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Dornase Alfa Inhalation Solution

Oklahoma 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 $47 · 10th–90th $26$740%20%10th90th$47Professionalmedian $56 · 10th–90th $52$600%50%10th90th$56$0.1$1.0$10.0$100.0$1.0K$10.0K

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
Facility
Modifier
Global
Typical Low
$54.95
Median
$60.26
Typical High
$102.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$60.26
Typical High
$60.26
BCBS
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$39.81
Typical High
$66.07
Cigna
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$144.54
Typical High
$154.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$54.95
Medica
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$57.54
Typical High
$234.42
Medica
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$54.95
Typical High
$56.23
United
Setting
Facility
Modifier
Global
Typical Low
$0.06
Median
$21.88
Typical High
$54.95
United
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$54.95
Typical High
$56.23