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Maine rates for HCPCS 62304

Myelography via lumbar injection, including radiological supervision and interpretation; lumbosacral

Facilitymedian $2,138 · 10th–90th $1,288–$2,3440%20%10th90th$2,138Professionalmedian $245 · 10th–90th $115–$5130%5%10%10th90th$245$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,288.25 / $2,137.96 / $2,344.23
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $239.88 / $389.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $177.83 / $263.03
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $295.12 / $524.81
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $295.12 / $630.96
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $263.03 / $537.03
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $281.84 / $575.44