go back

Muscle Transfer in the Shoulder or Upper Arm

New York 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 $7,413 · 10th–90th $1,698$15,1360%5%10th90th$7,413$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$5,370.32
Typical High
$12,302.69
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,897.79
Median
$11,220.18
Typical High
$17,782.79
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$2,630.27
Typical High
$12,302.69
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$2,041.74
Typical High
$2,511.89
Cigna
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$204.17
Median
$204.17
Typical High
$204.17
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,479.11
Typical High
$3,981.07
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$1,202.26
Typical High
$1,202.26
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$23,442.29
Typical High
$53,703.18
United
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$5,495.41
Typical High
$13,803.84
Univera
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$1,548.82
Typical High
$4,897.79