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

Colorado 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 $2,630 · 10th–90th $155$5,8880%5%10th90th$2,630Professionalmedian $224 · 10th–90th $112$4070%10%10th90th$224$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
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$3,235.94
Typical High
$7,413.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$229.09
Typical High
$380.19
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$3,388.44
Typical High
$8,511.38
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$165.96
Typical High
$239.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$275.42
Typical High
$524.81
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$245.47
Typical High
$467.74
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$380.19
Typical High
$1,230.27
Select Health
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$204.17
Typical High
$524.81
Select Health
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$154.88
Typical High
$251.19
United
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$1,995.26
Typical High
$3,890.45
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$257.04
Typical High
$501.19