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CPT 93593: Inserting a catheter into the right side of the heart for evaluating a congenital heart defect using imaging guidance - Prior Authorization and Price

CPT code 93593 is Inserting a catheter into the right side of the heart for evaluating a congenital heart defect using imaging guidance. See what Aetna, Cigna, UnitedHealthcare look for before approving it, the conditions their guidelines cover, and what it typically costs.

CPT 93593

Inserting a catheter into the right side of the heart for evaluating a congenital heart defect using imaging guidance.

Cardiac & Vascular Testing

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Payer guidelines that apply

Payer	Reviewed using	Guideline	Sections
Aetna	eviCore	Pediatric Cardiac Imaging Guidelines effective Feb 3, 2026	1 that name this code
Anthem BCBS	Carelon	Current guideline	None found
Cigna	eviCore	Pediatric Cardiac Imaging Guidelines 1.0.2026, effective Feb 3, 2026	1 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	1 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.

Typical price

Commercial insurance, median

$4,832

Middle half of rates: $3,397 to $7,087

Medicare, hospital outpatient

$3,312

Facility payment

Medicare, physician fee schedule

$187

National, non-facility

Commercial figures come from negotiated rates published by 502 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 catheter into the right side of the heart for evaluating a congenital heart defect using imaging guidance change.

CPT 93593: Inserting a catheter into the right side of the heart for evaluating a congenital heart defect using imaging guidance - Prior Authorization and Price

Payer guidelines that apply

Typical price

Get notified when the rules for this study change

Frequently asked questions

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