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Difficult Removal of an Object From the Mouth Lining

Montana 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?

$331

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $331 for this service. The price depends on where it is billed: about $331 from a physician practice, and about $339 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$331$282 to $447
FacilityA hospital or hospital-owned outpatient department$339$316 to $501

How much rates vary

Facilitymedian $339 · 10th to 90th $309 to $537Professionalmedian $331 · 10th to 90th $186 to $525
$100$200$500$1Kfacility $339professional $331

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$204.17
Median
$295.12
Typical High
$831.76
Cigna
Setting
Facility
Modifier
None
Typical Low
$309.03
Median
$309.03
Typical High
$1,348.96
Cigna
Setting
Professional
Modifier
None
Typical Low
$309.03
Median
$331.13
Typical High
$446.68
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$316.23
Median
$371.54
Typical High
$537.03
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$204.17
Median
$323.59
Typical High
$537.03
Providence
Setting
Facility
Modifier
None
Typical Low
$309.03
Median
$309.03
Typical High
$1,348.96
Providence
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$309.03
Typical High
$457.09
United
Setting
Facility
Modifier
None
Typical Low
$186.21
Median
$199.53
Typical High
$524.81
United
Setting
Professional
Modifier
None
Typical Low
$338.84
Median
$436.52
Typical High
$616.60

Where Montana 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.

Montana· 31st of 51

$331

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.