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Aquacel Foam Pro Adhesive Dressing, Sacral, 8" x 6-3/4" 1 × $87.70
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Premier Ceraplus 1-Piece Convex Urostomy Pouch, 3/4" Pre-Cut (19mm) 1 × $68.52
Subtotal: $156.22
Weight | 0.5 lbs |
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Dimensions | 9.25 × 7 × 1.75 in |
package | Box – 5 pcs |
HCPCS Code | A4430 |
Medicare Qty | 5 |
$68.52
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