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Forearm Bone Cyst Removal With Donor Graft

Missouri 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 $3,715 · 10th–90th $1,349$7,9430%10%10th90th$3,715Professionalmedian $724 · 10th–90th $550$3,3110%10%10th90th$724$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
$1,258.93
Median
$3,388.44
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$676.08
Typical High
$3,715.35
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$4,570.88
Typical High
$8,317.64
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$776.25
Typical High
$1,148.15
BCBS
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$691.83
Typical High
$977.24
Cigna
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$794.33
Typical High
$1,288.25
Medica
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$1,047.13
Typical High
$10,232.93
Medica
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$912.01
Typical High
$5,248.07
United
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$3,019.95
Typical High
$5,623.41
United
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$741.31
Typical High
$1,174.90