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Muscle Transfer in the Shoulder or Upper Arm

Pennsylvania 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?

$6,026

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $6,026 for this service. Most negotiated rates run $2,951 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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $6,026 · 10th to 90th $1,318 to $10,715
$1K$2K$5K$10K$20Kfacility $6,026

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
$1,318.26
Median
$6,025.60
Typical High
$10,715.19
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$9,549.93
Median
$10,000.00
Typical High
$57,543.99
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$2,041.74
Typical High
$2,041.74
Cigna
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$204.17
Median
$204.17
Typical High
$204.17
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$13,182.57
Median
$17,378.01
Typical High
$19,952.62
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$5,623.41
Typical High
$10,715.19
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$2,884.03
Typical High
$5,011.87
United
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$5,370.32
Typical High
$21,379.62

Where Pennsylvania 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.

Pennsylvania· 20th of 50

$6,026

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.