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Repair of Tetralogy of Fallot

Maine 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.

Professionalmedian $2,754 · 10th–90th $2,138$3,5480%20%10th90th$2,754$2.0K$5.0K

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
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$2,884.03
Typical High
$2,884.03
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$2,754.23
Typical High
$4,265.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$2,570.40
Typical High
$4,168.69
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$2,238.72
Median
$2,691.53
Typical High
$3,548.13
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$2,187.76
Typical High
$2,884.03
United
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$2,884.03
Typical High
$3,715.35