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Repair of Tetralogy of Fallot

Colorado rates for HCPCS 33694

Open-heart surgery for a child born with tetralogy of Fallot, a combination of heart differences in which a hole between the lower chambers and a narrowed route to the lungs together mean too little blood reaches the lungs. The hole is closed with a patch and the narrowed outflow is enlarged so blood can flow properly to the lungs.

Rates data updated July 2026.

Facilitymedian $20,893 · 10th–90th $3,236$44,6680%5%10th90th$20,893Professionalmedian $2,291 · 10th–90th $2,138$8,3180%20%40%10th90th$2,291$1.0K$2.0K$5.0K$10.0K$20.0K$50.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$5,370.32
Typical High
$10,715.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$2,187.76
Typical High
$8,317.64
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$15,848.93
Median
$25,703.96
Typical High
$58,884.37
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$2,511.89
Typical High
$3,801.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$3,019.95
Typical High
$4,073.80
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$2,754.23
Typical High
$4,365.16
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$2,570.40
Median
$7,244.36
Typical High
$7,244.36
Select Health
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$3,548.13
Typical High
$3,801.89
Select Health
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,905.46
United
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$7,079.46
Typical High
$10,715.19
United
Setting
Professional
Modifier
Global
Typical Low
$2,238.72
Median
$2,951.21
Typical High
$5,248.07