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Aquacel Foam Adhesive 3" x 5" 1 × $117.64
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Premier 1-Piece Urostomy Pouch Precut 1-1/4" with Flat Barrier 1 × $91.53
Subtotal: $209.17
Weight | 1.22 lbs |
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Dimensions | 8.2 × 6 × 3.6 in |
package | Box – 10 pcs |
HCPCS Code | A4393 |
Medicare Qty | 10 |
$105.88
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