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Ampatch Style FX with 1 1/8" Round End Hole 1 × $162.03
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Premier Ceraplus 1-Piece Convex Urostomy Pouch, 1" Cut-to-Fit (25mm) 1 × $68.52
Subtotal: $230.55
Weight | 0.56 lbs |
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Dimensions | 6.7 × 9.3 × 1.9 in |
package | Box – 5 pcs |
HCPCS Code | A4430 |
Medicare Qty | 5 |
$59.95
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