5/20/2023 | 39207199 | LAMINATED PRINTED POUCHES EXOME POUCH | XXXXXXXXXX | 57840 | NOS | 2089.66 | JORDAN | HYDERABAD ICD |
5/16/2023 | 39207199 | LAMINATED PRINTED POUCHES EXOME POUCH | XXXXXXXXXX | 57840 | NOS | 2077.51 | JORDAN | HYDERABAD ICD |
5/15/2023 | 39207199 | LAMINATED PRINTED POUCHES EXOME POUCH | XXXXXXXXXX | 57840 | NOS | 2077.51 | JORDAN | HYDERABAD ICD |