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Drainage Of A Complicated Mouth Lining Infection

Hawaii 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 $3,890 · 10th–90th $1,122$3,8900%50%10th$3,890Professionalmedian $1,862 · 10th–90th $229$5,3700%5%10%10th90th$1,862$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

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
$1,148.15
Median
$3,890.45
Typical High
$3,890.45
Aetna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$234.42
Typical High
$331.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$331.13
Typical High
$389.05
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$363.08
Typical High
$467.74
United
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$1,122.02
Typical High
$1,122.02
United
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$338.84
Typical High
$426.58
University Health Alliance
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$2,041.74
Typical High
$5,370.32