3/12/2024 | 38249900 | MODIFIER 2761B (FOR CAPTIVE CONSUMPTION) | XXXXXXXXXX | 1700 | KGS | 4471.38 | Vietnam | KHATUWAS ICD |
11/7/2023 | 38249900 | MODIFIER 2761B (FOR CAPTIVE CONSUMPTION) | XXXXXXXXXX | 1800 | KGS | 4714.96 | Vietnam | KHATUWAS ICD |
10/3/2023 | 38249900 | MODIFIER 2761B (FOR CAPTIVE CONSUMPTION) | XXXXXXXXXX | 1700 | KGS | 4457.84 | Vietnam | KHATUWAS ICD |
6/23/2023 | 38249900 | MODIFIER 2761B FOR CAPTIVE CONSUMPTION | XXXXXXXXXX | 1660 | KGS | 4338.4 | Vietnam | KHATUWAS ICD |