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Dornase Alfa Inhalation Solution

West Virginia 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 $56 · 10th–90th $56$580%50%90th$56Professionalmedian $56 · 10th–90th $55$580%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
$56.23
Typical High
$57.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$56.23
Typical High
$57.54
CareSource
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$54.95
CareSource
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$38.90
Typical High
$38.90
Cigna
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$83.18
Typical High
$104.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$234.42
United
Setting
Facility
Modifier
Global
Typical Low
$0.55
Median
$54.95
Typical High
$91.20
United
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$54.95
Typical High
$66.07