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Dornase Alfa Inhalation Solution

South Carolina 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$2090%20%10th90th$78Professionalmedian $58 · 10th–90th $50$660%20%40%10th90th$58$1.0$5.0$20.0$100.0

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
$57.54
Median
$151.36
Typical High
$234.42
Aetna
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$57.54
Typical High
$66.07
BCBS
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$83.18
BCBS
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$54.95
Typical High
$69.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$77.62
Typical High
$141.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$66.07
Medcost
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$57.54
Typical High
$77.62
Medcost
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$60.26
Molina
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$45.71
United
Setting
Facility
Modifier
Global
Typical Low
$0.55
Median
$21.88
Typical High
$91.20
United
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$54.95
Typical High
$54.95