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California rates for HCPCS 62304

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.47 / $4,848.00 / $16,008.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.22 / $216.21 / $702.58
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$688.91 / $688.91 / $688.91
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,160.00 / $5,863.00 / $11,400.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.86 / $261.45 / $712.15
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $5,117.38
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.98 / $244.06 / $478.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$198.57 / $198.57 / $198.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.63 / $255.71 / $489.30
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.02 / $180.63 / $418.32
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.92 / $242.00 / $416.30
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $526.83 / $569.62
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$931.65 / $1,792.00 / $2,068.73
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $209.84
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.00 / $232.18 / $407.08
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.75 / $279.98 / $622.08
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.89 / $392.89 / $852.12
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.21 / $143.29 / $344.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,410.00 / $2,761.00 / $8,345.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.90 / $295.95 / $649.19