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Forearm Bone Cyst Removal With Donor Graft

South Carolina 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 $8,710 · 10th–90th $692$20,4170%5%10%10th90th$8,710Professionalmedian $692 · 10th–90th $525$1,1750%10%20%10th90th$692$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
$691.83
Median
$11,748.98
Typical High
$22,908.68
Aetna
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$691.83
Typical High
$1,096.48
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,884.03
Median
$7,585.78
Typical High
$13,182.57
BCBS
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$758.58
Typical High
$1,258.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$891.25
Typical High
$2,570.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$891.25
Typical High
$1,318.26
Medcost
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$891.25
Typical High
$1,479.11
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$12,589.25
Typical High
$21,877.62
United
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$660.69
Typical High
$1,318.26