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Forearm Bone Cyst Removal With Donor Graft

Kansas 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 $3,162 · 10th–90th $832$8,5110%10%10th90th$3,162Professionalmedian $891 · 10th–90th $562$1,0230%20%10th90th$891$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
$1,288.25
Median
$3,890.45
Typical High
$9,120.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$616.60
Typical High
$954.99
BCBS
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$2,238.72
Typical High
$2,344.23
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$1,023.29
Cigna
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$501.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$794.33
Typical High
$1,258.93
Medica
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$1,000.00
Typical High
$6,918.31
Medica
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$891.25
Typical High
$5,248.07
United
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$2,454.71
Typical High
$6,025.60
United
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$776.25
Typical High
$1,047.13