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Dornase Alfa Inhalation Solution

South Dakota 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 $55 · 10th–90th $55$1100%50%90th$55Professionalmedian $56 · 10th–90th $55$710%20%40%10th90th$56$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
$54.95
Median
$54.95
Typical High
$109.65
Aetna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$57.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$70.79
Medica
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$79.43
Typical High
$234.42
Medica
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$54.95
Typical High
$61.66
Midlands
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$64.57
Typical High
$66.07
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$60.26
United
Setting
Facility
Modifier
Global
Typical Low
$0.55
Median
$21.88
Typical High
$54.95
United
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$54.95
Typical High
$63.10
Wellmark
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$54.95
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$60.26