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

Idaho 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 $380 · 10th–90th $141$4,4670%5%10th90th$380Professionalmedian $251 · 10th–90th $120$5250%5%10%10th90th$251$50.0$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
$346.74
Median
$758.58
Typical High
$7,079.46
Aetna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$234.42
Typical High
$630.96
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$1,288.25
Typical High
$2,398.83
BCBS
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$338.84
Typical High
$489.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$263.03
Typical High
$478.63
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$616.60
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$257.04
Typical High
$575.44
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$281.84
Typical High
$537.03
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$104.71
Typical High
$190.55
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$1,819.70
Typical High
$2,630.27
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$302.00
Typical High
$549.54
Select Health
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$229.09
Typical High
$1,995.26
Select Health
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$223.87
Typical High
$524.81
United
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$4,168.69
Typical High
$4,466.84
United
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$257.04
Typical High
$446.68