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Dornase Alfa Inhalation Solution

Nebraska 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 $63 · 10th–90th $47$1260%20%10th90th$63Professionalmedian $56 · 10th–90th $55$580%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
$100.00
Typical High
$125.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$56.23
Typical High
$56.23
BCBS
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$58.88
Typical High
$63.10
BCBS
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$58.88
Typical High
$63.10
Cigna
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$56.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$64.57
Typical High
$70.79
Medica
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$60.26
Typical High
$234.42
Medica
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$54.95
Typical High
$57.54
Midlands
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$64.57
Typical High
$66.07
United
Setting
Facility
Modifier
Global
Typical Low
$0.55
Median
$21.88
Typical High
$67.61
United
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$53.70
Typical High
$66.07