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Complete Repair Of Tetralogy Of Fallot With Conduit

Washington 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 $4,677 · 10th–90th $2,570$17,7830%10%10th90th$4,677Professionalmedian $3,631 · 10th–90th $2,188$5,6230%10%20%10th90th$3,631$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
$2,570.40
Median
$5,128.61
Typical High
$18,620.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$2,630.27
Typical High
$6,025.60
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$2,754.23
Median
$4,073.80
Typical High
$5,128.61
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$3,715.35
Typical High
$5,888.44
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$4,265.80
Typical High
$5,623.41
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$2,511.89
Median
$4,265.80
Typical High
$5,495.41
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$75.86
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$3,801.89
Typical High
$4,073.80
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,754.23
Median
$2,754.23
Typical High
$2,754.23
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,754.23
Median
$4,168.69
Typical High
$5,754.40
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$2,754.23
Median
$3,981.07
Typical High
$5,128.61
United
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$2,570.40
Typical High
$5,754.40
United
Setting
Professional
Modifier
Global
Typical Low
$2,238.72
Median
$3,162.28
Typical High
$5,370.32
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$2,511.89
Typical High
$3,801.89