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Esteem + One-Piece Pre-cut Closed-End Pouch, Modified Stomahesive, Filter, 12" panel Opaque, 2" 1 × $111.46
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1-Piece Urostomy Pouch Precut 1-1/4" 1 × $96.64
Subtotal: $208.10
Weight | 0.236 lbs |
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Dimensions | 8.55 × 6.13 × 2.13 in |
package | Box – 5 pcs |
HCPCS Code | A4393 |
Medicare Qty | 5 |
$59.27
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