$3.70
FSA/HSA

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Product Details
Specifications
TypeWound drainage pack
SterilitySterile
HCPCS CodeA6253, A6402
Contents1 abdominal pad, 6 fluff sponges
Abdominal Pad10" x 12"
Fluff Sponges4" x 4", 12-ply
In the box
- Abdominal pad, 10" x 12"
- 4" x 4" 12-ply Bulkee fluff sponge (x6)
How it compares
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|---|---|---|---|---|
| FSA / HSA | Eligible | Eligible | Eligible | Eligible |
| Prescription | Not required | Not required | Not required | Not required |
| HCPCS code | A6253, A6402 | A6266 | A6219 | — |
| Type | Wound drainage pack | Iodoform packing strips | Gauze dressing | IV/drain split sponge |
| Sterility | Sterile | Sterile | — | — |
| Pack Size | — | 1 Each or Case of 12 | 1 Each or Box of 10 | Box of 35, 1 Pack, or Case of 700 |


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