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Mid-Back Myelogram X-Ray of the Spinal Canal

New Hampshire 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 $1,820 · 10th–90th $1,000$9,7720%20%10th90th$1,820$100.0$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
$100.00
Median
$8,912.51
Typical High
$9,772.37
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$1,412.54
Typical High
$2,630.27
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$2,570.40
Typical High
$2,570.40
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$3,630.78
Typical High
$7,943.28
United
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$3,630.78
Typical High
$7,943.28
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$91.20