# CPT 11606: Excision Malignant Lesion Trunk/arm/leg > 4.0 Cm

Medicare CPT 11606 pays $463.60 in a non-facility setting and $275.22 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $411.61 in Arkansas to $550.37 in Alaska, a 34% spread.

Web page: https://www.med-reveal.com/rates/11606-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Dermatology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $463.60 |
| National facility | $275.22 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $550.37 | $349.74 |
| District of Columbia | $524.05 | $302.14 |
| New York | $512.90 | $302.75 |
| New Jersey | $508.63 | $296.51 |
| California | $506.51 | $283.60 |
| Washington | $500.94 | $286.19 |
| Massachusetts | $497.49 | $285.84 |
| Connecticut | $493.72 | $290.84 |
| Florida | $491.07 | $302.06 |
| Hawaii | $489.09 | $274.90 |
| Illinois | $480.55 | $298.53 |
| Maryland | $479.47 | $283.09 |
| Colorado | $476.84 | $276.40 |
| Rhode Island | $472.66 | $278.06 |
| Oregon | $471.72 | $273.26 |
| New Hampshire | $471.26 | $275.15 |
| Puerto Rico | $466.18 | $275.72 |
| Virgin Islands | $466.18 | $275.72 |
| Montana | $463.55 | $275.17 |
| Pennsylvania | $461.43 | $276.91 |
| Nevada | $459.19 | $270.62 |
| Michigan | $458.43 | $281.55 |
| Delaware | $458.32 | $272.20 |
| Texas | $458.29 | $272.83 |
| Georgia | $456.84 | $277.13 |
| Wyoming | $456.31 | $267.93 |
| Minnesota | $451.75 | $257.90 |
| Arizona | $451.13 | $268.58 |
| Virginia | $450.73 | $265.55 |
| Vermont | $447.02 | $260.53 |
| North Dakota | $446.94 | $258.56 |
| New Mexico | $446.65 | $273.90 |
| South Dakota | $444.97 | $256.59 |
| Utah | $444.41 | $267.33 |
| Louisiana | $441.24 | $269.25 |
| Maine | $441.01 | $261.02 |
| Missouri | $440.75 | $267.88 |
| Ohio | $440.15 | $268.15 |
| West Virginia | $440.04 | $276.33 |
| South Carolina | $438.71 | $264.64 |
| North Carolina | $435.24 | $259.48 |
| Wisconsin | $432.76 | $252.29 |
| Kentucky | $431.00 | $263.53 |
| Indiana | $429.31 | $254.68 |
| Oklahoma | $428.22 | $260.00 |
| Idaho | $427.04 | $253.73 |
| Tennessee | $425.84 | $254.60 |
| Nebraska | $425.19 | $251.32 |
| Kansas | $423.56 | $253.26 |
| Iowa | $423.55 | $251.18 |
| Mississippi | $418.44 | $256.25 |
| Alabama | $417.40 | $252.57 |
| Arkansas | $411.61 | $249.79 |

## Related codes

- 10140: I&d Hematoma Seroma/fluid Collection — https://www.med-reveal.com/rates/10140-cpt-fee-schedule
- 11055: Paring/cutting Benign Hyperkeratotic Lesion 1 — https://www.med-reveal.com/rates/11055-cpt-fee-schedule
- 11056: Paring/cutting Benign Hyperkeratotic Lesion 2-4 — https://www.med-reveal.com/rates/11056-cpt-fee-schedule
- 11057: Paring/cutting Benign Hyperkeratotic Lesion >4 — https://www.med-reveal.com/rates/11057-cpt-fee-schedule
- 11403: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l 2.1-3.0 Cm — https://www.med-reveal.com/rates/11403-cpt-fee-schedule
- 11404: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l 3.1-4.0 Cm — https://www.med-reveal.com/rates/11404-cpt-fee-schedule
- 11406: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l >4.0 Cm — https://www.med-reveal.com/rates/11406-cpt-fee-schedule
- 11603: Excision Mal Lesion Trunk/arm/leg 2.1-3.0 Cm — https://www.med-reveal.com/rates/11603-cpt-fee-schedule

Commercial negotiated rates for 11606 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules