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Vacuum Pump, Limb Volume and Moisture Evacuation

Hawaii rates for HCPCS L5781

Addition to lower limb prosthesis, vacuum pump, residual limb volume management and moisture evacuation system

Rates data updated July 2026.

How much does Vacuum Pump, Limb Volume and Moisture Evacuation cost?

$4,786

Typical negotiated rate. In Hawaii, July 2026.

Insurers have agreed to pay about $4,786 for this service. Most negotiated rates run $2,884 to $4,786.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $2,951 · 10th to 90th $2,818 to $3,715Professionalmedian $4,786 · 10th to 90th $1,738 to $5,012
$2K$5Kfacility $2,951professional $4,786

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$2,398.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,884.03
Median
$2,884.03
Typical High
$3,715.35
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,884.03
Median
$4,365.16
Typical High
$5,888.44
HMSA
Setting
Professional
Modifier
Global
Typical Low
$4,786.30
Median
$4,786.30
Typical High
$5,011.87
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$2,884.03
Median
$4,786.30
Typical High
$6,760.83
United
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$2,951.21
Typical High
$3,388.44
United
Setting
Professional
Modifier
Global
Typical Low
$2,511.89
Median
$3,311.31
Typical High
$5,888.44

Where Hawaii sits

The same service costs 2.3 times more in Wisconsin than in Delaware. 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.

Hawaii· 4th of 51

$4,786

WI $4,898DE $2,089

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.