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Repair of Tetralogy of Fallot

Missouri 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 $4,266 · 10th–90th $1,950$8,5110%10%10th90th$4,266Professionalmedian $2,455 · 10th–90th $2,042$5,6230%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
$1,778.28
Median
$3,890.45
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$2,344.23
Typical High
$5,888.44
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$4,570.88
Typical High
$8,317.64
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$2,511.89
Typical High
$4,073.80
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$1,995.26
Typical High
$2,691.53
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$2,754.23
Typical High
$4,897.79
Medica
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$2,951.21
Typical High
$11,481.54
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$3,235.94
Typical High
$22,387.21
United
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$2,884.03
Typical High
$10,471.29
United
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$2,951.21
Typical High
$5,128.61