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Mid-Back Myelogram X-Ray of the Spinal Canal

Arizona rates for HCPCS 62303

Contrast dye is injected through a needle in the lower back into the fluid-filled space around the spinal cord, and x-ray images are then taken of the mid-back portion of the spine. The dye outlines the spinal cord and the nerve roots so pressure on them from a disc, bone spur, or narrowing shows up clearly. The images are interpreted and reported as part of the service.

Rates data updated July 2026.

Facilitymedian $1,950 · 10th–90th $174$5,6230%10%10th90th$1,950$100.0$200.0$500.0$1.0K$2.0K$5.0K

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
$1,513.56
Median
$3,890.45
Typical High
$6,606.93
BCBS
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$478.63
Typical High
$912.01
Cigna
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$181.97
Medica
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$245.47
Typical High
$1,230.27
United
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$1,258.93
Typical High
$3,235.94