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

Washington 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 $468 · 10th–90th $174$4,4670%10%10th90th$468Professionalmedian $275 · 10th–90th $120$6310%10%10th90th$275$10.0$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
$218.78
Median
$660.69
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$269.15
Typical High
$630.96
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$2,511.89
Typical High
$4,365.16
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$354.81
Typical High
$616.60
Cigna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$288.40
Typical High
$676.08
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$309.03
Typical High
$724.44
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$275.42
Typical High
$575.44
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$64.57
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$489.78
Typical High
$489.78
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$354.81
Typical High
$354.81
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$346.74
Typical High
$645.65
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$2,398.83
Typical High
$4,365.16
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$354.81
Typical High
$588.84
United
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$2,454.71
Typical High
$4,677.35
United
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$302.00
Typical High
$645.65
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$204.17
Typical High
$354.81