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Sur-Fit Natura 2-Piece Urostomy Pouch 1-1/2" 1 × $41.87
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High Output Collection Bag Adapter 1 × $49.85
Subtotal: $91.72
Weight | 0.5062 lbs |
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Dimensions | 6 × 3.5 × 6 in |
package | Box – 5 pcs |
HCPCS Code | A4421 |
Medicare Qty | 5 |
$65.59
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