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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 July 2026.

How much does Pulmozyme (dornase alfa) cost?

$60.26per mg

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $60.26 for each mg of this drug. The price depends on where it is billed: about $60.26 from a physician practice, and about $61.66 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
$60.26
At a hospital outpatient department
$61.66

The same drug, in the same amount, costs 2% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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$60.26$54.95 to $66.07
FacilityA hospital or hospital-owned outpatient department$61.66$54.95 to $91.20

How much rates vary

Facilitymedian $62 · 10th to 90th $36 to $162Professionalmedian $60 · 10th to 90th $55 to $145
$10$100$1K$10K$100Kfacility $62professional $60

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
Professional
Modifier
Global
Typical Low
$54.95
Median
$66.07
Typical High
$144.54
BCBS
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$114.82
Typical High
$89,125.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$141.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$61.66
Typical High
$61.66
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$54.95
Typical High
$102.33
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$54.95
Typical High
$102.33
Providence
Setting
Facility
Modifier
Global
Typical Low
$27.54
Median
$61.66
Typical High
$97.72
Providence
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$61.66
Typical High
$79.43
United
Setting
Facility
Modifier
Global
Typical Low
$5.50
Median
$5.50
Typical High
$27.54
United
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$54.95

Where Montana 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.

Montana· 8th of 51

$60.26

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.