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

South Carolina 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 $832 · 10th–90th $138$7,7620%5%10th90th$832Professionalmedian $234 · 10th–90th $115$6460%10%10th90th$234$50.0$200.0$1.0K$5.0K$20.0K

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
$151.36
Median
$2,089.30
Typical High
$9,772.37
Aetna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$234.42
Typical High
$660.69
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$107.15
BCBS
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$1,819.70
Typical High
$3,162.28
BCBS
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$269.15
Typical High
$398.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$257.04
Typical High
$436.52
Medcost
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$257.04
Typical High
$501.19
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$3,388.44
Typical High
$7,762.47
United
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$239.88
Typical High
$436.52