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Repair of Tetralogy of Fallot

Idaho 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 $4,467 · 10th–90th $1,950$10,9650%10%10th90th$4,467Professionalmedian $2,951 · 10th–90th $2,188$5,7540%10%10th90th$2,951$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$4,466.84
Typical High
$5,495.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$2,511.89
Typical High
$5,754.40
BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,918.31
Median
$7,762.47
Typical High
$11,220.18
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3,090.30
Median
$3,630.78
Typical High
$3,715.35
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$2,754.23
Typical High
$3,630.78
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$3,630.78
Typical High
$5,754.40
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$3,019.95
Median
$3,467.37
Typical High
$3,890.45
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$3,311.31
Median
$3,801.89
Typical High
$4,073.80
Select Health
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$1,621.81
Typical High
$4,168.69
Select Health
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$1,621.81
Typical High
$2,187.76
United
Setting
Facility
Modifier
Global
Typical Low
$3,715.35
Median
$15,488.17
Typical High
$26,302.68
United
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$2,691.53
Typical High
$4,073.80