Complete Your Request
Pre-Authorize Payment
Request Summary
* Estimated Patient Pay at Lab fees. Quest Diagnostics will bill you or your insurance company directly for the estimated lab fees of $77.50. Updated as of 12/4/24. Quest Diagnostics Patient Pay at Lab price not guaranteed by Push Health. Not an insurance co‐payment. 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.