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Forearm Bone Cyst Removal With Donor Graft

Iowa 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 $4,898 · 10th–90th $955$8,9130%10%10th90th$4,898Professionalmedian $912 · 10th–90th $550$2,8180%10%10th90th$912$200.0$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
$954.99
Median
$4,897.79
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$630.96
Typical High
$3,801.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,412.54
Typical High
$1,778.28
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$851.14
Typical High
$2,238.72
Medica
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$1,584.89
Typical High
$8,912.51
Medica
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$1,202.26
Typical High
$5,248.07
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$1,479.11
Typical High
$2,884.03
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,148.15
Typical High
$1,659.59
United
Setting
Facility
Modifier
Global
Typical Low
$4,677.35
Median
$7,079.46
Typical High
$8,912.51
United
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$912.01
Typical High
$1,698.24
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,202.26
Typical High
$1,412.54