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Dornase Alfa Inhalation Solution

Maine 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 $138 · 10th–90th $129$1380%50%10th$138Professionalmedian $55 · 10th–90th $55$660%50%90th$55$0.1$0.5$2.0$10.0$50.0

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
$128.82
Median
$138.04
Typical High
$138.04
Aetna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$57.54
Typical High
$66.07
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$169.82
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$54.95
Typical High
$54.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$61.66
Typical High
$158.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$54.95
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$66.07
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$138.04
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$95.50
United
Setting
Facility
Modifier
Global
Typical Low
$0.06
Median
$5.50
Typical High
$21.88
United
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$54.95
Typical High
$74.13