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

Iowa 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 $1,445 · 10th–90th $245$6,0260%5%10th90th$1,445Professionalmedian $245 · 10th–90th $112$6310%10%10th90th$245$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
$2,290.87
Typical High
$6,760.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$239.88
Typical High
$616.60
Cigna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$316.23
Typical High
$741.31
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$380.19
Typical High
$776.25
Medica
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$501.19
Typical High
$2,398.83
Medica
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$501.19
Typical High
$1,862.09
Midlands
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$457.09
Typical High
$707.95
Midlands
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$549.54
Typical High
$707.95
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$234.42
Typical High
$501.19
United
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$1,949.84
Typical High
$4,073.80
United
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$275.42
Typical High
$707.95
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$245.47
Typical High
$575.44