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Dornase Alfa Inhalation Solution

Indiana 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 $83 · 10th–90th $56$1510%20%40%10th90th$83Professionalmedian $55 · 10th–90th $55$740%50%90th$55$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
$56.23
Median
$128.82
Typical High
$288.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$57.54
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$83.18
Typical High
$109.65
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$89.13
CareSource
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$83.18
Typical High
$109.65
Cigna
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$151.36
Typical High
$151.36
Cigna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$64.57
United
Setting
Facility
Modifier
Global
Typical Low
$0.06
Median
$21.88
Typical High
$54.95
United
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$54.95
Typical High
$60.26