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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 July 2026.

How much does Pulmozyme (dornase alfa) cost?

$64.57per mg

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $64.57 for each mg of this drug. The price depends on where it is billed: about $64.57 from a physician practice, and about $64.57 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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
$64.57
At a hospital outpatient department
$64.57

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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$64.57$54.95 to $64.57
FacilityA hospital or hospital-owned outpatient department$64.57$64.57 to $123

How much rates vary

Facilitymedian $65 · 10th to 90th $60 to $123Professionalmedian $65 · 10th to 90th $55 to $129
$0.1$1$10$100facility $65professional $65

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

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

Where Utah sits

Rates are fairly even across states for this service. 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· 2nd of 51

$64.57

CO $66.07NC $50.12

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.