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Muscle Transfer in the Shoulder or Upper Arm

Colorado rates for HCPCS 23395

Moves a working muscle, together with its tendon, to a new attachment in the shoulder or upper arm so that it takes over the job of a muscle that no longer works. It is used after nerve injury, paralysis, or a tear that cannot be repaired, when a lost movement has to be restored another way. Retraining the transferred muscle is a large part of the recovery.

Rates data updated July 2026.

Facilitymedian $12,882 · 10th–90th $1,820$35,4810%5%10%10th90th$12,882Professionalmedian $1,862 · 10th–90th $1,175$7,2440%20%10th90th$1,862$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$5,495.41
Typical High
$9,549.93
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$14,125.38
Median
$20,892.96
Typical High
$38,904.51
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$6,456.54
Typical High
$20,417.38
Cigna
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$204.17
Median
$204.17
Typical High
$204.17
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$1,659.59
Typical High
$2,630.27
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,862.09
Typical High
$7,244.36
Select Health
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$2,187.76
Typical High
$2,511.89
United
Setting
Facility
Modifier
Global
Typical Low
$6,456.54
Median
$11,748.98
Typical High
$17,378.01