CPT 11606: Excision of Malignant Skin Lesion >4.0 cm on Trunk/Arms/Legs
Medicare pays $477 and commercial payers pay $1284 on average nationally for this procedure.
CPT code 11606 describes surgical excision of a malignant skin lesion with margins greater than 4.0 cm in diameter from the trunk, arms, or legs; this procedure is a wide local excision of a cutaneous malignancy typically performed as an operative surgical procedure in an outpatient surgical center or hospital operating room setting.
Customize your policy alerts
Sign up for cpt 11606 policy alerts
Get alerted when payer policies referencing 11606 are released or updated.
Monitor payer policy activity
National Reimbursement Benchmarks
Across national payers, Medicare’s mean reimbursement of $477.10 sits below BUCA’s average commercial mean of $1,284.00, indicating a substantial gap between public and this commercial benchmark. Blue Cross Blue Shield and UnitedHealth Group show the highest mean levels ($1,861.10 and $655.50, respectively), while Aetna and Cigna are lower on average; this positions Medicare closer to the lower-middle of the payer mix and BUCA well above Medicare in average dollar terms.
Dispersion measured by the interquartile spread (P75 minus P25) is widest for Blue Cross Blue Shield at $2,130.20 and for UnitedHealth Group at $4,235.00? Wait recalc: UnitedHealth Group P75 $836.10 minus P25 $412.60 equals $423.50 — so widest is Blue Cross Blue Shield ($2,130.20) and BUCA shows a wide spread of $1,382.10. Tightest spreads are Aetna ($304.40) and Cigna ($378.70), indicating more concentrated pricing from those payers compared with the greater variability seen with Blue Cross Blue Shield and BUCA.