go back

Vacuum Pump, Limb Volume and Moisture Evacuation

Iowa 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?

$3,631

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $3,631 for this service. The price depends on where it is billed: about $3,631 from a physician practice, and about $4,074 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$3,631$2,399 to $4,169
FacilityA hospital or hospital-owned outpatient department$4,074$3,548 to $6,918

How much rates vary

Facilitymedian $4,074 · 10th to 90th $2,884 to $12,023Professionalmedian $3,631 · 10th to 90th $2,089 to $5,754
$10.0$100.0$1.0K$10.0Kfacility $4,074professional $3,631

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
$2,398.83
Median
$3,715.35
Typical High
$4,073.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$3,090.30
Typical High
$4,786.30
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,884.03
Median
$2,884.03
Typical High
$5,370.32
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,884.03
Median
$5,623.41
Typical High
$7,079.46
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$4,570.88
Median
$4,897.79
Typical High
$5,754.40
Medica
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$6,309.57
Typical High
$22,387.21
Medica
Setting
Professional
Modifier
Global
Typical Low
$2,238.72
Median
$3,235.94
Typical High
$8,128.31
Midlands
Setting
Professional
Modifier
Global
Typical Low
$5,248.07
Median
$5,623.41
Typical High
$6,760.83
Midlands
Setting
Facility
Modifier
Global
Typical Low
$5,370.32
Median
$5,370.32
Typical High
$5,370.32
Midlands
Setting
Professional
Modifier
Global
Typical Low
$4,897.79
Median
$8,128.31
Typical High
$8,128.31
United
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$4,897.79
Typical High
$9,332.54
United
Setting
Professional
Modifier
Global
Typical Low
$2,238.72
Median
$2,754.23
Typical High
$4,786.30
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$3,801.89
Median
$4,786.30
Typical High
$4,786.30

Where Iowa sits

The same service costs 2.3 times more in Wisconsin than in Delaware. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Iowa $3,631 · 15th of 51
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.