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Repair of Tetralogy of Fallot

Montana 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 $3,311 · 10th–90th $3,236$3,7150%50%10th90th$3,311Professionalmedian $3,311 · 10th–90th $1,862$9,7720%20%10th90th$3,311$100.0$200.0$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
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$3,548.13
Typical High
$9,772.37
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,019.95
Median
$3,019.95
Typical High
$3,019.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,238.72
Median
$2,238.72
Typical High
$3,019.95
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$3,311.31
Typical High
$3,715.35
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$3,235.94
Median
$3,311.31
Typical High
$3,715.35
Providence
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$3,388.44
Typical High
$3,801.89
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$1,862.09
Typical High
$3,715.35
United
Setting
Facility
Modifier
Global
Typical Low
$2,344.23
Median
$2,344.23
Typical High
$2,344.23
United
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$3,388.44
Typical High
$5,248.07