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Repair of Tetralogy of Fallot

New York 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 $6,761 · 10th–90th $2,399$15,4880%5%10%10th90th$6,761Professionalmedian $2,512 · 10th–90th $1,778$5,8880%20%10th90th$2,512$50.0$200.0$1.0K$5.0K$20.0K

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
$2,089.30
Median
$3,162.28
Typical High
$10,232.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$2,570.40
Typical High
$6,165.95
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$10,964.78
Typical High
$17,782.79
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$2,089.30
Typical High
$5,248.07
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$37,153.52
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$2,691.53
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$3,235.94
Typical High
$7,762.47
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$3,715.35
Typical High
$9,772.37
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$3,981.07
Typical High
$7,079.46
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$3,090.30
Typical High
$4,073.80
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$2,238.72
Typical High
$3,548.13
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$2,691.53
Typical High
$5,370.32
United
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$4,073.80
Typical High
$9,332.54
United
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$2,818.38
Typical High
$7,079.46
Univera
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$2,398.83
Typical High
$7,244.36
Univera
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$2,398.83
Typical High
$7,244.36