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Complete Repair Of Tetralogy Of Fallot With Conduit

Wisconsin 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 $16,982 · 10th–90th $4,898$28,8400%10%10th90th$16,982Professionalmedian $4,365 · 10th–90th $2,042$10,0000%10%10th90th$4,365$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
$2,398.83
Median
$3,890.45
Typical High
$14,454.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$3,019.95
Typical High
$8,709.64
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
$1,905.46
Median
$3,715.35
Typical High
$10,964.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4,897.79
Median
$5,754.40
Typical High
$9,120.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,090.30
Median
$6,025.60
Typical High
$7,762.47
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$7,244.36
Typical High
$14,454.40
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$4,073.80
Median
$5,011.87
Typical High
$5,888.44
Medica
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$3,801.89
Typical High
$9,549.93
Medica
Setting
Professional
Modifier
Global
Typical Low
$2,398.83
Median
$4,073.80
Typical High
$11,220.18
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$2,754.23
Network Health
Setting
Facility
Modifier
Global
Typical Low
$2,884.03
Median
$2,884.03
Typical High
$4,073.80
Network Health
Setting
Professional
Modifier
Global
Typical Low
$2,818.38
Median
$5,754.40
Typical High
$8,709.64
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$2,691.53
Typical High
$4,265.80
Quartz
Setting
Professional
Modifier
Global
Typical Low
$3,715.35
Median
$5,011.87
Typical High
$6,918.31
Quartz
Setting
Facility
Modifier
Global
Typical Low
$4,786.30
Median
$12,302.69
Typical High
$12,302.69
Quartz
Setting
Professional
Modifier
Global
Typical Low
$3,311.31
Median
$9,549.93
Typical High
$21,877.62
Security Health
Setting
Professional
Modifier
Global
Typical Low
$10,000.00
Median
$10,000.00
Typical High
$10,000.00
Security Health
Setting
Professional
Modifier
Global
Typical Low
$8,511.38
Median
$13,182.57
Typical High
$13,489.63
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
$2,344.23
Median
$3,890.45
Typical High
$8,709.64