$6.00
1 Each · FSA/HSA

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Product Details
Specifications
TypeSilicone foam dressing
Pack Size1 Each or Box of 10
HCPCS CodeA6212
MaterialSilicone foam
Size4 x 4"
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|---|---|---|---|---|
| FSA / HSA | Eligible | Eligible | Eligible | Eligible |
| Prescription | Not required | Not required | Not required | Not required |
| HCPCS code | A6212 | A6209 | — | — |
| Type | Silicone foam dressing | Silicone foam dressing | Silicone foam dressing | Silicone foam dressing |
| Pack Size | 1 Each or Box of 10 | 1 Each or Box of 5 | 1 Each or Box of 5 | 1 Each, Box of 10, or Box of 5 |
| Material | Silicone foam | — | Foam | Foam |
| Size | 4 x 4" | 3.5 x 3.5 inches | 4 x 12" | — |


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