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Repair of Tetralogy of Fallot

West Virginia 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 $2,042 · 10th–90th $1,413$2,0420%50%10th$2,042Professionalmedian $2,188 · 10th–90th $2,042$2,8840%50%10th90th$2,188$50.0$200.0$1.0K$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$2,041.74
Typical High
$2,041.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$2,137.96
Typical High
$2,398.83
CareSource
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$2,041.74
Typical High
$2,570.40
CareSource
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$2,290.87
Typical High
$2,290.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$3,235.94
Typical High
$3,235.94
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$3,019.95
Typical High
$19,054.61
United
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$2,041.74
United
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$2,238.72
Typical High
$3,467.37