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Aquacel Foam Adhesive 4" x 10" 1 × $177.29
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New Image 2-Piece Urostomy Pouch 1-3/4", Beige 1 × $46.73
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1-Piece Urostomy Pouch Precut 1-1/2" 1 × $96.64
Subtotal: $320.66
Weight | 0.94 lbs |
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Dimensions | 8.56 × 6.13 × 3.75 in |
package | Box – 10 pcs |
HCPCS Code | A4393 |
Medicare Qty | 10 |
$109.18
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