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Forearm Bone Cyst Removal With Donor Graft

Washington, DC 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 $4,074 · 10th–90th $631$7,7620%10%10th90th$4,074Professionalmedian $631 · 10th–90th $603$1,3180%20%40%10th90th$631$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

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
$630.96
Median
$4,073.80
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$630.96
Typical High
$891.25
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$2,818.38
Typical High
$7,943.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$933.25
Typical High
$1,698.24
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$1,230.27
Typical High
$1,412.54
United
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$10,000.00
Typical High
$27,542.29
United
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$870.96
Typical High
$1,659.59