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Repair of Tetralogy of Fallot

Iowa 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 $5,495 · 10th–90th $2,884$7,9430%10%10th90th$5,495Professionalmedian $2,951 · 10th–90th $1,905$10,7150%10%20%10th90th$2,951$100.0$500.0$2.0K$10.0K$50.0K

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
$2,884.03
Median
$6,456.54
Typical High
$11,481.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$2,884.03
Typical High
$10,715.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4,168.69
Median
$4,570.88
Typical High
$5,128.61
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$3,019.95
Typical High
$5,888.44
Medica
Setting
Facility
Modifier
Global
Typical Low
$2,884.03
Median
$4,570.88
Typical High
$7,413.10
Medica
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$3,890.45
Typical High
$6,918.31
Midlands
Setting
Professional
Modifier
Global
Typical Low
$4,168.69
Median
$4,677.35
Typical High
$7,079.46
Midlands
Setting
Professional
Modifier
Global
Typical Low
$3,890.45
Median
$3,890.45
Typical High
$6,025.60
United
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$5,623.41
Typical High
$8,128.31
United
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$3,162.28
Typical High
$6,165.95
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$3,019.95
Median
$3,801.89
Typical High
$4,466.84