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CPT 93461: Inserting a tube in both ventricles, a coronary artery, and a bypass graft for diagnostic angiography, reviewed by a radiologist - Prior Authorization and Price

CPT code 93461 is Inserting a tube in both ventricles, a coronary artery, and a bypass graft for diagnostic angiography, reviewed by a radiologist. See what Aetna, Cigna, UnitedHealthcare look for before approving it, the conditions their guidelines cover, and what it typically costs.

CPT 93461

Inserting a tube in both ventricles, a coronary artery, and a bypass graft for diagnostic angiography, reviewed by a radiologist.

Cardiac & Vascular Testing

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Payer guidelines that apply

Payer	Reviewed using	Guideline	Sections
Aetna	eviCore	Cardiac Imaging Guidelines 2.0.2026, effective Sep 1, 2026 Abdomen Imaging Guidelines 1.0.2026, effective Feb 3, 2026 Pediatric Cardiac Imaging Guidelines effective Feb 3, 2026	5 that name this code
Anthem BCBS	Carelon	Current guideline	None found
Cigna	eviCore	Cardiac Imaging Guidelines 2.0.2026, effective Sep 1, 2026 Abdomen Imaging Guidelines 1.0.2026, effective Feb 3, 2026 Pediatric Cardiac Imaging Guidelines 1.0.2026, effective Feb 3, 2026	5 that name this code
Medicare	CMS	—	None found
Original Medicare does not run a prior authorization program for outpatient imaging; claims are judged against the coverage policies above. Medicare Advantage plans set their own prior authorization rules.
UnitedHealthcare	UnitedHealthcare / eviCore	Commercial and Exchange Cardiovascular and Radiology Imaging Guidelines 09.2026, effective Sep 1, 2026	5 that name this code

Guidelines collected from the payers' published documents on September 29, 2026. Payers revise these documents during the year. Open the guideline link to confirm the current version before you submit.

Conditions the guidelines address for this study

These are the clinical situations where payer guidelines discuss Inserting a tube in both ventricles, a coronary artery, and a bypass graft for diagnostic angiography, reviewed by a radiologist. Each has its own criteria for when the study is considered appropriate.

Transplant Aetna · Cigna · UnitedHealthcare

Typical price

Commercial insurance, median

$7,169

Middle half of rates: $4,048 to $12,156

Medicare, hospital outpatient

$3,312

Facility payment

Medicare, physician fee schedule

$1,336

National, non-facility

Commercial figures come from negotiated rates published by 775 hospitals; Medicare figures from CMS fee schedules. Rates vary widely by hospital and plan. Pricing data from CenterIQ.

Get notified when the rules for this study change

Payers update imaging guidelines several times a year. We will email you when the criteria for Inserting a tube in both ventricles, a coronary artery, and a bypass graft for diagnostic angiography, reviewed by a radiologist change.

CPT 93461: Inserting a tube in both ventricles, a coronary artery, and a bypass graft for diagnostic angiography, reviewed by a radiologist - Prior Authorization and Price

Payer guidelines that apply

Conditions the guidelines address for this study

Typical price

Get notified when the rules for this study change

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