Dornase alfa inhalation solution, 2.5 mg

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

DORNASE ALFA 2.5 MG/2.5ML INH SOLN

Payers reporting HCPCS J7639

Payer pricing summary

Low

$53

Average

$271

Median

$220

High

$820

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +25 other terms	377	$91	$100	$63	63%	—	$1 – $1.4k
2	Cigna fee schedule · outpatient · +17 other terms	308	$90	$144	$151	105%	—	$1 – $1.6k
3	Aetna fee schedule · outpatient · +21 other terms	204	$108	$121	$75	62%	—	$1 – $640
4	Blue Cross Blue Shield fee schedule · outpatient · +21 other terms	202	$96	$114	$77	67%	—	$0 – $458
5	Humana fee schedule · outpatient · +20 other terms	160	$54	$151	$154	102%	—	$1 – $717
6	Anthem facility · fee schedule · outpatient · +18 other terms	58	$83	$92	$51	55%	—	$0 – $291
7	Kaiser fee schedule · both · +12 other terms	48	$68	$75	$32	43%	—	$32 – $169
8	Highmark facility · fee schedule · outpatient · +8 other terms	40	$54	$55	$33	60%	—	$9 – $156
9	Molina facility · case rate · outpatient · +19 other terms	39	$78	$99	$39	40%	—	$56 – $218
10	Caresource fee schedule · outpatient · +10 other terms	37	$66	$69	$21	31%	—	$1 – $94
11	Superior Healthplan percent of total billed charges · outpatientfrom % of charges · +2 other terms	32	$74	$74	$46	63%	—	$7 – $198
12	Baylor Scott White Health Plan facility · fee schedule · inpatient · +2 other terms	26	$52	$52	$1	2%	—	$51 – $54
13	Healthcare Highways percent of total billed charges · outpatientfrom % of charges	26	$482	$806	$515	64%	—	$124 – $1.9k
14	Amerihealth Caritas facility · fee schedule · outpatient · +9 other terms	24	$55	$67	$21	31%	—	$55 – $105
15	Bcbs Tx fee schedule · outpatient · +4 other terms	23	$200	$176	$51	29%	—	$67 – $282
16	Medcost percent of total billed charges · outpatientfrom % of charges · +5 other terms	22	$398	$392	$138	35%	—	$162 – $722
17	Regence professional · fee schedule · outpatient · +10 other terms	21	$50	$51	$3	7%	—	$50 – $66
18	Tricare facility · fee schedule · outpatient · +10 other terms	21	$55	$160	$194	121%	—	$54 – $658
19	Healthpartners fee schedule · outpatient · +5 other terms	19	$64	$69	$29	42%	—	$63 – $241
20	Magellan percent of total billed charges · outpatientfrom % of charges · +2 other terms	19	$389	$373	$185	50%	—	$96 – $777
21	Bcbs La fee schedule · outpatient · +2 other terms	17	$53	$53	—	—	—	$53 – $53
22	Beechstreet percent of total billed charges · inpatientfrom % of charges · +3 other terms	15	$584	$699	$224	32%	—	$565 – $1.1k
23	WellCare fee schedule · both · +10 other terms	15	$137	$110	$47	43%	—	$55 – $172
24	Wellmark fee schedule · both · +5 other terms	14	$54	$54	$0	0%	—	$54 – $55
25	Medica fee schedule · outpatient · +13 other terms	13	$110	$125	$85	68%	—	$64 – $675

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