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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 3/4" (19mm) 1 × $59.95
Subtotal: $177.16
Weight | 0.6 lbs |
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Dimensions | 9.25 × 6.63 × 1.63 in |
package | Box – 5 pcs |
HCPCS Code | A4430 |
Medicare Qty | 5 |
$59.95
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