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

Delaware 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 $251 · 10th–90th $105$3,2360%20%40%10th90th$251Professionalmedian $224 · 10th–90th $107$3550%10%10th90th$224$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
$104.71
Median
$251.19
Typical High
$3,235.94
Aetna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$204.17
Typical High
$302.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$218.78
Typical High
$416.87
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$3,162.28
Typical High
$3,162.28
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$204.17
United
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$123.03
Typical High
$5,011.87
United
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$229.09
Typical High
$575.44