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Drainage Of A Complicated Mouth Lining Infection

Arizona 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 $2,399 · 10th–90th $380$6,6070%5%10%10th90th$2,399Professionalmedian $302 · 10th–90th $195$1,1220%10%20%10th90th$302$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$3,715.35
Typical High
$6,760.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$295.12
Typical High
$1,122.02
BCBS
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$2,398.83
Typical High
$4,570.88
BCBS
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$363.08
Typical High
$1,621.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$501.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$309.03
Typical High
$549.54
Medica
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$323.59
Typical High
$1,862.09
Medica
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$380.19
Typical High
$2,187.76
United
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$933.25
Typical High
$2,137.96
United
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$288.40
Typical High
$478.63