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ActiveLife 1-Piece Closed-End Pouch Cut-to-Fit 3/4" to 2-1/2", Transparent 1 × $51.04
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Premier Ceraplus 1-Piece Urostomy Pouch Soft Convex Tape, Cut-to-Fit 1-1/2" (38mm) 1 × $60.76
Subtotal: $111.80
Weight | 0.8 lbs |
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Dimensions | 9.5 × 6.75 × 2.5 in |
package | Box – 10 pcs |
HCPCS Code | A4392 |
Medicare Qty | 10 |
$128.72
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