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Repair of Tetralogy of Fallot

Rhode Island 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 $3,631 · 10th–90th $1,660$7,2440%10%20%10th90th$3,631Professionalmedian $2,512 · 10th–90th $1,259$3,2360%20%10th90th$2,512$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$3,715.35
Median
$3,715.35
Typical High
$3,981.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$2,511.89
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$2,511.89
Typical High
$3,801.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$2,691.53
Typical High
$4,168.69
United
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$3,548.13
Typical High
$7,244.36
United
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$2,754.23
Typical High
$4,265.80