go back

Forearm Bone Cyst Removal With Donor Graft

Michigan 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 $4,898 · 10th–90th $794$6,9180%20%10th90th$4,898Professionalmedian $741 · 10th–90th $537$1,3180%10%10th90th$741$200.0$500.0$1.0K$2.0K$5.0K$10.0K

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
$776.25
Median
$4,897.79
Typical High
$5,754.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$616.60
Typical High
$794.33
BCBS
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$177.83
BCBS
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,258.93
Typical High
$1,318.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$741.31
Typical High
$2,041.74
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$4,073.80
Typical High
$5,754.40
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$691.83
Typical High
$977.24
United
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$5,495.41
Typical High
$9,772.37
United
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$741.31
Typical High
$1,000.00