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Drainage Of A Complicated Mouth Lining Infection

Montana 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 $447 · 10th–90th $339$5620%20%10th90th$447Professionalmedian $417 · 10th–90th $234$1,1220%10%10th90th$417$100.0$200.0$500.0$1.0K

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
Professional
Modifier
Global
Typical Low
$204.17
Median
$380.19
Typical High
$1,659.59
Cigna
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$316.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$316.23
Typical High
$537.03
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$501.19
Typical High
$549.54
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$501.19
Typical High
$549.54
Providence
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$354.81
Typical High
$588.84
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$309.03
Typical High
$575.44
United
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$389.05
Typical High
$389.05
United
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$416.87
Typical High
$707.95