Complete Your Request
Pre-Authorize Payment
Good news! There are providers in your state who can handle your request. Based on your request and location, we need to pre-authorize payment of $107.85.
Request Summary
Requested Service |
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QuantiFERON-TB Gold Test |
Lab testing fees | $66.95 |
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Medical provider and platform fees | $40.90 |
Total: | $107.85 |
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Complete the form below to submit your request. All fields are required.