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Repair Of A Cloacal Anomaly

Iowa rates for HCPCS 46744

Reconstructive surgery for a child born with a cloacal anomaly, in which the bowel, the vagina and the urinary channel all drain through a single opening. The surgeon separates the three passages and rebuilds each one with its own correctly placed opening. It is a major operation of early childhood, usually done after a temporary opening on the abdomen has been made to divert stool while healing.

Facilitymedian $5,754 · 10th–90th $2,951$8,3180%20%10th90th$5,754Professionalmedian $4,169 · 10th–90th $3,162$9,1200%20%10th90th$4,169$10.0$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
$4,265.80
Median
$5,754.40
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,162.28
Median
$3,981.07
Typical High
$7,413.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,311.31
Median
$7,762.47
Typical High
$9,549.93
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$3,235.94
Median
$7,244.36
Typical High
$12,302.69
Medica
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$5,754.40
Typical High
$9,120.11
Medica
Setting
Professional
Modifier
Global
Typical Low
$3,630.78
Median
$6,456.54
Typical High
$25,703.96
Midlands
Setting
Professional
Modifier
Global
Typical Low
$5,888.44
Median
$7,762.47
Typical High
$9,549.93
Midlands
Setting
Professional
Modifier
Global
Typical Low
$5,011.87
Median
$6,918.31
Typical High
$9,549.93
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$6,456.54
Typical High
$8,912.51
United
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$4,897.79
Typical High
$7,585.78
United
Setting
Professional
Modifier
Global
Typical Low
$3,467.37
Median
$5,011.87
Typical High
$9,332.54
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$5,370.32
Median
$6,760.83
Typical High
$8,128.31