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Forearm Bone Cyst Removal With Donor Graft

Kentucky 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 $3,388 · 10th–90th $851$8,5110%5%10%10th90th$3,388Professionalmedian $617 · 10th–90th $513$1,1220%20%10th90th$617$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
$616.60
Median
$851.14
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$562.34
Typical High
$1,148.15
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$3,630.78
Typical High
$8,511.38
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$630.96
Typical High
$1,096.48
CareSource
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$758.58
Typical High
$977.24
CareSource
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$758.58
Typical High
$912.01
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,000.00
Typical High
$1,862.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$1,000.00
Typical High
$5,495.41
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$436.52
United
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$4,168.69
Typical High
$8,511.38
United
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$776.25
Typical High
$1,174.90