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Forearm Bone Cyst Removal With Donor Graft

Oklahoma 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 $6,310 · 10th–90th $1,000$13,1830%5%10%10th90th$6,310Professionalmedian $631 · 10th–90th $525$9330%10%20%10th90th$631$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
$1,000.00
Median
$1,548.82
Typical High
$6,760.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$630.96
Typical High
$630.96
BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,025.60
Median
$9,120.11
Typical High
$15,135.61
BCBS
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$724.44
Typical High
$831.76
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$2,570.40
Typical High
$2,570.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$794.33
Typical High
$977.24
Medica
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$1,412.54
Typical High
$7,244.36
Medica
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$707.95
Typical High
$5,248.07
United
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$3,981.07
Typical High
$7,943.28
United
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$660.69
Typical High
$912.01