$3.70
FSA/HSA

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Product Details
Specifications
TypeWound drainage pack
Contents1 abdominal pad, 6 fluff sponges
Abdominal Pad10" x 12"
Fluff Sponges4" x 4", 12-ply
SterilitySterile
HCPCS CodeA6253, A6402
In the box
- Abdominal pad, 10" x 12"
- 4" x 4" 12-ply Bulkee fluff sponge (x6)
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|---|---|---|---|---|
| FSA / HSA | Eligible | Eligible | Eligible | Eligible |
| Prescription | Not required | Not required | Not required | Not required |
| HCPCS code | A6253, A6402 | A6216 | A6402 | A6266 |
| Type | Wound drainage pack | Woven gauze sponge | Woven gauze sponge | Iodoform packing strips |
| Sterility | Sterile | Non-sterile | Sterile | Sterile |
| Material | — | 100% cotton | 100% cotton | 100% cotton with iodoform |
| Size | — | 4" x 4" | 2" x 2", 4" x 4" | — |
| Ply | — | 8-ply | 12-ply | — |
| Pack Size | — | Bag of 200, Case of 4000 | Box of 100, Cases of 1200-2400 | 1 each, Case of 12 |


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