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Reconstruction Of A Cloacal Birth Defect

Louisiana 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?

$4,467

Typical negotiated rate. In Louisiana, July 2026.

Insurers have agreed to pay about $4,467 for this service. The price depends on where it is billed: about $4,677 from a physician practice, and about $3,162 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 5 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$4,677$3,981 to $6,310
FacilityA hospital or hospital-owned outpatient department$3,162$1,122 to $3,890

How much rates vary

Facilitymedian $3,162 · 10th to 90th $794 to $6,310Professionalmedian $4,677 · 10th to 90th $3,715 to $7,413
$500$1K$2K$5K$10K$20Kfacility $3,162professional $4,677

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
$933.25
Median
$3,311.31
Typical High
$6,309.57
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,715.35
Median
$4,570.88
Typical High
$7,079.46
BCBS
Setting
Professional
Modifier
Global
Typical Low
$4,897.79
Median
$5,888.44
Typical High
$6,918.31
Christus
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$3,801.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$676.08
Typical High
$1,202.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$5,370.32
Typical High
$10,471.29
United
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$1,230.27
Typical High
$6,025.60
United
Setting
Professional
Modifier
Global
Typical Low
$3,467.37
Median
$4,466.84
Typical High
$7,762.47

Where Louisiana 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.

Louisiana· 35th of 51

$4,467

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.