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Esteem synergy + Standard Closed End pouch with filter, Opaque, Small 1 × $70.88
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New Image 2-Piece High Output Drainable Pouch, 1-3/4" Flange, Transparent 1 × $117.21
Subtotal: $188.09
Weight | 0.7472 lbs |
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Dimensions | 6 × 8.38 × 2 in |
package | Box – 10 pcs |
HCPCS Code | A5063 |
Medicare Qty | 10 |
$32.67
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