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Repair of Tetralogy of Fallot

North Dakota 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 $1,905 · 10th–90th $1,905$8,5110%50%90th$1,905Professionalmedian $3,715 · 10th–90th $1,905$4,8980%20%10th90th$3,715$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
$1,905.46
Median
$1,905.46
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$1,905.46
Typical High
$1,949.84
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3,388.44
Median
$4,168.69
Typical High
$4,897.79
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$3,388.44
Typical High
$5,495.41
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$2,570.40
Typical High
$5,623.41
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$3,467.37
Typical High
$4,466.84
United
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$2,041.74
Typical High
$2,041.74
United
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$3,388.44
Typical High
$4,677.35