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Repair of Tetralogy of Fallot

Maryland 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 $661 · 10th–90th $661$6610%50%100%$661Professionalmedian $2,291 · 10th–90th $1,862$5,3700%20%10th90th$2,291$1.0K$2.0K$5.0K$10.0K

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
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$2,290.87
Typical High
$7,585.78
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$2,238.72
Typical High
$2,570.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$2,570.40
Typical High
$3,981.07
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$2,187.76
Typical High
$3,981.07
United
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$660.69
United
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$2,454.71
Typical High
$4,466.84
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$2,238.72
Typical High
$2,951.21