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Dornase Alfa Inhalation Solution

Wisconsin 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 $69 · 10th–90th $55$1660%20%10th90th$69Professionalmedian $56 · 10th–90th $55$1100%50%10th90th$56$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
$56.23
Median
$109.65
Typical High
$165.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$56.23
Typical High
$109.65
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$69.18
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$70.79
Cigna
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$134.90
Typical High
$229.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$89.13
Typical High
$102.33
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$26.30
Median
$54.95
Typical High
$60.26
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$109.65
Typical High
$109.65
Medica
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$56.23
Typical High
$234.42
Medica
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$54.95
Typical High
$72.44
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$58.88
Typical High
$85.11
Network Health
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$54.95
Network Health
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$56.23
Typical High
$64.57
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$26.30
Median
$54.95
Typical High
$60.26
Prevea360
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$109.65
Typical High
$109.65
Quartz
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$72.44
Typical High
$144.54
Quartz
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$245.47
Quartz
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$57.54
Security Health
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$75.86
Typical High
$93.33
United
Setting
Facility
Modifier
Global
Typical Low
$0.55
Median
$21.88
Typical High
$117.49
United
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$54.95
Typical High
$66.07