go back

Repair of Tetralogy of Fallot

Florida 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 $8,710 · 10th–90th $1,230$25,7040%10%10th90th$8,710Professionalmedian $2,089 · 10th–90th $1,585$4,2660%20%10th90th$2,089$50.0$200.0$1.0K$5.0K$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
$1,148.15
Median
$6,025.60
Typical High
$12,022.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$1,995.26
Typical High
$5,370.32
AvMed
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$6,309.57
Typical High
$12,882.50
AvMed
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$2,238.72
Typical High
$2,511.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$398.11
Typical High
$10,000.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$2,570.40
Typical High
$4,365.16
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$9,332.54
Median
$21,877.62
Typical High
$33,884.42
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,445.44
Typical High
$2,454.71
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$2,754.23
United
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$5,011.87
Typical High
$9,549.93
United
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$2,454.71
Typical High
$4,570.88
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,479.11
Typical High
$2,089.30