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Mid-Back Myelogram X-Ray of the Spinal Canal

New York 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 $3,162 · 10th–90th $224$7,4130%10%10th90th$3,162$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
$181.97
Median
$2,754.23
Typical High
$7,762.47
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$3,630.78
Typical High
$5,011.87
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$4,073.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$223.87
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$162.18
Typical High
$389.05
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$50,118.72
Typical High
$75,857.76
United
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$2,951.21
Typical High
$5,623.41
Univera
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$138.04
Typical High
$295.12