| 12/23/2023 | 90219090 | SUPERA PERIPHERAL STENT SYSTEM (ENDOVASCULAR STENT) COO-UNITED STATES 90 | XXXXXXXXXX | 4 | NOS | 1671.17 | USA | DELHI ACC |
| 12/23/2023 | 90219090 | SUPERA PERIPHERAL STENT SYSTEM (ENDOVASCULAR STENT) COO-UNITED STATES 90 | XXXXXXXXXX | 5 | NOS | 2088.96 | USA | DELHI ACC |
| 12/23/2023 | 90219090 | SUPERA PERIPHERAL STENT SYSTEM (ENDOVASCULAR STENT) COO-UNITED STATES 90 | XXXXXXXXXX | 2 | NOS | 835.58 | USA | DELHI ACC |
| 12/23/2023 | 90219090 | SUPERA PERIPHERAL STENT SYSTEM (ENDOVASCULAR STENT) COO-UNITED STATES 90 | XXXXXXXXXX | 1 | NOS | 417.79 | USA | DELHI ACC |
| 12/23/2023 | 90219090 | SUPERA PERIPHERAL STENT SYSTEM (ENDOVASCULAR STENT) COO-UNITED STATES 90 | XXXXXXXXXX | 10 | NOS | 4177.92 | USA | DELHI ACC |
| 12/23/2023 | 90219090 | SUPERA PERIPHERAL STENT SYSTEM (ENDOVASCULAR STENT) COO-UNITED STATES 90 | XXXXXXXXXX | 5 | NOS | 2088.96 | USA | DELHI ACC |
| 12/23/2023 | 90219090 | SUPERA PERIPHERAL STENT SYSTEM (ENDOVASCULAR STENT) COO-UNITED STATES 90 | XXXXXXXXXX | 6 | NOS | 2506.75 | USA | DELHI ACC |
| 12/23/2023 | 90219090 | X-ACT FREESTYLES TAPERED CAROTID STENT SYSTEM (ENDOVASCULARSTENT) COO-UNITED STATES 90 | XXXXXXXXXX | 11 | NOS | 3875.9 | USA | DELHI ACC |
| 12/23/2023 | 90219090 | SUPERA PERIPHERAL STENT SYSTEM (ENDOVASCULAR STENT) COO-UNITED STATES 90 | XXXXXXXXXX | 2 | NOS | 835.58 | USA | DELHI ACC |
| 12/23/2023 | 90219090 | SUPERA PERIPHERAL STENT SYSTEM (ENDOVASCULAR STENT) COO-UNITED STATES 90 | XXXXXXXXXX | 2 | NOS | 835.58 | USA | DELHI ACC |