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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, Pre-Cut 7/8" (22mm) 1 × $51.26
Subtotal: $168.47
Weight | 0.875 lbs |
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Dimensions | 6.85 × 9.5 × 2.55 in |
package | Box – 10 pcs |
HCPCS Code | A4392 |
Medicare Qty | 10 |
$128.72
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