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Aquacel Foam Pro Adhesive Dressing, Sacral, 8" x 6-3/4" 1 × $87.70
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1-Piece Urostomy Pouch Precut 1-1/4" 1 × $96.64
Subtotal: $184.34
Weight | 0.6 lbs |
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Dimensions | 8.5 × 6.1 × 2 in |
package | Box – 5 pcs |
HCPCS Code | A4393 |
Medicare Qty | 5 |
$59.27
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