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

Oregon 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 $457 · 10th–90th $158$3,0900%20%10th90th$457Professionalmedian $282 · 10th–90th $117$6310%10%10th90th$282$100.0$500.0$2.0K$10.0K$50.0K$200.0K$1.0M

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
$295.12
Median
$1,698.24
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$257.04
Typical High
$616.60
Cigna
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$309.03
Typical High
$676.08
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$302.00
Typical High
$602.56
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$245.47
Typical High
$524.81
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$380.19
Typical High
$645.65
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$489.78
Typical High
$489.78
Providence
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$245.47
Typical High
$537.03
Providence
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$323.59
Typical High
$676.08
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$2,630.27
Typical High
$3,311.31
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$398.11
Typical High
$691.83
United
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$2,398.83
Typical High
$4,897.79
United
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$309.03
Typical High
$645.65