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Reconstruction Of A Cloacal Birth Defect

Indiana 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.

Facilitymedian $10,233 · 10th–90th $4,467$18,6210%10%10th90th$10,233Professionalmedian $4,365 · 10th–90th $3,388$7,7620%20%10th90th$4,365$200.0$500.0$1.0K$2.0K$5.0K$10.0K$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
$2,344.23
Median
$4,897.79
Typical High
$6,165.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,715.35
Median
$4,466.84
Typical High
$8,128.31
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,456.54
Median
$13,489.63
Typical High
$18,620.87
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,754.23
Median
$3,311.31
Typical High
$5,495.41
CareSource
Setting
Facility
Modifier
Global
Typical Low
$3,981.07
Median
$4,073.80
Typical High
$4,677.35
CareSource
Setting
Professional
Modifier
Global
Typical Low
$3,630.78
Median
$3,630.78
Typical High
$3,630.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4,168.69
Median
$5,623.41
Typical High
$7,943.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,754.23
Median
$5,011.87
Typical High
$8,128.31
United
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$6,606.93
Typical High
$12,882.50
United
Setting
Professional
Modifier
Global
Typical Low
$3,388.44
Median
$4,365.16
Typical High
$7,079.46