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

Wyoming 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 $1,514 · 10th–90th $794$3,2360%50%10th90th$1,514Professionalmedian $288 · 10th–90th $123$6310%10%10th90th$288$100.0$200.0$500.0$1.0K$2.0K

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
$1,513.56
Median
$1,513.56
Typical High
$1,513.56
Aetna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$269.15
Typical High
$346.74
BCBS
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$446.68
Typical High
$812.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$281.84
Typical High
$562.34
United
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$794.33
Typical High
$3,311.31
United
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$323.59
Typical High
$758.58