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Forearm Bone Cyst Removal With Donor Graft

Maine 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.

How much does Forearm Bone Cyst Removal With Donor Graft cost?

$724

Typical physician fee. In Maine, July 2026.

Insurers have agreed to pay about $724 for this service. Most negotiated rates run $631 to $891.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $6,761 · 10th to 90th $6,761 to $6,761Professionalmedian $724 · 10th to 90th $550 to $1,175
$500.0$1.0K$2.0K$5.0K$10.0Kfacility $6,761professional $724

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$630.96
Typical High
$758.58
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$891.25
Typical High
$1,318.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$933.25
Typical High
$1,412.54
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$851.14
Typical High
$1,621.81
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$630.96
Typical High
$758.58
United
Setting
Facility
Modifier
Global
Typical Low
$6,760.83
Median
$6,760.83
Typical High
$6,760.83
United
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$812.83
Typical High
$1,288.25

Where Maine sits

The same service costs 8.3 times more in California than in Delaware. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Maine $724 · 42nd of 51
CA $5,012DE $603

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.