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Draining An Abscess In The Roof Of The Mouth

Connecticut rates for HCPCS 42000

Opens and drains a pocket of pus, fluid or blood in the roof of the mouth or in the uvula, the small flap that hangs at the back of the throat. A cut is made through the lining, the collection is emptied and the area is rinsed out. It relieves pain, pressure and swelling that can make swallowing difficult.

Rates data updated July 2026.

Facilitymedian $4,898 · 10th–90th $1,479$8,5110%10%10th90th$4,898Professionalmedian $158 · 10th–90th $105$3310%10%10th90th$158$50.0$200.0$1.0K$5.0K

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
$3,090.30
Median
$5,248.07
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$154.88
Typical High
$302.00
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$3,162.28
Typical High
$10,471.29
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$218.78
Typical High
$354.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$316.23
Typical High
$1,023.29
Cigna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$218.78
Typical High
$426.58
ConnectiCare
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$758.58
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$263.03
Typical High
$323.59
United
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$3,890.45
Typical High
$7,079.46
United
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$204.17
Typical High
$371.54