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Alaska rates for HCPCS 62304

Myelography via lumbar injection, including radiological supervision and interpretation; lumbosacral

Facilitymedian $257 · 10th–90th $120–$5890%5%10%10th90th$257Professionalmedian $263 · 10th–90th $112–$7080%5%10%10th90th$263$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$363.08 / $5,888.44 / $14,125.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $229.09 / $575.44
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $295.12 / $794.33
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$120.23 / $251.19 / $575.44
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $524.81 / $1,000.00
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $912.01 / $1,348.96
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$120.23 / $245.47 / $537.03
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $331.13 / $691.83
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$426.58 / $426.58 / $426.58
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $416.87 / $1,122.02