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See a sample rate comparisonHCPCS E1804 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Dynamic adjustable elbow flexion only device, includes soft interface material
| Key Fact | Detail |
|---|---|
| Service Type | Durable Medical Equipment Extension/Flexion Rehabilitation Devices |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | View Medicaid rates for E1804 |
National average reimbursement for HCPCS E1804 by major payers:
$N/A
$1,053.69
$N/A
$N/A
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HCPCS E1804
5 of 25 sample ratesHigher to lower in this preview
Emory Healthcare
Emory University
$2,449.01Published rateAugusta Vamc
$136.92Published rateLower Oconee Community Hospital Inc
$94.56Published rateEmory Healthcare
$87.29Published rateGood Samaritan Hospital, Inc., St. Mary'S Good Samaritan Hospital
Good Samaritan Hospital Inc
$58.20Published rate
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See a sample payer proposalHCPCS E1804 vs. Other Extension/Flexion Rehabilitation Devices Codes
The HCPCS E1804 code is part of the Durable Medical Equipment services used for Extension/Flexion Rehabilitation Devices. 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 E1804 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 |
|---|---|---|
| E1804-HCPCS | Moderate | Dynamic adjustable elbow flexion only device, includes soft interface material |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS E1804. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the E1804 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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