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Forearm Bone Cyst Removal With Donor Graft

Mississippi 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 $1,585 · 10th–90th $631$5,7540%5%10%10th90th$1,585Professionalmedian $676 · 10th–90th $513$1,3180%20%10th90th$676$50.0$200.0$1.0K$5.0K$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
$537.03
Median
$776.25
Typical High
$1,819.70
Aetna
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$588.84
Typical High
$1,318.26
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$1,659.59
Typical High
$1,659.59
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,202.26
Typical High
$1,621.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,445.44
Median
$1,621.81
Typical High
$4,570.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$912.01
Typical High
$1,258.93
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$3,235.94
Typical High
$6,606.93
United
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$691.83
Typical High
$1,548.82