go back

Tennessee rates for HCPCS 62304

Myelography via lumbar injection, including radiological supervision and interpretation; lumbosacral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$236.95 / $909.90 / $4,069.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.63 / $232.20 / $354.44
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.63 / $265.27 / $265.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$764.00 / $1,480.00 / $2,244.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.08 / $266.94 / $471.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$198.57 / $280.70 / $3,872.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.10 / $238.43 / $440.77
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $569.62 / $569.62
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$931.65 / $1,792.00 / $2,068.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.00 / $1,563.00 / $2,886.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.74 / $297.05 / $518.79