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Repair of Tetralogy of Fallot

Nebraska 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 $8,511 · 10th–90th $3,236$25,1190%10%20%10th90th$8,511Professionalmedian $3,548 · 10th–90th $1,698$9,7720%10%20%10th90th$3,548$2.0K$5.0K$10.0K$20.0K$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
$6,025.60
Median
$8,511.38
Typical High
$14,454.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$3,548.13
Typical High
$9,772.37
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$3,090.30
Median
$3,090.30
Typical High
$3,090.30
BCBS
Setting
Facility
Modifier
Global
Typical Low
$20,892.96
Median
$27,542.29
Typical High
$53,703.18
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$2,754.23
Typical High
$3,630.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,388.44
Median
$4,168.69
Typical High
$5,623.41
Medica
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$3,715.35
Typical High
$57,543.99
Medica
Setting
Professional
Modifier
Global
Typical Low
$2,344.23
Median
$3,801.89
Typical High
$22,387.21
Midlands
Setting
Professional
Modifier
Global
Typical Low
$3,388.44
Median
$4,365.16
Typical High
$6,025.60
Midlands
Setting
Professional
Modifier
Global
Typical Low
$3,981.07
Median
$3,981.07
Typical High
$3,981.07
United
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$3,388.44
Typical High
$8,128.31
United
Setting
Professional
Modifier
Global
Typical Low
$2,691.53
Median
$3,801.89
Typical High
$5,248.07