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New Image 2-Piece Drainable Pouch 1-3/4", Lock N Roll, Transparent 1 × $30.06
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Premier Ceraplus 1-Piece Convex Urostomy Pouch, 1" Pre-Cut (25mm) 1 × $68.52
Subtotal: $98.58
Weight | 0.51 lbs |
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Dimensions | 8.5 × 6.06 × 2.13 in |
package | Box – 5 pcs |
HCPCS Code | A4393 |
Medicare Qty | 5 |
$59.27
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