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

Alabama 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 $955 · 10th–90th $219$1,9950%10%10th90th$955Professionalmedian $214 · 10th–90th $112$3800%5%10%10th90th$214$100.0$200.0$500.0$1.0K$2.0K$5.0K

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
$186.21
Median
$776.25
Typical High
$1,995.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$213.80
Typical High
$380.19
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$120.23
Typical High
$134.90
BCBS
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$954.99
Typical High
$1,288.25
BCBS
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$173.78
Typical High
$295.12
Cigna
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$229.09
Typical High
$229.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$245.47
Typical High
$512.86
United
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$1,148.15
Typical High
$2,511.89
United
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$223.87
Typical High
$575.44