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Repair of Tetralogy of Fallot

Connecticut 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 $7,943 · 10th–90th $4,169$26,9150%10%10th90th$7,943Professionalmedian $3,236 · 10th–90th $2,089$6,6070%10%10th90th$3,236$1.0K$2.0K$5.0K$10.0K$20.0K

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
$3,630.78
Median
$6,760.83
Typical High
$10,471.29
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$3,235.94
Typical High
$6,606.93
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$8,912.51
Median
$17,378.01
Typical High
$31,622.78
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$4,265.80
Typical High
$4,897.79
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$3,235.94
Typical High
$5,623.41
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$3,235.94
Median
$3,235.94
Typical High
$3,630.78
United
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$5,754.40
Typical High
$9,549.93
United
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$3,162.28
Typical High
$6,165.95