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New Image 2-Piece High Output Drainable Pouch, 1-3/4" Flange, Transparent 1 × $117.21
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Premier Ceraplus 1-Piece Urostomy Pouch Soft Convex Tape, Cut-to-Fit 1" (25mm) 1 × $59.95
Subtotal: $177.16
Weight | 0.96 lbs |
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Dimensions | 8.5 × 6.13 × 3.8 in |
package | Box – 10 pcs |
HCPCS Code | A4393 |
Medicare Qty | 10 |
$109.18
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