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Dornase Alfa Inhalation Solution

Idaho 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 July 2026.

How much does Pulmozyme (dornase alfa) cost?

$60.26per mg

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $60.26 for each mg of this drug. The price depends on where it is billed: about $60.26 from a physician practice, and about $57.54 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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
$60.26
At a hospital outpatient department
$57.54

The same drug, in the same amount, costs 5% less 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$60.26$54.95 to $66.07
FacilityA hospital or hospital-owned outpatient department$57.54$54.95 to $66.07

How much rates vary

Facilitymedian $58 · 10th to 90th $36 to $69Professionalmedian $60 · 10th to 90th $55 to $69
$10$20$50$100facility $58professional $60

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$63.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$60.26
Typical High
$69.18
BCBS
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$40.74
Typical High
$66.07
BCBS
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$54.95
Typical High
$63.10
Cigna
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$61.66
Typical High
$141.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$54.95
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$57.54
Typical High
$69.18
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$60.26
Typical High
$69.18
Molina
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$38.02
Typical High
$57.54
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$66.07
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$60.26
Typical High
$66.07
Select Health
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$97.72
Select Health
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$54.95
Typical High
$57.54
United
Setting
Facility
Modifier
Global
Typical Low
$5.50
Median
$21.88
Typical High
$51.29
United
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$54.95
Typical High
$54.95

Where Idaho sits

Rates are fairly even across states for this service. 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.

Idaho· 3rd of 51

$60.26

CO $66.07NC $50.12

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.