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Drainage Of A Complicated Mouth Lining Infection

New Hampshire 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 $1,413 · 10th–90th $776$7,4130%10%20%10th90th$1,413Professionalmedian $389 · 10th–90th $229$7080%10%10th90th$389$100.0$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
$562.34
Median
$1,071.52
Typical High
$9,772.37
Aetna
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$331.13
Typical High
$630.96
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$1,412.54
Typical High
$2,630.27
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$389.05
Typical High
$602.56
Cigna
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$416.87
Typical High
$758.58
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$7,413.10
Median
$7,413.10
Typical High
$7,413.10
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$398.11
Typical High
$776.25
United
Setting
Facility
Modifier
Global
Typical Low
$7,413.10
Median
$7,413.10
Typical High
$7,413.10
United
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$436.52
Typical High
$891.25