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Forearm Bone Cyst Removal With Donor Graft

Texas 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 $3,467 · 10th–90th $794$10,9650%5%10%10th90th$3,467Professionalmedian $676 · 10th–90th $537$1,1480%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
$812.83
Median
$3,467.37
Typical High
$11,481.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$660.69
Typical High
$1,096.48
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$4,466.84
Typical High
$8,511.38
BCBS
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$707.95
Typical High
$954.99
Christus
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$562.34
Typical High
$562.34
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,000.00
Typical High
$1,000.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$812.83
Typical High
$1,288.25
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$9,332.54
Median
$45,708.82
Typical High
$45,708.82
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$5,248.07
Median
$5,248.07
Typical High
$5,495.41
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$851.14
Typical High
$1,380.38
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$870.96
Typical High
$1,047.13
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$77.62
Typical High
$524.81
Providence
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$851.14
Typical High
$1,380.38
Providence
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$812.83
Typical High
$1,258.93
United
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$4,677.35
Typical High
$9,549.93
United
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$660.69
Typical High
$1,047.13
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$549.54
Typical High
$758.58