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Mid-Back Myelogram X-Ray of the Spinal Canal

Indiana 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 $3,631 · 10th–90th $407$7,4130%5%10%10th90th$3,631$200.0$500.0$1.0K$2.0K$5.0K$10.0K

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
$169.82
Median
$1,380.38
Typical High
$5,623.41
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$4,073.80
Typical High
$8,317.64
CareSource
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$120.23
Typical High
$134.90
Cigna
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$194.98
Typical High
$512.86
United
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$2,818.38
Typical High
$4,265.80