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Dornase Alfa Inhalation Solution

New Hampshire 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 $78 · 10th–90th $55$2040%20%10th90th$78Professionalmedian $55 · 10th–90th $55$1020%50%90th$55$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
$54.95
Typical High
$61.66
Aetna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$61.66
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$114.82
Typical High
$204.17
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$63.10
Cigna
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$109.65
Typical High
$147.91
Cigna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$54.95
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$89.13
Typical High
$104.71
United
Setting
Facility
Modifier
Global
Typical Low
$0.06
Median
$21.88
Typical High
$27.54
United
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$54.95
Typical High
$85.11
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$20.89
Median
$20.89
Typical High
$20.89