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Dornase Alfa Inhalation Solution

Wyoming 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 Wyoming, October 2026.

Insurers have agreed to pay about $56.23 for each mg of this drug. Most negotiated rates run $56.23 to $66.07.

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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 $107 · 10th to 90th $56 to $214Professionalmedian $56 · 10th to 90th $55 to $66
$10$20$50$100$200facility $107professional $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
$56.23
Median
$56.23
Typical High
$56.23
Aetna
Setting
Professional
Modifier
None
Typical Low
$56.23
Median
$56.23
Typical High
$56.23
BCBS Wyoming
Setting
Professional
Modifier
None
Typical Low
$56.23
Median
$66.07
Typical High
$66.07
BCBS Wyoming
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$38.90
Median
$46.77
Typical High
$46.77
BCBS Wyoming
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$11.22
Median
$13.18
Typical High
$13.18
Cigna
Setting
Facility
Modifier
None
Typical Low
$107.15
Median
$107.15
Typical High
$213.80
Cigna
Setting
Professional
Modifier
None
Typical Low
$56.23
Median
$79.43
Typical High
$79.43
United
Setting
Professional
Modifier
None
Typical Low
$21.88
Median
$54.95
Typical High
$54.95

Where Wyoming 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.

Wyoming· 33rd 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.