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Drainage Of A Complicated Mouth Lining Infection

New Jersey 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 $5,888 · 10th–90th $537$10,4710%10%10th90th$5,888Professionalmedian $295 · 10th–90th $191$8130%10%10th90th$295$100.0$500.0$2.0K$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
$524.81
Median
$6,025.60
Typical High
$10,715.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$281.84
Typical High
$4,466.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$380.19
Typical High
$776.25
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$363.08
Typical High
$588.84
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$1,621.81
Typical High
$2,570.40
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$323.59
Typical High
$741.31
United
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$2,754.23
Typical High
$6,760.83
United
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$275.42
Typical High
$588.84