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Dornase Alfa Inhalation Solution

Michigan 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 Michigan, 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 $141 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
$141

The same drug, in the same amount, costs 151% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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$141$61.66 to $166

How much rates vary

Facilitymedian $141 · 10th to 90th $59 to $178Professionalmedian $56 · 10th to 90th $50 to $66
$20$50$100facility $141professional $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
$58.88
Median
$158.49
Typical High
$177.83
Aetna
Setting
Professional
Modifier
None
Typical Low
$57.54
Median
$58.88
Typical High
$144.54
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$28.84
Median
$29.51
Typical High
$72.44
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$11.48
Median
$11.75
Typical High
$29.51
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$8.71
Median
$8.71
Typical High
$21.88
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$5.75
Median
$5.89
Typical High
$14.45
BCBS Michigan
Setting
Facility
Modifier
None
Typical Low
$57.54
Median
$57.54
Typical High
$57.54
BCBS Michigan
Setting
Professional
Modifier
None
Typical Low
$54.95
Median
$57.54
Typical High
$57.54
Cigna
Setting
Professional
Modifier
None
Typical Low
$50.12
Median
$50.12
Typical High
$56.23
Health Alliance Plan
Setting
Facility
Modifier
None
Typical Low
$60.26
Median
$147.91
Typical High
$177.83
Health Alliance Plan
Setting
Professional
Modifier
None
Typical Low
$45.71
Median
$56.23
Typical High
$67.61
Health Alliance Plan
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$28.18
Median
$28.18
Typical High
$28.18
Health Alliance Plan
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$11.48
Median
$11.48
Typical High
$11.48
Health Alliance Plan
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$8.51
Median
$8.51
Typical High
$8.51
Health Alliance Plan
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$5.62
Median
$5.62
Typical High
$5.62
Priority Health
Setting
Professional
Modifier
None
Typical Low
$50.12
Median
$50.12
Typical High
$56.23
United
Setting
Professional
Modifier
None
Typical Low
$21.88
Median
$54.95
Typical High
$58.88

Where Michigan 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.

Michigan· 7th 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.