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InView Silicone Male External Catheter, Large 36 mm 1 × $2.05
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Premier Ceraplus 1-Piece Urostomy Pouch Soft Convex Tape, Cut-to-Fit 1-1/2" (38mm) 1 × $60.76
Subtotal: $62.81
Weight | 0.6 lbs |
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Dimensions | 9.25 × 6.75 × 1.75 in |
package | Box – 5 pcs |
HCPCS Code | A4430 |
Medicare Qty | 5 |
$68.52
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