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

North Dakota 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 $257 · 10th–90th $115$1,9950%20%10th90th$257Professionalmedian $257 · 10th–90th $112$5750%10%10th90th$257$20.0$100.0$500.0$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
$114.82
Median
$257.04
Typical High
$1,995.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$223.87
Typical High
$302.00
BCBS
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$323.59
Typical High
$616.60
Cigna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$288.40
Typical High
$630.96
Medica
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$257.04
Typical High
$501.19
Medica
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$478.63
Typical High
$1,862.09
United
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$2,041.74
Typical High
$2,041.74
United
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$263.03
Typical High
$549.54