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

Florida 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 $2,884 · 10th–90th $372$9,3330%5%10th90th$2,884Professionalmedian $204 · 10th–90th $107$3720%10%10th90th$204$50.0$200.0$1.0K$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
$223.87
Median
$2,818.38
Typical High
$10,715.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$204.17
Typical High
$371.54
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$100.00
Typical High
$309.03
AvMed
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$812.83
Typical High
$10,471.29
AvMed
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$199.53
Typical High
$269.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$707.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$234.42
Typical High
$478.63
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$3,311.31
Typical High
$7,244.36
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$229.09
Typical High
$338.84
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$89.13
Typical High
$251.19
United
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$2,089.30
Typical High
$5,011.87
United
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$229.09
Typical High
$478.63
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$190.55
Typical High
$251.19