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Repair of Tetralogy of Fallot

Kansas 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 $1,445$10,4710%10%10th90th$4,467Professionalmedian $2,455 · 10th–90th $2,042$3,7150%20%10th90th$2,455$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
$3,162.28
Median
$5,623.41
Typical High
$10,471.29
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$2,454.71
Typical High
$3,235.94
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3,715.35
Median
$3,715.35
Typical High
$3,715.35
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$2,818.38
Typical High
$4,073.80
Medica
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$2,754.23
Typical High
$5,623.41
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$2,570.40
Typical High
$22,387.21
United
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$2,344.23
Typical High
$5,011.87
United
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$2,630.27
Typical High
$3,548.13