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HCPCS E1812 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 knee, extension/flexion device with active resistance control
Key FactDetail
Service Type

Durable Medical Equipment

Extension/Flexion Rehabilitation Devices

Complexity LevelModerate
Medicaid Fee ScheduleView Medicaid rates for E1812

National average reimbursement for HCPCS E1812 by major payers:

bcbs

$800.05

uhc

$553.33

aetna

$620.55

cigna

$1,364.13

Compare published rates across providers.

Choose a payer to see a sample of rates for HCPCS E1812.

HCPCS E1812
5 of 25 sample ratesHigher to lower in this preview
  1. Grady Memorial Hospital Corporation, Grady Health Systems

    Emory University

    GAGeneral Acute Care HospitalNPI 1992799050Tax ID 58-1537752

    $1,658.44Published rate
  2. Screven County Hospital, LLC, Optim Medical Center - Screven

    GACritical Access HospitalNPI 1225339898Tax ID 27-3100946

    $488.64Published rate
  3. Christopher Raio

    Good Samaritan Hosptial Medical Center

    NYEmergency Medicine PhysicianNPI 1255478004Tax ID 11-1888924

    $276.18Published rate
  4. Screven County Hospital

    GACritical Access HospitalNPI 1245201094Tax ID 27-3100946

    $57.43Published rate
  5. Chi Memorial Hospital

    Chi Memorial Hospital - Georgia

    GAGeneral Acute Care HospitalNPI 1356860621Tax ID 82-2748395

    $50.95Published rate

National sample. Rates vary by location, specialty, and contract.

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HCPCS E1812 vs. Other Extension/Flexion Rehabilitation Devices Codes

The HCPCS E1812 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 E1812 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.

CodeComplexityDescription
E1811-HCPCSHighStatic progressive stretch/patient actualized serial stretch knee device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories
E1812-HCPCSModerateDynamic knee, extension/flexion device with active resistance control
E1815-HCPCSHighDynamic adjustable ankle extension and flexion 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 E1812. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the E1812 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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