go back

Dornase Alfa Inhalation Solution

Louisiana 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 $56 · 10th–90th $52$1100%50%10th90th$56Professionalmedian $55 · 10th–90th $55$580%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
$57.54
Typical High
$109.65
Aetna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$56.23
Typical High
$57.54
BCBS
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$52.48
Typical High
$52.48
BCBS
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$52.48
Typical High
$52.48
Christus
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$104.71
Typical High
$151.36
Cigna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$54.95
United
Setting
Facility
Modifier
Global
Typical Low
$0.06
Median
$21.88
Typical High
$58.88
United
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$54.95
Typical High
$57.54