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Dornase Alfa Inhalation Solution

Minnesota 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 July 2026.

How much does Pulmozyme (dornase alfa) cost?

$54.95per mg

Typical negotiated rate. In Minnesota, July 2026.

Insurers have agreed to pay about $54.95 for each mg of this drug. The price depends on where it is billed: about $54.95 from a physician practice, and about $110 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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
$54.95
At a hospital outpatient department
$110

The same drug, in the same amount, costs 100% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$54.95$53.70 to $56.23
FacilityA hospital or hospital-owned outpatient department$110$56.23 to $145

How much rates vary

Facilitymedian $110 · 10th to 90th $54 to $178Professionalmedian $55 · 10th to 90th $44 to $58
$50$100$200facility $110professional $55

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$109.65
Aetna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$60.26
BCBS
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$81.28
Typical High
$109.65
BCBS
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$54.95
Typical High
$54.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$158.49
Typical High
$181.97
Cigna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$64.57
Typical High
$70.79
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$144.54
Typical High
$208.93
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$75.86
Medica
Setting
Facility
Modifier
Global
Typical Low
$33.88
Median
$57.54
Typical High
$234.42
Medica
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$54.95
Typical High
$72.44
United
Setting
Facility
Modifier
Global
Typical Low
$0.06
Median
$0.06
Typical High
$21.88
United
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$54.95
Typical High
$83.18

Where Minnesota sits

Rates are fairly even across states for this service. 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.

Minnesota· 47th of 51

$54.95

CO $66.07NC $50.12

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.