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

Nebraska 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 $2,754 · 10th–90th $234$10,9650%10%10th90th$2,754Professionalmedian $245 · 10th–90th $112$6310%10%10th90th$245$100.0$500.0$2.0K$10.0K

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
$245.47
Median
$3,388.44
Typical High
$13,489.63
Aetna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$239.88
Typical High
$630.96
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$1,479.11
Typical High
$2,884.03
BCBS
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$234.42
Typical High
$467.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$354.81
Typical High
$724.44
Medica
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$371.54
Typical High
$977.24
Medica
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$467.74
Typical High
$1,862.09
Midlands
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$467.74
Typical High
$724.44
Midlands
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$371.54
Typical High
$812.83
United
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$1,174.90
Typical High
$5,248.07
United
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$302.00
Typical High
$630.96