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

Rhode Island 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 $1,995 · 10th–90th $1,380$4,0740%10%10th90th$1,995Professionalmedian $204 · 10th–90th $107$3090%10%10th90th$204$100.0$200.0$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$1,548.82
Typical High
$3,715.35
Aetna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$204.17
Typical High
$288.40
BCBS
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$251.19
Typical High
$398.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$251.19
Typical High
$537.03
United
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$2,137.96
Typical High
$4,786.30
United
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$263.03
Typical High
$380.19