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03/19/2013 12:08 17145500344 KATALIN BASSETT MD PAGE 02/06. <br />FEE SC MDiJLB FAIL FITNESS FAR ,DUTY Ev.AL UA.TJt3N <br />Face to face Evaluatioxi <br />Records Review $250.00 x hour <br />---------- $250.00 x hoar <br />Psychological Testing: <br />96100 Beck Anxiety.75 min -. .w...,?_, <br />96100 .Beck Depression .75 mixt --- .._? <br />96100 n m 1f11 <br />5 h <br />$6.00 <br />96.00 <br />as _ <br />. <br />96100 .h2ttJ 2 1.5 hrs _ <br />96100 Wail R 3.5 hrs. - .- <br />96100 Tmf i .75 man <br />96100 Rey 15 ,75 min <br />96100, Projective Human pi <br />g ?__ ?. _ 172.00 <br />172.00 <br />400,00 <br />86.00 <br />86.00 <br />5$.00