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Aquacel Foam Pro Adhesive Dressing, Sacral, 8" x 6-3/4" 1 × $87.70
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Premier 1-Piece Urostomy Pouch Cut-to-Fit 2-1/2" with Flat Barrier 1 × $79.59
Subtotal: $167.29
Weight | 1 lbs |
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Dimensions | 8.5 × 6 × 3.63 in |
package | Box – 10 pcs |
HCPCS Code | A4393 |
Medicare Qty | 10 |
$109.18
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