9/30/2023 | 90189091 | 20885074257413 SHUNT 31150 ARTERIOTOMY 1.50MM 5PK 15LA (1PK= 5EA) (INTRA CORONARY SHUNTS) | XXXXXXXXXX | 20 | NOS | 1609.35 | USA | ATLANTA HARTSFIELD |
9/30/2023 | 90189091 | 20885074257420 SHUNT 31175 ARTERIOTOMY 1.75MM 5PK 15LA (1PK= 5EA) (INTRA CORONARY SHUNTS) | XXXXXXXXXX | 13 | NOS | 925.52 | USA | ATLANTA HARTSFIELD |
9/30/2023 | 90189091 | 20885074257116 SHUNT 31100 ARTERIOTOMY 1.00MM 5 PK 15LA (1PK= 5EA) (INTRA CORONARY SHUNTS) | XXXXXXXXXX | 1 | NOS | 82.26 | USA | ATLANTA HARTSFIELD |
9/27/2023 | 90189091 | 20885074257406 SHUNT 31125 ARTERIOTOMY 1.25MM 5PK 15LA (1PK= 5EA) (INTRA CORONARY SHUNTS) | XXXXXXXXXX | 15 | NOS | 1218.98 | USA | ATLANTA HARTSFIELD |
9/26/2023 | 90189091 | 20885074257420 SHUNT 31175 ARTERIOTOMY 1.75MM 5PK 15LA (1PK= 5EA) (INTRA CORONARY SHUNTS) | XXXXXXXXXX | 15 | NOS | 1067.91 | USA | ATLANTA HARTSFIELD |
9/26/2023 | 90189091 | 20885074257116 SHUNT 31100 ARTERIOTOMY 1.00MM 5 PK 15LA (1PK= 5EA) (INTRA CORONARY SHUNTS) | XXXXXXXXXX | 7 | NOS | 575.83 | USA | ATLANTA HARTSFIELD |
9/26/2023 | 90189091 | 20885074257437 SHUNT 31200 ARTERIOTOMY 2.00MM 5PK 15LA (1PK = 5EA) (INTRA CORONARY SHUNTS) | XXXXXXXXXX | 6 | NOS | 521.69 | USA | ATLANTA HARTSFIELD |
9/26/2023 | 90189091 | 20885074257413 SHUNT 31150 ARTERIOTOMY 1.50MM 5PK 15LA (1PK= 5EA) (INTRA CORONARY SHUNTS) | XXXXXXXXXX | 20 | NOS | 1609.35 | USA | ATLANTA HARTSFIELD |
9/26/2023 | 90189091 | 20885074257406 SHUNT 31125 ARTERIOTOMY 1.25MM 5PK 15LA (1PK= 5EA) (INTRA CORONARY SHUNTS) | XXXXXXXXXX | 15 | NOS | 1218.98 | USA | ATLANTA HARTSFIELD |
9/26/2023 | 90189091 | 20885074257451 SHUNT 31250 ARTERIOTOMY 2.50MM 5PK 15LA (1PK= 5EA) (INTRA CORONARY SHUNTS) | XXXXXXXXXX | 4 | NOS | 314.69 | USA | ATLANTA HARTSFIELD |