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Repair of Tetralogy of Fallot

Wisconsin 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 $16,982 · 10th–90th $4,677$28,8400%10%10th90th$16,982Professionalmedian $4,074 · 10th–90th $1,950$9,5500%5%10th90th$4,074$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
$2,290.87
Median
$3,715.35
Typical High
$14,454.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$2,884.03
Typical High
$8,317.64
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$12,589.25
Median
$18,197.01
Typical High
$30,199.52
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$3,467.37
Typical High
$10,232.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4,677.35
Median
$5,495.41
Typical High
$8,709.64
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,884.03
Median
$5,754.40
Typical High
$7,244.36
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$7,244.36
Typical High
$14,454.40
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$3,890.45
Median
$4,786.30
Typical High
$5,623.41
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$3,801.89
Typical High
$9,549.93
Medica
Setting
Professional
Modifier
Global
Typical Low
$2,238.72
Median
$3,981.07
Typical High
$10,715.19
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$2,570.40
Network Health
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$3,981.07
Network Health
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$5,370.32
Typical High
$8,317.64
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$2,570.40
Typical High
$4,677.35
Quartz
Setting
Professional
Modifier
Global
Typical Low
$3,548.13
Median
$4,786.30
Typical High
$6,606.93
Quartz
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$11,748.98
Typical High
$11,748.98
Quartz
Setting
Professional
Modifier
Global
Typical Low
$3,162.28
Median
$9,120.11
Typical High
$22,387.21
Security Health
Setting
Professional
Modifier
Global
Typical Low
$9,549.93
Median
$9,549.93
Typical High
$9,549.93
Security Health
Setting
Professional
Modifier
Global
Typical Low
$8,128.31
Median
$12,589.25
Typical High
$12,882.50
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$5,754.40
Typical High
$20,892.96
United
Setting
Professional
Modifier
Global
Typical Low
$2,238.72
Median
$3,715.35
Typical High
$8,317.64