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New Image 2-Piece Drainable Pouch 2-1/4", Transparent 1 × $30.06
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Premier Ceraplus 1-Piece Convex Urostomy Pouch, 1" Cut-to-Fit (25mm) 1 × $68.52
Subtotal: $98.58
Weight | 0.446 lbs |
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Dimensions | 8.63 × 6.13 × 3.75 in |
package | Box – 10 pcs |
HCPCS Code | A4393 |
Medicare Qty | 10 |
$109.18
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