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Mid-Back Myelogram X-Ray of the Spinal Canal

Washington 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 $479 · 10th–90th $178$4,5710%5%10th90th$479$100.0$500.0$2.0K$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
$154.88
Median
$676.08
Typical High
$10,232.93
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$2,511.89
Typical High
$4,365.16
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$323.59
Typical High
$724.44
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$501.19
Typical High
$512.86
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$363.08
Typical High
$363.08
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$2,398.83
Typical High
$4,365.16
United
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$2,454.71
Typical High
$4,677.35