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Forearm Bone Cyst Removal With Donor Graft

Vermont 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.

Professionalmedian $759 · 10th–90th $708$1,0960%50%10th90th$759$200.0$500.0$1.0K$2.0K$5.0K$10.0K

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
Professional
Modifier
Global
Typical Low
$707.95
Median
$758.58
Typical High
$758.58
Cigna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$812.83
Typical High
$1,202.26
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$812.83
Typical High
$1,000.00
United
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$933.25
Typical High
$1,584.89