$2.00
2 x 2 in / 200 Count · FSA/HSA

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FSA / HSA accepted
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Product Details
Specifications
TypeGauze sponge (non-woven)
Dimensions2 x 2 in or 4 x 4 in
Pack Size200 Count, Pack of 200, or Case of 2000
SterilityNon-sterile
HCPCS CodeA6216
Ply4
Size2 x 2 and 4 x 4 inches
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|---|---|---|---|---|
| FSA / HSA | Eligible | Eligible | Eligible | Eligible |
| Prescription | Not required | Not required | Not required | Not required |
| HCPCS code | A6216 | A6216 | A6402 | — |
| Type | Gauze sponge (non-woven) | Woven gauze sponge | Woven gauze sponge | Gauze sponge (X-ray detectable) |
| Dimensions | 2 x 2 in or 4 x 4 in | — | 2 x 2 in or 4 x 4 in | — |
| Pack Size | 200 Count, Pack of 200, or Case of 2000 | Bag of 200 or Case of 4000 | Box of 100, Case of 2400, or Case of 1200 | 1 Tray |
| Sterility | Non-sterile | Non-sterile | Sterile | — |
| Ply | 4 | 8-ply | 12-ply | 12-Ply or 16-Ply |
| Size | 2 x 2 and 4 x 4 inches | 4" x 4" | 2" x 2", 4" x 4" | 4 x 8" |
| Material | — | 100% cotton | 100% cotton | — |


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