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$4.00
FSA/HSA
Dynarex
A Dynarex nonwoven sponge, 3 x 3 inch, 4-ply.
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
$4.00
Regular price
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$4.00
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FSA / HSA accepted
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Product Details
Specifications
TypeNonwoven sponge
Ply4
Size3 x 3"
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|---|---|---|---|---|
| FSA / HSA | Eligible | Eligible | Eligible | Eligible |
| Prescription | Not required | Not required | Not required | Not required |
| HCPCS code | — | A6216 | A6402 | — |
| Type | Nonwoven sponge | Woven gauze sponge | Woven gauze sponge | Gauze sponge (X-ray detectable) |
| Ply | 4 | 8-ply | 12-ply | 12-Ply or 16-Ply |
| Size | 3 x 3" | 4" x 4" | 2" x 2", 4" x 4" | 4 x 8" |
| Pack Size | — | Bag of 200 or Case of 4000 | Box of 100, Case of 2400, or Case of 1200 | 1 Tray |
| Sterility | — | Non-sterile | Sterile | — |
| Material | — | 100% cotton | 100% cotton | — |