CPT 93452: Left Heart Catheterization with LV Injection and Pressure Measurement
Medicare pays $607 and commercial payers pay $2953 on average nationally for this procedure.
CPT code 93452 describes left-sided heart catheter placement in the left ventricle or left atrium with left ventricular injection and measurement of left ventricular pressures; this is a diagnostic left heart catheterization procedure typically performed by cardiac catheterization teams in an inpatient or outpatient cardiac catheterization lab or hybrid operating room and is used to assess ventricular function, intracavitary pressures, and contrast ventriculography.
For related coverage guidance, see recent payer policy updates: Cardiac Computed Tomography (CCT)/Coronary Computed Tomographic Angiography (CCTA), Cardiovascular Disease Risk Assessment, Biomarkers for Myocardial Infarction and Chronic Heart Failure.
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National Reimbursement Benchmarks
National averages show a clear split: Medicare’s mean of $606.50 sits well below BUCA’s average commercial mean of $2,952.60, indicating that commercial reimbursement for CPT 93452 can be roughly five times higher than the Medicare baseline. Blue Cross Blue Shield and BUCA both present elevated central tendencies compared with Medicare, while Aetna, Cigna, and UnitedHealth Group occupy intermediate positions near or above the Medicare mean.
Dispersion (P75–P25) highlights variability across payers. Blue Cross Blue Shield is the widest with a spread of $5,022.70 ($6,417.20–$1,394.50), followed by UnitedHealth Group at $7,641.00? Wait, compute correctly: UnitedHealth Group P75 $1,296.80 minus P25 $532.70 equals $764.10; Cigna spread $874.00 ($1,319.80–$475.80); BUCA spread $3,170.80 ($4,169.80–$989.20); Aetna spread $565.50 ($903.30–$337.80); Medicare spread $610.50 ($853.50–$243.00). The tightest dispersion is Aetna at $565.50, and the widest is Blue Cross Blue Shield at $5,022.70.