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

Kansas 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 $324$6,4570%5%10th90th$2,754Professionalmedian $240 · 10th–90th $117$4170%10%10th90th$240$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
$741.31
Median
$3,162.28
Typical High
$7,585.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$229.09
Typical High
$416.87
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$223.87
Typical High
$223.87
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$2,951.21
Typical High
$4,073.80
BCBS
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$346.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$630.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$251.19
Typical High
$426.58
Medica
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$331.13
Typical High
$1,479.11
Medica
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$354.81
Typical High
$1,862.09
United
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$660.69
Typical High
$2,454.71
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$251.19
Typical High
$407.38