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Dornase Alfa Inhalation Solution

Montana 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 $62 · 10th–90th $36$1620%20%40%10th90th$62Professionalmedian $60 · 10th–90th $55$1450%50%10th90th$60$10.0$50.0$200.0$1.0K$5.0K$20.0K$100.0K

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
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