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

Louisiana 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 $1,288 · 10th–90th $363$3,4670%10%10th90th$1,288Professionalmedian $229 · 10th–90th $117$3890%10%10th90th$229$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
$354.81
Median
$1,288.25
Typical High
$3,467.37
Aetna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$229.09
Typical High
$389.05
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
BCBS
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$1,548.82
Typical High
$2,951.21
BCBS
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$223.87
Typical High
$389.05
Christus
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$660.69
Typical High
$660.69
Cigna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$245.47
Typical High
$426.58
United
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$1,096.48
Typical High
$2,398.83
United
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$229.09
Typical High
$398.11