$9.33
1 Box · FSA/HSA

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Product Details
Specifications
TypePost-op sponge pad
Pack Size1 Box or Case of 24
SterilitySterile
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|---|---|---|---|---|
| FSA / HSA | Eligible | Eligible | Eligible | Eligible |
| Prescription | Not required | Not required | Not required | Not required |
| HCPCS code | — | A6216 | A6402 | — |
| Type | Post-op sponge pad | Woven gauze sponge | Woven gauze sponge | Gauze sponge (X-ray detectable) |
| Pack Size | 1 Box or Case of 24 | Bag of 200 or Case of 4000 | Box of 100, Case of 2400, or Case of 1200 | 1 Tray or Case of 48 |
| Sterility | Sterile | Non-sterile | Sterile | — |
| Material | — | 100% cotton | 100% cotton | — |
| Size | — | 4" x 4" | 2" x 2", 4" x 4" | 4 x 8" |
| Ply | — | 8-ply | 12-ply | 12-Ply or 16-Ply |


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