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Drainage Of A Complicated Mouth Lining Infection

Louisiana 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 $1,318 · 10th–90th $398$3,7150%5%10th90th$1,318Professionalmedian $316 · 10th–90th $214$4470%20%10th90th$316$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
$398.11
Median
$1,513.56
Typical High
$3,890.45
Aetna
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$309.03
Typical High
$426.58
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$107.15
BCBS
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$1,023.29
Typical High
$2,398.83
BCBS
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$316.23
Typical High
$457.09
Christus
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$309.03
Typical High
$501.19
United
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$660.69
Typical High
$1,348.96
United
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$316.23
Typical High
$501.19