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Forearm Bone Cyst Removal With Donor Graft

Connecticut rates for HCPCS 25126

A surgery to scrape out or remove a fluid-filled cyst or noncancerous growth from one of the forearm bones, followed by filling the resulting space with donor bone graft material from a bone bank rather than bone taken from the patient's own body. It treats a benign bone lesion while supporting the bone's structure and healing where the growth was removed. It is a more involved version of forearm bone cyst removal than one performed without any graft material.

Rates data updated July 2026.

Facilitymedian $7,586 · 10th–90th $4,677$11,7490%10%20%10th90th$7,586Professionalmedian $871 · 10th–90th $537$2,0420%10%10th90th$871$500.0$1.0K$2.0K$5.0K$10.0K

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
$4,570.88
Median
$7,079.46
Typical High
$9,549.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$676.08
Typical High
$2,238.72
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$7,413.10
Median
$12,302.69
Typical High
$13,803.84
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$1,202.26
Typical High
$1,659.59
Cigna
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$851.14
Typical High
$4,466.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$1,202.26
Typical High
$1,778.28
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$912.01
Typical High
$1,318.26
United
Setting
Facility
Modifier
Global
Typical Low
$5,754.40
Median
$8,709.64
Typical High
$12,882.50
United
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$954.99
Typical High
$1,621.81