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New Image 2-Piece Drainable Pouch 2-3/4", Lock N Roll, Ultra Clear 1 × $30.06
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Premier Ceraplus 1-Piece Urostomy Pouch Soft Convex Tape, Pre-Cut 1-1/8" (29mm) 1 × $59.95
Subtotal: $90.01
Weight | 0.0167 lbs |
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Dimensions | 9.4 × 6.7 × 1.6 in |
package | Box – 5 pcs |
HCPCS Code | A4430 |
Medicare Qty | 5 |
$50.93
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