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Premier 1-Piece High Output Flat Drainable Pouch, Cut-to-Fit 2-1/2" 1 × $120.20
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Premier Ceraplus 1-Piece Convex Urostomy Pouch, 2" Cut-to-Fit (51mm) 1 × $68.52
Subtotal: $188.72
Weight | 0.865 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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