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Dornase Alfa Inhalation Solution

Illinois 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?

$56.23per mg

Typical negotiated rate. In Illinois, October 2026.

Insurers have agreed to pay about $56.23 for each mg of this drug. The price depends on where it is billed: about $56.23 from a physician practice, and about $107 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
$56.23
At a hospital outpatient department
$107

The same drug, in the same amount, costs 91% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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$56.23$54.95 to $58.88
FacilityA hospital or hospital-owned outpatient department$107$56.23 to $138

How much rates vary

Facilitymedian $107 · 10th to 90th $44 to $219Professionalmedian $56 · 10th to 90th $50 to $110
$20$50$100$200$500facility $107professional $56

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$50.12
Median
$56.23
Typical High
$208.93
Aetna
Setting
Professional
Modifier
None
Typical Low
$39.81
Median
$56.23
Typical High
$58.88
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$19.95
Median
$28.18
Typical High
$29.51
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$8.13
Median
$11.48
Typical High
$11.75
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$6.03
Median
$8.51
Typical High
$8.71
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$4.07
Median
$5.62
Typical High
$5.89
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$40.74
Median
$72.44
Typical High
$275.42
Cigna
Setting
Facility
Modifier
None
Typical Low
$75.86
Median
$114.82
Typical High
$134.90
Cigna
Setting
Professional
Modifier
None
Typical Low
$56.23
Median
$56.23
Typical High
$56.23
Hally Health
Setting
Professional
Modifier
None
Typical Low
$54.95
Median
$83.18
Typical High
$120.23
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
None
Typical Low
$72.44
Median
$72.44
Typical High
$72.44
Molina
Setting
Professional
Modifier
None
Typical Low
$46.77
Median
$46.77
Typical High
$46.77
United
Setting
Professional
Modifier
None
Typical Low
$46.77
Median
$54.95
Typical High
$61.66

Where Illinois 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.

Illinois· 28th of 51

$56.23

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.