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Dornase Alfa Inhalation Solution

Utah 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?

$56.23per mg

Typical negotiated rate. In Utah, October 2026.

Insurers have agreed to pay about $56.23 for each mg of this drug. The price depends on where it is billed: about $56.23 from a physician practice, and about $66.07 from a hospital or other facility.

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
$56.23
At a hospital outpatient department
$66.07

The same drug, in the same amount, costs 17% more at a hospital than at a doctor's office.

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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$56.23$54.95 to $66.07
FacilityA hospital or hospital-owned outpatient department$66.07$64.57 to $83.18

How much rates vary

Facilitymedian $66 · 10th to 90th $65 to $83Professionalmedian $56 · 10th to 90th $43 to $66
$0.1$1$10$100facility $66professional $56

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
Facility
Modifier
None
Typical Low
$66.07
Median
$66.07
Typical High
$66.07
Aetna
Setting
Professional
Modifier
None
Typical Low
$57.54
Median
$66.07
Typical High
$66.07
Cigna
Setting
Facility
Modifier
None
Typical Low
$64.57
Median
$72.44
Typical High
$83.18
Cigna
Setting
Professional
Modifier
None
Typical Low
$56.23
Median
$56.23
Typical High
$57.54
Molina
Setting
Professional
Modifier
None
Typical Low
$33.88
Median
$54.95
Typical High
$72.44
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$56.23
Median
$56.23
Typical High
$67.61
Select Health
Setting
Facility
Modifier
None
Typical Low
$61.66
Median
$61.66
Typical High
$61.66
Select Health
Setting
Professional
Modifier
None
Typical Low
$51.29
Median
$56.23
Typical High
$69.18
U of Utah Health Plan
Setting
Professional
Modifier
None
Typical Low
$42.66
Median
$56.23
Typical High
$69.18
United
Setting
Professional
Modifier
None
Typical Low
$5.50
Median
$54.95
Typical High
$54.95

Where Utah 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.

Utah· 25th of 51

$56.23

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.