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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.

Rates data updated July 2026.

How much does Reconstruction Of A Cloacal Birth Defect cost?

$4,365

Typical physician fee. In Maryland, July 2026.

Insurers have agreed to pay about $4,365 for this service. Most negotiated rates run $3,981 to $4,898.

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 $437 · 10th to 90th $302 to $1,230Professionalmedian $4,467 · 10th to 90th $3,631 to $6,310
$500$1K$2K$5K$10K$20Kfacility $437professional $4,467

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
Professional
Modifier
Global
Typical Low
$3,630.78
Median
$4,365.16
Typical High
$5,754.40
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$4,365.16
Median
$4,365.16
Typical High
$6,309.57
Cigna
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$602.56
Typical High
$2,691.53
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,162.28
Median
$4,677.35
Typical High
$8,511.38
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
$416.87
Typical High
$1,230.27
United
Setting
Professional
Modifier
Global
Typical Low
$3,311.31
Median
$4,786.30
Typical High
$8,709.64
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$3,162.28
Median
$4,786.30
Typical High
$5,888.44

Where Maryland 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.

Maryland· 41st 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.