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

New Mexico 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 $126$3,9810%10%10th90th$339Professionalmedian $224 · 10th–90th $105$5750%10%10th90th$224$50.0$200.0$1.0K$5.0K$20.0K$100.0K

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
$158.49
Median
$380.19
Typical High
$2,137.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$213.80
Typical High
$616.60
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$3,388.44
Typical High
$5,495.41
BCBS
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$239.88
Typical High
$416.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$223.87
Typical High
$380.19
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$346.74
Providence
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$239.88
Typical High
$426.58
Providence
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$257.04
Typical High
$501.19
United
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$2,630.27
Typical High
$3,388.44
United
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$281.84
Typical High
$575.44