# CPT 17266: Destruction Mal Lesion Trunk/arm/leg > 4.0 Cm

Medicare CPT 17266 pays $230.47 in a non-facility setting and $127.59 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $206.30 in Arkansas to $275.35 in Alaska, a 33% spread.

Web page: https://www.med-reveal.com/rates/17266-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Dermatology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $230.47 |
| National facility | $127.59 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $275.35 | $165.79 |
| District of Columbia | $261.34 | $140.15 |
| California | $256.31 | $134.58 |
| New York | $253.68 | $138.91 |
| New Jersey | $253.38 | $137.54 |
| Washington | $251.59 | $134.32 |
| Massachusetts | $249.38 | $133.81 |
| Hawaii | $247.09 | $130.12 |
| Connecticut | $244.80 | $134.00 |
| Colorado | $239.00 | $129.54 |
| Maryland | $238.23 | $130.99 |
| Florida | $238.22 | $135.00 |
| Oregon | $236.72 | $128.34 |
| Rhode Island | $235.90 | $129.63 |
| New Hampshire | $235.45 | $128.36 |
| Illinois | $232.85 | $133.44 |
| Puerto Rico | $231.95 | $127.94 |
| Virgin Islands | $231.95 | $127.94 |
| Montana | $230.45 | $127.58 |
| Nevada | $229.33 | $126.35 |
| Minnesota | $229.26 | $123.40 |
| Pennsylvania | $228.73 | $127.96 |
| Wyoming | $228.47 | $125.59 |
| Delaware | $228.34 | $126.70 |
| Texas | $228.10 | $126.82 |
| North Dakota | $225.90 | $123.03 |
| Virginia | $225.74 | $124.62 |
| Georgia | $225.43 | $127.28 |
| South Dakota | $225.37 | $122.49 |
| Vermont | $225.22 | $123.38 |
| Arizona | $224.87 | $125.18 |
| Michigan | $224.76 | $128.16 |
| Maine | $221.15 | $122.85 |
| Utah | $220.99 | $124.28 |
| New Mexico | $219.98 | $125.64 |
| Wisconsin | $219.06 | $120.51 |
| Missouri | $218.41 | $124.01 |
| South Carolina | $218.30 | $123.24 |
| Louisiana | $218.22 | $124.29 |
| North Carolina | $217.98 | $122.00 |
| Ohio | $217.92 | $123.99 |
| Indiana | $215.94 | $120.57 |
| Idaho | $214.82 | $120.18 |
| West Virginia | $214.79 | $125.39 |
| Nebraska | $214.53 | $119.57 |
| Kentucky | $213.72 | $122.27 |
| Tennessee | $213.72 | $120.20 |
| Iowa | $213.51 | $119.38 |
| Oklahoma | $213.24 | $121.38 |
| Kansas | $212.74 | $119.74 |
| Alabama | $209.01 | $119.00 |
| Mississippi | $208.31 | $119.74 |
| Arkansas | $206.30 | $117.93 |

## 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 17266 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