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MLG-Complete

South Dakota 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?

$813

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $813 for this service. The price depends on where it is billed: about $813 from a physician practice, and about $741 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 7 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$813$741 to $977
FacilityA hospital or hospital-owned outpatient department$741$741 to $1,380

How much rates vary

Facilitymedian $741 · 10th to 90th $741 to $1,585Professionalmedian $813 · 10th to 90th $741 to $1,905
$200$500$1K$2K$5Kfacility $741professional $813

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
Facility
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$741.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$912.01
Cigna
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$1,258.93
Typical High
$1,584.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$1,202.26
Medica
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$1,380.38
Typical High
$2,238.72
Medica
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$812.83
Typical High
$8,511.38
Midlands
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$977.24
Typical High
$1,122.02
Midlands
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$204.17
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$1,905.46
Typical High
$1,905.46
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$295.12
Wellmark
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$741.31
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$741.31

Where South Dakota 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.

South Dakota· 1st of 51

$813

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.