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

Arkansas 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 $851 · 10th–90th $257$1,8200%10%10th90th$851Professionalmedian $204 · 10th–90th $105$3800%10%10th90th$204$100.0$200.0$500.0$1.0K$2.0K

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
$213.80
Median
$912.01
Typical High
$1,862.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$204.17
Typical High
$371.54
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$173.78
Typical High
$181.97
BCBS
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$1,023.29
BCBS
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$173.78
Typical High
$371.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$181.97
Cigna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$263.03
Typical High
$501.19
Qualchoice
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$199.53
Typical High
$208.93
United
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$1,023.29
Typical High
$2,238.72
United
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$229.09
Typical High
$446.68