Dornase Alfa Inhalation Solution

Montana 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?

$61.66per mg

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $61.66 for each mg of this drug. The price depends on where it is billed: about $61.66 from a physician practice, and about $69.18 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.

Amount givenmg

In a doctor's office or clinic: $61.66
At a hospital outpatient department: $69.18

The same drug, in the same amount, costs 12% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed by	Who charges it	Typical	Range
Physician practiceA doctor's office, clinic or independent provider	A doctor's office, clinic or independent provider	$61.66	$56.23 to $69.18
FacilityA hospital or hospital-owned outpatient department	A hospital or hospital-owned outpatient department	$69.18	$61.66 to $70.79

How much rates vary

Facilitymedian $69 · 10th to 90th $55 to $98Professionalmedian $62 · 10th to 90th $55 to $79

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	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $61.66	Professional	None	$56.23	$56.23	$61.66
Cigna Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $141.25	Facility	None	$61.66	$61.66	$141.25
Cigna Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $61.66	Professional	None	$61.66	$61.66	$61.66
MountainHealth Co-op Setting Facility Modifier None Typical Low $54.95 Median $69.18 Typical High $75.86	Facility	None	$54.95	$69.18	$75.86
MountainHealth Co-op Setting Professional Modifier None Typical Low $54.95 Median $70.79 Typical High $75.86	Professional	None	$54.95	$70.79	$75.86
Providence Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $141.25	Facility	None	$61.66	$61.66	$141.25
Providence Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $79.43	Professional	None	$61.66	$61.66	$79.43
United Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $54.95	Professional	None	$54.95	$54.95	$54.95

Where Montana 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.

Montana· 2nd of 51

$61.66

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.