Dornase Alfa Inhalation Solution

Oklahoma 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 October 2026.

How much does Pulmozyme (dornase alfa) cost?

$54.95per mg

Typical negotiated rate. In Oklahoma, October 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 $47.86 from a hospital or other facility.

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.

Amount givenmg

In a doctor's office or clinic: $54.95
At a hospital outpatient department: $47.86

The same drug, in the same amount, costs 13% less 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed by	Who charges it	Typical	Range
Physician practiceA doctor's office, clinic or independent provider	A doctor's office, clinic or independent provider	$54.95	$54.95 to $56.23
FacilityA hospital or hospital-owned outpatient department	A hospital or hospital-owned outpatient department	$47.86	$37.15 to $60.26

How much rates vary

Facilitymedian $48 · 10th to 90th $29 to $74Professionalmedian $55 · 10th to 90th $47 to $60

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $61.66	Facility	None	$61.66	$61.66	$61.66
Aetna Setting Professional Modifier None Typical Low $57.54 Median $61.66 Typical High $61.66	Professional	None	$57.54	$61.66	$61.66
BCBS Oklahoma Setting Facility Modifier None Typical Low $27.54 Median $45.71 Typical High $70.79	Facility	None	$27.54	$45.71	$70.79
Cigna Setting Facility Modifier None Typical Low $85.11 Median $147.91 Typical High $162.18	Facility	None	$85.11	$147.91	$162.18
Cigna Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $56.23	Professional	None	$56.23	$56.23	$56.23
Medica Setting Facility Modifier None Typical Low $47.86 Median $47.86 Typical High $66.07	Facility	None	$47.86	$47.86	$66.07
Medica Setting Professional Modifier None Typical Low $32.36 Median $54.95 Typical High $57.54	Professional	None	$32.36	$54.95	$57.54
United Setting Professional Modifier None Typical Low $25.12 Median $54.95 Typical High $60.26	Professional	None	$25.12	$54.95	$60.26

Where Oklahoma sits

The same service costs 1.6 times more in Alaska than in Louisiana. 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.

Oklahoma· 39th of 51

$54.95

AK $83.18LA $52.48

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.