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Muscle Transfer in the Shoulder or Upper Arm

Missouri 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 $4,266 · 10th–90th $1,698$8,5110%10%10th90th$4,266$500.0$1.0K$2.0K$5.0K$10.0K$20.0K$50.0K

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
$1,348.96
Median
$4,168.69
Typical High
$8,511.38
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$4,570.88
Typical High
$8,317.64
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$2,089.30
Typical High
$25,703.96
Medica
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$331.13
Median
$2,398.83
Typical High
$2,398.83
United
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$3,981.07
Typical High
$6,918.31