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Repair of Tetralogy of Fallot

Michigan 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 $4,898 · 10th–90th $2,570$6,9180%50%10th90th$4,898Professionalmedian $2,512 · 10th–90th $1,820$3,3880%20%10th90th$2,512$500.0$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$4,897.79
Typical High
$6,918.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$2,454.71
Typical High
$3,801.89
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$2,818.38
Typical High
$2,818.38
BCBS
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$2,691.53
Typical High
$2,818.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$2,630.27
Typical High
$3,162.28
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$4,897.79
Typical High
$6,456.54
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$2,454.71
Typical High
$3,388.44
United
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$3,890.45
Typical High
$7,943.28
United
Setting
Professional
Modifier
Global
Typical Low
$2,238.72
Median
$2,691.53
Typical High
$3,467.37