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

Washington, DC 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 $2,754 · 10th–90th $117$7,7620%10%20%10th90th$2,754Professionalmedian $251 · 10th–90th $112$5750%20%10th90th$251$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
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$2,754.23
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$199.53
Typical High
$269.15
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$123.03
Typical High
$1,584.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$245.47
Typical High
$457.09
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$275.42
Typical High
$588.84
United
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$2,089.30
Typical High
$5,128.61
United
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$537.03
Typical High
$645.65