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Dornase Alfa Inhalation Solution

Rhode Island 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 Rhode Island, October 2026.

Insurers have agreed to pay about $54.95 for each mg of this drug. Most negotiated rates run $54.95 to $58.88.

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

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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $56 · 10th to 90th $55 to $110Professionalmedian $55 · 10th to 90th $55 to $59
$20$50$100facility $56professional $55

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$58.88
Median
$58.88
Typical High
$58.88
BCBS Rhode Island
Setting
Facility
Modifier
None
Typical Low
$54.95
Median
$54.95
Typical High
$58.88
BCBS Rhode Island
Setting
Professional
Modifier
None
Typical Low
$54.95
Median
$54.95
Typical High
$54.95
Cigna
Setting
Facility
Modifier
None
Typical Low
$56.23
Median
$74.13
Typical High
$114.82
Cigna
Setting
Professional
Modifier
None
Typical Low
$56.23
Median
$56.23
Typical High
$56.23
United
Setting
Professional
Modifier
None
Typical Low
$21.88
Median
$54.95
Typical High
$54.95

Where Rhode Island 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.

Rhode Island· 43rd 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.