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Drainage Of A Complicated Mouth Lining Infection

Alaska rates for HCPCS 40801

This is a procedure to surgically drain a collection of pus, fluid, or blood that has built up in the tissue lining between the lips or cheeks and the gums, in a case that is more involved than a straightforward drainage. It relieves pressure and helps clear the infection or fluid buildup.

Rates data updated July 2026.

Facilitymedian $562 · 10th–90th $245$2,0890%5%10%10th90th$562Professionalmedian $912 · 10th–90th $224$1,6600%5%10%10th90th$912$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$1,949.84
Typical High
$14,125.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$549.54
Typical High
$1,479.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$263.03
Typical High
$676.08
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$407.38
Typical High
$1,479.11
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$912.01
Typical High
$1,862.09
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,174.90
Typical High
$1,819.70
Providence
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$407.38
Typical High
$1,479.11
Providence
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$446.68
Typical High
$645.65
United
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$741.31
Typical High
$1,698.24