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Dornase Alfa Inhalation Solution

New Hampshire 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?

$54.95per mg

Typical negotiated rate. In New Hampshire, July 2026.

Insurers have agreed to pay about $54.95 for each mg of this drug. The price depends on where it is billed: about $54.95 from a physician practice, and about $77.62 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
$54.95
At a hospital outpatient department
$77.62

The same drug, in the same amount, costs 41% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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$54.95$54.95 to $61.66
FacilityA hospital or hospital-owned outpatient department$77.62$54.95 to $115

How much rates vary

Facilitymedian $78 · 10th to 90th $55 to $204Professionalmedian $55 · 10th to 90th $55 to $102
$10$20$50$100$200facility $78professional $55

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
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

Where New Hampshire 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.

New Hampshire· 41st of 51

$54.95

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.