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Forearm Bone Cyst Removal With Donor Graft

Massachusetts 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 $3,311 · 10th–90th $759$6,4570%5%10%10th90th$3,311Professionalmedian $832 · 10th–90th $550$1,7780%10%20%10th90th$832$100.0$500.0$2.0K$10.0K$50.0K

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
$1,778.28
Median
$3,311.31
Typical High
$4,897.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$676.08
Typical High
$1,737.80
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$1,445.44
Median
$5,623.41
Typical High
$45,708.82
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$1,000.00
Typical High
$5,495.41
Cigna
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$933.25
Typical High
$1,698.24
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$812.83
Typical High
$3,630.78
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$794.33
Typical High
$1,096.48
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$5,248.07
Typical High
$11,220.18
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$1,122.02
Typical High
$1,737.80
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$1,445.44
Median
$5,623.41
Typical High
$45,708.82
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$1,000.00
Typical High
$5,495.41
United
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$5,248.07
Typical High
$10,715.19
United
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$1,122.02
Typical High
$1,819.70