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Esteem synergy + Standard Closed End pouch with filter, Transparent, Large 1 × $72.08
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Pouchkins Preemie 1-Piece Ostomy Pouch Cut-to-Fit 5/8" 1 × $68.70
Subtotal: $140.78
Weight | 1.2 lbs |
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Dimensions | 9.25 × 6.75 × 3.25 in |
package | Box – 30 pcs |
HCPCS Code | A4416 |
Medicare Qty | 30 |
$103.20
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