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Repair of Tetralogy of Fallot

South Carolina 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 $5,248 · 10th–90th $2,630$22,9090%20%10th90th$5,248Professionalmedian $2,630 · 10th–90th $1,905$5,0120%20%10th90th$2,630$50.0$200.0$1.0K$5.0K$20.0K$100.0K$500.0K

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
$2,630.27
Median
$9,120.11
Typical High
$22,908.68
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$2,630.27
Typical High
$5,248.07
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$3,715.35
Typical High
$5,248.07
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$2,818.38
Typical High
$4,365.16
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$3,019.95
Typical High
$6,025.60
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$6,309.57
Typical High
$9,120.11
United
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$2,630.27
Typical High
$4,786.30