Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonHealthcare 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.
| Key Fact | Detail |
|---|---|
| Service Type | Durable Medical Equipment Extension/Flexion Rehabilitation Devices |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | View Medicaid rates for E1812 |
National average reimbursement for HCPCS E1812 by major payers:

$800.05

$553.33

$620.55

$1,364.13
Choose a payer to see a sample of rates for HCPCS E1812.
Emory University
Good Samaritan Hosptial Medical Center
Chi Memorial Hospital - Georgia
Choose your state and specialty to build a report from payer-published rates.
Rate Benchmarking
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalHCPCS 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.
| Code | Complexity | Description |
|---|---|---|
| E1811-HCPCS | High | Static 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-HCPCS | Moderate | Dynamic knee, extension/flexion device with active resistance control |
| E1815-HCPCS | High | Dynamic 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.
Bring your top codes (like HCPCS E1812) and we'll show you how you compare in 15 minutes or less.