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See a sample rate comparisonHCPCS L5781 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Addition to lower limb prosthesis, vacuum pump, residual limb volume management and moisture evacuation system
| Key Fact | Detail |
|---|---|
| Service Type | Prosthetic Procedures Vacuum Pumps, Lower Limb Prosthetic Additions |
| Complexity Level | High |
| Medicaid Fee Schedule | View Medicaid rates for L5781 |
National average reimbursement for HCPCS L5781 by major payers:
$4,062.09
$2,606.30
$2,864.92
$5,702.07
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HCPCS L5781
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$8,624.00Published rateCarson Medical Group Professional Corporation
Carson Medical Group
$3,088.34Published rateNorthside Hospital, Inc., Northside Hospital Duluth
$2,199.90Published rateEmanuel County Hospital Authority, Emanuel Medical Center
$2,109.21Published rateAlicia Encinas
Miguel A Arenas Md PC
$1,435.14Published rate
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See a sample payer proposalHCPCS L5781 vs. Other Vacuum Pumps, Lower Limb Prosthetic Additions Codes
The HCPCS L5781 code is part of the Prosthetic Procedures services used for Vacuum Pumps, Lower Limb Prosthetic Additions. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The HCPCS L5781 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| L5780-HCPCS | High | Addition, exoskeletal knee-shin system, single axis, pneumatic/hydra pneumatic swing phase control |
| L5781-HCPCS | High | Addition to lower limb prosthesis, vacuum pump, residual limb volume management and moisture evacuation system |
| L5782-HCPCS | High | Addition to lower limb prosthesis, vacuum pump, residual limb volume management and moisture evacuation system, heavy duty |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS L5781. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L5781 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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