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

Maryland 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 $339 · 10th–90th $58$6610%20%10th90th$339Professionalmedian $234 · 10th–90th $112$4070%10%20%10th90th$234$100.0$200.0$500.0$1.0K$2.0K

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
$57.54
Median
$338.84
Typical High
$660.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$239.88
Typical High
$371.54
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$114.82
Typical High
$134.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$234.42
Typical High
$467.74
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$281.84
Typical High
$389.05
United
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$218.78
Typical High
$398.11
United
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$245.47
Typical High
$489.78
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$257.04
Typical High
$371.54