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Repair of Tetralogy of Fallot

Georgia 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 $5,370 · 10th–90th $2,239$12,5890%5%10%10th90th$5,370Professionalmedian $2,692 · 10th–90th $1,995$5,3700%10%20%10th90th$2,692$200.0$500.0$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
$2,187.76
Median
$5,370.32
Typical High
$7,585.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$2,398.83
Typical High
$5,370.32
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$6,456.54
Typical High
$16,218.10
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$3,235.94
Typical High
$4,570.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$3,235.94
Typical High
$5,495.41
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$2,454.71
Typical High
$7,244.36
United
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$3,019.95
Typical High
$7,585.78
United
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$2,884.03
Typical High
$5,370.32