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Removal Of Foreign Object From Mouth Lining

Vermont rates for HCPCS 40804

This service removes an object that has become lodged in the soft tissue lining the inside of the lips or cheeks, known as the vestibule of the mouth. It covers a straightforward removal that does not require extensive surgical work to reach or extract the object. The area is examined and the material is taken out, often under local anesthesia.

Rates data updated October 2026.

How much does Removal Of Foreign Object From Mouth Lining cost?

$229

Typical physician fee. In Vermont, October 2026.

Insurers have agreed to pay about $229 for this service. Most negotiated rates run $174 to $302.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $1,259 · 10th to 90th $50 to $1,259Professionalmedian $229 · 10th to 90th $145 to $389
$100$200$500$1Kfacility $1,259professional $229

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$144.54
Median
$144.54
Typical High
$229.09
Cigna
Setting
Facility
Modifier
None
Typical Low
$50.12
Median
$50.12
Typical High
$50.12
Cigna
Setting
Professional
Modifier
None
Typical Low
$165.96
Median
$239.88
Typical High
$302.00
United
Setting
Facility
Modifier
None
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,258.93
United
Setting
Professional
Modifier
None
Typical Low
$162.18
Median
$251.19
Typical High
$426.58

Where Vermont sits

The same service costs 3.8 times more in Wisconsin than in Hawaii. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Vermont· 20th of 51

$229

WI $589HI $155

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.