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Mid-Back Myelogram X-Ray of the Spinal Canal

Montana 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 $331 · 10th–90th $200$6170%20%10th90th$331$100.0$500.0$2.0K$10.0K$50.0K

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
BCBS
Setting
Facility
Modifier
Global
Typical Low
$64,565.42
Median
$75,857.76
Typical High
$91,201.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$186.21
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$407.38
Typical High
$501.19
Providence
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$275.42
Typical High
$588.84
United
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$316.23