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Reconstruction Of A Cloacal Birth Defect

Hawaii rates for HCPCS 46748

Reconstructive surgery for a child born with a cloaca, in which the bowel, the vagina and the urinary tract empty through a single shared opening. The surgeon separates the three passages and rebuilds each with its own outlet, and lengthens the vagina using a segment of intestine or nearby tissue.

Rates data updated July 2026.

How much does Reconstruction Of A Cloacal Birth Defect cost?

$4,365

Typical physician fee. In Hawaii, July 2026.

Insurers have agreed to pay about $4,365 for this service. Most negotiated rates run $3,802 to $5,129.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $2,818 · 10th to 90th $2,512 to $2,818Professionalmedian $4,365 · 10th to 90th $3,467 to $6,310
$1K$2K$5Kfacility $2,818professional $4,365

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$2,818.38
Typical High
$2,818.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,467.37
Median
$4,168.69
Typical High
$5,888.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,801.89
Median
$5,370.32
Typical High
$11,220.18
HMSA
Setting
Professional
Modifier
Global
Typical Low
$5,370.32
Median
$6,025.60
Typical High
$7,244.36
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$3,801.89
Median
$4,570.88
Typical High
$5,754.40
United
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$2,511.89
Typical High
$2,511.89
United
Setting
Professional
Modifier
Global
Typical Low
$3,801.89
Median
$4,897.79
Typical High
$6,606.93
University Health Alliance
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$3,715.35
Typical High
$5,623.41

Where Hawaii sits

The same service costs 2.3 times more in Minnesota than in Vermont. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Hawaii· 44th of 51

$4,365

MN $9,550VT $4,074

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.