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ActiveLife 1-Piece Urostomy Pouch Precut 1-1/4" 1 × $87.05
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Esteem + Moldable One-Piece Closed-End Pouch, Modified Stomahesive, Filter, 8" Panel Opaque, 1-1/8" x 1-1/2" 1 × $97.49
Subtotal: $184.54
Weight | 1.395 lbs |
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Dimensions | 6.5 × 9 × 3 in |
package | Box – 30 pcs |
HCPCS Code | A4416 |
Medicare Qty | 30 |
$113.80
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