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New Image 2-Piece High Output Drainable Pouch, 1-3/4" Flange, Transparent 1 × $117.21
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Pouchkins Preemie 1-Piece Ostomy Pouch Cut-to-Fit 5/8" 1 × $68.70
Subtotal: $185.91
Weight | 1.0592 lbs |
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Dimensions | 9.1 × 6.55 × 2.95 in |
package | Box – 30 pcs |
HCPCS Code | A4419 |
Medicare Qty | 30 |
$70.88
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