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Repair of Tetralogy of Fallot

Indiana 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 $33,884 · 10th–90th $2,818$50,1190%10%10th90th$33,884Professionalmedian $2,344 · 10th–90th $1,862$4,0740%20%10th90th$2,344$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
$2,089.30
Median
$2,818.38
Typical High
$4,897.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$2,187.76
Typical High
$2,570.40
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$16,982.44
Median
$36,307.81
Typical High
$52,480.75
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$3,019.95
Typical High
$4,570.88
CareSource
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$1,949.84
Typical High
$2,089.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$2,691.53
Typical High
$5,623.41
United
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$6,606.93
Typical High
$12,882.50
United
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$2,398.83
Typical High
$3,890.45