Psychotherapy copay $21.00 Psychotherapy copay $20.00 Psychotherapy copay $50.00 Web fee $3.00 Web fee $1.00 Psychotherapy copay $10.00 Psychotherapy copay $15.00 Psychotherapy copay $25.00 Psychotherapy copay $30.00 Psychotherapy copay $35.00 Psychotherapy copay $90.00 Psychotherapy Service $100.00