.71
Cigna
Setting
Professional
Modifier
None
Typical Low
$56.23
Median
$56.23
Typical High
$64.57
Moda Health
Setting
Facility
Modifier
None
Typical Low
$56.23
Median
$56.23
Typical High
$363.08
Moda Health
Setting
Professional
Modifier
None
Typical Low
$56.23
Median
$61.66
Typical High
$102.33
Premera BCBS
Setting
Facility
Modifier
None
Typical Low
$83.18
Median
$102.33
Typical High
$141.25
Premera BCBS
Setting
Professional
Modifier
None
Typical Low
$53.70
Median
$54.95
Typical High
$77.62
Providence
Setting
Facility
Modifier
None
Typical Low
$104.71
Median
$104.71
Typical High
$151.36
Providence
Setting
Professional
Modifier
None
Typical Low
$56.23
Median
$60.26
Typical High
$64.57
United
Setting
Professional
Modifier
None
Typical Low
$54.95
Median
$83.18
Typical High
$165.96

Where Alaska sits

The same service costs 1.6 times more in Alaska than in Louisiana. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Alaska· 1st of 51

$83.18

AK $83.18LA $52.48

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.