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Dornase Alfa Inhalation Solution

Maine 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 Maine, October 2026.

Insurers have agreed to pay about $56.23 for each mg of this drug. Most negotiated rates run $54.95 to $58.88.

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

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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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.

How much rates vary

Facilitymedian $162 · 10th to 90th $65 to $174Professionalmedian $56 · 10th to 90th $55 to $69
$20$50$100facility $162professional $56

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$57.54
Median
$58.88
Typical High
$58.88
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$173.78
Median
$173.78
Typical High
$173.78
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$41.69
Median
$56.23
Typical High
$63.10
Cigna
Setting
Facility
Modifier
None
Typical Low
$64.57
Median
$64.57
Typical High
$162.18
Cigna
Setting
Professional
Modifier
None
Typical Low
$56.23
Median
$56.23
Typical High
$56.23
Harvard Pilgrim
Setting
Professional
Modifier
None
Typical Low
$54.95
Median
$54.95
Typical High
$95.50
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$57.54
Median
$58.88
Typical High
$58.88
United
Setting
Professional
Modifier
None
Typical Low
$46.77
Median
$54.95
Typical High
$95.50

Where Maine 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.

Maine· 10th 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.