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Drainage Of A Complicated Mouth Lining Infection

West Virginia 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 $275 · 10th–90th $191$1,4130%20%10th90th$275Professionalmedian $275 · 10th–90th $191$3550%10%20%10th90th$275$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
Facility
Modifier
Global
Typical Low
$190.55
Median
$275.42
Typical High
$1,412.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$275.42
Typical High
$354.81
CareSource
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$251.19
CareSource
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$223.87
Typical High
$223.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$1,659.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$323.59
Typical High
$1,479.11
United
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$933.25
Typical High
$1,513.56
United
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$257.04
Typical High
$467.74