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

Virginia 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 $135$5,2480%5%10th90th$457Professionalmedian $204 · 10th–90th $112$3800%10%10th90th$204$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

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
$199.53
Median
$1,949.84
Typical High
$5,888.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$218.78
Typical High
$371.54
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$2,570.40
Typical High
$2,951.21
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$151.36
Typical High
$239.88
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$128.82
Typical High
$2,290.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$239.88
Typical High
$457.09
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$288.40
Typical High
$380.19
Medcost
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$602.56
Medcost
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$245.47
Typical High
$457.09
Medcost
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$288.40
Sentara
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$165.96
Typical High
$2,951.21
Sentara
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$331.13
Typical High
$2,951.21
United
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$1,905.46
Typical High
$3,890.45
United
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$234.42
Typical High
$489.78