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Dornase Alfa Inhalation Solution

West 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 October 2026.

How much does Pulmozyme (dornase alfa) cost?

$56.23per mg

Typical negotiated rate. In West Virginia, October 2026.

Insurers have agreed to pay about $56.23 for each mg of this drug. Most negotiated rates run $54.95 to $57.54.

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
$56.23

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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $71 · 10th to 90th $56 to $107Professionalmedian $56 · 10th to 90th $55 to $81
$20$50$100$200facility $71professional $56

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$57.54
Median
$57.54
Typical High
$57.54
Aetna
Setting
Professional
Modifier
None
Typical Low
$56.23
Median
$57.54
Typical High
$57.54
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$28.18
Median
$28.84
Typical High
$28.84
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$11.48
Median
$11.48
Typical High
$11.48
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$8.51
Median
$8.51
Typical High
$8.71
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$5.62
Median
$5.75
Typical High
$5.75
CareSource
Setting
Professional
Modifier
None
Typical Low
$38.90
Median
$38.90
Typical High
$38.90
Cigna
Setting
Facility
Modifier
None
Typical Low
$56.23
Median
$85.11
Typical High
$107.15
Cigna
Setting
Professional
Modifier
None
Typical Low
$56.23
Median
$56.23
Typical High
$234.42
United
Setting
Professional
Modifier
None
Typical Low
$41.69
Median
$54.95
Typical High
$81.28

Where West Virginia sits

The same service costs 1.6 times more in Alaska than in Louisiana. 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.

West Virginia· 12th of 51

$56.23

AK $83.18LA $52.48

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.