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$5.00
Non-sterile / 1 Pack / 8-Ply · FSA/HSA
Dynarex
A Dynarex gauze sponge, 4 x 4 inch, Woven gauze.
FSA/HSA Eligible
This item can typically be purchased with an FSA or HSA card at checkout. Eligibility can vary by plan, so check with your plan administrator if you are unsure.
Regular price
$5.00
Regular price
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$5.00
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Product Details
Specifications
TypeGauze sponge
SterilityNon-sterile or Sterile
Pack Size1 Pack, 1 Box, or Case of 12
Ply8-Ply or 12-Ply
Size4 x 4"
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|---|---|---|---|---|
| FSA / HSA | Eligible | Eligible | Eligible | Eligible |
| Prescription | Not required | Not required | Not required | Not required |
| HCPCS code | — | A6216 | A6402 | — |
| Type | Gauze sponge | Woven gauze sponge | Woven gauze sponge | Gauze sponge (X-ray detectable) |
| Sterility | Non-sterile or Sterile | Non-sterile | Sterile | — |
| Pack Size | 1 Pack, 1 Box, or Case of 12 | Bag of 200 or Case of 4000 | Box of 100, Case of 2400, or Case of 1200 | 1 Tray |
| Ply | 8-Ply or 12-Ply | 8-ply | 12-ply | 12-Ply or 16-Ply |
| Size | 4 x 4" | 4" x 4" | 2" x 2", 4" x 4" | 4 x 8" |
| Material | — | 100% cotton | 100% cotton | — |