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Reconstruction Of A Cloacal Birth Defect

South Dakota 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.

Facilitymedian $4,898 · 10th–90th $3,388$9,7720%20%10th90th$4,898Professionalmedian $6,457 · 10th–90th $3,548$11,4820%10%10th90th$6,457$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
$4,168.69
Median
$4,365.16
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,388.44
Median
$3,801.89
Typical High
$5,495.41
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6,456.54
Median
$9,120.11
Typical High
$11,481.54
Medica
Setting
Facility
Modifier
Global
Typical Low
$3,388.44
Median
$5,754.40
Typical High
$10,471.29
Medica
Setting
Professional
Modifier
Global
Typical Low
$3,801.89
Median
$6,456.54
Typical High
$31,622.78
Midlands
Setting
Professional
Modifier
Global
Typical Low
$9,120.11
Median
$9,332.54
Typical High
$9,332.54
Midlands
Setting
Professional
Modifier
Global
Typical Low
$7,943.28
Median
$7,943.28
Typical High
$7,943.28
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$4,365.16
Median
$6,456.54
Typical High
$8,128.31
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$1,995.26
United
Setting
Professional
Modifier
Global
Typical Low
$3,981.07
Median
$6,456.54
Typical High
$10,964.78
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$8,709.64
Median
$10,000.00
Typical High
$10,000.00