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Complete Repair Of Tetralogy Of Fallot With Conduit

Maryland rates for HCPCS 33697

Open-heart surgery in a child born with tetralogy of Fallot in which the pathway to the lung arteries is completely blocked. The hole between the two pumping chambers is closed, and a tube is placed from the right pumping chamber to the lung artery to create a route for blood to reach the lungs.

Rates data updated July 2026.

How much does Complete Repair Of Tetralogy Of Fallot With Conduit cost?

$2,399

Typical physician fee. In Maryland, July 2026.

Insurers have agreed to pay about $2,399 for this service. Most negotiated rates run $2,239 to $2,512.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $661 · 10th to 90th $661 to $661Professionalmedian $2,399 · 10th to 90th $1,995 to $4,467
$1.0K$2.0K$5.0K$10.0Kfacility $661professional $2,399

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$2,344.23
Typical High
$5,248.07
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$2,398.83
Typical High
$2,754.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$2,691.53
Typical High
$4,168.69
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$2,290.87
Typical High
$4,168.69
United
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$660.69
United
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$2,570.40
Typical High
$4,677.35
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$2,344.23
Typical High
$3,090.30

Where Maryland sits

The same service costs 5.9 times more in California than in West Virginia. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Maryland $2,399 · 49th of 51
CA $13,183WV $2,239

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.