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Muscle Transfer in the Shoulder or Upper Arm

Wisconsin 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 $13,804 · 10th–90th $2,630$22,9090%10%10th90th$13,804Professionalmedian $2,951 · 10th–90th $1,905$4,1690%10%20%10th90th$2,951$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$8,128.31
Typical High
$18,620.87
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$10,715.19
Median
$15,135.61
Typical High
$26,302.68
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$3,890.45
Typical High
$6,918.31
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$2,630.27
Typical High
$7,244.36
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$2,630.27
Typical High
$15,848.93
Network Health
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$9,332.54
Typical High
$15,848.93
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$1,737.80
Typical High
$2,754.23
Quartz
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$2,818.38
Typical High
$4,168.69
Quartz
Setting
Facility
Modifier
Global
Typical Low
$9,332.54
Median
$14,454.40
Typical High
$20,892.96
Quartz
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$1,445.44
Median
$1,445.44
Typical High
$2,089.30
Security Health
Setting
Professional
Modifier
Global
Typical Low
$4,073.80
Median
$4,073.80
Typical High
$4,073.80
United
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$12,302.69
Typical High
$16,218.10