go back

Myelogram Of The Lower Back, Injection And X-ray Imaging

Alaska rates for HCPCS 62304

A dye study of the lower back and tailbone portion of the spine. Contrast dye is injected through a needle into the fluid-filled space around the spinal cord and nerve roots, and x-ray images are then taken and interpreted. The injection and the imaging are both part of this service.

Rates data updated July 2026.

Facilitymedian $263 · 10th–90th $120$6310%5%10%10th90th$263Professionalmedian $468 · 10th–90th $115$1,0230%5%10%10th90th$468$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
$398.11
Median
$2,511.89
Typical High
$14,125.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$245.47
Typical High
$1,174.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$309.03
Typical High
$794.33
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$245.47
Typical High
$537.03
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$616.60
Typical High
$1,000.00
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$912.01
Typical High
$1,348.96
Providence
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$245.47
Typical High
$537.03
Providence
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$331.13
Typical High
$691.83
United
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$426.58
Typical High
$426.58
United
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$436.52
Typical High
$1,122.02