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Repair of Tetralogy of Fallot

New Jersey 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 $6,918 · 10th–90th $2,239$11,7490%10%10th90th$6,918Professionalmedian $2,188 · 10th–90th $1,778$5,8880%20%10th90th$2,188$100.0$500.0$2.0K$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
$3,235.94
Median
$6,918.31
Typical High
$12,302.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$2,187.76
Typical High
$5,888.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$2,754.23
Typical High
$5,370.32
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$2,884.03
Median
$2,951.21
Typical High
$3,467.37
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$109.65
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$2,187.76
Typical High
$5,128.61
United
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$4,897.79
Typical High
$10,471.29
United
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$2,454.71
Typical High
$5,370.32