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Connecticut rates for HCPCS J7639

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

Facilitymedian $91 · 10th–90th $59$1620%10%20%10th90th$91Professionalmedian $55 · 10th–90th $55$620%50%90th$55$1.0$5.0$20.0$100.0

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
$57.54
Median
$91.20
Typical High
$165.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$63.10
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$87.10
Typical High
$147.91
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$54.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$61.66
Typical High
$104.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$54.95
ConnectiCare
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$56.23
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$60.26
Typical High
$69.18
United
Setting
Facility
Modifier
Global
Typical Low
$0.54
Median
$21.38
Typical High
$21.38
United
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$52.48
Typical High
$57.54