go back

Dornase Alfa Inhalation Solution

Arizona 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 $102 · 10th–90th $50$2950%10%20%10th90th$102Professionalmedian $60 · 10th–90th $55$740%50%10th90th$60$0.1$0.5$2.0$10.0$50.0$200.0

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
$79.43
Median
$95.50
Typical High
$173.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$60.26
Typical High
$75.86
BCBS
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$194.98
Typical High
$363.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$56.23
Typical High
$125.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$91.20
Typical High
$109.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$56.23
Medica
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$57.54
Typical High
$234.42
Medica
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$54.95
Typical High
$54.95
United
Setting
Facility
Modifier
Global
Typical Low
$0.55
Median
$21.88
Typical High
$72.44
United
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$54.95