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Complete Repair Of Tetralogy Of Fallot With Conduit

West Virginia 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?

$2,239

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $2,239 for this service. The price depends on where it is billed: about $2,344 from a physician practice, and about $2,138 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 4 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$2,344$2,138 to $2,512
FacilityA hospital or hospital-owned outpatient department$2,138$2,138 to $2,138

How much rates vary

Facilitymedian $2,138 · 10th to 90th $1,413 to $2,138Professionalmedian $2,344 · 10th to 90th $2,138 to $3,020
$50.0$200.0$1.0K$5.0K$20.0Kfacility $2,138professional $2,344

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$2,137.96
Typical High
$2,137.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$2,238.72
Typical High
$2,511.89
CareSource
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$2,137.96
Typical High
$2,691.53
CareSource
Setting
Professional
Modifier
Global
Typical Low
$2,398.83
Median
$2,398.83
Typical High
$2,398.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$3,388.44
Typical High
$3,388.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$3,311.31
Typical High
$19,952.62
United
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$2,041.74
United
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$2,398.83
Typical High
$3,630.78

Where West Virginia 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.

West Virginia $2,239 · 51st 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.