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

Oklahoma 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 $1,202 · 10th–90th $269$3,8900%10%10th90th$1,202Professionalmedian $219 · 10th–90th $105$3390%10%10th90th$219$100.0$500.0$2.0K$10.0K$50.0K

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
$229.09
Median
$1,380.38
Typical High
$6,456.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$190.55
Typical High
$263.03
BCBS
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$1,071.52
Typical High
$1,513.56
BCBS
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$245.47
Typical High
$338.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$181.97
Cigna
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$208.93
Typical High
$371.54
Medica
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$354.81
Typical High
$2,691.53
Medica
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$302.00
Typical High
$1,862.09
United
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$1,174.90
Typical High
$2,187.76
United
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$223.87
Typical High
$380.19