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Mid-Back Myelogram X-Ray of the Spinal Canal

California 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 $5,248 · 10th–90th $355$13,4900%5%10th90th$5,248Professionalmedian $229 · 10th–90th $102$4370%10%10th90th$229$50.0$200.0$1.0K$5.0K$20.0K

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
$1,659.59
Median
$5,623.41
Typical High
$16,982.44
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,388.44
Median
$5,888.44
Typical High
$13,489.63
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$2,884.03
Typical High
$6,456.54
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$134.90
Typical High
$398.11
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$239.88
Typical High
$446.68
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$794.33
Typical High
$794.33
Providence
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$251.19
Typical High
$467.74
United
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$2,951.21
Typical High
$7,943.28