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Dornase Alfa Inhalation Solution

Utah 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 $65 · 10th–90th $60$1230%50%10th90th$65Professionalmedian $65 · 10th–90th $55$1290%20%10th90th$65$0.1$0.5$2.0$10.0$50.0

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
$64.57
Median
$64.57
Typical High
$123.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$64.57
Typical High
$128.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$72.44
Typical High
$128.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$70.79
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$45.71
Typical High
$72.44
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$66.07
Select Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$60.26
Select Health
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$52.48
Typical High
$54.95
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$54.95
Typical High
$66.07
United
Setting
Facility
Modifier
Global
Typical Low
$0.06
Median
$5.50
Typical High
$27.54
United
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$54.95
Typical High
$54.95