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Texas rates for HCPCS J7639

Dornase alfa, inhalation solution, FDA-approved final product, noncompounded, administered through DME, unit dose form, per mg

Facilitymedian $100 · 10th–90th $43–$2290%10%20%10th90th$100Professionalmedian $55 · 10th–90th $55–$660%50%90th$55$0.1$0.5$2.0$10.0$50.0$200.0$1.0K

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $107.15 / $234.42
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $54.95 / $67.61
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$41.69 / $102.33 / $190.55
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $53.70 / $53.70
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $54.95 / $54.95
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $128.82 / $371.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $54.95 / $54.95
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$245.47 / $245.47 / $245.47
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.30 / $57.54 / $109.65
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $54.95 / $75.86
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $53.70 / $54.95
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.70 / $57.54 / $173.78
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $54.95 / $57.54
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.37 / $53.70 / $89.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $54.95 / $54.95
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $54.95 / $61.66