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Repair of Tetralogy of Fallot

Massachusetts 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 $3,090 · 10th–90th $1,259$5,6230%10%10th90th$3,090Professionalmedian $2,630 · 10th–90th $1,862$5,7540%10%20%10th90th$2,630$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
$1,258.93
Median
$3,388.44
Typical High
$5,623.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$2,344.23
Typical High
$9,772.37
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$3,467.37
Typical High
$7,244.36
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$2,884.03
Typical High
$22,387.21
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$3,801.89
Typical High
$5,370.32
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$2,630.27
Typical High
$5,754.40
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$2,454.71
Typical High
$3,467.37
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$3,388.44
Typical High
$5,888.44
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$2,630.27
Typical High
$5,011.87
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$3,467.37
Typical High
$7,244.36
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$2,884.03
Typical High
$22,387.21
United
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$2,884.03
Typical High
$4,677.35
United
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$3,090.30
Typical High
$5,754.40