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Muscle Transfer in the Shoulder or Upper Arm

Iowa 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.

How much does Muscle Transfer in the Shoulder or Upper Arm cost?

$5,129

Typical facility fee. In Iowa, July 2026.

Insurers have agreed to pay about $5,129 for this service. Most negotiated rates run $2,818 to $7,943.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $6,026 · 10th to 90th $1,995 to $13,490Professionalmedian $2,399 · 10th to 90th $1,202 to $5,623
$200$500$1K$2K$5K$10K$20Kfacility $6,026professional $2,399

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$5,370.32
Typical High
$7,943.28
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,778.28
Typical High
$5,888.44
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$3,388.44
Typical High
$17,782.79
Medica
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$2,398.83
Median
$2,398.83
Typical High
$2,398.83
Midlands
Setting
Professional
Modifier
Global
Typical Low
$2,570.40
Median
$2,884.03
Typical High
$4,265.80
United
Setting
Facility
Modifier
Global
Typical Low
$7,413.10
Median
$11,220.18
Typical High
$19,054.61

Where Iowa sits

The same service costs 17.8 times more in Indiana than in North Dakota. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Iowa· 24th of 50

$5,129

IN $22,387ND $1,259

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.