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Arizona rates for HCPCS 62304

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

Facilitymedian $2,042 · 10th–90th $204–$5,6230%5%10%10th90th$2,042Professionalmedian $229 · 10th–90th $110–$5750%10%10th90th$229$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,258.93 / $3,090.30 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $229.09 / $575.44
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$109.65 / $478.63 / $891.25
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $162.18 / $398.11
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$199.53 / $199.53 / $199.53
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $245.47 / $446.68
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$112.20 / $239.88 / $1,230.27
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $346.74 / $1,862.09
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$660.69 / $1,258.93 / $3,235.94
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $229.09 / $457.09