$23.00
7 x 7 in / 1 Each · FSA/HSA

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FSA / HSA accepted
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Product Details
Specifications
TypeFoam dressing (sacrum, silicone border)
Dimensions7 x 7 in or 9 x 9 in
Pack Size1 Each, Box of 5, Case of 40, or Case of 25
HCPCS CodeA6213
Layers5
AdhesiveSilicone
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|---|---|---|---|---|
| FSA / HSA | Eligible | Eligible | Eligible | Eligible |
| Prescription | Not required | Not required | Not required | Not required |
| HCPCS code | A6213 | A6209 | — | — |
| Type | Foam dressing (sacrum, silicone border) | Silicone foam dressing | Silicone foam dressing | Silicone foam dressing |
| Pack Size | 1 Each, Box of 5, Case of 40, or Case of 25 | 1 Each or Box of 5 | — | 1 Each or Box of 5 |
| Adhesive | Silicone | Silicone | — | — |
| Size | — | 3.5 x 3.5 inches | — | 4 x 12" |
| Material | — | — | Silicone foam | Foam |


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