Claim details

Quest Diagnostics

Lab work · Jun 27, 2026

In-network

Cost breakdown

Billed amount$250

Allowed amount$175

Copay$35

Applied to deductible$0

Applied to coinsurance$0

Plan paid$140

You owe (per EOB)$35

Claim CLM-260627-003

See the coverage rules behind this claim's copay and deductible.

Lab work / bloodwork

$35 copay applies · Medical · Imaging & diagnostics