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Drainage Of A Complicated Mouth Lining Infection

Michigan 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 $2,884 · 10th–90th $339$4,8980%20%10th90th$2,884Professionalmedian $282 · 10th–90th $191$3720%10%20%10th90th$282$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
$363.08
Median
$2,884.03
Typical High
$4,897.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$251.19
Typical High
$363.08
BCBS
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$58.88
BCBS
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$295.12
Typical High
$295.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$309.03
Typical High
$446.68
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$2,884.03
Typical High
$4,897.79
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$338.84
Typical High
$478.63
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$741.31
United
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$954.99
Typical High
$1,862.09
United
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$346.74
Typical High
$478.63