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Dornase Alfa Inhalation Solution

Vermont 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 $63 · 10th–90th $22$630%50%10th$63Professionalmedian $55 · 10th–90th $55$950%50%90th$55$1.0$2.0$5.0$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$95.50
BCBS
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$63.10
Typical High
$63.10
Cigna
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$63.10
Typical High
$63.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$63.10
United
Setting
Facility
Modifier
Global
Typical Low
$0.55
Median
$21.88
Typical High
$63.10
United
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$54.95
Typical High
$58.88