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Drainage Of A Complicated Mouth Lining Infection

Iowa 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 $2,951 · 10th–90th $490$6,7610%10%10th90th$2,951Professionalmedian $447 · 10th–90th $263$1,2880%10%10th90th$447$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
$489.78
Median
$3,630.78
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$436.52
Typical High
$1,288.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$602.56
Typical High
$870.96
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$478.63
Typical High
$724.44
Medica
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$741.31
Typical High
$1,659.59
Medica
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$562.34
Typical High
$1,698.24
Midlands
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$645.65
Typical High
$794.33
Midlands
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$602.56
Typical High
$794.33
United
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$1,348.96
Typical High
$2,884.03
United
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$426.58
Typical High
$776.25
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$467.74
Typical High
$758.58