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Pre-Authorize Payment

    Request Summary

    Medical provider review and platform fees $49.99
    COVID-19 IgG Antibody Test (Lab will bill you directly)$55.00*
    Lab collection fees (Lab will bill you directly)$22.00*
    Estimated Total Cost:$126.99
    Total Due Now:$49.99

    * Estimated Patient Pay at Lab fees. Quest Diagnostics will bill you directly for the estimated lab fees of $77.00. Updated as of 5/23/20. Quest Diagnostics Patient Pay at Lab price not guaranteed by Push Health. Not an insurance co‚Äźpayment. Insurance may be accepted by Quest for these fees. Push Health not responsible for insurance billing.

    Complete the form below to submit your request. All fields are required.

    1. Choose Testing Location

    Enter your Zip Code to see a list of available Quest Diagnostics lab locations in your area.

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    Your Selected Lab

    2. Patient Demographic Information

    3. Patient Health Information

    4. Confirm Request and Agree to Terms

    Total due now: $49.99

    Total due now includes the medical provider review and platform fees only. By clicking "Submit Request", you indicate that you, as the patient or legal guardian of the patient, agree:

    1. to follow up with my regular medical provider for ongoing care;
    2. to the best of my knowledge, all information submitted is accurate;
    3. to the Terms of Service and Consent to Telehealth.
    4. I understand that the total due now does not include any lab fees and that I am responsible for any fees billed by the lab.