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

Connecticut 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 $4,677 · 10th–90th $2,138$8,5110%10%10th90th$4,677Professionalmedian $263 · 10th–90th $120$6310%10%10th90th$263$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
$2,754.23
Median
$4,677.35
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$263.03
Typical High
$676.08
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$3,162.28
Typical High
$11,748.98
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$223.87
Typical High
$323.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$295.12
Typical High
$588.84
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$407.38
Typical High
$602.56
United
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$4,786.30
Typical High
$9,332.54
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$281.84
Typical High
$602.56