go back

Forearm Bone Cyst Removal With Donor Graft

North Dakota 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 $603 · 10th–90th $589$8,5110%50%10th90th$603Professionalmedian $1,202 · 10th–90th $589$1,5850%10%20%10th90th$1,202$500.0$1.0K$2.0K$5.0K

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
$588.84
Median
$602.56
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$602.56
Typical High
$1,621.81
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,348.96
Typical High
$1,584.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,148.15
Typical High
$1,905.46
Medica
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$1,000.00
Typical High
$1,778.28
Medica
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$1,047.13
Typical High
$5,248.07
United
Setting
Facility
Modifier
Global
Typical Low
$4,677.35
Median
$5,128.61
Typical High
$6,606.93
United
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$1,047.13
Typical High
$1,513.56