Out of pocket (not using insurance) fees are: Dr. Ashleigh Adams $250 per 53 minute session[not accepting clients] Dr. Leilani Bell $175 per 53 minute session Dr. Mora Grehl $175 per 53 minute session Letters for gender-affirming care are free. See Queer & Trans Affirming Care We can provide superbills for out of network insurance reimbursement.