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

Kentucky 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 $3,090 · 10th–90th $200$8,5110%5%10%10th90th$3,090Professionalmedian $166 · 10th–90th $102$3550%10%20%10th90th$166$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
$141.25
Median
$851.14
Typical High
$7,413.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$199.53
Typical High
$354.81
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$3,630.78
Typical High
$8,511.38
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$102.33
Typical High
$186.21
CareSource
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$144.54
Typical High
$190.55
CareSource
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$151.36
Typical High
$177.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$181.97
Typical High
$181.97
Cigna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$281.84
Typical High
$1,174.90
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$144.54
United
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$1,445.44
Typical High
$2,630.27
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$239.88
Typical High
$426.58