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Reconstruction Of A Cloacal Birth Defect

Maryland 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 $457 · 10th–90th $302$1,3490%10%10th90th$457Professionalmedian $4,571 · 10th–90th $3,715$7,5860%20%10th90th$4,571$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
Professional
Modifier
Global
Typical Low
$3,715.35
Median
$4,570.88
Typical High
$7,413.10
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$4,365.16
Median
$4,786.30
Typical High
$7,413.10
Cigna
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$575.44
Typical High
$630.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,162.28
Median
$4,677.35
Typical High
$8,912.51
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$3,467.37
Median
$4,365.16
Typical High
$6,309.57
United
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$436.52
Typical High
$1,348.96
United
Setting
Professional
Modifier
Global
Typical Low
$3,311.31
Median
$4,570.88
Typical High
$7,943.28
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$3,162.28
Median
$4,786.30
Typical High
$5,888.44