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Dornase Alfa Inhalation Solution

Virginia 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?

$57.54per mg

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $57.54 for each mg of this drug. The price depends on where it is billed: about $57.54 from a physician practice, and about $63.10 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
$57.54
At a hospital outpatient department
$63.10

The same drug, in the same amount, costs 10% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 8 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$57.54$54.95 to $57.54
FacilityA hospital or hospital-owned outpatient department$63.10$57.54 to $126

How much rates vary

Facilitymedian $63 · 10th to 90th $55 to $155Professionalmedian $58 · 10th to 90th $55 to $58
$20$50$100facility $63professional $58

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
$54.95
Median
$63.10
Typical High
$154.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$57.54
Typical High
$57.54
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$72.44
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$85.11
Typical High
$128.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$104.71
Typical High
$138.04
Cigna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$54.95
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$54.95
Typical High
$66.07
Medcost
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$21.88
Typical High
$21.88
Medcost
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$57.54
Typical High
$60.26
Medcost
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$57.54
Typical High
$63.10
Sentara
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$57.54
Typical High
$81.28
Sentara
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$57.54
Typical High
$81.28
United
Setting
Facility
Modifier
Global
Typical Low
$21.88
Median
$51.29
Typical High
$91.20
United
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$54.95
Typical High
$54.95

Where Virginia 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.

Virginia· 12th of 51

$57.54

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.