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Sur-Fit Natura 2-Piece Urostomy Pouch 1-1/2", Standard 1 × $47.39
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Stoma Irrigator Drain, 22" 1 × $56.55
Subtotal: $103.94
Weight | 0.4 lbs |
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Dimensions | 9.5 × 6.7 × 1.7 in |
package | Box – 5 pcs |
HCPCS Code | A4436 |
Medicare Qty | 5 |
$33.01
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