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ActiveLife 1-Piece Urostomy Pouch Precut 1-1/8" 1 × $87.05
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Esteem + Moldable One-Piece Closed-End Pouch, Modified Stomahesive, Filter, 8" Panel Opaque, 3/4" x 1-1/8" 1 × $105.53
Subtotal: $192.58
Weight | 0.6667 lbs |
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Dimensions | 6.4 × 8.1 × 2.4 in |
package | Box – 15 pcs |
HCPCS Code | A4416 |
Medicare Qty | 15 |
$55.78
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