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Muscle Transfer in the Shoulder or Upper Arm

Nebraska 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 $8,511 · 10th–90th $2,138$15,1360%20%10th90th$8,511Professionalmedian $2,884 · 10th–90th $2,455$3,9810%50%10th90th$2,884$500.0$1.0K$2.0K$5.0K$10.0K$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
$7,079.46
Median
$8,511.38
Typical High
$15,135.61
BCBS
Setting
Facility
Modifier
Global
Typical Low
$7,413.10
Median
$9,549.93
Typical High
$18,620.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5,495.41
Median
$5,495.41
Typical High
$5,495.41
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$2,089.30
Typical High
$10,471.29
Medica
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$331.13
Median
$2,398.83
Typical High
$2,398.83
Midlands
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$2,884.03
Typical High
$3,981.07
Midlands
Setting
Facility
Modifier
Global
Typical Low
$5,495.41
Median
$5,495.41
Typical High
$5,495.41
United
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$6,918.31
Typical High
$10,964.78