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Reconstruction Of A Cloacal Birth Defect

Maine 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?

$5,012

Typical physician fee. In Maine, July 2026.

Insurers have agreed to pay about $5,012 for this service. Most negotiated rates run $4,571 to $8,128.

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 $10,233 · 10th to 90th $9,120 to $13,804Professionalmedian $5,012 · 10th to 90th $4,169 to $10,471
$1K$2K$5K$10Kfacility $10,233professional $5,012

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
Professional
Modifier
Global
Typical Low
$3,890.45
Median
$4,570.88
Typical High
$5,011.87
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$10,471.29
Typical High
$14,125.38
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$3,890.45
Median
$6,456.54
Typical High
$10,232.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$691.83
Typical High
$691.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$5,495.41
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$4,786.30
Median
$6,456.54
Typical High
$11,220.18
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$3,890.45
Median
$4,677.35
Typical High
$9,120.11
United
Setting
Professional
Modifier
Global
Typical Low
$4,265.80
Median
$5,888.44
Typical High
$10,964.78

Where Maine 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.

Maine· 19th of 51

$5,012

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.