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Difficult Removal of an Object From the Mouth Lining

Hawaii rates for HCPCS 40805

Removes an object embedded in the tissue between the lips or cheeks and the gums, in cases that need more than a straightforward extraction — for example when it lies deep, is fragmented, or is surrounded by inflamed tissue. Reaching it may require cutting into the tissue and dissecting around it. The wound is cleaned and closed afterwards.

Rates data updated October 2026.

How much does Difficult Removal of an Object From the Mouth Lining cost?

$269

Typical negotiated rate. In Hawaii, October 2026.

Insurers have agreed to pay about $269 for this service. The price depends on where it is billed: about $269 from a physician practice, and about $1,514 from a hospital or other facility.

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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$269$182 to $380
FacilityA hospital or hospital-owned outpatient department$1,514$1,122 to $3,890

How much rates vary

Facilitymedian $1,514 · 10th to 90th $269 to $3,890Professionalmedian $269 · 10th to 90th $30 to $407
$50$100$200$500$1K$2Kfacility $1,514professional $269

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
Facility
Modifier
None
Typical Low
$1,513.56
Median
$3,890.45
Typical High
$3,890.45
Aetna
Setting
Professional
Modifier
None
Typical Low
$190.55
Median
$239.88
Typical High
$331.13
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,258.93
Cigna
Setting
Professional
Modifier
None
Typical Low
$371.54
Median
$380.19
Typical High
$380.19
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$208.93
Median
$346.74
Typical High
$436.52
United
Setting
Facility
Modifier
None
Typical Low
$269.15
Median
$616.60
Typical High
$1,122.02
United
Setting
Professional
Modifier
None
Typical Low
$309.03
Median
$380.19
Typical High
$416.87
University Health Alliance
Setting
Professional
Modifier
None
Typical Low
$29.51
Median
$239.88
Typical High
$407.38

Where Hawaii sits

The same service costs 3.7 times more in Wisconsin than in Texas. 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.

Hawaii· 49th of 51

$269

WI $891TX $240

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.