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Dornase Alfa Inhalation Solution

Missouri 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 $60 · 10th–90th $55$1450%20%40%10th90th$60Professionalmedian $56 · 10th–90th $55$660%50%10th90th$56$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
$54.95
Median
$56.23
Typical High
$69.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$57.54
Typical High
$77.62
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$93.33
Typical High
$144.54
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$66.07
Cigna
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$95.50
Typical High
$162.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$63.10
Medica
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$58.88
Typical High
$234.42
Medica
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$54.95
Typical High
$61.66
United
Setting
Facility
Modifier
Global
Typical Low
$5.50
Median
$54.95
Typical High
$79.43
United
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$54.95
Typical High
$63.10