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Complete Repair Of Tetralogy Of Fallot With Conduit

Utah 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.

Facilitymedian $3,388 · 10th–90th $3,162$6,0260%20%40%10th90th$3,388Professionalmedian $3,162 · 10th–90th $2,188$12,0230%20%10th90th$3,162$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
$3,162.28
Median
$3,388.44
Typical High
$6,025.60
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$3,162.28
Typical High
$12,022.64
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,818.38
Median
$2,951.21
Typical High
$3,801.89
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$5,754.40
Typical High
$13,182.57
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$2,511.89
Median
$3,801.89
Typical High
$4,786.30
Select Health
Setting
Facility
Modifier
Global
Typical Low
$4,786.30
Median
$4,786.30
Typical High
$4,786.30
Select Health
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$1,737.80
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$3,235.94
Typical High
$10,232.93
United
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$4,466.84
Typical High
$13,803.84
United
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$2,630.27
Typical High
$4,265.80