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Dornase Alfa Inhalation Solution

Wyoming 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 $22 · 10th–90th $1$1170%20%10th90th$22Professionalmedian $55 · 10th–90th $55$660%50%90th$55$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$54.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$54.95
BCBS
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$66.07
Typical High
$66.07
Cigna
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$104.71
Typical High
$208.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$77.62
Typical High
$77.62
United
Setting
Facility
Modifier
Global
Typical Low
$0.06
Median
$21.88
Typical High
$117.49
United
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$54.95
Typical High
$54.95