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CPT 93563: Injecting a contrast agent for imaging of coronary arteries during congenital abnormality evaluation - Prior Authorization and Price

CPT code 93563 is Injecting a contrast agent for imaging of coronary arteries during congenital abnormality evaluation. See what major commercial payers look for before approving it, the conditions their guidelines cover, and what it typically costs.

CPT 93563

Injecting a contrast agent for imaging of coronary arteries during congenital abnormality evaluation.

Cardiac & Vascular Testing
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Payer guidelines that apply

PayerReviewed usingGuidelineSections
Aetna eviCore Current guideline None found
Anthem BCBS Carelon Current guideline None found
Cigna eviCore Current guideline None found
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 Current guideline None found

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.

Typical price

Commercial insurance, median
$1,892
Middle half of rates: $889 to $3,377
Medicare, physician fee schedule
$45
National, non-facility

Commercial figures come from negotiated rates published by 451 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 Injecting a contrast agent for imaging of coronary arteries during congenital abnormality evaluation change.

Frequently asked questions

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