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MLG-Complete

Montana rates for HCPCS Q4256

MLG-Complete, per sq cm (add-on, list separately in addition to primary procedure)

Rates data updated July 2026.

How much does MLG-Complete cost?

$759

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $759 for this service. The price depends on where it is billed: about $759 from a physician practice, and about $1,072 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$759$741 to $813
FacilityA hospital or hospital-owned outpatient department$1,072$741 to $1,380

How much rates vary

Facilitymedian $1,072 · 10th to 90th $204 to $69,183Professionalmedian $759 · 10th to 90th $126 to $851
$200$1K$5K$20K$100Kfacility $1,072professional $759

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$794.33
Typical High
$851.14
BCBS
Setting
Facility
Modifier
Global
Typical Low
$64,565.42
Median
$75,857.76
Typical High
$91,201.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$1,071.52
Typical High
$1,071.52
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$181.97
Typical High
$1,071.52
Providence
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$758.58
Typical High
$1,412.54
Providence
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$1,071.52
Typical High
$1,621.81
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89

Where Montana sits

The same service costs 3.2 times more in South Dakota than in Minnesota. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Montana· 4th of 51

$759

SD $813MN $257

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.