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InView Silicone Male External Catheter, Small 25 mm 1 × $1.83
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Premier 1-Piece Urostomy Pouch Cut-to-Fit 2-1/2" with Flat Barrier 1 × $79.59
Subtotal: $81.42
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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