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Forearm Bone Cyst Removal With Donor Graft

Idaho 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 $2,884 · 10th–90th $646$8,5110%5%10th90th$2,884Professionalmedian $955 · 10th–90th $575$1,2300%20%10th90th$955$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
$2,884.03
Median
$4,466.84
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$676.08
Typical High
$1,230.27
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$4,786.30
Typical High
$8,511.38
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,148.15
Typical High
$1,202.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$1,905.46
Typical High
$1,905.46
Cigna
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$776.25
Typical High
$1,096.48
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$1,023.29
Typical High
$1,479.11
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,096.48
Typical High
$1,445.44
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$7,244.36
Typical High
$10,715.19
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,174.90
Typical High
$1,621.81
Select Health
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$4,570.88
Typical High
$7,413.10
Select Health
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$933.25
Typical High
$1,862.09
United
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$9,332.54
Typical High
$18,197.01
United
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$870.96
Typical High
$1,230.27