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Muscle Transfer in the Shoulder or Upper Arm

Illinois 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 $3,311 · 10th–90th $1,259$10,9650%5%10th90th$3,311Professionalmedian $2,188 · 10th–90th $1,380$8,1280%10%10th90th$2,188$100.0$500.0$2.0K$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
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$2,754.23
Typical High
$9,772.37
BCBS
Setting
Facility
Modifier
Global
Typical Low
$9,120.11
Median
$10,964.78
Typical High
$28,840.32
Cigna
Setting
Facility
Modifier
Global
Typical Low
$8,709.64
Median
$8,709.64
Typical High
$8,709.64
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$2,187.76
Typical High
$8,128.31
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$6,165.95
Typical High
$13,803.84