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Dornase Alfa Inhalation Solution

Washington 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 $83 · 10th–90th $55$1230%20%10th90th$83Professionalmedian $59 · 10th–90th $55$720%50%10th90th$59$0.1$0.5$2.0$10.0$50.0$200.0

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
$60.26
Median
$83.18
Typical High
$131.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$60.26
Typical High
$134.90
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$66.07
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$63.10
Cigna
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$109.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$67.61
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$58.88
Typical High
$75.86
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$60.26
Typical High
$114.82
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$58.88
Typical High
$131.83
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$58.88
Typical High
$63.10
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$66.07
Regence BlueShield
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
$54.95
United
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$54.95
Typical High
$54.95
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$54.95
Typical High
$72.44