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Forearm Bone Cyst Removal With Donor Graft

Florida 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 $6,761 · 10th–90th $1,000$14,1250%10%10th90th$6,761Professionalmedian $631 · 10th–90th $501$1,1220%20%40%10th90th$631$50.0$200.0$1.0K$5.0K$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
$851.14
Median
$4,786.30
Typical High
$11,481.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$616.60
Typical High
$1,174.90
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$309.03
Typical High
$309.03
AvMed
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$3,388.44
Typical High
$11,220.18
AvMed
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$630.96
Typical High
$724.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$1,584.89
Typical High
$1,698.24
Cigna
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$794.33
Typical High
$1,258.93
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$12,302.69
Typical High
$23,442.29
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$467.74
Typical High
$812.83
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$912.01
United
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$7,762.47
Typical High
$12,882.50
United
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$676.08
Typical High
$1,288.25
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$630.96